HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION (EIN 55-0404900)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-07-19
- IRS object ID
- 201342009349300009
- Schema version
- 2011v1.5
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-19T10:02:20-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550486667 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arnett Foster Toothman PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 2629 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25329 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550404900 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Herbert J Thomas Memorial Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HERB | NameControl |
| Phone | 3047663528 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4605 MacCorkle Avenue SW | AddressLine1 |
| City | South Charleston | City |
| State | WV | State |
| ZIP Code | 25309 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Charles O Covert | Name |
| Title | Vice President & CFO | Title |
| Phone | 3047663528 | Phone |
| Date Signed | 2013-07-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Harry C Harless | Name |
| PTIN | P01042847 | PTIN |
| Phone | 3043460441 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Thomas Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Stephen P Dexter | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4605 MacCorkle Avenue SW | AddressLine1 |
| City | South Charleston | City |
| State | WV | State |
| ZIP Code | 25309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 186533302 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.thomaswv.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1946 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | To provide health care services to residents of South Charleston, WV and surrounding communities. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1478 | TotalNbrEmployees |
| Total Nbr Volunteers | 127 | TotalNbrVolunteers |
| Total Gross UBI | 8650 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1176806 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 586972 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 153251120 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 166250434 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2340111 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1276389 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2577763 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2725841 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 159345800 | TotalRevenuePriorYear |
| Total Revenue Current Year | 170839636 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 78825 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 132462 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 69665510 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 70991385 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 97744062 | OtherExpensePriorYear |
| Other Expenses Current Year | 106181675 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 167488397 | TotalExpensesPriorYear |
| Total Expenses Current Year | 177305522 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -8142597 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6465886 | RevenuesLessExpensesCY |
| Total Assets BOY | 222186958 | TotalAssetsBOY |
| Total Assets EOY | 220262039 | TotalAssetsEOY |
| Total Liabilities BOY | 160635326 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 172612781 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 61551632 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 47649258 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide health care services to residents of South Charleston, WV and surrounding communities. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 172680698 | Expense |
| Grants | 105198 | Grants |
| Revenue | 163631653 | Revenue |
| Description | Services provided by the hospital include 50,128 inpatient days and 192,652 outpatient visits. The hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Charges forgone for charity amounted to $4,245,075. The hospital provided community education activities and sponsors free health screening and wellness programs. | Description |
| Total Program Service Expense | 172680698 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 150 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1478 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Charles O Covert | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3047663528 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4605 MacCorkle Ave SW | AddressLine1 |
| City | South Charleston | City |
| State | WV | State |
| ZIP Code | 25309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Michael DeWitt | |||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | ||
| Daniel J Lauffer | |||||||
| Trustee | 1.00 | X | 0 | 375994 | 51502 | ||
| Tom McHugh | |||||||
| Chairman | 1.00 | X | 0 | 0 | 0 | ||
| Darshan Dave | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Steve White | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Nancy Fox | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Grace Vandecruze | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| John Neville | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Betty Goad | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Stephen P Dexter | |||||||
| President/CEO | 40.00 | 622304 | 0 | 25265 | X | ||
| Charles O Covert | |||||||
| Vice President/CFO | 40.00 | 281738 | 0 | 24074 | X | ||
| Robert J Gray | |||||||
| Senior Vice President | 40.00 | 259806 | 0 | 23846 | X | ||
| Cynthia W Barnette | |||||||
| Senior Vice President | 40.00 | 262003 | 0 | 23826 | X | ||
| Tarek Anderson | |||||||
| Neonatologist | 40.00 | 296922 | 0 | 19824 | X | ||
| Magdaleno Nucum | |||||||
| House Physician | 40.00 | 162005 | 0 | 16200 | X | ||
| Paul Stobie | |||||||
| Neonatologist | 40.00 | 294289 | 0 | 20184 | X | ||
| Marybeth Smith | |||||||
| Human Resources Director | 40.00 | 158349 | 0 | 4392 | X | ||
| Rodney Dean | |||||||
| Urologist | 40.00 | 292308 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2629724 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 375994 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 209113 | TotalOtherCompensation |
| Number Individuals GT100 K | 40 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Professional Anesthesia Associates | |||||
| 110 Roane St | Charleston | WV | 25302 | Anesthesia service | 1421331 |
| Information Technology Associates | |||||
| 20 NW 4th St Suite 301 | Evansville | IN | 47708 | Information systems consulting | 1030419 |
| Advanced Technical Solutions | |||||
| 107 Erskine Lane | Scott Depot | WV | 25560 | Information systems consulting | 824785 |
| HMP of Kanawha County | |||||
| PO Box 645037 | Cincinnati | OH | 452645037 | Hospitalist physicians | 775000 |
| Aramark | |||||
| 25271 Network Place | Chicago | IL | 606731252 | Food service management | 568494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| All Other Contributions | 586972 | AllOtherContributions |
| Total Contributions | 586972 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient services | 622110 | 163631653 | 163631653 | |
| Electronic health reco | 900099 | 2618781 | $2,618,781 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 166250434 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1143032 | TotalRevenueColumn |
| Unrelated Business Revenue | 8650 | UnrelatedBusinessRevenue |
| Exclusion | $1,134,382 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1609257 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1609257 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1609257 | TotalRevenueColumn |
| Exclusion | $1,609,257 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15030900 | Securities |
| Other | 796123 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15025022 | Securities |
| Other | 668644 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5878 | Securities |
| Other | 127479 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 133357 | TotalRevenueColumn |
| Exclusion | $133,357 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria & vending | 722212 | 576129 | $576,129 |
| Other income | 900099 | 293912 | $293,912 |
| Parking | 812930 | 246543 | $246,543 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1116584 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 170839636 | TotalRevenueColumn |
| Related Or Exempt Function Income | 163631653 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8650 | UnrelatedBusinessRevenue |
| Exclusion | $6,612,361 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132462 | Total |
| Program Services | 132462 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1657188 | Total |
| Program Services | 1605981 | ProgramServices |
| Management And General | 51207 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52863120 | Total |
| Program Services | 51229650 | ProgramServices |
| Management And General | 1633470 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5178441 | Total |
| Program Services | 5018427 | ProgramServices |
| Management And General | 160014 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7505831 | Total |
| Program Services | 7273901 | ProgramServices |
| Management And General | 231930 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3786805 | Total |
| Program Services | 3669793 | ProgramServices |
| Management And General | 117012 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172344 | Total |
| Management And General | 172344 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 374826 | Total |
| Management And General | 374826 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30000 | Total |
| Management And General | 30000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11834715 | Total |
| Program Services | 11469022 | ProgramServices |
| Management And General | 365693 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486310 | Total |
| Program Services | 471283 | ProgramServices |
| Management And General | 15027 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13585216 | Total |
| Program Services | 13165433 | ProgramServices |
| Management And General | 419783 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3626433 | Total |
| Program Services | 3514376 | ProgramServices |
| Management And General | 112057 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4237936 | Total |
| Program Services | 4106984 | ProgramServices |
| Management And General | 130952 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112113 | Total |
| Program Services | 108649 | ProgramServices |
| Management And General | 3464 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6186861 | Total |
| Program Services | 5995687 | ProgramServices |
| Management And General | 191174 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11126983 | Total |
| Program Services | 10783159 | ProgramServices |
| Management And General | 343824 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4503130 | Total |
| Program Services | 4363983 | ProgramServices |
| Management And General | 139147 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical supplies | 25217681 | 25217681 | |
| Bad debts | 16147197 | 16147197 | |
| Healthcare provider tax | 4304208 | 4304208 | |
| Sales & use taxes | 1339219 | 1297837 | 41382 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2896503 | Total |
| Program Services | 2804985 | ProgramServices |
| Management And General | 91518 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177305522 | Total |
| Program Services | 172680698 | ProgramServices |
| Management And General | 4624824 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 441331 | BOY |
| EOY | 353213 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42040443 | BOY |
| EOY | 26936639 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15480102 | BOY |
| EOY | 15601841 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3125418 | BOY |
| EOY | 3336044 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1286698 | BOY |
| EOY | 1313792 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 287447291 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 154587962 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139252427 | BOY |
| EOY | 132859329 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17904904 | BOY |
| EOY | 35295065 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 569249 | BOY |
| EOY | 555126 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2086386 | BOY |
| EOY | 4010990 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222186958 | BOY |
| EOY | 220262039 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12780294 | BOY |
| EOY | 14959630 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49163 | BOY |
| EOY | 127756 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102127331 | BOY |
| EOY | 101098724 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145833 | BOY |
| EOY | 91600 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45532705 | BOY |
| EOY | 56335071 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160635326 | BOY |
| EOY | 172612781 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61551632 | BOY |
| EOY | 47649258 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61551632 | BOY |
| EOY | 47649258 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222186958 | BOY |
| EOY | 220262039 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6465886 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7436488 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $15,109 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $30,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 45109 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Line 1f: A portion of dues paid by the hospital to the American Hospital Association and the West Virginia Hospital Association is attributable to lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11689559 | OtherCostOrOtherBasis |
| Book Value | 11689559 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 148842151 | OtherCostOrOtherBasis |
| Depreciation | 59141977 | Depreciation |
| Book Value | 89700174 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 115523705 | OtherCostOrOtherBasis |
| Depreciation | 91991053 | Depreciation |
| Book Value | 23532652 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11391876 | OtherCostOrOtherBasis |
| Depreciation | 3454932 | Depreciation |
| Book Value | 7936944 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 132859329 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued pension benefits | $37,464,650 |
| Estimated malpractice liability | $10,327,691 |
| Estimated third party settlements | $1,658,886 |
| Capital lease obligations | $1,203,860 |
| Due to related party | $881,563 |
| Accrued interest payable | $4,798,421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 56335071 | TotalOfAmounts |
| Total Revenue | 170839636 | TotalRevenue |
| Total Expenses | 177305522 | TotalExpenses |
| Excess Or Deficit For Year | -6465886 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1773833 | NetUnrealizedGLOnInvestments |
| Other | -$9,210,321 | OtherAmount |
| Total Adjustments | -7436488 | TotalAdjustments |
| Excess Or Deficit Per FS | -13902374 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 154041513 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 154041513 | RevenueSubtotal |
| Other Revenues Not Included | 16798123 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 16798123 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 170839636 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 160488409 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 160488409 | ExpensesSubtotal |
| Other Expenses Not Included | 16817113 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 16817113 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 177305522 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Income from K-1 - Premier Purchasing Partners LP -650,926. Defined benefit pension plan adjustment -9,174,683. Distributions from Premier Purchasing Partners LP 655,288. Equity transfer to related exempt organization -40,000. Total to Schedule D, Part XI, Line 8: -9,210,321. |
| Part XII, Line 4b - Other Adjustments: | Income from K-1: Premier Purchasing Partners LP 650,926. Bad debts deducted from income in the financial statements 16,147,197. |
| Part XIII, Line 4b - Other Adjustments: | Distributions from Premier Purchasing Partners LP 655,288. Bad debts deducted from income in the financial statements 16,147,197. Equipment contributed to related organization 14,628. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1728595 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1728595 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01070 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23656748 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14636363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9020385 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25385343 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14636363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10748980 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06670 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 98070 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 98070 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 98070 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 98070 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25483413 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14636363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10847050 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06730 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $15,126,881 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 37475341 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 38238898 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -763557 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Thomas Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4605 MacCorkle Avenue SW | AddressLine1 |
| City | South Charleston | City |
| State | WV | State |
| ZIP Code | 25309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Herbert J Thomas Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 3c: The hospital provides a 20% discount to individuals who do not have commercial insurance coverage and who do not qualify for Medicare, Medicaid, or free care. An additional 20% prompt pay discount is provided to patients who pay at the time services are rendered. | |
| Part I, Line 7: The cost of charity care and unreimbursed Medicaid was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions.The cost of community health improvement services and community benefit operations was calculated based on the hospita's accounting records.The amount of cash and in-kind contributions to community groups was obtained from the hospital's accounting records. | |
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 16147197. | |
| Part III, Line 4: Bad debt expense is described in the consolidated financial statements as follows: Patient accounts receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon historical collection experience to determine collectibility. Management also reviews troubled, aged accounts to determine collection potential. Patient accounts receivable are written off when deemed uncollectible. Recoveries of accounts previously written off are recorded as a reduction to bad debt expense when received.The amount of patient charges written off reported on line 2 represents amounts that were actually billed to patients, less any payments subsequently received. For example, if an uninsured patient received the 20% uninsured discount and subsequently made only partial payment, the amount written off would be the discounted amount less the subsequent payment. | |
| Part III, Line 8: Medicare costs were obtained from the Hospital's Medicare cost report. | |
| Part III, Line 9b: The organization's collection policies do not apply to patients that are known to qualify for charity care. Additionally, the organization has a separate Patient Assistance Policy; patients who qualify for charity care under the policy do not receive a bill. | |
| Part V, Section B, Line 10: The hospital provides a 20% discount to individuals who do not have commercial insurance coverage and who do not qualify for Medicare, Medicaid, or free care. An additional 20% prompt pay discount is provided to patients who pay at the time service is rendered. | Herbert J. Thomas Memorial Hospital |
| Part V, Section B, Line 13g: At the point of registration for all uninsured patients, we print out and give them the charity forms to apply for our program. We explain to them what this means and tell them they must forward these completed items with the requested documentation to RPAS (our billing office); the address is on the form. We have them sign page one (acknowledgement) and scan it into the account for verification they were given and have had the process explained to them. For those patients who come into our office after they receive a bill, we will explain this same process for them. Notification about financial assistance available from Thomas Health System shall include a contact number, shall be disseminated by Thomas Health System by various means, which may include, but are not limited to, the publication of notices in patient bills and by conspicuously displaying the FAP within the hospital and at other public places as Thomas Health System may elect. Hard copies of the FAP are available for interested persons free of charge. The FAP is posted on Thomas Health System's web page. Thomas Health System may also publish and widely publicize a summary of this Financial Assistance Policy within the hospital, facility websites, brochures and at other places within the community served by the hospital as may be elected. | Herbert J. Thomas Memorial Hospital |
| Part V, Section B, Line 19d: The hospital analyzed its reimbursements from commercial insurance carriers and determined that reimbursements were approximately 80% of charges. Accordingly, the hospital provides a 20% discount to all patients who do not have commercial insurance coverage and who do not qualify for Medicare, Medicaid, or free care. There is an aditional 20% prompt pay discount if mayment is made at the time of service. | Herbert J. Thomas Memorial Hospital |
| Part VI, Line 2: The hospital is a member of the Kanawha Coalition for Community Health Improvement. The Coalition conducts a survey every three years to assess health care needs of the community. Results of the survey are presented in a meeting of community leaders and other interested persons, and are conveyed to the general public by local media. Results of the most recent survey were released in September, 2011. | |
| Part VI, Line 3: The hospital informs and educates patients about their eligibility for assistance by: (1) providing a copy of the policy, or a summary thereof, and financial assistance contact information to patients as part of the intake process; (2) including the policy, or a summary thereof, along with financial assistance contact information, in patient bills; and (3) discussing with the patient the availablity of various government benefits, such as Medicaid or state programs, and assisting the patient with qualification for such programs, where applicable. For those patients who come into our office after they receive a bill, we explain this same process to them. We also employ an outside agency, Advanced Patient Advocacy (APA), to speak with patients regarding Medicaid and other state and federal funding options. APA may speak with the patient during a stay or visit or after discharge. | |
| Part VI, Line 4: The organization's geographic service area includes approximately 476,000 persons in a 12 county area of south-central West Virginia. Heart disease, cancer and pulmonary disease are the leading causes of death in the service area. Patients in the service area are typical of West Virginia as a whole. The population served is 48% male, 52% female. Approximately 20% of residents in the area have no healthcare insurance coverage and no family doctor or other healthcare provider. Except for the area within the Charleston, WV city limits, all of the counties in the organization's geographic service area are federally-designated Medically Underserved and Health Manpower Shortage Areas. | |
| Part VI, Line 5: All members of the hospital's Board of Directors reside in the local community. The hospital extends medical staff privileges to all qualified physicians in the community who meet specific credentialing criteria. The hospital's 24 hour emergency room is available to all persons, regardless of ability to pay. The hospital prepares its budget to ensure adequate funding for capital improvements that are made on an on-going basis. During the year, the hospital received $586,972 in contributions. These contributions enabled the hospital to fund its capital improvements and to provide financial sssistance to individuals unable to pay for some or all or their care. | |
| Part VI, Line 6: The hospital, along with St. Francis Hospital, is part of Thomas Health System, Inc. The health system was formed to forge a partnership based on the strength of the two established hospitals. Bringing the two hospitals under the umbrella of the Thomas Health System allows them to provide innovative and cost-effective health care services to the Kanawha Valley and surrounding areas. Economies of scale have allowed for cost reductions in numerous areas, while providing advanced technology to a larger community, with access to the highest quality of physicians, nurses and support staff in our service area. The system provides a wide range of services that serves the entire community. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| West Virginia Symphony Orchestra Inc | ||||||||||
| PO Box 2292 | Charleston | WV | 25328 | 550339426 | 501(c)(3) | 13500 | Sponsorship of concert and fund raising gala | |||
| WV Health Right | ||||||||||
| 1520 Washington St East | Charleston | WV | 25311 | 311066881 | 501(c)(3) | 30000 | Support for a free clinic that provides medical care and drugs to the uninsuredSupport for a free clinic that suppplies medical care and drugs to the uninsuredTo support a free clinic located in Charleston, WV that supplies free drugs to the uninsured | |||
| Charleston Area Alliance | ||||||||||
| 1116 Smith St | Charleston | WV | 25301 | 556024192 | 501(c)(4) | 6400 | Support for economic development programs | |||
| Charleston Hospital Hospital Inc dba St Francis Hospital | ||||||||||
| 333 Laidley Street | Charleston | WV | 25301 | 611272692 | 501(c)(3) | To assist the efforts of St. Francis Hospital | 14628 | Book value | Equipment | |
| CAMC Health Education and Research Institute Inc | ||||||||||
| 3200 MacCorkle Avenue SE | Charleston | WV | 25304 | 550753754 | 501(c)(3) | 27264 | Health education and research that benefits the people of Kanawha County | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Daniel J Lauffer | |||||||||||||
| 0 | 309191 | 0 | 60895 | 0 | 5908 | 0 | 31536 | 0 | 23654 | 0 | 431184 | 0 | 0 |
| Stephen P Dexter | |||||||||||||
| 510619 | 0 | 86800 | 0 | 24885 | 0 | 9072 | 0 | 16193 | 0 | 647569 | 0 | 0 | 0 |
| Charles O Covert | |||||||||||||
| 245507 | 0 | 28878 | 0 | 7353 | 0 | 6530 | 0 | 17544 | 0 | 305812 | 0 | 0 | 0 |
| Robert J Gray | |||||||||||||
| 226012 | 0 | 26700 | 0 | 7094 | 0 | 6302 | 0 | 17544 | 0 | 283652 | 0 | 0 | 0 |
| Cynthia W Barnette | |||||||||||||
| 222751 | 0 | 31723 | 0 | 7529 | 0 | 6282 | 0 | 17544 | 0 | 285829 | 0 | 0 | 0 |
| Tarek Anderson | |||||||||||||
| 296922 | 0 | 0 | 0 | 0 | 0 | 3672 | 0 | 16152 | 0 | 316746 | 0 | 0 | 0 |
| Magdaleno Nucum | |||||||||||||
| 162005 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16200 | 0 | 178205 | 0 | 0 | 0 |
| Paul Stobie | |||||||||||||
| 294289 | 0 | 0 | 0 | 0 | 0 | 3672 | 0 | 16512 | 0 | 314473 | 0 | 0 | 0 |
| Marybeth Smith | |||||||||||||
| 142264 | 0 | 16085 | 0 | 0 | 0 | 2352 | 0 | 2040 | 0 | 162741 | 0 | 0 | 0 |
| Rodney Dean | |||||||||||||
| 292308 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 292308 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | West Virginia Hospital Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 621256910 | IssuerEIN |
| CUSIP Number | 956622XRO | CUSIPNumber |
| Date Issued | 2008-06-30 | DateIssued |
| Issue Price | 94030170 | IssuePrice |
| Description Of Purpose | Capital expenditures and equipment purchases | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 719812 | AmountRetired |
| Total Proceeds | 92695993 | TotalProceeds |
| Amount In Reserve Fund | 7223714 | AmountInReserveFund |
| Capitalized Interest | 10534952 | CapitalizedInterest |
| Issuance Costs From Proceeds | 1489249 | IssuanceCostsFromProceeds |
| Capital Expenditures | 73448078 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 1 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.03000 | PrcntgePrvtBusinessUseByOthers |
| Total Private Business Use | 0.03000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Trinity Plus | BusinessNameLine1 |
| Business Name Line2 | Funding | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Thomas Health System, Inc., a nonprofit corporation organized under the laws of the State of West Virginia, is the sole member of the organization. | |
| Form 990, Part VI, Section A, line 7a | The organization's board of directors is elected by its sole member, Thomas Health System, Inc. | |
| Form 990, Part VI, Section B, line 11 | Thomas Health System, Inc. (the System) is the sole member of the organization. The System's finance committee is responsible for financial management of the organization. The 990 is reviewed by the organization's CFO and the chairman of the finance committee. The 990 is then discussed with the System's finance committee and a copy is provided to all board members before it is filed with the IRS. | |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors and enforces compliance with our written conflict of interest policy by asking annually that all Trustees, officers and employees (managers) who have decision making/purchasing authority disclose any potential conflicts of interest. Disclosure forms are signed annually then logged onto a spread sheet that identifies any potential conflicts. | |
| Form 990, Part VI, Section B, line 15 | The Executive Compensation Committee, comprised of members who are free of any conflicts of interest, adheres to a disciplined process for reviewing compensation for senior executives to ensure that the compensation is reasonable. The Committee has retained an independent consulting and advisory firm, Yaffe & Company, to provide appropriate market data as to comparability. The Committee reviews comparability data and other relevant evidence and approves the compensation of senior executives; provided, however, that in the case of the CEO, the Board, after review of the comparability data and other relevant evidence, including a recommendation from the Committee, has the final approval with regard to the CEO's compensation. Only those Board members who are free of conflicts of interest vote on the CEO's compensation. All compensation decisions, including the comparability data reviewed and any other relevant information considered, are contemporaneously documented in meeting minutes. | |
| Form 990, Part VI, Section C, line 19 | The Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. These documents are maintained in the administrative offices of the hospital and are provided via copy upon request. The documents also can be reviewed on site at the hospital upon advance notice. | |
| Form 990, Part VII, Section A | Daniel J. Lauffer, Trustee, is the CEO of Charleston Hospital, Inc. dba St. Francis Hospital. Mr. Lauffer works 40 hours per week for St. Francis Hospital. | Hours worked for related organization |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 1,773,833. Income from K-1 - Premier Purchasing Partners LP -650,926. Defined benefit pension plan adjustment -9,174,683. Distributions from Premier Purchasing Partners LP 655,288. Equity transfer to related exempt organization -40,000. Total to Form 990, Part XI, Line 5: -7,436,488. | Changes in Net Assets or Fund Balances: |
| Schedule K | On June 30, 2008, the West Virginia Hospital Finance Authority issued $148,920,000 Hopital Inprovement Revenue Bonds Series 2008 on behalf of Thomas Health System, Inc. Thomas Health System, Inc. is the sole member of Herbert J. Thomas Memorial Hospital Association (Thomas Memorial Hospital) and Charleston Hospital, Inc. dba St. Francis Hospital. Bond proceeds, and related liability, were allocated between the two hospitals. Total proceeds of the issue reported in Part II, line 3 are net of bond discount in the amount of $1,333,842. | Explanation of amounts reported |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Thomas Health System Inc | ||||||||||
| 4605 MacCorkle Avenue SW | South Charleston | WV | 25309 | 260440674 | Corporate office | WV | 501(c)(3) | Line 3 | N/A | 0 |
| St Francis Hospital | ||||||||||
| 333 Laidley St | Charleston | WV | 25301 | 611272692 | Hospital | WV | 501(c)(3) | Line 3 | N/A | 0 |
| THS Physician Partners Inc | ||||||||||
| 4605 MacCorkle Avenue SW | South Charleston | WV | 25309 | 454395947 | Medical services | WV | 501(c)(3) | Line 3 | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THM Services Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 437 Division Street Ste 311 | AddressLine1 |
| City | South Charleston | City |
| State | WV | State |
| ZIP Code | 25309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550676607 | EIN |
| Primary Activity | Equipment sales, rental and related services, vending sales | PrimaryActivity |
| Legal Domicile State | WV | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 143264 | ShareOfTotalIncome |
| Share Of EOY Assets | 5167361 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |