STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (EIN 55-0492006)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201343179349301519
Schema version
2012v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T08:50:10-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550492006EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Virginia University Medical CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3042857124Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 897AddressLine1
CityMorgantownCity
StateWVState
ZIP Code265070897ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJudie F Charlton MDName
TitleCMOTitle
Phone3045984408Phone
Date Signed2013-11-11DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1University Health AssociatesBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJudie Charlton MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 8059AddressLine1
CityMorgantownCity
StateWVState
ZIP Code26506ZIPCode
FieldValueIRS element (for citing)
Gross Receipts263913527GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTo support the West Virginia University School of Medicine in the furtherance of its charitable, scientific, and educational purposes by serving as its faculty practice plan and providing a full range or business management services to its faculty in support of their clinical practices.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees785TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year131305321ProgramServiceRevenuePriorYear
Program Service Revenue CY263260746ProgramServiceRevenueCY
Investment Income Prior Year249593InvestmentIncomePriorYear
Investment Income Current Year644691InvestmentIncomeCurrentYear
Other Revenue Current Year8090OtherRevenueCurrentYear
Total Revenue Prior Year131554914TotalRevenuePriorYear
Total Revenue Current Year263913527TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8442134GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17407682GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year90902034SalariesEtcPriorYear
Salaries Etc Current Year187711782SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year26533867OtherExpensePriorYear
Other Expenses Current Year51739173OtherExpensesCurrentYear
Total Expenses Prior Year125878035TotalExpensesPriorYear
Total Expenses Current Year256858637TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5676879RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7054890RevenuesLessExpensesCY
Total Assets BOY88071378TotalAssetsBOY
Total Assets EOY90443585TotalAssetsEOY
Total Liabilities BOY41218692TotalLiabilitiesBOY
Total Liabilities EOY35561539TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46852686NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY54882046NetAssetsOrFundBalancesEOY
Mission DescriptionTo support the West Virginia University School of Medicine in the furtherance of its charitable, scientific, and educational purposes by serving as its faculty practice plan and providing a full range or business management services to its faculty in support of their clinical practices.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense229172017Expense
Grants17407682Grants
Revenue263268836Revenue
DescriptionThe Corporation supported faculty physicians of the West Virginia School of Medicine in their provision of medical services with approximately 614,451 patient visits during 2012. The Corporation continuously meets its exempt purpose by providing funds to the state-supported West Virginia University School of Medicine. By providing these funds, the Corporation has both lessened the burdens to government and advanced graduate medical education in West Virginia. As part of its mission to support the School of Medicine, the Corporation incurred expenditures for professional liability premiums on behalf of the the faculty physicians of the School of Medicine. The Corporation has also lessened the burdens on government by relieving poverty in West Virginia by supporting the faculty physicians in their provision of charity care.Description
Total Program Service Expense229172017TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096173NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees785NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary Jo ShahanNamePerson
Telephone Number3045984554TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 8059AddressLine1
CityMorgantownCity
StateWVState
ZIP Code26506ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Todd Crocco MD
Director040.00X361281020000
Sandford Emery MD
Director040.00X590204017500
Michael Hurst MD
Chairman040.00X286619025145
Alison Wilson MD
Director040.00X372393017701
John Parker MD
Director040.00X229481014799
Ronald Pellegrino MD
Director/Associate CMO040.00X188000012173X
Larry Rhodes MD
Director040.00X283137018624
Arthur Ross MD
Director/Dean WVU SOM040.00X404060015000
Judie F Charlton MD
CMO040.00298044024779X
Matthew Loos MD
VP Med Staff Affairs040.00323129015000X
Mary Jo Shahan
VP/CFO012.50035311922549X037.50
Mitchell Harris
VP CAOO040.00035869620776X
Mathis Frick MD
Chair Radiology Department040.00692462026314X
James Brick MD
Professor, Chairman of Medicine040.00358939025000X
Charles Rosen MD
Physician040.00754878020224X
Robert Gustafson MD
Physician040.00556824025000X
John France MD
Physician040.00594031025020X
Wissam Gharib MD
Physician040.00591402018632X
Ronald Hargraves MD
Physician040.00642716018484X
David A Brisell
Former EVP/Legal Counsel205427016687X
Tara L Steed
Former VP Business Operations Development132722014463X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7865749TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs711815TotalReportableCompFrmRltdOrgs
Total Other Compensation413870TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Phillips Medical Capital
PO Box 92449WaynePA19087Equipment Lease1709640
Siemens Financial Services
170 Wood Ave SIselinNJ08830Equipment Lease616469
McKesson Specialty Care Distribution
401 Mason RoadLavergneTN37088Medical Supplies482169
Hammes Company Healthcare East LLC
18000 W Sarah Lane Ste 250BrookefieldWI53045Professional Services398122
Escribes Management Services LLC
469 McLaws CircleWilliamsburgVA23185Online Transcription Services210771
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Direct Patient Care621110197445682197445682
Other Health Care6211104205229642052296
Expense Reimbursement6211102266279522662795
Rent - Physicians Office53112010999731099973
FieldValueIRS element (for citing)
Total Program Service Revenue263260746TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column644691TotalRevenueColumn
Exclusion$644,691ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Tuition90009980408040
Managed Care Network Dues9000995050
FieldValueIRS element (for citing)
Total Other Revenue8090TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column263913527TotalRevenueColumn
Related Or Exempt Function Income263268836RelatedOrExemptFunctionIncome
Exclusion$644,691ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total17407682Total
Program Services17407682ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4619783Total
Program Services2856116ProgramServices
Management And General1763667ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total163101941Total
Program Services147368170ProgramServices
Management And General15733771ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6906990Total
Program Services5636947ProgramServices
Management And General1270043ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6270851Total
Program Services4975777ProgramServices
Management And General1295074ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6812217Total
Program Services5492570ProgramServices
Management And General1319647ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total152887Total
Management And General152887ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total110596Total
Management And General110596ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2123431Total
Program Services636876ProgramServices
Management And General1486555ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total182161Total
Management And General182161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4855223Total
Program Services3965835ProgramServices
Management And General889388ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6853291Total
Program Services5475370ProgramServices
Management And General1377921ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1696255Total
Program Services1565832ProgramServices
Management And General130423ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1358197Total
Program Services1177949ProgramServices
Management And General180248ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1272909Total
Program Services1142159ProgramServices
Management And General130750ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total301929Total
Management And General301929ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6488874Total
Program Services5839987ProgramServices
Management And General648887ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4600964Total
Program Services4069494ProgramServices
Management And General531470ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for doubtful accounts1642422616424226
Medical Supplies Pharmaceuticals28185032818503
Dues, Membership, Licenses963199782539180660
Recruitment759578759578

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total776950Total
Program Services776407ProgramServices
Management And General543ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total256858637Total
Program Services229172017ProgramServices
Management And General27686620ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9075BOY
EOY10138EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13020181BOY
EOY10566351EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19510269BOY
EOY18681242EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY53875BOY
EOY4866EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY327791BOY
EOY345361EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis67176161LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec44234835LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26590707BOY
EOY22941326EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14759021BOY
EOY26553661EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13800459BOY
EOY11340640EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY88071378BOY
EOY90443585EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21300879BOY
EOY23190405EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16216BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY15003018BOY
EOY10512868EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4898579BOY
EOY1858266EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41218692BOY
EOY35561539EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46852686BOY
EOY54882046EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46852686BOY
EOY54882046EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88071378BOY
EOY90443585EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7054890ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1132570ReconciliationUnrealizedInvest
Reconcilation Other Changes-158100ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Facts And Circumstances TestPart I Line 3 Although the organization qualifies as a hospital under IRC Section 170b1Aiii as shown on Schedule A item 3, the organization does not qualify as a hospital for Schedule H or State of West Virginia purposes.FactsAndCircumstancesTest
General ExplanationPart I Line 3 Although the organization qualifies as a hospital under IRC Section 170b1Aiii as shown on Schedule A item 3, the organization does not qualify as a hospital for Schedule H or State of West Virginia purposes.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1804057OtherCostOrOtherBasis
Book Value1804057BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34301912OtherCostOrOtherBasis
Depreciation20534344Depreciation
Book Value13767568BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30267269OtherCostOrOtherBasis
Depreciation23647245Depreciation
Book Value6620024BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis802923OtherCostOrOtherBasis
Depreciation53246Depreciation
Book Value749677BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22941326TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Unamortized Borrowing Costs89950
Deferred Compensation42606
Student Loan Receivable367971
Due from Related Org - Accr
Other Curr Rec - Accr1799054
Other to/from IC WVUPC186950
Other Current Receivable4788660
Current Rec - WVU HC WVUH4072115
A/R Cash Received Not Applied-6666
FieldValueIRS element (for citing)
Total Book Value Other Assets11340640TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Federal income taxes
Other Accrued Expenses - Current$1,053,512
Other Current Liabilities$617,138
Deferred Compensation$42,606
Other Non-Current Liabilities$145,010
FieldValueIRS element (for citing)
Total Of Amounts1858266TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt209800897TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1132570NetUnrealizedGainsInvestments
Other Revenues-39087021OtherRevenues
Revenue Not Rptd F990-37954451RevenueNotRptdF990
Revenue Subtotal247755348RevenueSubtotal
Other Revenues Not Included16158179OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt16158179RevenueNotRptdOnFinStmt
Total Revenue Per Form990263913527TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt201613439TotExpensesEtcAuditedFinclStmt
Other Expenses Included-22662795OtherExpensesIncluded
Expenses Not Rptd F990-22662795ExpensesNotRptdF990
Expenses Subtotal224276234ExpensesSubtotal
Other Expenses Not Included32582403OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt32582403ExpensesNotRptdOnFinStmt
Total Expenses Per Form990256858637TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
X2The Corporation accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were not tax uncertainties that met the recognition threshold in 2012 and 2011.
XI2dThe amount reported on line 2d consists of 16,424,226 of Allowance for Doubtful Accounts and Expense Reimbursements of 22,662,795.
XI4bSupport to WVU School of Medicine of 15,957,632 all which were reported as an offest to revenue on the audited financial statements and 200,547 of rental revenue reported as expense rembursement on financial statements.
XII2dThe amount reported on line 2d consists of 22,662,795 which were reported as an offest to revenue on the audited financial statements.
XII4bThe amount reported on line 4b consists of 16,424,226 of Allowance for Doubtful Accounts which were reported as an offest to revenue on the audited financial statements and contributions of 15,957,632 to WVU School of Medicine Health Sciences reported in equity on audited financial statements, 200,547 of rental revenue reported as expense rembursement on financial statements and 2 rounding adjustment.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1West Virginia UniversityBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11150 HSN PO Box 9100AddressLine1
CityMorgantownCity
StateWVState
ZIP Code26506ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient556000842EINOfRecipient
IRC Section501c3IRCSection
Amount Of Cash Grant17403067AmountOfCashGrant
Purpose Of GrantSupportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference1ReturnReference
ExplanationThe Corporation contributes to WVU Health Sciences Center to support the mission of the School of Medicine and to support the WVU School of Medicine Academic Enrichment Fund.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Todd Crocco MD
Director3269933374854020000381281
Sandford Emery MD
Director587882232217500607704
Michael Hurst MD
Chairman24430538893342125145311764
Alison Wilson MD
Director35771913025164917701390094
John Parker MD
Director18498940928356414799244280
Ronald Pellegrino MD
Director/Associate CMO1738941367043612173200173
Larry Rhodes MD
Director22316851031893818624301761
Arthur Ross MD
Director/Dean WVU SOM280735119760356515000419060
Judie F Charlton MD
CMO24022755240257724779322823
Matthew Loos MD
VP Med Staff Affairs2850383736173015000338129
Mathis Frick MD
Chair Radiology Department409056276928647826314718776
James Brick MD
Professor, Chairman of Medicine32482630008410525000383939
Charles Rosen MD
Physician492897260370161120224775102
Robert Gustafson MD
Physician367408184172524425000581824
John France MD
Physician54161051179124225020619051
Wissam Gharib MD
Physician46653712430655918632610034
Ronald Hargraves MD
Physician639295342118484661200
David A Brisell
Former EVP/Legal Counsel4593115949616687222114
Tara L Steed
Former VP Business Operations Development2658810613414463147185
Mary Jo Shahan
VP/CFO292460357472491219474307537566817239
Mitchell Harris
VP CAOO3154903480783992077637947215787

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
I4aDavid Brisell and Tara Steed received severance payments in 2012.
I4bMary Jo Shahan and Mitchell Harris deferred compensation through a CAA plan in 2012.
I6Year-end incentives for management are based on the bottom line performance of the organization as a whole.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
West Virginia Hospital Finance Authority
A6212569102008-07-087000000Clinical Information Systemfalsefalsefalse
City Of Ranson
B5560008802011-02-031800000Medical Office Buildingfalsefalsefalse
West Virginia Hospital Finance Authority
C6212569102011-06-308815000Refund 1992 bondsfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceeds
A2931138700000070000002009falsefalsetruetrue
B100650146534814653482011falsefalsetruetrue
C134500088150002011truefalsetruetrue893648725636

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsefalse
Cfalsefalsefalsefalsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
Afalsetruefalsefalsefalsefalsefalsefalsefalse
Bfalsetruefalsefalsefalsefalsefalsefalsefalse
Cfalsetruefalsefalsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
III9The organization is preparing written procedures to ensure that all nonqualified bonds are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2, these procedures will be presented to the Board of Directors in November 2013 for approval.
IV7The organization is preparing written procedures to monitor the requirements of section 148, these procedures will be presented to the Board of Directors in November 2013 for approval.
VThe organization is preparing written procedures to ensure that violations of federal tax requirements are teimley identified and corrected through the voluntary closing agreement program, these procedures will be presented to the Board of Directors in November 2013 for approval.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

ExplanationExplanation
Form 990 Part VI Section A Line 6 Membership in the Corporation is limited to physicians and surgeons licensed to practice medicine in West Virginia. Corporation members are Clinical Department physician faculty members of the West Virginia University School of Medicine. Each member occupies one of the following categories 1 Voting Full-time faculty members, 2 Non-voting Part-time faculty members.
Form 990 Part VI Section A Line 7a There are eight voting members of the Corporations board of directors. Seven are elected from and by the full-time physician faculty members of the Corporation. The eighth is the Dean of the West Virginia University School of Medicine, who is an ex-officio voting member.
Form 990 Part VI Section A Line 7b Proposed revisions to the by-laws are subject to approval by majority vote of the Board. Such revisions are then subject to approval by two thirds 2/3 of the full faculty members present in person or by written proxy at a regular or duly called special meeting of the Corporation, and shall be effective when approved by the President of West Virginia University.
Form 990 Part VI Section B Line 11b Form 990 is prepared by the tax accountant of West Virginia University Hospitals, Inc. with assistance from the Corporations accounting manager. Before the 990 is filed with the IRS, the CFO and tax accountant review the 990 with the Finance Committee and Board members to ensure they have an understanding of the information provided in the form.
Form 990 Part VI Section B Line 12c Annually, employees and physicians are required to answer questions regarding any potential conflicts of interest. The Human Resources department reviews the reports for any discrepancies and follows up as necessary.
Form 990 Part VI Section B Line 15 A compensation committee reviews performance, goals, and comparable market data to determine compensation for the officers and key employees.
Form 990 Part VI Section C Line 18 The organizations Form 1023 and Form 990 are available to the public upon request.
Form 990 Part VI Section C Line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990 Part XI Line 9 158,100 of contributions to WVU School of Medicine were posted to Net Assets on the financial statements, these contributions were reported as contribution expense on the Form 990.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
West Virginia University School of Medicine
PO Box 9100MorgantownWV26056556000842Medical EducationWV501c32N/Afalse
West Virginia University Dental Corporation
PO Box 1587MorgantownWV26507550524309Dental ServicesWV501c32N/Afalse
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304HospitalWV501c33N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg