CITY HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CITY HOSPITAL INC (EIN 55-0383321)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349300347
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T08:59:18-00:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550383321 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CITY | NameControl |
| Phone | 3042641000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Room No 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Christopher Knight | Name |
| Title | VP of Finance | Title |
| Date Signed | 2011-11-11 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Christopher Knight | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 124795038 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.wvuh-east.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1940 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | City Hospital is a non profit acute care hospital providing high-quality health & wellness services to the residents of the Eastern Panhandle of WV, expanding access to care and participating in the education of healthcare professionals. City Hospital is a non profit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV, expanding access to care and participating in the education of healthcare professionals. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 867 | TotalNbrEmployees |
| Total Nbr Volunteers | 109 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 20681 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 18390 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 112857969 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 122008270 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 745926 | InvestmentIncomePriorYear |
| Investment Income Current Year | 878976 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1342830 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1779750 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 114967406 | TotalRevenuePriorYear |
| Total Revenue Current Year | 124685386 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5570758 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4335415 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 55321514 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 59670788 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 61359954 | OtherExpensePriorYear |
| Other Expenses Current Year | 60058968 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 122252226 | TotalExpensesPriorYear |
| Total Expenses Current Year | 124065171 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -7284820 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 620215 | RevenuesLessExpensesCY |
| Total Assets BOY | 89187253 | TotalAssetsBOY |
| Total Assets EOY | 94664400 | TotalAssetsEOY |
| Total Liabilities BOY | 64479379 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 69146750 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24707874 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25517650 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | City Hospital is a non-profit acute care hospital located in the Eastern Panhandle of WV. The mission of City Hospital is to provide high quality, cost effective health and wellness services to the community. CHI provides these to patients in need without consideration of their ability to pay. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 43015152 | Expense |
| Revenue | 89503021 | Revenue |
| Description | City Hospital provides general medical services to the residents in the Eastern Panhandle region of WV. Such services include family medicine, internal medicine, observation, a fully accredited cancer center, and outpatient ancillary testing. During 2010, City Hospital documented 135,111 ancillary tests, and 2,507 observation visits. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6335995 | Expense |
| Revenue | 13183511 | Revenue |
| Description | The General Surgery department at City Hospital is staffed by specialists and general surgeons offering the latest in surgical techniques including laproscopic procedures, lithotripsy, and same day/ambulatory surgery. Same day surgery visits for 2010 totaled 6,283. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6445751 | Expense |
| Revenue | 13441883 | Revenue |
| Description | In Septermber 2009 City Hospital Inc opened a new 18-bed Orthopedic Unit. The unit is tailored toward personal care, patient comfort and privacy. The unit features a dedicated orthopedic nursing staff supported by staff from rehabilitation, care management, nutririon, and respiratory therapy. The team specializes in the care of patients following orthopedic surgery including total joints, fractures and knee and hip replacements. Orthopedic patient days in 2010 totaled 3,999. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 41301872 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 4335415 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 8596877 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 97098770 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 110 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 867 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Christopher Knight | NamePerson |
| Telephone Number | 3042641358 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Richard Pill | |||||||
| Chairman | 001.00 | X | X | 0 | 0 | 0 | |
| Walter Washington | |||||||
| Vice-Chairman | 001.00 | X | X | 0 | 0 | 0 | |
| Douglas M Widmeyer | |||||||
| Treasurer | 001.00 | X | X | 0 | 0 | 0 | |
| Shelia Hamilton | |||||||
| Secretary | 001.00 | X | X | 0 | 0 | 0 | |
| Robert Baronner Jr | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Fred Butcher PhD | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Betty Gunnoe | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Mitch Jacques MD | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Robert E Jones III | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Max Oates Jr | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Rhonda Monroe | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Dawn Jones MD | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Jeffrey B DeBord DO | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Nicholas Trietsch | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Dr Richard Knapp | |||||||
| Director | 001.00 | X | 0 | 0 | 0 | ||
| Anthony Zelenka | |||||||
| COA | 050.00 | X | 231480 | 0 | 29960 | ||
| James Paskert | |||||||
| VP Med Affaris | 040.00 | X | 167829 | 0 | 10900 | ||
| E Christian Miller | |||||||
| Pharmacy Director | 040.00 | 135959 | 0 | 15021 | X | ||
| Charles Steg | |||||||
| Pharmacist | 040.00 | 132611 | 0 | 6667 | X | ||
| Denver Dehaven | |||||||
| Pharmacist | 040.00 | 126890 | 0 | 8452 | X | ||
| Carol Crosmun | |||||||
| Pharmacist | 040.00 | 122500 | 0 | 8333 | X | ||
| Karla Demarco | |||||||
| Pharmacist | 050.00 | 121655 | 0 | 12990 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1038924 | TotalReportableCompFromOrg |
| Total Other Compensation | 92323 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Quest Diagnostics | |||||
| 14225 Newbrook Dr | Chantilly | VA | 20151 | Lab Services | 714032 |
| Handcraft Cleaners and Laundry | |||||
| 1501 Roseneath Rd | Richmond | VA | 23230 | Laundry Services | 583637 |
| Blue Ridge Drywall | |||||
| 353 Stickey Ct | Martinsburg | WV | 25401 | Contractor Services | 512635 |
| Insight Health Services | |||||
| 26250 Enterprise Ct | Lake Forest | CA | 92630 | Mobile MRI and PET services | 509120 |
| Martin & Seibert LC | |||||
| 1164 Winchester Av | Martinsburg | WV | 25402 | Collections | 480900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Government Grants | 17890 | GovernmentGrants |
| All Other Contributions | 500 | AllOtherContributions |
| Total Contributions | 18390 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| Patient Services | 121229489 | 121229489 |
| Wellness Center | 778781 | 778781 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 122008270 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 988628 | TotalRevenueColumn |
| Related Or Exempt Function Income | 988628 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 51356 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 51356 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 51356 | TotalRevenueColumn |
| Exclusion | $51,356 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 109652 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -109652 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -109652 | TotalRevenueColumn |
| Exclusion | -$109,652 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| Cafeteria Income | 345618 | 345618 |
| Patient Pharmacy | 963822 | 963822 |
| Cash Discounts | 305356 | 305356 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 113598 | TotalRevenueColumn |
| Related Or Exempt Function Income | 113598 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1728394 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 124685386 | TotalRevenueColumn |
| Related Or Exempt Function Income | 124725292 | RelatedOrExemptFunctionIncome |
| Exclusion | -$58,296 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4335415 | Total |
| Program Services | 4335415 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 440169 | Total |
| Management And General | 440169 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44075087 | Total |
| Program Services | 36062213 | ProgramServices |
| Management And General | 8012874 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1265866 | Total |
| Program Services | 1035731 | ProgramServices |
| Management And General | 230135 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10119227 | Total |
| Program Services | 8312978 | ProgramServices |
| Management And General | 1806249 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3770439 | Total |
| Program Services | 3084971 | ProgramServices |
| Management And General | 685468 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115467 | Total |
| Program Services | 5499 | ProgramServices |
| Management And General | 109968 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92635 | Total |
| Management And General | 92635 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10973817 | Total |
| Program Services | 7464463 | ProgramServices |
| Management And General | 3509354 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297689 | Total |
| Program Services | 1468 | ProgramServices |
| Management And General | 296221 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22047342 | Total |
| Program Services | 20518636 | ProgramServices |
| Management And General | 1528706 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 478292 | Total |
| Program Services | 88708 | ProgramServices |
| Management And General | 389584 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2062732 | Total |
| Program Services | 376279 | ProgramServices |
| Management And General | 1686453 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92557 | Total |
| Program Services | 25137 | ProgramServices |
| Management And General | 67420 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1147812 | Total |
| Management And General | 1147812 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5123631 | Total |
| Management And General | 5123631 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 557183 | Total |
| Management And General | 557183 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for Doubtful Accounts | 13322158 | 13322158 | |
| Association Dues | 130614 | 38353 | 92261 |
| Educational Training | 94989 | 6201 | 88788 |
| Taxes, Licenses, Fees | 2988691 | 2239040 | 749651 |
| Recruiting | 274768 | 137333 | 137435 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258591 | Total |
| Program Services | 44187 | ProgramServices |
| Management And General | 214404 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124065171 | Total |
| Program Services | 97098770 | ProgramServices |
| Management And General | 26966401 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32490 | BOY |
| EOY | 43010 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28918351 | BOY |
| EOY | 18960480 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12273719 | BOY |
| EOY | 12841702 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1746471 | BOY |
| EOY | 1336500 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1518723 | BOY |
| EOY | 1777782 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270002 | BOY |
| EOY | 359773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 99383011 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 57565059 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26336216 | BOY |
| EOY | 41817952 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15648955 | BOY |
| EOY | 13004060 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2442326 | BOY |
| EOY | 4523141 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89187253 | BOY |
| EOY | 94664400 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5346128 | BOY |
| EOY | 9198849 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49436551 | BOY |
| EOY | 48383698 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9696700 | BOY |
| EOY | 11564203 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64479379 | BOY |
| EOY | 69146750 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24707874 | BOY |
| EOY | 25205594 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 312056 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24707874 | BOY |
| EOY | 25517650 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89187253 | BOY |
| EOY | 94664400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 620215 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 189561 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
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
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 10669 | CurrentYearMinus3 |
| Current Year Minus2 | 12860 | CurrentYearMinus2 |
| Current Year Minus1 | 12507 | CurrentYearMinus1 |
| Current Year | 12820 | CurrentYear |
| Total | 48856 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 10669 | CurrentYearMinus3 |
| Current Year Minus2 | 12860 | CurrentYearMinus2 |
| Current Year Minus1 | 12507 | CurrentYearMinus1 |
| Current Year | 12820 | CurrentYear |
| Total | 48856 | Total |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Included On FS | false | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 106462 | OtherCostOrOtherBasis |
| Book Value | 106462 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27160017 | OtherCostOrOtherBasis |
| Depreciation | 13215710 | Depreciation |
| Book Value | 13944307 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52928433 | OtherCostOrOtherBasis |
| Depreciation | 39957917 | Depreciation |
| Book Value | 12970516 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19188099 | OtherCostOrOtherBasis |
| Depreciation | 4391432 | Depreciation |
| Book Value | 14796667 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 41817952 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued wages, benefits and payroll taxes | $4,960,690 |
| Malpractice Liability | $585,685 |
| Accrued pension benefits | $1,181,694 |
| Accrued bond interest | $194,449 |
| Due to third Party Payors | $974,000 |
| Interest Rate Swaps | $1,491,369 |
| Self Insurance Liability | $2,176,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11564203 | TotalOfAmounts |
| Total Revenue | 124685386 | TotalRevenue |
| Total Expenses | 124065171 | TotalExpenses |
| Excess Or Deficit For Year | 620215 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -323088 | NetUnrealizedGLOnInvestments |
| Other | $512,647 | OtherAmount |
| Total Adjustments | 189559 | TotalAdjustments |
| Excess Or Deficit Per FS | 809774 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 125060000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 264033 | NetUnrealizedGainsInvestments |
| Other Revenues | 110581 | OtherRevenues |
| Revenue Not Rptd F990 | 374614 | RevenueNotRptdF990 |
| Revenue Subtotal | 124685386 | RevenueSubtotal |
| Total Revenue Per Form990 | 124685386 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 120446000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -3619171 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -3619171 | ExpensesNotRptdF990 |
| Expenses Subtotal | 124065171 | ExpensesSubtotal |
| Total Expenses Per Form990 | 124065171 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| X | 2 | The annual audit and financial statements of City Hospital are prepared on a consolidated basis as a member of the WV United Health System. The System accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. There were no tax uncertainties that met the recognition threshold in 2010. |
| XI | 8 | The amount on line 5 Other changes in net assets or fund balance includes 312,058 Change in restricted net assets, 201,267 Capital Campaign assets released from restriction and 678 of related organization capitalization. |
| XII | 2d | The amount shown on line 2d consists of 110,000 Loss on disposal of assets and 581 rounding adjustment due to financial statements being truncated. |
| XIII | 2d | The amount shown on line 2d consists of 595,000 unrealized loss on debt instruments, 4,325,000 Related organization transfers 110,000 Loss on disposal of assets and 829 rounding adjustment due to financial statements being truncated. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3328029 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3328029 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03010 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19086401 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11447767 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7638634 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06900 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 324449 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 277193 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22738879 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11724960 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11013919 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09950 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 243804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9346 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 234458 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 287360 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 121981 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 165379 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 69900 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 69900 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 601064 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 131327 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 469737 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23339943 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11856287 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11483656 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10370 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7417 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7417 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36012 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36012 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2031 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2031 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 45460 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 45460 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $6,104,213 | BadDebtExpenseAmount |
| Amount Attributable To | 203627 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 38052814 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 42285359 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4232545 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | 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 | City Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I line 3c | City Hospital Inc. CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. |
| Part I line 6a | Community benfit amounts for City Hospital, Inc are reported on WV United Health Systems website www.unitedhealthsystem.org under community responsibility report. |
| Part I line 7 column f | Total community benefit expense for 2010 is 23,339,943 and is 21.08 of total net expenses. To calculate net expense, bad debt of 13,322,158 was deducted from total expenses of 124,065,171 as shown in Part IX line 25 of the core Form 990. |
| Part I line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-charge ratio, which was used to calculate Charity Care at cost, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown on Part III question 8 we used the allowable cost from the Medicare Cost Report. Part II - See Schedule O. |
| Part III line 4 | City Hospitals footnote for Accounts Receivable - patients states accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts. The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages.City Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. CHI maintains allowances for potential credit losses and such losses have historically been within managements expectations. |
| Part III line 4 | Bad Debt Expense at Cost was calculated by multiplying bad debt expense of 13,322,158 by our cost-to-charge ratio of 45.82 for a total of 6,104,213. Estimated bad debt attributable to patients eligible for charity was calculated by pulling all outstanding patient balances of 25,000 or greater from our patient accounting system. That report totaled 444,407, which was then multiplied by the cost-to-charge ratio of 45.82 for a total of 203,627. |
| Part III line 4 | We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 203,627 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. |
| Part III line 8 | Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 4,232,545 on Medicare programs should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. |
| Part III line 9b | CHI does have a debt collection policy. The policy does not yet address collection practices to be followed for patients who are known to qualify for charity care or financial assistance. |
| Part V | Line 21 - City Hospital charges all patients an amount equal to gross charges regardless of payment method. |
| Part VI Line 2 | City Hospital Inc is a part of WVUH-East, Inc. a healthcare system serving the Eastern Panhandle of WV. The West Virginia University Hospitals, East WVUH-East Marketing Department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physician to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH-East includes Berkeley County, WV and Jefferson County, WV with Morgan County, WV being a secondary service area. |
| Part VI Line 2 | Sources utilized to help gather this information come from variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau. The general health risk for our community comes from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus. We also conduct market research to ask comsumers how they perceive the health system and where they go for health care services |
| Part VI Line 2 | Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can begin based on physician distribution and population estimates. WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Partnerships to create and impliment a community health improvement plan. |
| Part VI Line 3 | City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. |
| Part VI Line 4 | City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 104,169 in the city of Martinsburg, WV, the most populous city in the Eastern Panhandle, with a total population of 17,227 residents. The Primary Service Area for City Hospital consists of Berkeley County, WV and Jefferson County, WV, with an extended service area including Morgan County, WV. The 2009 market share for City Hospitals Primary Service Area is 38.82 with 16.0 of those patients covered by Medicaid and 7.4 uninsured. Jefferson Memorial Hospital, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. |
| Part VI Line 4 | Berkeley County has a population of 104,169, an average household income of 25,140, and an unemployment rate of 8.8. 10.6 of Berkeley County residents were below the federal poverty guidelines for 2009 FPG 2009 according to the U.S. Census Bureau. Jefferson Countys population is 53,498, average household income of 30,947 and unemployment of 6.6. 9.2 of Jefferson County residents fell below FPG 2009. In CHIs extended service area, Morgan County has a population of 17,541, average |
| Part VI Line 4 | household income of 35,016 and unemployment of 9.0. 10.4 of Morgan County residents were below FPG 2009. |
| Part VI Line 5 | The CHI board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the WV United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are neither employees nor contractors of the organization, nor family members thereof. |
| Part VI Line 5 | CHI extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. CHI allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. |
| Part VI Line 5 | In 2009, CHI began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, CHI offered Discounted Mammogram Clinics in October/November 2010 and Discounted Cardiac Calcium Scoring Clinics in December 2010. The clinics were successful in serving over 150 patients at City Hospital. |
| Part VI Line 5 | Our Mini-Medical School Program, which is held 6 times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 75 - 100 in Berkeley County. |
| Part VI Line 6 | CHI is a part of the WV United Health System. CHI plays a significant role in improving the general health care of the community. The strategic plan of the System states intent to build a regional health care delivery system in its services area, defined above, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. |
| Part VI Line 6 | System managment is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include United Health Center, which is more centrally located in the state, Jefferson Memorial Hospital which is located in the Eastern Panhandle of WV and West Virginia University Hospitals located in Morgantown, WV. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WVUH-East Services | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Foundation Way Suite 2310 | AddressLine1 |
| City | Martinsburg | City |
| State | WV | State |
| ZIP Code | 25401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 311118076 | EINOfRecipient |
| IRC Section | 501c3 | IRCSection |
| Amount Of Cash Grant | 4335415 | AmountOfCashGrant |
| Purpose Of Grant | Physician Support | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | I | Identifier |
| Return Reference | 2 | ReturnReference |
| Explanation | City Hospital provides physician support to WVUH-East Services to help WVUH-East Services meet the mission of both City Hopsital and WVUH-East Services. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| Anthony Zelenka | ||||
| 230406 | 300 | 774 | 29960 | 261440 |
| James Paskert | ||||
| 166964 | 300 | 565 | 10900 | 178729 |
| E Christian Miller | ||||
| 135245 | 300 | 414 | 15021 | 150980 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990 Part IV | 12a | The consolidated financial statements are audited at the system level. Even though the audit is performed at the system level, each companys audit/finance committee members participate in the annual audit planning with the independent auditors. In addition, the audit/finance members of each company have special meetings to review the audit report, SAS 114, SAS 115, and the Constructive Service Letter CSL with the auditors. The SAS 115 and CSL are detailed by company where deficiencies are identified. The audit work itself is actually performed at the company level. |
| Form 990 Part VI | 11A | The Form 990 is prepared by the WVUH tax accountant and then reviewed by the WVUH-East Controller. Upon approval at this level, it is reivewed by WVUH-Easts Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the Board Members for a final review. Upon approval by the Board of Directors, it is signed and submitted to the IRS. |
| Form 990 Part VI | 12c | All Board Members are required to disclose, annually, any relationship which may lead to a potential conflict of interest. |
| Form 990 Part VI | 15b | The compensation of all executives is determined through the use of an independent salary consulting firm compiling the compensation data of comparable organizations in comparable geographic locations. This data is then used by an independent compensation committee to set the compensation for each executive. The data and supporting documentation are retained and documented. |
| Form 990 Part VI | 19 | All financial and governing documents are retained onsite and are made available to the public upon request. |
| Form 990 Part IV | 24a | Bond issuances allocated to City Hospital, Inc are being reported on Schedule K of West Virginia University Hosptials, Inc EIN 55-0643304. West Virginia University Hospitals, Inc is a 501c3 and is the parent hospital of City Hospital, Inc. |
| Form 990 Part XI | 5 | The amount on line 5 Other changes in net assets or fund balance includes 323,087 of unrealized losses, 312,058 Change in restricted net assets, 201,267 Capital Campaign assets releaed from restriction and 677 of related organization capitalization. |
| Form 990 | Schedule H, Part VI Line 1 Part II - Physical improvements and housing - City Hospital employees spent a weekday volunteering at two local social service agencies. City Hospital also provided the kick-off breakfast for all 500 volunteers throughout the Eastern Panhandle. Economic Development - In 2010, hospital representatives participated as members of the Berkeley County Development Authority and the Region 9 Planning Council during work hours. | |
| Form 990 | Schedule H, Part VI Line 1 Part II - Community Support - City Hospital supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Eastern Panhandle Free Clinic and the United Way of the Eastern Panhandle. | |
| Form 990 | Schedule H, Part VI Line 1 Part II - Coalition building - CHI staff participate in the Health Human Services Council as well as Healthier Berkeley County. All of these entities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. Community health improvement advocacy - City Hospital is a partner in the MAPP project which is a collaborative imitative to assess community social services needs and develop a plan to tackle these issues. | |
| Form 990 | Schedule H, Part VI Line 1 Part II - Workforce Development - City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network and professional development seminars. | |
| Form 990 Part III Program Service Accomplishments | Line 4d Other Activities | Program Service Expenses 41,301,872, Grants and allocations 4,335,415, Revenue 8,596,877 City Hospital, Inc. CHI is a not-for-profit facility that operates twenty-four hours a day, seven days a week. The hospital provides acute care services, as well as emergency and specialty patient care. CHI serves as part of a regional health system, WVUH-East which serves Berkeley, Jefferson and Morgan Counties. City Hospital serves as a clinical education site for WVU, the WV School of Osteopathic Medicine and other universities and community colleges in the area. The Erma Byrd Health Professions Education Center, which houses WVUs Robert C Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital campus. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| West Virginia United Health System Inc | ||||||||||
| 1000 Technology Drive | Fairmont | WV | 26554 | 550754713 | Patient Access | WV | 501C3 | 11 a | N/A | false |
| West Virginia University Hospitals | ||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501C3 | 3 | N/A | false |
| West Virginia University Hospitals - East Inc | ||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 202337985 | Patient Access | WV | 501C3 | 11a | N/A | false |
| Jefferson Memorial Hospital Inc | ||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550359755 | Patient Care | WV | 501C3 | 3 | N/A | false |
| City Hospital Foundation | ||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501C3 | 11a | N/A | false |
| Jefferson Healthcare Foundation Inc | ||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550768901 | Hospital Support | WV | 501C3 | 11a | N/A | false |
| WVUH-East Services Inc | ||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 311118076 | Patient Care | WV | 501C3 | 3 | N/A | false |
| United Health Foundation | ||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501C3 | 11a | N/A | false |
| United Hospital Center Inc | ||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501C3 | 3 | N/A | false |
| United Physicians Care Inc | ||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501C3 | 3 | N/A | false |
| United Summit Center Inc | ||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501C3 | 3 | N/A | false |
| West Virginia Health Care Co-Op | ||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 550650441 | Support | WV | 501C3 | 11a | N/A | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | |||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | N/A | C Corp | |
| West Virginia United Insurance Services Inc | |||||||||
| 1000 Technology Drive Suite 2320 | Fairmont | WV | 26554 | 550756055 | Provider Network | WV | N/A | C Corp | |
| WVUH-East Enterprises | |||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550653982 | Medical Equip | WV | N/A | C Corp | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| City Hosptial Foundation | ||
| j | 437708 | Cost |
| West Virginia University Hospitals-East Inc | ||
| o | 7221914 | Cost |
| Jefferson Memorial Hospital | ||
| k | 372741 | Cost |