2024-03-06T07:10:38-06:00 2023-09-30 390859910 BAKER TILLY US LLP 101 WASHINGTON STREET EAST CHARLESTON WV 25301 990 2022-10-01 260440674 THOMAS HEALTH SYSTEM INC THOM 3047663523 4605 MACCORKLE AVE SW S CHARLESTON WV 25309 JASON GIZZI INTERIM CFO 3047663523 2024-03-04 1 JASON GIZZI 999009999 0 DOLORES ROSE P01286262 3043460441 2024-03-04 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREG ROSENCRANCE 4605 MACCORKLE AVE SW S CHARLESTON WV 25309 2914997 0 X THOMASHOSPITALS.ORG X 2006 WV THOMAS HEALTH SYSTEM, INC. IS OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES AND PARENT COMPANY OF THE HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION, CHARLESTON HOSPITAL, INC. DBA ST. FRANCIS HOSPITAL, AND THS PHYSICIAN PARTNERS, INC. 16 14 2066 0 0 0 61483 2043719 0 0 6744083 522647 158948 228071 6964514 2794437 40834 32166 0 0 49694434 57282262 0 0 0 40775234 44104357 90510502 101418785 -83545988 -98624348 57209944 12516507 244613286 337301454 -187403342 -324784947 THOMAS HEALTH SYSTEM, INC. IS OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES AND PARENT COMPANY OF THE HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION, CHARLESTON HOSPITAL, INC. DBA ST. FRANCIS HOSPITAL, AND THS PHYSICIAN PARTNERS, INC. 0 0 69025803 32166 228071 THE GENERAL PURPOSES OF THE CORPORATION ARE TO AID, STRENGTHEN, SUPPORT, BENEFIT, AND FURTHER IN EVERY PROPER AND USEFUL WAY THE WORK AND SERVICES OF HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION, A NONSTOCK, NONPROFIT WEST VIRGINIA CORPORATION, CHARLESTON HOSPITAL, INC., A NONSTOCK, NONPROFIT WEST VIRGINIA CORPORATION, AND THS PHYSICIAN PARTNERS, INC., A NONSTOCK, NONPROFIT WEST VIRGINIA CORPORATION. 69025803 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 155 0 2066 1 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X TIMOTHY SKELDON SENIOR VP CFO 3047663523 4605 MACCORKLE AVE SW SOUTH CHARLESTON WV 25309 ALBERT WRIGHT PRESIDENT/CEO WVUHS 10.00 40.00 X X 0 2323142 384491 DANIEL J LAUFFER FORMER PRESIDENT/CEO 0.00 X 644460 0 37928 BRIAN ULERY FORMER VP/COO THS 0.00 2.00 X 494046 0 14288 MATTHEW UPTON MD SR VP/CMO 10.00 40.00 X 455748 0 39373 TIMOTHY SKELDON SR VP FINANCE/CFO 10.00 50.00 X 439547 0 39671 AARON ALEXANDER SR VP/GEN COUNSEL 1.00 40.00 X 363376 0 39488 ELIZABETH DAVIS VP HUMAN RESOURCES 1.00 40.00 X 307136 0 21703 BRIAN LILLY SR VP/CQO 1.00 40.00 X 242681 0 19055 JENNIE KAHN RN VP/CHIEF NURSING OFFICER 1.00 40.00 X 233497 0 24812 JANE HARLESS CONTROLLER 1.00 40.00 X 175398 0 13257 GREG ROSENCRANCE MD PRESIDENT/CEO AS OF 3/1/2023 10.00 40.00 X X 0 0 0 ANGELA MAYFIELD CHAIRMAN 1.00 2.00 X X 0 0 0 CRAIG SLAUGHTER 1ST VICE CHAIRMAN 1.00 2.00 X X 0 0 0 DAVID SAYRE 2ND VICE CHAIR/SECRETARY 1.00 2.00 X X 0 0 0 STEVE KAWASH TREASURER 1.00 2.00 X X 0 0 0 ANDY BARKER BOARD MEMBER 1.00 2.00 X 0 0 0 ASHLEY PACK BOARD MEMBER 1.00 2.00 X 0 0 0 FATHER HIGGS BOARD MEMBER 1.00 2.00 X 0 0 0 KISHORE CHALLA MD BOARD MEMBER 1.00 2.00 X 0 0 0 LJ FAIRLESS BOARD MEMBER 1.00 2.00 X 0 0 0 MARK ROBINSON BOARD MEMBER 1.00 2.00 X 0 0 0 PAUL BREEDLOVE BOARD MEMBER 1.00 2.00 X 0 0 0 SUSAN LAVENSKI BOARD MEMBER 1.00 2.00 X 0 0 0 CHUCK JONES BOARD MEMBER 1.00 X 0 0 0 TERRELL ELLIS BOARD MEMBER 1.00 X 0 0 0 JENNY PARSONS BOARD MEMBER 1.00 X 0 0 0 3355889 2323142 634066 197 1 1 0 PROFESSIONAL ANESTHESIA SERVICE INC 110 ROANE STREET CHARLESTON WV 25302 ANESTHESIA SERVICES 5082275 CENTER FOR PAIN RELIEF INC 400 COURT STREET SUITE 100 CHARLESTON WV 25301 PSA THSPP 3802374 SOUND PHYSICIANS OF WV PO BOX 742936 LOS ANGELES CA 90074 HOSPITALIST SERVICES 2697221 HEALTH CAROUSEL LLC PO BOX 714216 CINCINNATI OH 45271 CONTRACT STAFFING 1214333 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIAN SERVICES 982422 48 34535 1851504 157680 2043719 643207 643207 120560 -120560 -120560 -120560 CC MERCHANT FEES 900099 177238 177238 MISCELLANEOUS REVENUE 900099 50833 50833 228071 2794437 228071 0 522647 X 32166 32166 2165064 1494544 670520 28043398 19358357 8685041 3284131 2267036 1017095 16612918 11467897 5145021 7176751 4954111 2222640 1664769 1664769 268769 268769 22049426 15220717 6828709 1039812 717782 322030 1941970 1342216 599754 2049660 1414880 634780 2203486 1521067 682419 79519 54892 24627 3430729 2368232 1062497 1382557 954379 428178 4448564 3070844 1377720 DUES AND SUBSCRIPTIONS 1818419 1255255 563164 MEDICAL SUPPLIES 983236 983236 LEASES EQUIPMENT/RENT E 337530 232997 104533 PHARMACY AND DRUG SUPPL 112989 112989 292922 202206 90716 101418785 69025803 32392982 0 5437686 938142 4690952 2675655 891884 686375 1283351 2328641 3331947 4555365 1032338 6995469 3523027 29638292 7432529 -127499 57209944 12516507 29047863 28873053 54698138 68557090 160867285 239871311 244613286 337301454 X -187403342 -324784947 -187403342 -324784947 57209944 12516507 X -98624348 1123209 -39880466 X 0 1 X 0 0 X X 3 THOMAS MEMORIAL HOSPITAL 550404900 3 1 0 0 SAINT FRANCIS HOSPITAL 611272692 3 1 0 0 THS PHYSICIAN PARTNERS INC 454395947 3 1 22653864 0 3 22653864 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10691 10691 0 PART II-B, LINE 1: LINE 1I: A PORTION OF DUES PAID BY THE THOMAS HEALTH SYSTEM TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA) IS ATTRIBUTABLE TO LOBBYING: WVHA $0 AHA $10,691 353960 353960 0 4201405 678378 3523027 3523027 MALPRACTICE LIABILITY 6880319 CAPITAL LEASE OBLIGATIONS 2935219 DUE TO RELATED PARTIES 221405884 LINE OF CREDIT 8649889 239871311 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THE SYSTEM'S TAX POSITIONS AND CONCLUDED THAT THE SYSTEM HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 0 THOMAS FOUNDATION 4606 MACCORKLE AVE SW SOUTH CHARLESTON WV 25309 550694220 501(C)3 22166 0 NURSING SCHOLARSHIPS WVU MEDICINE CHILDREN'S PO BOX 8200 MORGANTOWN WV 26506 550643304 501(C)3 10000 0 WVU CHILDREN'S 2023 GALA SPONSORSHIP 2 X X X X 1 0 0 0 0 0 0 0 0 ALBERT WRIGHT PRESIDENT/CEO WVUHS 0 1480677 0 815255 0 27210 0 356068 0 28423 0 2707633 0 0 DANIEL J LAUFFER FORMER PRESIDENT/CEO 533123 0 111337 0 0 0 15250 0 22678 0 682388 0 0 0 BRIAN ULERY FORMER VP/COO THS 421440 0 72606 0 0 0 8218 0 6070 0 508334 0 0 0 MATTHEW UPTON MD SR VP/CMO 398067 0 57681 0 0 0 15135 0 24238 0 495121 0 0 0 TIMOTHY SKELDON SR VP FINANCE/CFO 380562 0 58985 0 0 0 15250 0 24421 0 479218 0 0 0 AARON ALEXANDER SR VP/GEN COUNSEL 329324 0 34052 0 0 0 15250 0 24238 0 402864 0 0 0 ELIZABETH DAVIS VP HUMAN RESOURCES 276788 0 30348 0 0 0 11955 0 9748 0 328839 0 0 0 BRIAN LILLY SR VP/CQO 221044 0 21637 0 0 0 9232 0 9823 0 261736 0 0 0 JENNIE KAHN RN VP/CHIEF NURSING OFFICER 210713 0 22784 0 0 0 10755 0 14057 0 258309 0 0 0 JANE HARLESS CONTROLLER 175398 0 0 0 0 0 5618 0 7639 0 188655 0 0 0 PART I, LINE 4A DANIEL J LAUFFER, FORMER CEO, RECEIVED A SEVERANCE PAYMENT IN 2022 FOR $682,388 WHICH INCLUDED COMPENSATION AND BENEFITS. FORM 990, PART V, LINE 2A: THOMAS HEALTH SYSTEM, INC. IS THE COMMON PAYMASTER FOR HERBERT J. THOMAS MEMORIAL HOSPITAL, INC. DBA THOMAS MEMORIAL HOSPITAL, CHARLESTON HOSPITAL, INC. DBA ST. FRANCIS HOSPITAL AND THS PHYSICIAN PARTNERS, INC. THE EMPLOYEE COMPENSATION AND BENEFIT EXPENSES ARE REPORTED ON THE FINANCIAL STATEMENTS FOR EACH ENTITY. THE TOTAL NUMBER OF W-2S FILED BY THOMAS HEALTH SYSTEM FOR ALL ENTITIES IS REPORTED ON PART V, LINE 2A. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE JANUARY 1, 2023, WEST VIRGINIA UNITED HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF THOMAS HEALTH SYSTEM, INC. UPDATED ARTICLES OF ORGANIZATION WERE FILED WITH THE WEST VIRGINIA SECRETARY OF STATE TO PUBLICLY RECORD THIS CHANGE. FORM 990, PART VI, SECTION A, LINE 6 WEST VIRGINIA UNITED HEALTH SYSTEM, INC., A WEST VIRGINIA NONPROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S BOARD OF DIRECTORS IS ELECTED BY ITS SOLE MEMBER, WEST VIRGINIA UNITED HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER, WEST VIRGINIA UNITED HEALTH SYSTEM, INC. RESERVES ALL CORPORATE POWERS OF THE ORGANIZATION EXCEPT FOR ITEMS SPECIFICALLY LISTED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE SYSTEM'S FINANCE COMMITTEE IS RESPONSIBLE FOR FINANCIAL MANAGEMENT OF THE ORGANIZATION. THE 990 IS REVIEWED BY THE ORGANIZATION'S CFO AS PART OF THE FINANCE COMMITTEE. THE 990 IS THEN DISCUSSED WITH THE SYSTEM'S FINANCE COMMITTEE AND A COPY IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH OUR WRITTEN CONFLICT OF INTEREST POLICY BY ASKING ANNUALLY THAT ALL TRUSTEES, OFFICERS AND EMPLOYEES (MANAGERS) WHO HAVE DECISION MAKING/PURCHASING AUTHORITY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. DISCLOSURE FORMS ARE SIGNED ANNUALLY THEN LOGGED ONTO A SPREAD SHEET THAT IDENTIFIES ANY POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF MEMBERS WHO ARE FREE OF ANY CONFLICTS OF INTEREST, ADHERES TO A DISCIPLINED PROCESS FOR REVIEWING COMPENSATION FOR SENIOR EXECUTIVES TO ENSURE THAT THE COMPENSATION IS REASONABLE. THE COMMITTEE HAS RETAINED AN INDEPENDENT CONSULTING AND ADVISORY FIRM, PRICEWATERHOUSECOOPERS (PWC), TO PROVIDE APPROPRIATE MARKET DATA AS TO COMPARABILITY. THE COMMITTEE REVIEWS COMPARABILITY DATA AND OTHER RELEVANT EVIDENCE AND APPROVES THE COMPENSATION OF SENIOR EXECUTIVES; PROVIDED, HOWEVER, THAT IN THE CASE OF THE CEO, THE BOARD, AFTER REVIEW OF THE COMPARABILITY DATA AND OTHER RELEVANT EVIDENCE, INCLUDING A RECOMMENDATION FROM THE COMMITTEE, HAS THE FINAL APPROVAL WITH REGARD TO THE CEO'S COMPENSATION. ONLY THOSE BOARD MEMBERS WHO ARE FREE OF CONFLICTS OF INTEREST VOTE ON THE CEO'S COMPENSATION. ALL COMPENSATION DECISIONS, INCLUDING THE COMPARABILITY DATA REVIEWED AND ANY OTHER RELEVANT INFORMATION CONSIDERED, ARE CONTEMPORANEOUSLY DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THESE DOCUMENTS ARE MAINTAINED IN THE ADMINISTRATIVE OFFICES OF THE HOSPITAL AND ARE PROVIDED VIA COPY UPON REQUEST. THE DOCUMENTS ALSO CAN BE REVIEWED ON SITE AT THE HOSPITAL UPON ADVANCE NOTICE. FORM 990, PART IX, LINE 11G ADMINISTRATIVE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 61,877. MANAGEMENT AND GENERAL EXPENSES 27,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,638. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,075,472. MANAGEMENT AND GENERAL EXPENSES 931,151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,006,623. DIRECT DEPT ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 2,034,242. MANAGEMENT AND GENERAL EXPENSES 912,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,946,896. LINEN SERVICES: PROGRAM SERVICE EXPENSES 754,199. MANAGEMENT AND GENERAL EXPENSES 338,368. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,092,567. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 2,444,168. MANAGEMENT AND GENERAL EXPENSES 1,096,566. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,540,734. PATIENT SERVICES: PROGRAM SERVICE EXPENSES 3,739,665. MANAGEMENT AND GENERAL EXPENSES 1,677,784. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,417,449. IT SERVICES: PROGRAM SERVICE EXPENSES 3,959,853. MANAGEMENT AND GENERAL EXPENSES 1,776,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,736,424. ACCOUNTING SERVICES: PROGRAM SERVICE EXPENSES 79,195. MANAGEMENT AND GENERAL EXPENSES 35,531. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,726. OTHER CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 72,046. MANAGEMENT AND GENERAL EXPENSES 32,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,369. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -22,653,864. LOSS ON REVALUATION OF ASSETS -6,710,817. EXTRAORDINARY LOSS ON RESTRUCTURING FOR MERGER -10,515,785. DONNALLY STREET PARTNERS 331 LAIDLEY STREET CHARLESTON WV 25301 270807676 MEDICAL OFFICE RENTAL WV TMH SERVICES INC HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION 4605 MACCORKLE AVENUE SW SOUTH CHARLESTON WV 25309 550404900 HOSPITAL WV 501(C)(3) LINE 3 THOMAS HEALTH SYSTEM INC 1 SAINT FRANCIS HOSPITAL 333 LAIDLEY ST CHARLESTON WV 25301 611272692 HOSPITAL WV 501(C)(3) LINE 3 THOMAS HEALTH SYSTEM INC 1 THS PHYSICIAN PARTNERS INC 4605 MACCORKLE AVENUE SW SOUTH CHARLESTON WV 25309 454395947 MEDICAL SERVICES WV 501(C)(3) LINE 3 THOMAS HEALTH SYSTEM INC 1 GRANT MEMORIAL HOSPITAL INC 117 HOSPITAL DRIVE PETERSBURG WV 25309 881740605 HOSPITAL WV 501(C)(3) LINE 3 WEST VIRGINIA UNITED HEALTH SYSTEM INC 0 PRINCETON COMMUNITY HOSPITAL ASSOCIATION INC PO BOX 1369 PRINCETON WV 25740 550483245 HOSPITAL WV 501(C)(3) LINE 3 WEST VIRGINIA UNITED HEALTH SYSTEM INC 0 PRINCETON COMMUNITY HOSPITAL FOUNDATION INC PO BOX 1369 PRINCETON WV 25740 550694209 CHARITABLE FOUNDATION WV 501(C)(3) LINE 12A, I PRINCETON COMMUNITY HOSPITAL ASSOCIATION INC 0 WEST VIRGINIA UNITED HEALTH SYSTEM INC PO BOX 8034 MORGANTOWN WV 26506 550754713 HEALTHCARE ACCESS WV 501(C)(3) LINE 12A, I N/A 0 TMH SERVICES INC 4605 MACCORKLE AVENUE SW SOUTH CHARLESTON WV 25309 550676607 EQUIPMENT SALES, RENTAL AND RELATED SERVICES, VENDING SALES WV HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 THS PHYSICIAN PARTNERS INC R 22653864 ACCOUNTING RECORDS