POTOMAC VALLEY HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
POTOMAC VALLEY HOSPITAL INC (EIN 55-0420956)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202433179349308223
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-12T03:14:53-00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550420956EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Potomac Valley Hospital of W VA IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOTOBusinessNameControlTxt
Phone3045973500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Pin Oak LaneAddressLine1Txt
CityKeyserCityNm
State AbbreviationWVStateAbbreviationCd
ZIP267265908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAmy BoothePersonNm
Person TitleVP of Operations FinancePersonTitleTxt
Phone3045973500PhoneNum
Signature2024-11-11SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAmy BoothePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Pin Oak LaneAddressLine1Txt
CityKeyserCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26726ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$83,212,468GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://wvumedicine.org/potomac-valley-hospital/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionPotomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee517TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$124,894PYContributionsGrantsAmt
CY Contributions Grants$1,193,345CYContributionsGrantsAmt
PY Program Service Revenue$70,970,041PYProgramServiceRevenueAmt
CY Program Service Revenue$81,692,415CYProgramServiceRevenueAmt
PY Investment Income$36PYInvestmentIncomeAmt
CY Investment Income$55,511CYInvestmentIncomeAmt
PY Other Revenue$341,934PYOtherRevenueAmt
CY Other Revenue$265,666CYOtherRevenueAmt
PY Total Revenue$71,436,905PYTotalRevenueAmt
CY Total Revenue$83,206,937CYTotalRevenueAmt
PY Grants And Similar Paid$36,888PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$38,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,737,900PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,334,826CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,272,692PYOtherExpensesAmt
CY Other Expenses$40,668,995CYOtherExpensesAmt
PY Total Expenses$61,047,480PYTotalExpensesAmt
CY Total Expenses$75,042,321CYTotalExpensesAmt
PY Revenues Less Expenses$10,389,425PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,164,616CYRevenuesLessExpensesAmt
Total Assets BOY$54,057,742TotalAssetsBOYAmt
Total Assets EOY$59,974,562TotalAssetsEOYAmt
Total Liabilities BOY$33,938,776TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,725,860TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,118,966NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,248,702NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPotomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home. PVH recognizes health as a condition to which everyone has a just claim and will make a priority of meeting the changing needs of the community within the limits of available resources.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$15,915,892ExpenseAmt
Revenue$18,053,049RevenueAmt
DescFamily medicine services are provided in multiple clinic locations, and as rural health clinics, to serve the primary care needs of the population in Mineral County and provide access to care. During 2023, PVH had 12,409 family medicine patient encounters.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,464,648ExpenseAmt
Revenue$11,598,064RevenueAmt
DescGeneral surgical services are provided as emergent and scheduled services on both an inpatient and an outpatient basis. PVH had 1,302 general surgery visits in 2023. PVH also performed 603 orthopaedic surgeries.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,232,757ExpenseAmt
Revenue$13,907,252RevenueAmt
DescPVH Emergency Department is staffed 24 hours everyday with specially trained physicians and nursing staff. The level of care ranges from continuation or initiation of advanced life support, to the assessment and treatment of minor illness, injuries or the acceleration of chronic medical conditions. The Emergency Department is connected by ration to Civil Defense and all area rescue squads and ambulances, thus allowing the staff to be fully prepared for any incoming emergency in advance of the arrival. The Emergency Department saw 17,640 patients in 2023.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$25,870,353TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$38,500TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$38,244,833TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$63,483,650TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee510EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAmy BoothePersonNm
Phone3045973500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Pin Oak LaneAddressLine1Txt
CityKeyserCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26726ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Charles Bess MD
Director, Chief of Staff040.00Yes (X)$682,706$0$45,967
Hamed Vahedikafshgari MD
Physician040.00$622,325$0$46,338Yes (X)
Michael Gould DO
Director through 08/10/23, Physician040.00Yes (X)$0$611,233$42,396
Sherif Dabash MD
Physician040.00$527,413$0$23,964Yes (X)
Mark Boucot
Director, CEO020.00$218,743$218,743$104,412020.00Yes (X)
Alan Stephens MD
Physician040.00$488,997$0$46,150Yes (X)
Boyd Sprenkle MD
Physician033.00$357,645$81,283$24,105Yes (X)007.00
Rabie Zalzal MD
Physician040.00$363,267$0$36,542Yes (X)
Amy Boothe
VP Operations Finance020.00$121,975$121,975$27,756020.00Yes (X)
Kendra Thayer
VP of Nursing, CNO020.00$107,577$107,577$39,280020.00Yes (X)
Marjorie Fridkin
CMO013.00$62,071$126,023$16,185027.00Yes (X)
Elaine Geroski
VP, Nursing, Through September 2022$102,132$34,886$16,483040.00Yes (X)
Robin Haupt
Director, Secretary001.00Yes (X)$0$0$0Yes (X)
Jerry Whisner
Director, Chair001.00Yes (X)$0$0$0Yes (X)
Dinah Courrier
Director through 11/20/23001.00Yes (X)$0$0$0
Frances Jones
Director001.00Yes (X)$0$0$0
Kevin Clark
Director001.00Yes (X)$0$0$0
Louie Kitzmiller
Director, Treasurer001.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,654,851TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,301,720TotReportableCompRltdOrgAmt
Total Other Compensation$469,578TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
J&R Landscaping & Tree Experts
375 Timber Ridge LnKeyserWV267269625Repairs$190,300
Ernest Smith
114 Pine Swamp RdKeyserWV267262853Building Repairs$109,562
Kezlo Group LLC
PO Box 419CochranvillePA193300419Consulting Professional Fees$101,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$1,191,530GovernmentGrantsAmt
All Other Contributions$1,815AllOtherContributionsAmt
Total Contributions$1,193,345TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services900099$79,922,273$79,922,273
Pharmacy Revenue900099$1,639,038$1,639,038
Provider Relief Funds Reserve900099$84,838$84,838
Patient Care Quality Incentives900099$46,266$46,266
FieldValueIRS element (for citing)
Total Program Service Revenue$81,692,415TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,145TotalRevenueColumnAmt
Exclusion$43,145ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,472RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,531RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,941RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,941TotalRevenueColumnAmt
Exclusion$8,941ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,831SecuritiesAmt
Other$4,535OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,831SecuritiesAmt
Other$4,535OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,366TotalRevenueColumnAmt
Exclusion$12,366ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Income900099$145,942$145,942
Rebate Revenue900099$35,052$35,052
GPO Admin Fee Shareback900099$21,141$21,141

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,590TotalRevenueColumnAmt
Related Or Exempt Func Income$54,590RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$256,725OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,206,937TotalRevenueColumnAmt
Related Or Exempt Func Income$81,803,198RelatedOrExemptFuncIncomeAmt
Exclusion$210,394ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$28,500TotalAmt
Program Services$28,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,330,105TotalAmt
Program Services$923,303ProgramServicesAmt
Management And General$406,802ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,867,691TotalAmt
Program Services$22,221,365ProgramServicesAmt
Management And General$2,646,326ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$743,672TotalAmt
Program Services$698,796ProgramServicesAmt
Management And General$44,876ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,447,534TotalAmt
Program Services$4,885,067ProgramServicesAmt
Management And General$562,467ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,945,824TotalAmt
Program Services$1,738,757ProgramServicesAmt
Management And General$207,067ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$86,767TotalAmt
Management And General$86,767ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,443TotalAmt
Program Services$6,443ProgramServicesAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,362,002TotalAmt
Program Services$7,801,826ProgramServicesAmt
Management And General$560,176ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$290,294TotalAmt
Program Services$4,639ProgramServicesAmt
Management And General$285,655ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,642,011TotalAmt
Program Services$1,883,910ProgramServicesAmt
Management And General$758,101ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,177TotalAmt
Program Services$2,577ProgramServicesAmt
Management And General$600ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,255,900TotalAmt
Program Services$1,063,603ProgramServicesAmt
Management And General$192,297ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$333,083TotalAmt
Program Services$277,823ProgramServicesAmt
Management And General$55,260ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$565,303TotalAmt
Program Services$477,775ProgramServicesAmt
Management And General$87,528ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,121,622TotalAmt
Program Services$549,941ProgramServicesAmt
Management And General$4,571,681ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,250,202TotalAmt
Program Services$1,904,308ProgramServicesAmt
Management And General$345,894ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$592,932TotalAmt
Program Services$490,845ProgramServicesAmt
Management And General$102,087ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$12,894,932$12,894,932
Provision for Doubtful Accounts$3,607,097$3,607,097
Taxes, Licenses and Fees$2,075,040$1,752,585$322,455
Recruiting$400,964$199,683$201,281

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$181,226TotalAmt
Program Services$59,875ProgramServicesAmt
Management And General$121,351ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$75,042,321TotalAmt
Program Services$63,483,650ProgramServicesAmt
Management And General$11,558,671ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,868,750BOYAmt
EOY$131,193EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$115,056BOYAmt
EOY$15,168,697EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,674,028BOYAmt
EOY$13,927,890EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$820,510BOYAmt
EOY$889,568EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$405,331BOYAmt
EOY$901,675EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,328,908LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,823,635LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,753,234BOYAmt
EOY$25,505,273EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,420,833BOYAmt
EOY$3,450,266EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,057,742BOYAmt
EOY$59,974,562EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,714,673BOYAmt
EOY$11,300,958EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,500,000BOYAmt
EOY$17,659,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$548,767BOYAmt
EOY$458,373EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,175,336BOYAmt
EOY$3,307,529EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,938,776BOYAmt
EOY$32,725,860EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,102,111BOYAmt
EOY$27,180,795EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,855BOYAmt
EOY$67,907EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,118,966BOYAmt
EOY$27,248,702EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,057,742BOYAmt
EOY$59,974,562EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,164,616ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$60,139NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,095,019OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$642DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$5,801OtherActivitiesAmt
Total Lobbying Expenditures$6,443TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
II-B 1gThe amount shown here is based on a calculation of the hours the CEO participated in lobbying related activities in 2023 amount equals hours multiplied by hourly pay rate. Potomac Valley Hospital of W VA Inc., does not participate in or intervene in including publishing or distributing of statements any political campaign on behalf of or in opposition to any candidate for public office.
II-B 1iThis amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 32 of the 2023 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2023, 12.04 of the dues paid should be allocated to lobbying expense.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,240,397OtherCostOrOtherBasisAmt
Book Value$1,240,397BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,862,693OtherCostOrOtherBasisAmt
Depreciation$4,721,369DepreciationAmt
Book Value$13,141,324BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$905,135OtherCostOrOtherBasisAmt
Depreciation$316,095DepreciationAmt
Book Value$589,040BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,792,324OtherCostOrOtherBasisAmt
Depreciation$7,581,420DepreciationAmt
Book Value$3,210,904BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,528,359OtherCostOrOtherBasisAmt
Depreciation$204,751DepreciationAmt
Book Value$7,323,608BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,505,273TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

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

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Goodwill and other intangible$3,520,147
Other Non-Current Assets-$69,881
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,450,266TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Federal income taxes
Debt Issuance Costs-$118,139
Long Term Lease Liability$3,275,602
Capitalized Leases Payable Non Current$150,066
FieldValueIRS element (for citing)
Total Liability$3,307,529TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$79,638,951TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$60,139NetUnrealizedGainsInvstAmt
Other Revenue-$3,633,656OtherRevenueAmt
Revenue Not Reported-$3,573,517RevenueNotReportedAmt
Revenue Subtotal$83,212,468RevenueSubtotalAmt
Other Revenues Not Included-$5,531OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$5,531RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$83,206,937TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$71,414,196TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,531OtherExpensesIncludedAmt
Expenses Not Reported$5,531ExpensesNotReportedAmt
Expenses Subtotal$71,408,665ExpensesSubtotalAmt
Other Expenses Not Included$3,633,656OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,633,656ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$75,042,321TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
X 2Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, BCHS, PHIC, HPN, and TMHS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2023 and 2022.
XI 2dThe amount shown on line 2d consists of 3,607,097 provision for doubtful accounts - patients and 26,559 intercompany expense that was reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.
XI 4bThe amount on line 4b consists of 5,531 of rental expenses that are recorded as an offset to revenue on the Form 990.
XII 2dThe amount shown on line 2d consists of 5,531 of rental expenses that are recorded as an offset to revenue on the Form 990.
XII 4bThe amount shown on line 4b consists of 3,607,097 provision for doubtful accounts - patients and 26,559 intercompany expense that was reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$351,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,047DirectOffsettingRevenueAmt
Net Community Benefit Expns$274,798NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,735,486TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,735,486DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$132,439TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$132,439DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,219,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,944,972DirectOffsettingRevenueAmt
Net Community Benefit Expns$274,798NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,755TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$146,755NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,485TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$98,485NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,151TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$43,151NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$288,391TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$288,391NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,508,161TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,944,972DirectOffsettingRevenueAmt
Net Community Benefit Expns$563,189NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$708TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$708NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$708TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$708NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,251,972BadDebtExpenseAmt
Bad Debt Expense Attributable$112,833BadDebtExpenseAttributableAmt
Reimbursed By Medicare$35,545,437ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,320,347CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$17,225,090MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Potomac Valley HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Pin Oak LaneAddressLine1Txt
CityKeyserCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26726ZIPCd
FieldValueIRS element (for citing)
Website Addresswvumedicine.org/potomac-valley-hospital/WebsiteAddressTxt
State License02StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps//wvumedicine.org/wp-content/uploads/2022/08/PVH2021Community-Health-Needs-Assessment-Report.pdOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps//wvumedicine.org/wp-content/uploads/2022/08/PVH-CHNAImplementation-Report20210721.pdfStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0000000200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwvumedicine.org/bill-pay/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwvumedicine.org/bill-pay/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group Potomac Valley Hospital Line Part V, Section B, Line 5As a part of the West Virginia United Health System WVUHS, PVH contracted with the WVU School of Public Health WVU SPH to assist in the CHNA process and report. The 2021 CHNA was prepared by Thomas Bias from the West Virginia University Health Research Center. The CHNA process utilized two primary sources of data, which included a public input survey and a community meeting. The public input survey was developed by the WVU OHA with the leadership team following an iterative process to gain stakeholder input. Members of the leadership team were selected because of their familiarity with Mineral County, Potomac Valley Hospital, and health services and needs in the area. These individuals included Andrew Root - Administrator, Mineral County Health Department Christian Brooks - Directors of Public Relations, Potomac Valley Hospital Michael Gould, DO - Emergency Physician, Potomac Valley Hospital Amy Boothe - VP of Operations, Potomac Valley Hospital Mark Boucot - CEO, PVH and Garrett Regional Medical Center Dinah Courrier - Board of Directors, Potomac Valley Hospital Brenna Earnest, RN - Safety Compliance Officer - Potomac Valley Hospital Connie Moore - Director of Care Management, Potomac Valley Hospital Elaine Geroski - VP of Nursing, Potomac Valley Hospital Patricia Barbarito - Director of Preventive Medicine Department, Potomac Valley Hospital Dayla Harvey - Mineral County Family Resource Network Raj Masih - Potomac Highlands Guild Eric Phillips - DHHR, Rev. Randy Nairn - Keyser Area Ministerial Association Louis Kitzmiller - Mineral County Aging and Family Services Michelle Walker - County United Way Derek Green - Assistant Vice President of Operations, Potomac Valley Hospital and Dianne Smith - Director of HR, Potomac Valley Hospital. The public interest survey topics included questions about specific health issues, thoughts on overall health of the community, quality of life, access to healthcare and medical needs including specialist care, risky behaviors and personal choices, and demographic information including geographic location and income. This survey was intended to solicit the communitys perception of their health needs and was collected both online and through hard copies from residents who are 18 or older. The CHNA can be found here - https//wvumedicine.org/wp-content/uploads/2022/08/PVH2021Community-Health-Needs-Assessment-Report.pdf.
Group Potomac Valley Hospital Line Part V, Section B, Line 11The existing secondary data, new survey data, community meeting input, and lessons learned from the last CHNA cycle all factored into PVH leaderships prioritization decisions. The list of top health concerns was organized into five that will be the focus moving forward with implementation planning - Substance Use, Abuse, and Mental Health Obesity and Diabetes Cancer Chronic Disease Management and Poverty and Employment Issues. Each of the top priorities identified in the 2021 CHNA are consistent with concerns raised in 2018. PVH moves forward with many lessons learned from the last cycle, and with new and strengthened relationships with community partners, to work to address these concerns this cycle.
Group Potomac Valley Hospital Line Part V, Section B, Line 13bPotomac Valley Hospital of W Va Inc. PVH offers discounted care only to individuals who qualify for free care. PVH offers a Prompt-Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements.
Group Potomac Valley Hospital Line Part V, Section B, Line 24All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Riverside Rural Health Clinic
122 Ashfield StPiedmontWV26750Rural Health Clinic
Fort Ashby Rural Health Clinic
10261 Frankfort HwyFort AshbyWV26719Rural Health Clinic
Mineral County Rural Health Clinic
100 Pin Oak LaneKeyserWV26726Rural Health Clinic

Supplemental Information Detail SupplementalInformationDetail (26 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cPotomac Valley Hospital PVH uses 200 Federal Poverty Guideline to determine free care eligibility. PVH offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either discount the patient/guarantor must meet certain requirements.
Part I Line 6aPotomac Valley Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The most recent amounts can be found at the following web address http//wvumedicine.org/about/leadership-and-more/community-benefit/.
Part I Line 7Column f - Net community benefit expense for 2023 is 563,189 and is 0.79 of total net expenses. To calculate net expense, Provision for Doubtful Accounts - Patients of 3,607,097 was deducted from total expenses of 75,042,321 as shown in Part IX line 25 of the core Form 990.
Part I Line 7Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown in Part III question 8, we used the allowable costs from the Medicare Cost report.
Part IIFor 2023, PVH employees spent work time volunteering for the Mineral County United Way Executive Committee.
Part III Line 2Bad Debt Expense at Cost on Line 2 was calculated by multiplying Provision for Doubtful Accounts - Patients expense of 3,607,097 by our cost-to-charge ratio of 44.44 for a total of 1,602,994 less DSH allocations to self-pay patient accounts of 351,022 for a total of 1,251,972.
Part III Line 3Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 5,000 or greater from our patient accounting system. That report totaled 253,900, which was then multiplied by the cost-to-charge ratio of 44.44 for a total of 112,833.
Part III Line 3We feel that at a minimum, the estimated bad debt attributable to patients eligible for charity care of 112,833 should be considered community benefit due to the fact that anyone with outstanding balances of 5,000 or greater in our demographic 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 and would have qualified for charity care if paperwork was completed.
Part III Line 4Patient accounts receivables are primarily paid by federal and state governmental authorities under the Medicare and Medicaid programs, managed health plans, commercial insurance companies, workers compensation programs, employers and patients. Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. The System does not believe there are any significant concentrations of revenues from any particular payor that would subject the System to any significant credit risks in the collection of patient accounts receivable. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Changes in general economic conditions, patient accounting service center operations, payor mix, payor claim processing could affect collections of accounts receivable, cash flows and results of operations.
Part III Line 4The System performs periodic assessments to determine if an allowance for expected credit losses is necessary. The System considers its incurred loss experience and adjusts for known and expected events and other circumstances. In estimating its expected credit losses, the System may consider changes in the length of time its receivables have been outstanding, changes in credit ratings for payors, requests from payors to alter payment terms due to financial difficulty, and notices of payor bankruptcies or payors entering receivership. Because the Systems accounts receivable is typically paid for by highly solvent, creditworthy payors, such as Medicare, Medicaid, other governmental programs, and highly regulated commercial insurers on behalf of the patient, the Systems credit losses are immaterial to the consolidated financial statements.
Part III Line 4The mix of accounts receivable at December 31, 2023 and 2022, from patients and third-party payors is as follows For the year-end December 31, 2023 Medicare - 25, Medicaid - 13, Blue Cross - 21, Commercial, managed care and other - 39, Patients - 2, totaling 100. For the year-end December 31, 2022 Medicare - 27, Medicaid - 16, Blue Cross - 19, Commercial, managed care and other - 35, Patients - 3, totaling 100.
Part III Line 8The amount reported in Part III Line 6 18,320,347 was calculated using the total Medicare allowable cost from the Medicare cost report.
Part III Line 8Potomac Valley is reimbursed 100 by Medicare reimbursement includes DSH and IME for services provided to Medicare patients.
Part III Line 9bPVH does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity care, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy.
Part VI Line 2The CHNA included review of publicly available secondary data related to counties within PVHs service area, including census data and County Health Ranking Data. Using these reports, the CHNA leadership team started the initial discussion around critical health needs. According to the CHNA, primary data collection was comprised of a survey of community members perceptions of health issues and a community event focused on reviewing survey data, discussing community assets that impact population health in PVHs service area, and working as a group to outline possible strategies for each area of concern.
Part VI Line 2PVH leadership continually monitors issues in their primary service area that impact patient care. PVH works with West Virginia University Hospitals and University Health Associates to expand the services available to PVH patients.
Part VI Line 2As a member of the West Virginia United Health System WVUHS, PVH will be utilizing the West Virginia University School of Public Health to assist with the CHNA process and reports.
Part VI Line 2A new CHNA was completed in 2021 and plans to build on the community health priorities, goals and strategies outlined in the prior CHNA report as well as offering new insight and plans to address emerging health priorities.
Part VI Line 3The Director of Patient Financial Services at PVH along with collections representatives are available to meet with patients to discuss financial eligibility for our charity care program. PVH has applications for charity care and the qualification requirements for receiving charity available to patients.
Part VI Line 4PVH is a non-profit critical access hospital located in Mineral County, WV in the city of Keyser. In 2023, Mineral County had a total population of 26,867 a median household income of 64,728, an employment rate of 55.6 and 5.4 of residents reported they were without healthcare coverage. Approximately 15.8 of residents were living in poverty.
Part VI Line 4According to the 2023 CHNA, the leadership team defined the community served as a tri-county area comprised of Mineral County in West Virginia, as well as neighboring Allegany and Garrett counties in Maryland. Garrett County, MD had a total population of 28,423, a median household income of 64,447, an employment rate of 58.2 and 8.4 of residents reported they were without healthcare coverage. Meanwhile, Allegany County, MD had a total population of 67,273, a median household income of 55,248, an employment rate of 49.5 and 6.1 of residents reported they were without healthcare coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/.
Part VI Line 5The PVH board of directors is a community board, with all board members living in or around Mineral County.
Part VI Line 5PVH extends privileges to all qualified medical staff in Mineral County and surrounding communities to meet its healthcare needs. PVH allocates available funding to capital purchases, expanded services to improve patient care, and support medical education in Mineral County and surrounding counties in West Virginia and bordering states.
Part VI Line 6Potomac Valley Hospital is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, 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 6System management 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 West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, West Virginia Healthcare Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Reynolds Memorial Hospital in Glen Dale, WV, Barnesville Hospital Association in Barnesville, OH, Uniontown Hospital in Uniontown, PA, Wheeling Hospital, Inc. in Wheeling, WV, Harrison Community Hospital, Inc. in Cadiz, OH, GRMC, Inc. in Oakland, MD, Princeton Community Hospital Association, Inc. in Princeton, WV, Thomas Health System, Inc. in South Charleston, WV, and Grant Memorial Hospital, Inc. in Petersburg, WV.
Part VI Line 6In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation, Inc. in Glen Dale, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
West Virginia University Foundation Inc
1 Waterfront Place Floor 7MorgantownWV26507556017181501c3$7,500Sponsorship
YMCA of Cumberland Maryland Inc
601 Kelly RoadCumberlandMD21502520591700501c3$5,000Sponsorship
American Legion Post 41
66 S Main StreetKeyserWV26726556029950501c19$5,000Support
Community Trust Foundation
112 Baltimore Street Suite 201CumberlandMD215022345680629840501c3$5,000Support
Rotary Club of Keyser
606 Carskdon RoadKeyserWV26726556024125501c4$5,000Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarships for students pursuing medical careersGrantTypeTxt
Recipient2RecipientCnt
Cash Grant$10,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III Line 1FormAndLineReferenceDesc
ExplanationPVH awarded scholarships to local high school students that will be pursuing education in a medical field. Recipients are chosen based on an essay submission and need.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmt
Charles Bess MD
Director, Chief of Staff$348,264$238,309$96,133$14,850$31,117$728,673
Michael Gould DO
Director through 08/10/23, Physician$355,697$255,536$11,232$31,164$653,629
Sherif Dabash MD
Physician$426,964$100,000$449$14,850$9,114$551,377
Rabie Zalzal MD
Physician$216,280$750$146,236$10,238$26,305$399,809
Boyd Sprenkle MD
Physician$353,519$1,222$2,904$9,983$9,659$377,287$80,345$660$2,269$2,194$85,746$278
Amy Boothe
VP Operations Finance$100,182$19,585$2,208$4,622$9,256$135,853$100,182$2,208$4,622$9,256$135,853$19,585
Mark Boucot
Director, CEO$163,932$49,151$5,660$36,633$15,573$270,949$163,932$5,660$36,633$15,573$270,949$49,151
Alan Stephens MD
Physician$427,011$1,500$60,486$14,850$31,300$535,147
Elaine Geroski
VP, Nursing, Through September 2022$89,717$12,140$275$4,071$7,919$114,122$34,728$108$1,575$2,918$39,379$50
Hamed Vahedikafshgari MD
Physician$520,532$100,984$809$14,850$31,488$668,663
Kendra Thayer
VP of Nursing, CNO$94,780$10,960$1,837$4,392$15,248$127,217$94,780$1,837$4,392$15,248$127,217$10,960
Marjorie Fridkin
CMO$56,609$5,462$5,201$140$67,412$114,933$11,089$10,560$285$136,867

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 6aPer the WVUHS Incentive Plan, incentives are contingent on meeting a net earning target.
Part I Line 4bMark Boucot received deferred compensation contributions of 29,208 from Potomac Valley Hospital and 29,208 from a related party. Marjorie Fridkin received deferred compensation contributions of 4,307 from Potomac Valley Hospital and 8,744 from a related party in 2023. These amounts are properly recorded in deferred compensation on the Form 990 Schedule J.
Part I Line 3Compensation for CEOs are determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1West Virginia Hospital Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN621256910BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-08-19BondIssuedDt
Issue Price$18,500,000IssuePriceAmt
Purpose2015 A - Refinance of loans used to acquire hospital and finance equipmentPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$841,000RetiredAmt
Total Proceeds$18,500,000TotalProceedsAmt
Refunding Escrow$166,267RefundingEscrowAmt
Capital Expenditures$18,333,733CapitalExpendituresAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV Line 2cFormAndLineReferenceDesc
ExplanationA rebate calculation was prepared for the issuance date through August 19, 2020. The report indicates that no rebate is due. The next computation date is August 19, 2025.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dProgram Service Expenses 25,870,353, Grants and allocations 38,500, Revenue 38,244,833 PVH is a Critical Access Hospital with licensure for 25 beds. PVH provides both inpatient and outpatient services, including cardiac rehabiliation, care management, diabetes education/prevention, hospital, laboratory, orthopaedics, physical therapy, radiology, respiratory therapy, same day surgery, and skilled swing beds.
Form 990, Part XI, Line 9Other changes in net assets includes 1,077,307 of related organization capitalization, 51,052 change in temporarily restricted net assets, 68,763 JOA Contribution to SOM, and 1 rounding.
Form 990, Part VI, Section B, Line 12cUpon employment and annually thereafter, each key employee and officer of the organization is required to complete a conflict of interest and disclosure form, providing sufficient information about his/her personal interests and relationships so the organization can 1 determine whether any potential or actual conflicts of interest may exist, and 2 monitor work or service assignments to avoid placing the key employee, officer, or director in a position where there may be an appearance potential or actual of a conflict of interest or a question of objectivity. The completed conflict of interest and disclosure forms for directors are returned to the organization. These members are monitored and not assigned any projects that would create any potential conflict of interest. Any board member with a potential conflict recuses himself or herself from all discussions regarding the conflict.
Form 990, Part VI, Section B, Line 15aThe compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2022 for 2023 compensation amounts.
Form 990, Part VI, Section B, Line 15bThe compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.
Form 990, Part VI, Section B, Line 19All financial and governing documents, including the conflict of interest policy are maintained onsite and made available to the public upon written request.
Form 990, Part IX, Line 11gThis total consists of Contract Labor fees of 7,611,992 of which 7,189,727 is considered program service expense and 422,265 is considered management and general expense Non Hospital Lab Fees of 612,099 of which all is considered program service expense and Consulting Professional fees of 137,911 of which all is considered management and general expense.
Form 990, Part VI, Section A, Line 6West Virginia United Health System, Inc., a 501c3 charitable organization WVUHS, is the sole member of the organization.
Form 990, Part V, Line 1aIn 2023, West Virginia United Health System WVUHS, EIN 55-0754713, transitioned to a centralized accounts payable process in which WVUHS made the majority of vendor payments and then issued the required 1099s. WVUHS is reimbursed by the entities for their portion of payments made, vendor payments that meet the Top 5 Independent Contractor reporting requirements are reported in Part VII, Section B of the reporting entity.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
West Virginia United Health System
PO Box 8034MorgantownWV26506550754713Healthcare accessWV501c312 Type IN/Afalse
University Healthcare Foundation Inc
121 Administrative DriveMartinsburgWV25401311118075Hospital SupportWV501c312 Type IfalseWest Virginia University Hospitals - East Inc
United Physicians Care Inc
686 South Pike StreetShinnstonWV26431550638563Patient CareWV501c33falseUnited Hospital Center Inc
United Health Foundation Inc
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501C312 Type IfalseUnited Hospital Center Inc
United Summit Center
6 Hospital PlazaClarksburgWV26301550752788Behavioral HealthWV501C33falseWest Virginia University Hospitals Inc
Camden-Clark Health Services Inc
800 Garfield AveParkersburgWV26101550769602Healthcare AccessWV501c312 Type IfalseWV United Health System
Camden-Clark Foundation
800 Garfield AveParkersburgWV26101550667789Hospital SupportWV501c37falseCamden-Clark Health Services
Camden-Clark Physician Corp
604 Ann StreetParkersburgWV26101264058719Patient CareWV501c33falseCamden-Clark Health Services
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304Patient CareWV501c33falseWV United Health System
West Virginia University Hospitals East
121 Administrative DriveMartinsburgWV25401202337985Healthcare AccessWV501c312afalseWV United Health System
City Hospital Inc
2500 Hospital DriveMartinsburgWV25401550383321Patient CareWV501c312 Type IfalseWest Virginia University Hospitals - East Inc
Jefferson Memorial Hospital
300 South Preston StRansonWV25438550359755Patient CareWV501c33falseWest Virginia University Hospitals - East Inc
United Hospital Center Inc
327 Medical Park DriveBridgeportWV26330550525724Patient CareWV501c33falseWV United Health System
West Virginia Health Care Cooperative Inc
400 Fairview Heights RdSummersvilleWV26651550650441Patient CareWV501c33falseWV United Health System
Camden-Clark Memorial Hospital
800 Garfield AveParkersburgWV26101311524546Patient CareWV501c33falseCamden-Clark Health Services
St Joseph's Hospital of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550356996Patient CareWV501c33falseWV United Health System
St Joseph's Foundation of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501c312 Type IIfalseSt Joseph's Hospital of Buckhannon Inc
Reynolds Memorial Hospital Inc
800 Wheeling AvenueGlen DaleWV26038550357045Patient CareWV501c33falseWV United Health System
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501c312 Type IfalseReynolds Memorial Hospital Inc
Braxton County Memorial Hospital
100 Hoylman DriveGassawayWV26624550611919Patient CareWV501c33falseWV United Health System
Community Health Association
122 Pinnell StreetRipleyWV25271550462730Patient CareWV501c33falseWV United Health System
Wetzel County Hospital Inc
3 East Benjamin DriveNew MartinsvilleWV26155843480493Patient CareWV501C33falseWV United Health System
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and Hospice CareWV509a2falseWV United Health System
Uniontown Hospital
500 West Berkeley StreetUniontownPA15401250965588Patient CarePA501c33falseWV United Health System
Fayette Physician Network Inc
500 West Berkeley StreetUniontownPA15401455440305Patient CarePA501C33falseWV United Health System
Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550357057Patient CareWV501c33falseWV United Health System
Harrison Community Hospital
951 E Market StreetCadizOH43907341571750Patient CareOH501C33falseWV United Health System
Barnesville Hospital Association
639 W Main StreetBarnesvilleOH43713340719172Patient CareOH501c33falseWV United Health System
Belmont Community Hospital
4697 Harrison StreetBellaireOH43906340714643Patient CareOH501C33falseWheeling Hospital Inc
Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWV501c31falseWheeling Hospital Inc
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550676674InsuranceWV501C312 Type IN/Afalse
GRMC Inc
251 North Fourth StreetOaklandMD21550871846814Patient CareMD501C33falseWV United Health System
Grant Memorial Hospital Inc
117 Hospital DrivePetersburgWV26847881740605Patient CareWV501C33falseWV United Health System
Herbert J Thomas Memorial Hospital Association
4605 MacCorkle Ave SWSouth CharlestonWV25309550404900Patient CareWV501c33falseWV United Health System
Princeton Community Hospital Association
122 Twelfth StreetPrincetonWV24740550483245Patient CareWV501c33falseWV United Health System
Princeton Community Hospital Foundation Inc
PO Box 1369PrincetonWV24740550694209SupportWV501c312 A Type IfalsePrinceton Community Hospital Association
Thomas Health System Inc
4605 MacCorkle Ave SWSouth CharlestonWV25309260440674Patient CareWV501c33falseWV United Health System
THS Physician Partners Inc
4605 MacCorkle Ave SWSouth CharlestonWV25309454395947Patient CareWV501c33falseThomas Health System Inc
Welch Medical Center Inc
PO Box 8034MorgantownWV26506921990757Patient CareWV501c33falseWV United Health System
WVUHS Specialty Pharmacy Services Inc
PO Box 8034MorgantownWV26506872740836Patient CareWV501c33falseWV United Health System
Charleston Hospital Inc
333 Laidley StCharlestonWV25301611272692Patient CareWV501c33falseThomas Health System Inc
Ohio Valley Health Corporation
222 Nicolette RdParkersburgWV26104922553803Patient CareWV501c33falseCamden-Clark Health Services

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Allied Health Services IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 782AddressLine1Txt
CityMorgantownCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26507ZIPCd
FieldValueIRS element (for citing)
EIN550652017EIN
Primary ActivitiesLinen ServicesPrimaryActivitiesTxt
Legal Domicile StateWVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeC CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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