2020-11-15T01:52:37-00:00 2019-12-31 990 2019-01-01 550525724 United Hospital Center Inc UNIT 6813421605 327 Medical Park Drive Bridgeport WV 26330 Jim Rutkowski VP of Finance 2020-11-13 false 2019 2022-09-23 18:48:47Z Mr Mike Tillman 327 Medical Park Drive Bridgeport WV 26330 459177239 false X https://wvumedicine.org/united-hospital-center/ X 1970 WV To enhance the health status of the citizens of North Central West Virginia by providing a full range of services for inpatient and outpatient care. 15 13 2754 235 -580617 118258 65488 391681163 442419081 12154900 8456690 3949448 6925383 407903769 457866642 0 0 162947038 172266286 0 0 191273896 223248748 354220934 395515034 53682835 62351608 643713315 730140453 277166659 277260800 366546656 452879653 X To provide a full range of health care services to the citizens of North Central West Virginia and to enhance the health status of its citizens by providing such services and up to date facilities and equipment. false false 77576881 96664692 UHC provides internal medicine care in the diagnosis and treatment of diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. Patient visits in internal medicine were 4,753 in 2019. 56871807 80150516 As part of the United Hospital Centers commitment to ensuring access to primary care, a family medicine residency program was established in 1974. The program is one of nine available in West Virginia and accounted for approximately 15 of the graduates in these programs. Patient visits to the UHC Family Medicine Clinic were 16,128 in 2019. 25561550 43385829 UHCs Emergency Center is one of the busiest emergency departments in West Virginia, treating nearly 50,000 patients annually. The centers experienced staff of emergency medicine trained physicians and nurses works to ensure that patients receive lifesaving medical care quickly and effectively. UHC had 55,354 emergency department visits in 2019. 175818382 227057946 335828620 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 205 0 3096 true false false false false false false false false false false false false X 15 13 false false false false false false false true true false false true true true true true true true true false X Jim Rutkowski 6813421605 327 Medical Park Drive Bridgeport WV 26330 Joshua Sykes Physician 040.00 X 1069795 0 38735 Joseph Fazalare Board Member, Ex-Officio, Surgeon 040.00 X 973408 0 35504 Christopher Courtney Physician 040.00 X 950368 0 39258 Jeffrey Madden MD Physician 040.00 X 926126 0 38554 Kimberly Fairley DO Physician 040.00 X 893332 0 14335 Marc Costa MD Physician 040.00 X 873235 0 22809 Mike Tillman President / CEO 040.00 X 648609 0 46752 Eric Radcliffe CMO 040.00 X 424339 0 72372 Jeff Bolyard Vice President, General Counsel 040.00 X 354005 0 57117 John Forester VP - Provider Network Services, UPC Executive Director 025.00 025.00 X 151774 151774 70936 Jim Rutkowski Vice President of Finance 040.00 X 314573 0 53288 Mark Povroznik Vice President, Quality 040.00 X 297377 0 59593 Geoffrey Marshall Vice President of Support Services 040.00 X 263962 0 58160 Stephanie Smart Vice President, Nursing 040.00 X 258015 0 55216 Linda Carte Vice Present, Cancer Center Post-Acute Care 040.00 X 259732 0 46389 John Fernandez Vice President, Operations 040.00 X 245228 0 46515 Evan Morgan MD Board Member, Ex-Officio, Hospitalist 040.00 X 241557 0 33954 Tim Allen Vice President, Human Resources 040.00 X 155592 0 21724 Jeff Barger Board Member, Chair 002.00 X X 0 0 0 Hank Lawrence Board Member, Vice Chair 002.00 X X 0 0 0 Woody Thrasher Board Member 002.00 X 0 0 0 Brian Jarvis Board Member, Treasurer 002.00 X X 0 0 0 Dennis Xander Board Member 002.00 X 0 0 0 Katherine Wagner Board Member, Secretary 002.00 X X 0 0 0 Stephen McIntire Board Member 002.00 X 0 0 0 Joann James Board Member 002.00 X 0 0 0 Tonya Sutton Board Member 002.00 X 0 0 0 Randall Light Board Member 002.00 X 0 0 0 Debra Herndon Board Member 002.00 X 0 0 0 Ray Shaw Board Member 002.00 X 0 0 0 Phil Hart Board Member 002.00 X 0 0 0 9301027 151774 811211 302 false true false Medical Solutions LLC 13609 California St Omaha NE 681545260 Healthcare Staffing Services 959462 High Point Construction Group LLC 643 Route 20 South Rd PO Box 577 Buckhannon WV 262014047 Construction Services 955537 Mascaro Construction Co LP 1720 Metropolitan St Pittsburgh PA 15233 Construction Services 920888 Mayo Collaborative Services Inc 200 SW 1st St Rochester MN 559050001 Laboratory Services 781184 JJP recruiting LLC PO Box 1708 Watkinsville GA 306770034 Healthcare Staffing Services 547570 19 26488 39000 65488 Net Patient Service Revenue 621500 434486290 434486290 Pharmacy Income 900099 6274523 6274523 Physician Office Rental Income - Related Parties 900099 1188133 1188133 Reimbursements - Related Orgs 900099 323662 323662 Clinical Laboratory 900099 146473 146473 442419081 8456690 -580617 9037307 1775528 1310597 464931 464931 462997 Allied Services Revenue 900099 3485117 3485117 Cafeteria Income 900099 2083547 2083547 Facilities Management 900099 397380 397380 494408 494408 6460452 457866642 447258983 -580617 11120854 0 0 0 0 5210223 2828393 2381830 0 132126428 125054079 7072349 5675501 5537551 137950 19132643 18157473 975170 10121491 9579717 541774 0 3003 3003 0 35782 35782 0 15076954 13981614 1095340 634604 8271 626333 9434073 6799394 2634679 36170 32435 3735 0 3788242 2891616 896626 1073638 1045716 27922 0 170394 160972 9422 7904554 6159946 1744608 49516922 15497551 34019371 22249466 17807075 4442391 -469788 -770341 300553 Medical Supplies 76376825 76376825 Provision for Doubtful Accounts 21377929 21377929 Taxes, Licenses Fees 13649978 11553440 2096538 Recruiting 1661574 1661574 728428 51608 676820 395515034 335828620 59686414 0 8207 5855 32838484 52862794 88627003 94158592 5381471 5648990 6183688 3192546 520481252 241543118 282824865 278938134 225041685 285756373 1453138 8274605 1354774 1302564 643713315 730140453 41585418 43498721 171036923 175385389 55345000 47845000 9199318 10531690 277166659 277260800 X 366546656 452879653 366546656 452879653 643713315 730140453 X 62351608 24971886 -990497 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 5197 false true 30585 35782 false II-B 1g The CEO of United Hospital Center, Inc. as part of his duties, monitors legislation that may potentially affect UHC and voices his support or concerns regarding that legislation to legislators either in person, by phone, or by mail. II-B 1i This amount is calculated based on information provided by the West Virginia Hospital Association and the American Hospital Association. The American Hospital Association estimates that 23.32 of the 2019 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2019, 16.32 of the dues paid should be allocated to lobbying expense. 9757815 9757815 293288743 89721299 203567444 4139655 720033 3419622 186926189 142836885 44089304 26368850 8264901 18103949 278938134 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Estimated Malpractice Costs- Current 2195642 Self Insurance Liability 5551358 Deferred Compensation Annunity 470488 Long Term Lease Liability 2314202 10531690 X 462771195 24971886 -21377930 3593956 459177239 -1310597 -1310597 457866642 375447700 1310597 1310597 374137103 21377930 21377930 395515033 X 2 Most 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, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2019 and 2018. XI 2d This consists of 21,377,930 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes. XI 4b Rental Expense of 1,310,597 is presented as an offset to Rent Revenue for 990 purposes. XII 2d Rental Expense of 1,310,597 is presented as an offset to Rent Revenue for 990 purposes. XII 4b This consists of 21,377,930 provision for doubtful accounts which is an offset to revenue on the financial statements and an expense for Form 990 purposes. true true X true X false true true false true true 3836320 3836320 0.01030 78473672 45239645 33234027 0.08900 519242 519242 82829234 45758887 37070347 0.09930 43107 43107 0.00010 4432156 3324752 1107404 0.00300 176088 176088 0.00050 4651351 3324752 1326599 0.00360 87480585 49083639 38396946 0.10290 2433767 2433767 0.00620 2433767 2433767 0.00620 true 6654949 244050 175759549 206834718 -31075169 X true true 1 1 United Hospital Center 327 Medical Park Drive Bridgeport WV 26330 wvumedicine.org/united-hospital-center/ 107 X X X X A A 1 false false true X X X X X X X X X 19 true false false true X wvumedicine.org/united-hospital-center/wp-content/uploads/sites/14/2020/01/United-Hospital-Center-CH X true 20 true wvumedicine.org/united-hospital-center/about-us/community-health-needs-assessments/ false false true X 0000000200.000000000000 X X X X X X true true X X X true X wvumedicine.org/bill-pay/financial-assistance/ X wvumedicine.org/bill-pay/financial-assistance/ X wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X X true X false true Group United Hospital Center Line Part V, Section B, Line 5 The Community Health Needs Assessment CHNA was prepared by Thomas Bias, Christiaan Abildso, and Emily Sarkees from the West Virginia University Health Research Center. The CHNA process began with a thorough review of the previous cycles needs assessment report and implementation plan. The CHNA also involved collecting both primary and secondary data. Primary data was comprised of a survey of community members perceptions of health issues followed by a community event focused on reviewing survey data, discussing community resources and assets that impact population health in the area, and working as a group to outline possible implementation strategies for each area of concern. Secondary data included US census data and County Health Ranking Data. The stakeholders represent the broad interest of the communities served by United Hospital Center. The public survey was made available online and through hard copies and was intended for residents 18 years of age and older. Some of the collection points and contact lists included Bridgeport Health Fair, Bridgeport Pediatric Practice, Bridgeport/Shinnston Physicians Care location, Doddridge Clinic, Doddridge County Shop n Save, First Energy Fair - Shinnston, Spinal Treatment Center, UHC registration and Whitehall Medical - Fairmont. A community meeting was also held by UHC leadership to get more input from the public, especially from organizations who already provide essential services. Organizations represented at the community meeting included but was not limited to City of Bridgeport, Clarksburg Mission, Community Resources, Doddridge County Board of Education, Doddridge County Senior Center, Fairmont State University, Family Services, Harrison County Board of Education, HCEDC, Health Access, Inc., Healthy Harrison, Highland Hospital, HOPE, IC Parish Nurses, Northwestern Mutual, Salem Church of God, Shinnston Economic Development, United Summit Center, VAMC and WV Prevention Solutions. The CHNA can also be found here https//wvumedicine.org/united-hospital-center/about-us/community-health-needs-assessments/ Group United Hospital Center Line Part V, Section B, Line 11 According to the CHNA, following the community meeting, the leadership team discussed the totality of information collected through the survey and community events, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, WVU SPH reviewed summarized survey data, including overall responses to the three most important health problems or issues. Health problems pertains to mainly clinical items such as health and disease topics however, when creating the survey tool, the hospital leadership saw value in asking about factors affecting health outcomes. For this reason, topics were grouped into three questions clinical health and disease items e.g. heart disease, addiction, cancer, quality of life and built or natural environmental factors e.g. air quality, availability of sidewalks, cost of medications, as well as things seen as personal choices or behaviors e.g. vaping, distracted driving, poor eating choices. This allowed the leadership team to cross-reference clinical items with the life factors and personal choices for a deeper understanding of the common themes, and a snapshot perspective of where in life the hospital might be able to implement strategies that will impact many. Survey results for health and disease included 1. Drug addiction/dependence, 2. Obesity 3. Cancers. Survey results for quality of life environment included 1. Low income, 2. Lack of access to recreation spaces for all ages 3. Food insecurity. Survey results for personal choice risky behaviors included 1. Drug abuse 2. Bad eating choices 3. Alcohol abuse. Group United Hospital Center Line Part V, Section B, Line 11 According to the CHNA, during the prioritization process that followed the community meeting, leadership team members revisited common priority areas within the context of discussions and feedback from the morning. Utilizing a prioritization matrix to guide discussion, the group considered the degree to which the hospitals can realistically affect health outcomes for each priority health concern, endeavors already underway for each, as well as level of importance relative to the reach of their impact. The list of top health concerns was pared down and reconfigured to the three that will be the focus moving forward with implementation planning. These included 1. Cancer 2. Obesity chronic disease and 3. Substance use and abuse. Group United Hospital Center Line Part V, Section B, Line 11 The top health concerns identified by the stakeholders outlined in the CHNA are being addressed by United Hospital Center in the following ways. For substance abuse, many existing community relationships and potential partners are already in place. United Hospital Center leadership identified educating youth as a potential benefit and is in the process of addressing the gap left in the community by the closure of the Harrison County Health Departments Harm Reduction Clinic. With regards to obesity and chronic disease, leadership recognizes the current programming already in place to aid in the prevention of obesity and chronic disease. However, there are opportunities to expand programming in this area. Lastly, the leadership team has recognized the prevalence of cancer within the State as well as the local community. With this being said, strategies and build-out efforts are in the works to address this identified need. Group United Hospital Center Line Part V, Section B, Line 13h All patient provided services at UHC are charged the same amount for the same service received. Consideration for establishing new charges is based on the CMS Medicare CPT payment weights. The charge master at UHC as in all WV hospitals is approved on an annual basis by the WV Health Care Authority per legislative mandate. UHC will provide financial assistance/charity care at 100 percent of billed charges to those patients where the household income defined as income for all individuals existing in the same dwelling is at 200 percent or below the federal poverty guidelines as published annually by the Community Services Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income as defined in the Charity Care Policy. Elective procedures or cosmetic/plastic procedures may not be eligible to be covered under the financial assistance/charity care program. Financial assistance/charity care is predicated upon the completion of the Patient Financial Status Statement as well as the patient seeking Medicaid eligibility. An individuals failure to comply with UHCs documentation and/or soliciting Medicaid process shall be excluded from consideration. An associate from the Business Office is available to assist patients in this process and will analyze the Patient Financial Status Statement according to UHCs guidelines in the Financial Assistance/Charity Care Policy. Group United Hospital Center Line Part V, Section B, Line 20e Financial assistance signs are posted in all admission areas as well as the ER and Family Medicine. In addition, registration gives all self-pay patients a charity application when admitted there is a Notice of Availability of Financial Assistance on the statements that are mailed to the patients. Collectors and patient representatives let the patients know about financial assistance available when calling. In addition, UHC utilizes a third party that attempts to meet with uninsured patients to determine whether such patient qualifies for Medicaid and/or other forms of assistance under federal, state, or local programs. Group United Hospital Center Line Part V, Section B, Line 24 All 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. Group United Hospital Center Line Part V, Section B, Line 11 UHC has provided a succinct list of strategies in their 2020 implementation plan to address the prioritized needs identified in the CHNA Substance Use and Abuse, Obesity Chronic Disease, Cancer. These strategies included Addiction Resource Guide discoverrecovery.org, WDTV Community Education Series, 5-2-1-0 Program, Dining with Diabetes, School-based Walking Program, Low-Dose Cancer Screenings, Educational Series- Vaccine-Preventable Cancers and Dare to C.A.R.E. The Addiction Resource Guide targets community concerns related to substance use and abuse. Activities include update existing resources on the website and implementing Google and other analytics for the website. According to UHCs 2020 implementation plan, The WDTV Community Education Series provides community education about many health topics including but not limited to cancer, cardiovascular disease, substance use and abuse, diabetes and obesity. The 5-2-1-0 Program, Dining with Diabetes, School-based Walking Program and Dare to C.A.R.E. all target the prevention and management of obesity and chronic disease in both the youth and adult populations within UHCs primary service area. Finally, the Low-Dose Cancer Screenings Educational Series on Vaccine-Preventable Cancers addresses the community concern of cancer by providing educational information related to vaccine-preventable cancers as well as free low-dose cancer screenings within the local community. In summary, all of the prioritized needs identified in the most recent CHNA have been addressed by UHC in the 2020 implementation plan. Part I Line 3c UHC does maintain a formal Financial Assistance/Charity Care policy. Charity care is provided to those patients where the household income defined as income for the patient and any related guarantor as listed on the most recent Federal Tax Return is at 200 or below federal poverty guidelines as published annually by the Community Service Administration in the Federal Register and where there are not substantial cash convertible assets or disposable income. Charity is predicated on the patient seeking Medicaid eligibility and fully cooperating with hospital staff provide bank statements, proof of income, etc. Medicaid eligibility may be reevaluated each month or in connection with new services provided during the approved charity period 6 months. If a patient qualifies for charity care assistance, 100 of the billable charges are eliminated. Part I Line 3c UHC will provide an amounts generally billed AGB discount to true selfpay patient balances due, regardless of income levels. Accounts will be reviewed to verify no other insurance/third party is responsible for balance due. The AGB is not applicable to Workers Compensation, Motor Vehicle Accidents, cosmetic or cardiac rehab phase III balances. Part I Line 3c Patients requesting a discount on balances due can receive a 20 discount for payment in full. The discount can be applied on any balance, including balances after the AGB discount has been applied. Part I Line 6a UHC community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2019 amounts can be found at the following web address https//wvumedicine.org/about/community-benefit/. Part I Line 7 Total community benefit expense for 2019 is 87,480,585 and is 23.44 of total net expenses. To calculate net expense, bad debt of 21,377,929 was deducted from total expenses of 394,641,302 as shown in Part IX line 25 of the core Form 990, for a net expense of 373,263,373. 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, Unreimbursed Medicaid and other means-tested government programs at cost. Part II United Hospital Center supports Health Access, a free health care clinic that it helped to organize. The clinic serves indigent members of the community. United Hospital Center provided free health care services and served 1,259 patients supported by Health Access. Family medicine physicians volunteer their services after hours to the Health Access clinic to improve access to health care services for Harrison county citizens who can not afford to have health insurance coverage. Part III Line 2 Patient receivables are reported at net realizable value. Accounts are written off when they are determined to be noncollectable based upon managements assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payer classifications, and application of historical write-off percentages. The estimated cost of services provided that ultimately result in bad debt expense are estimated utilizing the cost-to-charge ratio as determined by the filed cost report for the corresponding tax year related to this Form 990. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 21,377,929 by our cost-to-charge ratio of 31.13 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 6,654,949. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 783,971 which we then multiplied by our cost to charge ratio of 31.13 for a total of 244,050. Part III Line 3 The estimated bad debt attributable to patients eligible for charity care of 244,050 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. Part III Line 3 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. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay. Part III Line 4 United Hospital Centers financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows 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 conversion of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. 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. The System 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. The System records accounts receivable net of estimated price concessions and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2019, from patients and third-party payors is as follows Medicare - 27, Medicaid - 17, Blue Cross - 24, Commercial, managed care and other - 26, Patients - 6, totaling 100. Part III Line 4 For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Part III Line 8 Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. United Hospital Centers shortfall of 31,075,169 on Medicare program should be considered a community benefit because we are relieving a government burden by providing care in excess of our cost to these patients. Part III Line 9b UHC does maintain a formal Credit Collections policy. The policy reiterates that care will be provided to all patients that present to UHC regardless of their ability to pay for such services. The policy describes payment discounts that may be available as well as description of other financial assistance programs at UHC e.g. Charity Care and the option of payment plans. The policy does describe collection practices and procedures that may be followed by the UHC staff should a patient not cooperate in the account resolution process. 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, the patient will not be sent to 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 2 United Hospital Center considers several components in assessing how the organization determines the need of the communities it serves. Through outside consults to collaborating with various departments, a needs assessment takes into account several factors including physicians to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area for United Hospital Center includes Harrison and Doddridge County, WV. This data is then analyzed to provide general estimates to where United Hospital Center could better care for residents in these counties. Part VI Line 2 Population and demographic data is provided by WVU Medicines population health and enterprise analytics department. Part VI Line 3 UHC maintains a formal Financial Assistance Policy. Identification of financial assistance is provided through Financial Counseling, Registration, Patient Accounts Representative, Credit Counselors and/or other Associates in the Patient Accounts Department. This policy is also available for review at https//wvumedicine.org/bill-pay/financial-assistance/. Part VI Line 4 UHC defines its primary service area as Harrison and Doddridge Counties West Virginia. According to 2019 estimates, the primary service area is comprised of approximately 75,954 people. Located in mostly rural West Virginia, residents in UHCs primary service area have an unemployment rate of 7 and an average household income of 73,116 and 56,403 for Harrison and Doddridge counties respectively. Part VI Line 5 UHC supports Health Access, a free health care clinic that it helped organize. The clinic serves indigent members of the community. In 2019, UHC provided free health care worth more than 2.4 million to the clinic and its patients. Many hospital associates and medical staff, including residents, volunteer their time at the clinic. In addition, UHC conducts diabetes support groups and education for adults and youth. UHC staff interacts with several community organizations by donating time to serve as educators and community or board members. UHC Respiratory Care, Pharmacy, and Nursing departments along with American Lung Association co-sponsor an annual statewide asthma camp for children ages 8-13 to promote the development of self-management skills. Family medicine residents teach sex education classes for area schools as well as perform physical exams for student athletes. Family medicine residents also conduct our local Shriner Orthopedic Screening Clinic and also conduct weekly obstetric clinics at the Harrison and Doddridge County Health Departments. UHC also provides administrative facilities for American Cancer Society and provides classrooms for groups such as American Red Cross to hold blood drives. See Part III of Form 990 for further description of community building programs that UHC participates in, funds, and/or supports. Part VI Line 5 UHCs board of directors is a community board, comprised of 15 members living in the UHC primary service area. Our medical staff is an open medical staff comprised of primarily private groups and physicians. As physician recruiting has become more difficult in rural areas, UHC has also been forced to employ a number of physician specialists as well as partner with the West Virginia University School of Medicine and its faculty plan to provide other necessary physician services. Part VI Line 6 United Hospital Center UHC is a part of the West Virginia 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 services area, 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 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, 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, Reynolds Memorial Hospital, in Glen Dale, WV, West Virginia Health Care Cooperative, doing business as, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway, WV, and Community Health Association, doing business as, Jackson General Hospital in Ripley, WV. Part VI Line 6 The System also includes the 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, a behavioral health center located in Clarksburg, WV. In addition to these practices, the System also includes WVUH-East, Inc. and Camden-Clark Health Services which operate as management companies for their respective hospitals. The System also includes University Healthcare Foundation in Martinsburg, WV, United Health Foundation in Bridgeport, WV, Camden-Clark Foundation in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation in Glen Dale, WV, which perform various fundraising activities for their respective hospitals. false true false false false true false true false Mike Tillman President / CEO 423096 132653 92860 20163 26589 695361 Jim Rutkowski Vice President of Finance 244105 63078 7391 34498 18789 367861 29932 Geoffrey Marshall Vice President of Support Services 208739 52680 2542 40013 18148 322122 23483 Tim Allen Vice President, Human Resources 83850 59910 11832 6788 14936 177316 Mark Povroznik Vice President, Quality 229375 62572 5430 33691 25902 356970 21046 Jeff Bolyard Vice President, General Counsel 272410 74424 7171 31581 25536 411122 26502 John Fernandez Vice President, Operations 189958 50296 4973 27927 18589 291743 21210 Stephanie Smart Vice President, Nursing 204436 51543 2036 29980 25236 313231 22048 Linda Carte Vice Present, Cancer Center Post-Acute Care 190212 50677 18844 20632 25756 306121 72946 Eric Radcliffe CMO 328366 87400 8574 46100 26271 496711 24545 Evan Morgan MD Board Member, Ex-Officio, Hospitalist 231754 9803 8759 25195 275511 Joseph Fazalare Board Member, Ex-Officio, Surgeon 793532 179876 8846 26658 1008912 Jeffrey Madden MD Physician 449822 476304 12600 25954 964680 Christopher Courtney Physician 740929 209439 12600 26658 989626 Kimberly Fairley DO Physician 537933 355399 12600 1735 907667 Joshua Sykes Physician 642135 427660 12600 26135 1108530 Marc Costa MD Physician 423653 449582 12600 10209 896044 John Forester VP - Provider Network Services, UPC Executive Director 116745 116745 32174 32174 2854 2854 17851 17851 17618 17618 187242 187242 32928 32928 Part I Line 7 There are some officers and key employees of the hospital that are eligible for annual bonus compensation if they meet goals and achievements that are set at the beginning of each year and are approved by the board of directors. The annual incentive bonuses are only paid after achievements are assessed and only if the hospital achieves at least 80 of its budgeted operating margin. If the hospital has a negative operating margin, that annual incentive bonus will not be awarded. Part I Line 4b Mike Tillman received CAA distributions of 75,638 in 2019 Tim Allen received CAA distributions of 9,259 Linda Carte received CAA distributions of 7,689. These amounts were appropriately reported as compensation on Form W-2 for 2019. Part I Line 4b The following individuals received deferred compensation contributions in 2019 Jim Rutkowski in the amount of 24,991 Geoffrey Marshall in the amount of 21,372 Mark Povroznik in the amount of 23,812 Jeff Bolyard in the amount of 27,891 John Fernandez in the amount of 19,741 Stephanie Smart in the amount of 21,412 Linda Carte in the amount of 11,661 Eric Radcliffe in the amount of 33,500 and John Forester in the amount of 17,851 from UHC and 17,851 from related party, UPC. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J. Part I Compensation for United Hospital Centers CEO is 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. Part I Line 6a Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. Part II Amounts reported in column f were paid out by a third party administrator who was responsible for tax reporting. A West Virginia Hospital Finance Authority 621256910 000000000 2015-10-01 7500000 2015 Series A - Acquisition of St. Josephs Hospital of Buckhannon false false false B West Virginia Hospital Finance Authority 621256910 956622L85 2016-06-15 149749999 2016 Series A - Refund 2006A and 2009 C issuances false false false C West Virginia Hospital Finance Authority 621256910 956622P65 2018-07-31 23680000 2018 Series D - Redeem 2012A issuance false false false A 7500000 7500000 2015 false false true true B 8996832 149749999 1155297 148571155 942 2016 true true true true C 2555000 23680000 176862 23503138 2018 true false true true A false false false false false false true B false true false false 0.02630 0.00310 0.02940 false false true C false true false false 0.02630 0.00310 0.02940 false false true A false true false false true false false false true B false true false false false false true Cantor Fitzgerald true false true C false true false false true true Deutsche Bank AG 0000000022.420000000000 false false false false true A true B true C true Part I Schedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc. CHI, The Charles Town General Hospital dba Jefferson Medical Center JMC, and University Healthcare Foundation, Inc. UHF, is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to this tax return. United Hospital Center, Inc. UHC EIN 55-0525724 and Camden-Clark Memorial Hospital Corporation CCMH EIN 31-1524546 are reporting bond allocations issued to them on the return filed by such taxpayer. Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by UHC and CCMC to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner. Part I Line B The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger UHC received 149,749,999 in proceeds to refund the 2006A issuance as a current refunding and 2009C bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for WVUH and CCMC. Part II Line 12 The amount reported in Line 12 Column B is a result of a balance that remained in the account that is used to fund principal and interest payments on this issuance. We are provided an amount to fund prior to the payment date, once funds that are sold/redeemed to make our payment there is occisaionally a residual amount. That amount is left in the account to apply to future payments. Part IV Line 2 Column A and B - 2015A, 2016A, and 2018D issuances are not yet required to have rebate calculations the issuances are expected to meet the exception to rebate. Part IV Line 5c Column B - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019. Form 990, Part III, Line 4d Program Service Expenses 175,477,798, Grants and allocations 0, Revenue 226,968,567 UHC provides health care services for the community and surrounding areas. The majority of the program services are to provide health care and health care maintenance for the community as both inpatient and outpatient services. United Hospital Center provided 33,701,476 in uncompensated care, which represented 7.76 of the total net patient service revenue in 2019. Included in the above amount was 12,323,547 of charity care for individuals that qualified for financial assistance and 21,377,929 in bad debt account balance write-offs. UHC wrote off 2,146 accounts to charity and 18,172 to bad debt related to patients that had Medicare coverage. United Hospital Center provided 2,433,767 in support to Health Access, a free health care clinic that it helped to organize. The clinic serves indigent members of the community. United Hospital Center provided free health care services and served 1,259 patients supported by Health Access. Form 990, Part III, Line 4d Program Service Expenses 340,584, Grants and allocations 0, Revenue 89,379 To address other health manpower shortages through the region, UHCs School of Radiological Technology graduated 12 radiology technologists this year. The cost of this program was 340,584 with a tuition revenue of 89,379. We continue to have relationships with the VAMC and St. Joesphs Hospital for rad tech education. In addition, UHC serves as a clinical training site for nursing students from West Virginia Wesleyan College, Fairmont State University, Alderson Broaddus College, United Technical Center, Monongalia Technical Center, West Virginia University, Wheeling Jesuit University, Edinboro University and Fred Eberle School of Practical Nursing. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center donates expired or opened unused products for distribution to third world countries such as Africa and South America. A portion of this years contribution was sent to Doc to Doc which collects and ships supplies to teaching hospitals, smaller public hospitals, and rural medical clinics in developing countries. These donations of medical supplies were valued at 175,668 for 2019. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center is one of the largest providers of obstetric services in terms of deliveries and serves as a regional resource for obstetric services. In fulfilling that role, family medicine faculty and residents conduct weekly planning clinics and pediatric clinics for the Harrison County Health Department. The obstetric department conducts childbirth classes for expecting parents. These classes are for expectant mothers and teaches techniques for the best possible experience in childbirth. Enrollment for these classes totaled 414 people and provided a benefit of 6,445. The obstetric department also conducts sibling tours for older siblings to alleviate anxiety for when the new baby arrives. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Centers associates volunteered 40 hours to participate in health fairs/events for the community citizens at various locations throughout North Central West Virginia that had approximately 750 attendees and yielded a total community benefit of 4,400. United Hospital Center also conducted cancer screenings through their skin, mens, womens, and Dare to Care campaigns. Screenings at these events included but was not limited to visual assessments, PAP smears, FIT tests, mammograms, PSA lab draws, prostate exams, recommendations for abnormal findings and general health education. UHC physicians and support staff volunteered seven hours during these screenings, which served 124 individuals and provided a total community benefit of 33,000. UHC physicians also served approximately 120 individuals while attending the Doddridge and Shriners clinic, providing a total community benefit of 11,220. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC provides administrative facilities to the American Cancer Society. In addition, UHC allows some organizations the use of classrooms with no charge. The organizations include, but are not limited to, WV Autism Support Group, Addiction Support Group, Breast Cancer Support Group, Kids Talk Support Group, and Narcotics Anonymous. United Hospital Center also provides a space for the Central Blood Bank to conduct blood drives. UHC hosted 6 blood drives. In total, these blood drives had 204 presenting donors, 190 successful donations. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center conducted, through the Education Department, a diabetes support group for participants from various counties. In addition, staff assisted the indigent patients in the Lilly Cares program for starter insulin and also received viscometers from Bayer Co. to distribute and properly educate patients in the daily monitoring of their blood glucose. United Hospital Center has representatives serving on several community boards including, but not limited to, Family Services of Harrison and Marion Counties, Harrison County Drop-In Advisory Board, WV Network Ethic Advisory Committee, Coalition for the Homeless and Goodwill Advisory Board. In addition, UHC representatives were guest speakers at area organizations/events about various health care concerns or issues. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 UHC offers rotations for students in the following programs Emergency Medical Personnel, Medical Record Technology, Pharmacy, Safety Engineering, and Clinical Education for Rehab students. Rotations for one of the three practicums and internships for counseling students in a masters degree program are provided as needed in cooperation with West Virginia University. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 United Hospital Center employees donated 7,750 of food and necessities to the Mission to help people in need in the region. Other activities employees participated in include but are not limited to the American Heart Association Walk for Life and the American Cancer Societys relay for life. Form 990, Part VI, Line 11b The Form 990 is completed by the West Virginia United Health System tax team and then sent to the Vice President of Finance at United Hospital Center, Inc. for approval. Baker Tilly, an external accounting firm, is then provided a copy for review. Then, the annual Form 990 is presented to the hospitals finance committee of the board of directors for review, prior to filing. Form 990, Part VI, Line 12c On an annual basis, education is provided to all officers of the board of directors with respect to their fiduciary responsibility and what may or may not be considered a conflict of interest. This education is provided by the hospitals in house general counsel. All officers and board members are required to complete an annual conflict of interest and disclosure statement. The statements are maintained by the hospitals in house general counsel and specifically reviewed as necessary based on business presented to the board. If a conflict arises, recommendations are provided to the President and/or Board for consideration and determination of final action. Nothing of concern was found during the review in 2019. Form 990, Part VI, Line 15a It is the compensation philosophy of UHC to pay fair and competitive wages to all employees. Annual wage comparisons are performed by the human resource department of the hospital. The hospital uses the following resources Databay Resources, Towers Watson, Data Blue Survey, Mercer, and CompData. Compensation for United Hospital Centers CEO is 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. Form 990, Part VI, Line 19 All governing documents, conflicts of interest policy, and financial statements are available to the public upon request. Form 990, Part XI, Line 9 Other changes in net assets include 8,834,157 of related organization capitalization and 7,843,659 of investment adjustment. 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