UNITED PHYSICIANS CARE INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- UNITED PHYSICIANS CARE INC (EIN 55-0638563)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-09-03
- IRS object ID
- 202042479349300219
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-09-03T11:44:08-00:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550638563 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | United Physicians Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIT | BusinessNameControlTxt |
| Phone | 3046244655 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 686 S Pike Street A | AddressLine1Txt |
| City | Shinnston | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26431 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Forester | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2020-08-18 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 157.182.216.2 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-03 | IPDt |
| IP Tm | 14:36:52 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Federal Original Submission Id | 5504482020150ttrhngx | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-09-02 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 870EFB8F4D4B335661AFD9F3B52637157C2F45F8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 961A8E11061A341FA9665A68F3B1FFC5AE12E713 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Forester | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 686 S Pike Street A | AddressLine1Txt |
| City | Shinnston | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26431 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,230,743 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | UPC is a not-for-profit corporation focused on the development and operation of primary care clinics, particularly in under serviced areas. UPC provides health care through 16 clinics to the residents of Northern WV. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 279 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $11,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,200 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,456,415 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $41,228,543 | CYProgramServiceRevenueAmt |
| PY Investment Income | $90 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $54,467,505 | PYTotalRevenueAmt |
| CY Total Revenue | $41,230,743 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $450 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,258,383 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,058,790 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,981,472 | PYOtherExpensesAmt |
| CY Other Expenses | $14,383,095 | CYOtherExpensesAmt |
| PY Total Expenses | $54,240,305 | PYTotalExpensesAmt |
| CY Total Expenses | $41,441,885 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $227,200 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$211,142 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,917,582 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,810,031 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,994,282 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,093,433 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,923,300 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,716,598 | NetAssetsOrFundBalancesEOYAmt |
| Mission | United Physicians Care, Inc. is a not-for-profit corporation focused on the development and operation of primary care clinics, particularly in under serviced areas. UPC provides health care through 16 primary clinics to the residents of Northern West Virginia. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $38,368,777 | ExpenseAmt |
| Revenue | $41,228,543 | RevenueAmt |
| Desc | United Physicians Care, Inc. UPC is a not-for-profit medical corporation licensed in the state of West Virginia. UPC leases various facilities in eight counties, providing medical services designed to promote health of persons within our service areas. Within the scope of its mission, UP has established the following care programs Harrison County, WV - primary care services Taylor County, WV - primary care services Barbour County, WV - primary care services Braxton County, WV - primary care services Doddridge County, WV - primary care services Ritchie County, WV - primary care services and Lewis County, WV - primary care services. | Desc |
| Total Program Service Expenses | $38,368,777 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 279 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | false | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | United Hospital Center Inc | PersonNm |
| Phone | 6813421000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 327 Medical Park Drive | AddressLine1Txt |
| City | Bridgeport | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Michael Tillman | ||||||||
| Director, UHC President | 004.00 | 044.00 | Yes (X) | Yes (X) | $0 | $648,611 | $46,751 | |
| Eric Radcliffe MD | ||||||||
| Director, UHC Executive Director Family Medicine | 001.00 | 039.00 | Yes (X) | $0 | $424,339 | $72,372 | ||
| Richard Vasicek DO | ||||||||
| Physician | 040.00 | $403,591 | $0 | $37,375 | Yes (X) | |||
| James Malone DO | ||||||||
| Physician | 040.00 | $374,729 | $0 | $35,043 | Yes (X) | |||
| John Angotti MD | ||||||||
| Physician | 040.00 | $373,805 | $0 | $25,155 | Yes (X) | |||
| Kelly Nelson MD | ||||||||
| Physician | 040.00 | $365,732 | $0 | $32,554 | Yes (X) | |||
| Benjamin Gerber | ||||||||
| Director, VP Payor Strategy | 000.50 | 039.50 | Yes (X) | $0 | $319,727 | $77,463 | ||
| Darla Gant MD | ||||||||
| Physician | 040.00 | $357,885 | $0 | $38,474 | Yes (X) | |||
| John Forester | ||||||||
| VP - Provider Network Services, UPC Executive Director | 025.00 | 025.00 | Yes (X) | $151,774 | $151,774 | $70,938 | ||
| Brandon Koehler | ||||||||
| VP of Finance - Provider Network Services | 015.00 | 020.00 | Yes (X) | $0 | $238,666 | $55,161 | ||
| Lance Dubberke MD | ||||||||
| Director, Physician | 001.00 | 039.00 | Yes (X) | $221,255 | $0 | $33,696 | ||
| Kathy Wagner | ||||||||
| Director | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,248,771 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,783,117 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $524,982 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PA Consultants LLC | |||||
| 115 Lou Ellen Ln | Harvest | AL | 357499337 | Healthcare Staffing Services | $678,396 |
| Vista Staffing Solutions Inc | |||||
| 2800 E Cottonwood Pkwy Suite 400 | Cottonwood Heights | UT | 841217296 | Healthcare Staffing Services | $448,341 |
| Universal Physician Services | |||||
| 3805 Gulf Blvd Apt 305 | St Petersburg | FL | 337063952 | Physician Services | $427,676 |
| MDA Holdings Inc | |||||
| 4775 Peachtree Industrial Blvd | Berkeley Lake | GA | 300923011 | Physician Services | $360,191 |
| The Best Hospitalists PA | |||||
| 2405 Brisbane Lane | Plano | TX | 750750018 | Physician Services | $179,977 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,200 | GovernmentGrantsAmt |
| Total Contributions | $2,200 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Revenue | 621110 | $27,232,473 | $27,232,473 |
| Other Health Care Revenue | 900099 | $13,209,482 | $13,209,482 |
| Emergency Department Revnue | 621110 | $786,588 | $786,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $41,228,543 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,230,743 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,228,543 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,195 | TotalAmt |
| Program Services | $254,952 | ProgramServicesAmt |
| Management And General | $187,243 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,583,360 | TotalAmt |
| Program Services | $20,208,508 | ProgramServicesAmt |
| Management And General | $374,852 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123 | TotalAmt |
| Program Services | $2,084 | ProgramServicesAmt |
| Management And General | $39 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,013,590 | TotalAmt |
| Program Services | $5,938,284 | ProgramServicesAmt |
| Management And General | $75,306 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,522 | TotalAmt |
| Program Services | $17,203 | ProgramServicesAmt |
| Management And General | $319 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$2,742 | TotalAmt |
| Management And General | -$2,742 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,796,050 | TotalAmt |
| Program Services | $4,669,356 | ProgramServicesAmt |
| Management And General | $126,694 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,911 | TotalAmt |
| Program Services | $19,178 | ProgramServicesAmt |
| Management And General | $733 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,831 | TotalAmt |
| Program Services | $391,447 | ProgramServicesAmt |
| Management And General | $78,384 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,729 | TotalAmt |
| Program Services | $8,180 | ProgramServicesAmt |
| Management And General | $130,549 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,094 | TotalAmt |
| Program Services | $1,579,876 | ProgramServicesAmt |
| Management And General | $25,218 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,306 | TotalAmt |
| Program Services | $64,459 | ProgramServicesAmt |
| Management And General | $4,847 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,555,411 | TotalAmt |
| Management And General | $1,555,411 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,280 | TotalAmt |
| Management And General | $218,280 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,787 | TotalAmt |
| Program Services | $399,787 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Doubtful Accounts | $2,366,916 | $2,366,916 | |
| Medical Supplies | $2,017,393 | $2,017,393 | |
| Recruiting Expenses | $352,654 | $352,654 | |
| Taxes, Licenses Fees | $204,141 | $58,157 | $145,984 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,334 | TotalAmt |
| Program Services | $20,343 | ProgramServicesAmt |
| Management And General | $151,991 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,441,885 | TotalAmt |
| Program Services | $38,368,777 | ProgramServicesAmt |
| Management And General | $3,073,108 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,466 | BOYAmt |
| EOY | $3,752 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,597,747 | BOYAmt |
| EOY | $19,356,910 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,301,130 | BOYAmt |
| EOY | -$408,577 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,591 | BOYAmt |
| EOY | $77,612 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,216,742 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,561,059 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,283 | BOYAmt |
| EOY | $1,655,683 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,119,365 | BOYAmt |
| EOY | $3,124,651 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,917,582 | BOYAmt |
| EOY | $23,810,031 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,897,719 | BOYAmt |
| EOY | $18,662,856 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,563 | BOYAmt |
| EOY | $430,577 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,994,282 | BOYAmt |
| EOY | $19,093,433 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,923,300 | BOYAmt |
| EOY | $4,716,598 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,923,300 | BOYAmt |
| EOY | $4,716,598 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,917,582 | BOYAmt |
| EOY | $23,810,031 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$211,142 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,440 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Facts And Circumstances Test | Part I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170B1AIII as shown on Schedule A, Item 3, the organization does not qualify as a hospital for Schedule H or State of West Virginia purposes. | FactsAndCircumstancesTestTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $141,634 | DepreciationAmt |
| Book Value | $49,870 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,207,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $746,572 | DepreciationAmt |
| Book Value | $461,076 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,817,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $672,853 | DepreciationAmt |
| Book Value | $1,144,737 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,655,683 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Compensation | $82,372 |
| Goodwill Other Intangibles | $3,036,993 |
| CIP | $5,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,124,651 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Deferred Compensation | $82,372 |
| Estimated Malpractice Costs- Current | $26,713 |
| Self Insurance Liability | -$10,017 |
| Long Term Lease Liability | $331,509 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $430,577 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $38,863,827 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,366,916 | OtherRevenueAmt |
| Revenue Not Reported | -$2,366,916 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,230,743 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $41,230,743 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,074,969 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $39,074,969 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,366,916 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,366,916 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $41,441,885 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | The annual audit and financial statements of United Physicians Care, Inc. are prepared on a consolidated basis as a member of the WV United Health System WVUHS. WVUHS accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. There were no tax uncertainties that met the recognition threshold in 2019 and 2018. |
| XI 2d | The amount shown on line 2d consists of 2,366,916 provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. |
| XII 4b | The amount shown on line 4b consists of 2,366,916, provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990. |
| X 2 | WVUHS, WVUH, PVH, CCHS, CCMC, CCF, CCPC, University Healthcare, BMC, JMC, UHCF, UHC, USC, UHF, UPC, SJH, SJF, RMH and RMF 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael Tillman | ||||||||||||||
| Director, UHC President | $423,099 | $132,653 | $92,859 | $20,162 | $26,589 | $695,362 | ||||||||
| Lance Dubberke MD | ||||||||||||||
| Director, Physician | $187,158 | $33,309 | $788 | $8,235 | $25,461 | $254,951 | ||||||||
| Benjamin Gerber | ||||||||||||||
| Director, VP Payor Strategy | $258,303 | $56,335 | $5,089 | $52,219 | $25,244 | $397,190 | ||||||||
| Eric Radcliffe MD | ||||||||||||||
| Director, UHC Executive Director Family Medicine | $328,366 | $87,400 | $8,574 | $46,100 | $26,271 | $496,711 | $24,545 | |||||||
| John Forester | ||||||||||||||
| VP - Provider Network Services, UPC Executive Director | $116,746 | $32,174 | $2,854 | $22,623 | $12,846 | $187,243 | $116,746 | $32,174 | $2,854 | $22,623 | $12,846 | $187,243 | $32,927 | $32,928 |
| Brandon Koehler | ||||||||||||||
| VP of Finance - Provider Network Services | $196,320 | $22,224 | $20,122 | $29,448 | $25,713 | $293,827 | ||||||||
| Richard Vasicek DO | ||||||||||||||
| Physician | $294,963 | $97,420 | $11,208 | $12,587 | $24,788 | $440,966 | ||||||||
| James Malone DO | ||||||||||||||
| Physician | $293,541 | $74,595 | $6,593 | $9,001 | $26,042 | $409,772 | ||||||||
| John Angotti MD | ||||||||||||||
| Physician | $265,510 | $105,388 | $2,908 | $25,154 | $398,960 | |||||||||
| Kelly Nelson MD | ||||||||||||||
| Physician | $235,201 | $128,026 | $2,505 | $8,307 | $24,247 | $398,286 | ||||||||
| Darla Gant MD | ||||||||||||||
| Physician | $302,303 | $55,376 | $206 | $12,600 | $25,874 | $396,359 | ||||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3 | The United Hospital Center Board of Directors and the West Virginia United Health System System Human Resources department establish compensation for UPCs Executive Director. 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 compesation packages offered do not exceed fair market value. |
| Part I Line 4b | During 2019, Benjamin Gerber deferred 40,201 of compensation and Brandon Koehler deferred 20,309 of compensation through the CAA plan. Eric Radcliffe deferred compensation of 33,501 through the CAA plan and received vesting distributions of 24,545. John Forester deferred compensation of 35,702 and received vesting distributions of 65,855. Vesting distributions were paid by our third party administrator TPA. The TPA is responsible for issuing the appropriate tax documents. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b | Form 990 was prepared by the West Virginia United Health System Tax Team. After the return is prepared, the return is sent to the VP of Finance and VP - Provider Network Services for review, once it is approved it is provided to the board of directors for review. Questions or comments are addressed prior to submitting to the Internal Revenue Service. |
| Form 990, Part VI, Line 12c | Conflict of interest questionaires are required to be completed annually by each board member and key employee. UHC Director of Corporate Compliance along with the West Virginia United Health System monitors compliance of the policy and reports any non-compliance to the CEO of United Physicians Care, Inc.. Board members are required to abstain from voting on issues in which they have a conflict of interest. |
| Form 990, Part VII, Section A, Line 4 | Four of the organizations board members were employed by related organizations. They are not considered to be independent, the compensation they received is for the services they provided to their respective related party employers. |
| Form 990, Part VI, Line 15a | Compensation for UPCs Vice President 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 the fair market value. |
| Form 990, Part VI, Line 19 | Disclosures of governing documents, policies, conflict of interest information, and financial statements will be made upon receipt of a written request received at the corporate office. |
| Form 990, Part XII, Line 2c | United Physicians Care Inc. does not have an audit committee to oversee their piece of the overall consolidated audit. The audit committee works closely with the independent auditors in pre-audit planning, throughout the audit, and in the implementing of post-audit recommendations. |
| Form 990, Part IX, Line 11g | Other services on line 11g consist of the following Consulting and Professional Fees of 94,616 of which 7,400 is considered program service and 87,216 is considered management and general expense Contracted Labor and Purchased Services of 1,416,370 of which 1,388,522 is considered program service and 27,848 is considered management and general expense Lab Fees of 19,986 all of which are considered program service expense Contract Labor Patient Care of 24,390 all of which are considered program service expense Contract and Professional Medical Staff of 108 all of which is considered program service expense Contracted Physician Services of 3,228,873 all of which is considered program service expense and Collection Agency Fees of 11,707 of which 76 is considered program service expense and 11,631 is considered management and general expense. |
| Form 990, Part XI, Line 9 | This adjustment was a related party transfer of medical malpractice liability from the local hospital/entity to the System as part of moving to a self-insured captive insurance plan across the System with these hospitals/entities only paying a premium for coverage under the plan and the medical malpractice liability residing at the System level under the captive insurance entity, Augusta LLC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| West Virginia United Health System | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501c3 | 12a | N/A | false | |
| West Virginia University Hospitals East Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501c3 | 12a | false | West Virginia University Hospitals Inc | |
| City Hospital Inc | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals East Inc | |
| Jefferson Memorial Hospital | |||||||||||
| 2000 Foundation Way | Martinsburg | WV | 25401 | 550359755 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals East Inc | |
| University Healthcare Foundation | |||||||||||
| 2500 Hospital Drive | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501c3 | 12a | false | West Virginia University Hospitals Inc | |
| United Summit Center | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| West Virginia University Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501c3 | 12a | false | United Hospital Center Inc | |
| West Virginia Health Care Cooperative Inc | |||||||||||
| 400 Fairview Heights Rd | Summersville | WV | 26651 | 550650441 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Camden-Clark Health Services | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501c3 | 12a | false | West Virginia United Health System | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 550667789 | Hospital Support | WV | 501c3 | 7 | false | Camden-Clark Health Services | |
| Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Ave | Parkersburg | WV | 26101 | 311524546 | Patient Care | WV | 501c3 | 3 | false | Camden-Clark Health Services | |
| Camden-Clark Physician Corp | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501c3 | 3 | false | Camden-Clark Health Services | |
| Potomac Valley Hospital of W Va Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501c3 | 3 | false | West Virginia United Health System | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501c3 | 12b | false | St Joseph's Hospital of Buckhannon Inc | |
| Reynolds Memorial Hospital Inc | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501c3 | 12a | false | Reynolds Memorial Hospital Inc | |
| Braxton County Memorial Hospital | |||||||||||
| 100 Hoylman Drive | Gassaway | WV | 26624 | 550611919 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
| Community Health Association | |||||||||||
| 122 Pinnell Street | Ripley | WV | 25271 | 550462730 | Patient Care | WV | 501c3 | 3 | false | West Virginia University Hospitals Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| Gateway Home Care | ||||||||||
| 1353 Edwin Miller Blvd | Martinsburg | WV | 254043703 | 541965474 | Durable Medical Equipment | WV | AHS LLC | false | false | |
| Allied Health Sourcing Solutions | ||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 842403526 | Supply Chain Management | WV | false | false | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | |||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | WV United Health System | C Corp | false |
| West Virginia United Insurance Services | |||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | WV United Health System | C Corp | false |
| AHS LLC | |||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 842421068 | Holding Company | WV | WV United Health System | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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