2020-11-16T09:38:59-00:00 2019-12-31 990 2019-01-01 550383321 City Hospital Inc CITY 3042641000 2500 Foundation Way Martinsburg WV 25401 Grover G Kerns VP of Finance 2020-11-12 false 157.182.216.2 2020-11-16 14:32:22 ES P 870EFB8F4D4B335661AFD9F3B52637157C2F45F8 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2019 2021-01-29 14:40:06Z Berkeley Medical Center Grover G Kerns 2500 Foundation Way Martinsburg WV 25401 254582448 false X https://wvumedicine.org/berkeley/ X 1940 WV City Hospital, Inc. is a nonprofit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV. 15 14 1589 93 0 37603 57341 232884663 250865307 1260137 1717727 1488694 1852145 235671097 254492520 9825 3200 0 85869348 89121365 0 0 137413939 155427203 223293112 244551768 12377985 9940752 170316805 168687617 85391712 78346191 84925093 90341426 X The mission of City Hospital, Inc. is to provide high quality, cost effective health and wellness services to the community. Berkeley Medical Center provides these to patients in need without consideration of their ability to pay. false false 78944315 97989000 City Hospital Inc. is a not-for-profit hospital located in West Virginias Eastern Panhandle that provides acute care services as well as emergency and specialty patient care. City Hospital Inc. is part of WVU Medicine University Healthcare, a regional health system serving Berkeley, Jefferson and Morgan Counties, and a member of WVU Medicine/West Virginia United Health System, the states largest healthcare network. During 2019, City Hospital documented 217,926 ancillary tests, and 3,083 observation visits. 25485673 37051865 City Hospital, Inc. operates a 24- hour, physician staffed emergency department with a Level III Trauma Center designation. During 2019, City Hospital documented 57,820 emergency visits. 13860215 15977262 As part of the WVU Cancer Institute, the WVU Medicine University Healthcare Regional Cancer Center provides cancer care in the Eastern Panhandle of West Virginia. Our cancer program, based at City Hospital, has been accredited by the American College of Surgeons Commission on Cancer since 1992 and is a recipient of their Outstanding Achievement Award. We are proud to be among the 25 of hospitals in the country with an ACOS accredited cancer program. Quality, Compassion, Collaboration. Our comprehensive cancer program includes the Outpatient Cancer and Infusion Center, a dedicated Inpatient Oncology Unit with all private rooms, Board Certified Radiation and Medical Oncologists, Patient Navigators, Radiation Therapy, and Clinical Trials. We partner with the American Cancer Society to offer education and support to patients and their families affected by cancer. A Resource Room, located on the 1st floor of the McCormack Center on City Hospitals Campus, provides free information on various programs and services available to cancer patients and their loved ones. 86176513 100383558 204466716 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 false false false false false false false false false false false false false true false false false true 231 0 2111 true false false false false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true true true true true true true X Grover G Kerns 3042641000 2500 Foundation Way Martinsburg WV 25401 Matthew Simmons Physician 040.00 X 392108 0 19700 Linda Campbell Jones Assistant Chief CRNA 040.00 X 257615 0 26852 Vikram Dayal Physician 040.00 X 250461 0 26031 Jason T White Chief CRNA 040.00 X 234026 0 30701 James Roupe CRNA 040.00 X 243650 0 9698 Dawn Jones MD Director 000.03 040.00 X 0 113125 0 Paul Welch Director / BMC Med Staff President 000.03 X 4000 0 0 D Scott Roach Vice-Chairman 000.03 X X 0 0 0 Richard Pill Chairman 000.03 X X 0 0 0 Alice Frazier Director 000.03 X 0 0 0 Lindsey Hash Director 000.03 X 0 0 0 Judie Charlton MD Director 000.03 X 0 0 0 Henry Kayes Director, Treasurer 000.03 X X 0 0 0 Marney Treese MD Director / JMC Med Staff President 000.03 X 0 0 0 Emma Morton-Eggleston MD Director / Interim Dean WVU SOM Eastern Div 000.03 X 0 0 0 Chiquita D Howard-Bostic PhD Director 000.03 X 0 0 0 Brian Romine Director 000.03 X 0 0 0 James E Rogers Director 000.03 X 0 0 0 Susan Snowden Director, Secretary 000.03 X X 0 0 0 Jacqueline Long Director 000.03 X 0 0 0 1381860 113125 112982 85 false true false Hospitalist Medicine Physicians of WV PLLC PO Box 742936 Los Angeles CA 900742936 Healthcare Staffing Services 2505930 Focusone Solutions LLC 13609 California Street Omaha NE 681545260 Medical Solutions Service Provider 1414917 Eastern Panhandle Anesthesia Associates PO Box 1147 Martinsburg WV 25402 Anesthesia Services 1184344 Mayo Collaborative Services Inc 200 SW 1st Street Rochester MN 559050001 Laboratory Services 847257 Southeastern Emergency Physicians PO Box 634706 Cincinnati OH 452634706 Emergency Medicine Services 813304 16 57341 57341 Patient Services 621110 243759908 243759908 Wellness Center 621990 694750 694750 Prescription Sales 621110 6410649 6410649 250865307 1807655 1807655 89928 -89928 -89928 -89928 Partnership Passthrough Income 621110 438818 438818 Cafeteria Income 900099 563104 563104 EHR Settlement 900099 313845 313845 536378 536378 1852145 254492520 251401685 3033494 X 3200 3200 0 0 0 0 0 69392939 67236156 2156783 2876084 2786693 89391 10336585 10015316 321269 6515757 6313243 202514 0 138214 138214 0 19586 19586 0 25340569 16187367 9153202 10457 853 9604 6186951 4049030 2137921 13785 13785 0 3456026 2822868 633158 221512 151170 70342 0 130908 120116 10792 1933892 1579595 354297 43233268 21805992 21427276 9551520 7801644 1749876 2007031 1946796 60235 Provision for Doubtful Accounts 11757394 11757394 Medical Supplies 41908378 41908378 Taxes, Licenses, Fees 8063853 6832740 1231113 Recruiting 1034272 985703 48569 419587 129091 290496 244551768 204466716 40085052 0 279467 150545 42515111 46741842 35638405 42240460 2718434 903625 2383876 2786706 82508 118697 167658645 93515208 69131343 74143437 1079005 1515289 16488656 87016 170316805 168687617 21252745 16634018 45536413 43268084 18602554 18444089 85391712 78346191 X 84911800 90330593 13293 10833 84925093 90341426 170316805 168687617 X 9940752 3783149 -8307568 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 1000000 1000000 1000000 4000000 6000000 17502 18733 19628 19586 75449 250000 250000 250000 250000 1000000 1500000 II-A 2c The amount listed is made up of the amount of West Virginia Hospital Association and American Hospital Association dues that the associations determined as attributable to lobbying expense. 1708411 1708411 12737168 11999134 738034 67099844 25177192 41922652 72219171 52661441 19557730 13894051 3677441 10216610 74143437 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits and payroll taxes 8383403 Malpractice Liability 1067758 Accrued pension benefits 860431 Accrued bond interest 115829 Due to third Party Payors 975000 Interest Rate Swaps 1349267 Self Insurance Liability 4997242 Finance Lease Liability - Long Term -184663 Long Term Lease Liability 879822 18444089 X 246505983 3770857 -11757394 -7986537 254492520 254492520 232794374 232794374 11757394 11757394 244551768 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 Allowances for Doubtful Accounts are presented as an offset to revenue on the audited financial statements. For 990 purposes, allowances for doubtful accounts totaling 11,757,394 are presented as an expense. XII 4b Allowances for Doubtful Accounts of 11,757,394 are presented as an offset to revenue on the audited financial statements, but presented as an expense for 990 reporting purposes. true true X true X false true true true false true true 2718153 2718153 0.01170 57618215 36457069 21161146 0.09090 770405 577786 192619 0.00080 61106773 37034855 24071918 0.10340 107299 107299 0.00050 727463 95714 631749 0.00270 14148 14148 0.00010 848910 95714 753196 0.00330 61955683 37130569 24825114 0.10670 260 260 1544 1544 1804 1804 true 4719418 314737 77332563 105914518 -28581955 X true true 1 1 City Hospital Inc 2000 Foundation Way Martinsburg WV 25401 wvumedicine.org/berkeley/ 80 X X X X A A 1 false false true X X X X X X X X 19 true true false true X wvumedicine.org/east/about-us/community-health-needs-assessment/ true 20 true wvumedicine.org/east/wp-content/uploads/sites/19/2020/09/BMC.JMC.CHNA.Implementation-Plan.2020.pdf false true X 0000000200.000000000000 X X X X X true true 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 true X false true Group City Hospital, Inc. Line Part V, Section B, Line 5 The 2019 Community Health Needs Assessment was prepared by Thomas Bias, Christiaan Abildso and Emily Sarkees of the West Virginia University Health Research Center. The Community Health Needs Assessment 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. According to the CHNA, 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 Rankings Data. The stakeholders represent the broad interests of the communities served by University Healthcare WVUH-East. According to the CHNA, a community meeting was held in Martinsburg to get more input from the public, especially from organizations who provide social services to individuals within the service area of University Healthcare. Representatives from these organizations held discussions in small groups to compile a working list of existing resources, programs, policies, and ideas to address each area of concern, in addition to raising questions and providing information and perspective during overall discussion of the survey data results. The CHNA stated that they also worked in their small groups and as a part of a larger discussion to formulate some new suggestions to address each health area. The organizations represented at this community meeting included American Cancer Society, Berkeley County Chamber of Commerce, Berkeley County Development Authority, Berkeley County Health Department, Berkeley County Schools, Catholic Charities, City of Martinsburg, EPIC, Jefferson County Chamber of Commerce, Jefferson County Development Authority, Jefferson County Health Department, Jefferson County Sherriffs Department, Martinsburg Parks and Recreation, Panhandle Home Health, Shenandoah Community Health, United Methodist Church, United Way and WVU Medicine officials. The CHNA can be found here https//wvumedicine.org/east/about-us/community-health-needs-assessment/. Group City Hospital, Inc. Line Part V, Section B, Line 5 In addition to the community meeting, a public survey was also utilized. The public survey was developed by the WVU SPH with the leadership team following an iterative process. Survey topics included questions about perceptions of overall health of the community, quality of life, access to healthcare and medical needs, personal behaviors and habits, and demographic information including age, education and income. The survey was collected both online and through hard copies from residents who are 18 or older. The survey link was distributed through email lists, patient charts, social media, and made available as hard copies in the community. Group City Hospital, Inc. Line Part V, Section B, Line 6a The Community Health Needs Assessment CHNA was undertaken jointly with Jefferson Memorial Hospital. Group City Hospital, Inc. 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 event, working to identify priority areas for developing implementation strategies. With leadership and the community meeting group, the 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, according to the CHNA, 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 their 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. The CHNA survey results for health and disease included 1. Drug addiction/dependence, 2. Obesity and chronic disease 3. Mental health problems. CHNA survey results for quality of life and environmental included 1. Cost of care/medications 2. Low income 3. Lack of access to recreation spaces for all ages. CHNA survey results for personal choices and risky behaviors included 1. Drug abuse 2. Alcohol abuse 3. Bad eating choices. Group City Hospital, Inc. 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 substance use and abuse, obesity and chronic disease and mental health. Group City Hospital, Inc. Line Part V, Section B, Line 11 The top health concerns identified by the stakeholders are being addressed by University Healthcare in the following ways according to the most recent CHNA. For substance abuse, hospital leadership plans to get more MAT-trained providers in place, support for the potential Quick Response Team being developed in Jefferson County, and the importance of work to reduce stigma and use of negative terminology surrounding addiction. Potential strategies to combat obesity include further addressing and utilizing current partnerships and programming University Healthcare already has in place to help aid in the prevention of obesity and other chronic diseases. Lastly, hospital leadership discussed recent hospital efforts to address the issue of mental health. These efforts include four psychiatrists, a new clinic in Ranson, recent surveying of all physicians regarding burnout, etc. Some initial strategy ideas included child and adolescent services to address existing school-based issues, initiatives addressing patients via MyChart, a need for addressing stigma and for addressing increasing suicide rates in the area. Group City Hospital, Inc. Line Part V, Section B, Line 11 Hospital leadership did take the time to discuss some of the issues beyond the top three identified at the community meeting. Aging problems, low income, employment access, and transportation, for example, are something that the hospital recognizes as a community and statewide concern. However, the team agrees that these are larger problems that cannot be addressed with the resources and tools available to the hospitals right now. Similarly, cost of care and health insurance appear repeatedly in the community data, but the leadership team acknowledges that these are also in many ways systemic issues over which they have little control. Leadership has not discounted these other issues, however, and will revisit at a later time, recognizing that potential collaborations with future partners could change the scope of their impact. Group City Hospital, Inc. Line Part V, Section B, Line 13b City Hospital offers discounted care only to individuals who qualify for free care. City Hospital offers a Prompt - Pay Discount Program - patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. Group City Hospital, Inc. 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. Part I Line 3c City Hospital Inc CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. Part I Line 6a City Hospital, Inc. community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2018 amounts can be found at the following web addresshttp//wvumedicine.org/about/community-benefit/. Part I Line 7 Row b - Medicaid and Other Means-Tested Government Health Programs. The amount of offsetting revenue show in Column d of 36,457,069 includes payments received from the Directed Payment Plan of 10,550,408. These payments are intended to help offset the cost of caring for the Medicaid population in 2018/2019. Inclusion of this amount follows IRS instructions for this calculation. If these payments has not been received total community benefit from Unreimbursed Medicaid would have been 25,775,864 and 13.62 of expense. Part I Line 7 Column f - Total community benefit expense for 2019 is 61,955,683 and is 26.61 of total net expenses. To calculate net expense, bad debt of 11,757,394 was deducted from total expenses of 244,551,768 as shown in Part IX line 25 of the core Form 990. Part I Line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the cost-to-charge ratio, which was used to calculate charity care at cost, unreimbursed Medicaid and other means-tested government programs at cost. Part II Physical improvements and housing - City Hospital employees spent a weekday volunteering at a local social service agency on behalf of the United Way of the Eastern Panhandle for the annual Day of Caring. City Hospital also provided the kick-off breakfast for approximately 300 volunteers throughout the Eastern Panhandle. Part II Economic Development - In 2019, Hospital representatives participated as members of the Berkeley County Board of Health and as board members for the Martinsburg Berkeley County Chamber of Commerce and Blue Ridge Community and Technical College. Part II Community Support - City Hospital supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County, Alzheimers Walk and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Girls on the Run and the United Way of the Eastern Panhandle. Part II Environmental Improvements - 2019 marked the fourth full year for City Hospital as a tobacco free campus, by order of the Berkeley County Health Departments Clean Air Act. Part II Leadership Development and Training - At least one management representative from City Hospital participates in the Chamber of Commerces Leadership Berkeley class each year. The Hospital also has representatives on the Workforce Development Committee of the Chamber of Commerce. The Education Department works closely with Blue Ridge Community and Technical College to provide leadership training programs. City Hospital offers Mental Health First Aid training to the public. Part II Community health improvement advocacy - In 2019, City Hospital Champions continued work on addressing the top three health needs identified in their 2019 CHNA. Part II Workforce Development - City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network and professional development seminars. A representative from City Hospital also serves on the Blue Ridge Community Technical College Foundation Board. City Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the Hospital. City Hospital provides job shadow and summer volunteer opportunities for teens to follow health professionals and learn about careers in the health field as well as participates in school career fairs in all grade levels of the school system and the 40 Developmental Assets Program in 5 area middle schools. Part II Coalition Building - City Hospital staff participates in the Health Human Services Collaborative and workgroups such as the Health Work Group and Behavioral Health Workgroup. These activities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. City Hospital also leads the community coalition, Healthy Berkeley and supports several community health events such as health fairs and screenings. Staff also participate in other community coalitions such as Bridges, On Track, Promise Neighborhood Initiative, Try This WV and Panhandle Senior Network. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 11,757,394 by our cost-to-charge ratio of 40.14 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 4,719,418. 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 784,099 which was then multiplied by the cost-to-charge ratio of 40.14 for a total of 314,737. Part III Line 3 We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 314,737 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Part III Line 4 City Hospitals 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 conversions 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. City Hospitals shortfall of 28,581,955 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 City Hospital does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, 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 City Hospital, Inc. is a part of WVU Hospitals - East, a healthcare delivery system serving the Eastern Panhandle of WV. The WVUH-East marketing department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physicians to population rations, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH - East includes Berkeley County, WV, Jefferson County, WV and Morgan County, WV. This data is then analyzed to provide general estimates to where WVUH - East entities could better care for residents of the West Virginia Eastern Panhandle. Part VI Line 3 City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. Part VI Line 4 City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 119,171 in the city of Martinsburg, WV. Martinsburg is the largest city in the Eastern Panhandle. City Hospital along with Jefferson Memorial Hospital located in Ranson, West Virginia makes up WVU Hospitals - East, which is a part of the West Virginia United Health System. Part VI Line 4 WVU Medicine provides a majority of inpatient services for the population in our Primary Service Area PSA. For Berkeley Medical Center the PSA consists of Berkeley County, WV, Jefferson County, WV and Morgan County. The 2018 market share for Berkeley Medical Centers Primary Service Area is 57.7 with 27.5 of those patients covered by Medicaid and 1.9 uninsured. Jefferson Medical Center, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. Part VI Line 4 Berkeley County has a population of 119,171 with an average household income of 59,480, an unemployment rate of 7.6 and 13 of persons living in poverty. Jefferson Countys population is 57,146 with an average household income of 72,526, an unemployment rate of 3.3 and 9.7 of persons living in poverty. Morgan County has a population of 17,884 with an average household income of 46,346, an unemployment rate of 7.3 and 11.1 of persons living in poverty. Part VI Line 5 City Hospital board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the West Virginia United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are employees or contractors of the filing organization, or family members thereof. Part VI Line 5 City Hospital extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. Part VI Line 5 City Hospital allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. Part VI Line 5 In 2009, City Hospital began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, City Hospital offered Discounted Mammogram Clinics in May 2019 and then again in October 2019 cash, no insurance. The clinics were successful in serving over 100 patients at City Hospital. The Rotary Health Fair, held in April, provided a full blood work-up at cost. Nearly 300 individuals took advantage of these screenings. Part VI Line 5 City Hospitals Mini-Medical School Program, which is held multiple times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVU Medicine East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 50-60. Part VI Line 6 City Hospital, Inc is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its service areas, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 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, United Hospital Center in Bridgeport, WV, Camden-Clark Memorial Hospital in Parkersburg, 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 Healthcare 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 Clarksburg, 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 false false false false false false false false Linda Campbell Jones Assistant Chief CRNA 253132 250 4233 8687 18165 284467 Jason T White Chief CRNA 233278 748 5900 24801 264727 Matthew Simmons Physician 348844 43101 163 10506 9194 411808 James Roupe CRNA 239425 3725 499 9256 443 253348 Vikram Dayal Physician 244524 3064 2874 7322 18708 276492 Part I Line 3 Salaries of all officers are subject to the approval of a compensation committee designated by the WV University Healthcare Board of Directors. This committee uses the work of an independent salary and benefit consultant to determine the compensation packages to be made available to officers and to ensure the compensation does not exceed fair market value of comparable positions at similar organizations. All data is retained and all decisions are appropriately documented pertaining to the compensation setting practices. Compensation reviews occur annually. Form 990, Part III, Line 4d Program Service Expenses 17,878,400, Grants and allocations 0, Revenue 14,963,033 City Hospitals Obstetrics and Gynecology services have expanded to include the Birthing Center Mother Baby Unit, offering family centered obstetric services, includes five home like suites with private bathrooms where labor and delivery occur, and the Mother Baby postpartum area which includes 11 private rooms. The Birthing Center Mother Baby Unit has earned Perinatal Care Certification from The Joint Commission, recognizing City Hospitals commitment to healthy mothers and healthy babies. City Hospital is also certified by Cribs for Kids as a National Safe Sleep Hospital. City Hospital is one of 21 hospitals in West Virginia participating in YES to Safe Sleep for Babies, and has received the West Virginia Perinatal Partnerships First Baby Initiative with one of the lowest primary C-section rates in West Virginia. In 2019, there were 2,015 obstetrics and gynecology days and 84 observation days. Form 990, Part III, Line 4d Program Service Expenses 10,007,689, Grants and allocations 0, Revenue 12,001,410 The surgery department at City Hospital, Inc. is staffed by specialists and general surgeons offering the latest in surgical techniques including laparoscopic procedures, lithotripsy, and same day-ambulatory surgery. Same day surgery visits for 2019 totaled 8,243. Form 990, Part III, Line 4d Program Service Expenses 58,290,424, Grants and allocations 0, Revenue 73,419,115 In addition to primary and specialty patient care services, City Hospital, Inc. serves as a clinical education site for West Virginia University, the WV School of Osteopathic Medicine and other regional universities and community colleges. The Erma Byrd Health Professions Education Center, which houses the WVU Robert C. Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital, Inc. campus. As part of a unified health system, the focus of City Hospital, Inc. and its sister organization Jefferson Medical Center, is on growth to enhance and add new health services in Berkeley and Jefferson Counties. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 Achieving the Joint Commissions Gold Seal of Approval for Total Hip and Knee Replacement Surgery is a testament to the level of care patients are receiving from orthopaedic surgeons practicing at City Hospital. The Gold Seal ensures compliance with standards of care specific to the needs of patients, including infection prevention and control, leadership and medication management. Form 990, Part III, Line 4d Program Service Expenses 0, Grants and allocations 0, Revenue 0 In December of 2017, the WVU Heart Vascular Institute HVI was expanded to City Hospital. This expansion intends to improve access to cardiac care for individuals living in the Eastern Panhandle of West Virginia. HVI - Martinsburg is comprised of seven board-certified cardiologists. These cardiologists offer a variety of services including but not limited to interventional cardiology, abdominal ultrasound, stress testing, ankle-brachial index/pulse volume recording ABI/PVR, rhythm management and valvular assessment. Form 990, Part IV, Line 24a Bond issuances allocated to City Hospital, Inc. CHI are being reported on Schedule K of West Virginia University Hospitals, Inc. WVUH, EIN 55-0643304. WVUH is a 501c3 and is the parent hospital of CHI. Form 990, Part VI, Section B, Line 11a The Form 990 is prepared by the WVUHS tax department and then reviewed by the non-profit tax manager of our independent tax firm and West Virginia University Hospitals- East, Inc. WVUH-East Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the board members for a final review. Upon board review, it is signed and submitted to the IRS. Form 990, Part VI, Section B, Line 12c Annually, all board members, vice presidents, officers, and managers are required to disclose any relationships which may give rise to a conflict of interest. These reponses are processed and maintained by the WVUH-East Compliance Committee. All board members are to be willing to identify conflicts of interest and abstain from voting when appropriate. Form 990, Part VI, Section C, Line 19 All financial and governing documents including the conflict of interest policy are retained onsite and are made available to the public upon request. Form 990, Part IX, Line 11g Other Service Expenses includes Consulting Professional fees of 8,429,648 which all is considered management and general expense Contracted Labor fees of 3,745,800 which 3,211,333 is considered program service expense and 534,467 is considered management and general Lab fees of 1,659,484 all of which is considered program service expense Contracted Labor - Patient Care fees of 2,893,651 which 2,843,404 is considered program serivce expense and 50,247 is considered management and general expense Physician Practice Support fees of 707,567 all of which is considered program service expense Consulting and Professional - Medical Staff Director fees of 431,072 which 376,282 is considered program service expense and 54,790 is considered management and general expense Contracted Physician expense of 7,473,222 of which 7,389,172 is considered program service and 84,050 is considered management and general and chart enhancement fees of 125 all of which is program service expense. Form 990, Part XI, Line 9 Other changes in net assets or fund balance includes change in Restricted Net Assets of 2,460, 8,366,574 of related organization capitalization and 61,466 premier investment audit adjustment. Form 990, Part VI, Line 1b Members considered Not-Independent are considered as such based on receipt of compensation from reported or related organizations. Compensation paid to these individuals is for services provided to the organizations and not for Board related activities. 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