2019-11-13T01:11:27-00:00 2018-12-31 990 2018-01-01 550525724 United Hospital Center Inc UNIT 6813421605 327 Medical Park Drive Bridgeport WV 26330 Jim Rutkowski VP of Finance CFO 2019-04-23 false 157.182.216.2 2019-11-13 16:08:24 ES P 5D18E0CDD66F5C2C6782695A054BAE6AB9A943F9 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2018 2020-03-31 21:24:44Z Mr Mike Tillman 327 Medical Park Drive Bridgeport WV 26330 409995868 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 2547 185 -468684 53724 334060 118258 351741606 391681163 22487062 12154900 4746823 3949448 379309551 407903769 0 0 155662672 162947038 0 0 179889567 191273896 335552239 354220934 43757312 53682835 637855907 643713315 300360952 277166659 337494955 366546656 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 74635741 89855100 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 4,472 in 2018. 48236058 63502515 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 six available in West Virginia and accounted for approximately 15 of the graduates in these programs. Patient visits to the UHC Family Medicine Clinic were 16,325 in 2018. 20638662 34292794 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 54,167 emergency department visits in 2018. 161463695 205907076 304974156 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 183 0 2547 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 Evan Morgan MD Board Member, Ex-Officio 040.00 X 247162 0 29850 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 James Harris Board Member, Secretary 002.00 X X 0 0 0 Brian Jarvis Board Member, Treasurer 002.00 X X 0 0 0 Joseph Fazalare Board Member, Ex-Officio 040.00 X 1016460 0 30745 Dennis Xander Board Member 002.00 X 0 0 0 Katherine Wagner Board Member 002.00 X 0 0 0 Stephen McIntire Board Member 002.00 X 0 0 0 Joann James Board Member 002.00 X 0 0 0 Tom Gorrell 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 Mike Tillman President / CEO 040.00 X 650110 0 41155 Jim Rutkowski Vice President of Finance 040.00 X 306866 0 48535 Geoffrey Marshall Vice President of Support Services 040.00 X 243141 0 64367 Tim Allen Vice President, Human Resources 040.00 X 288013 0 43729 Mark Povroznik Vice President, Quality 040.00 X 290856 0 59367 John Fernandez Vice President, Operations 040.00 X 242114 0 49631 Stephanie Smart Vice President, Nursing 040.00 X 253519 0 50181 Linda Carte Vice Present, Cancer Center Post-Acute Care 040.00 X 236073 0 53199 Eric Radcliffe CMO 040.00 X 421166 0 68220 Jeff Bolyard General Counsel 040.00 X 341593 0 61986 Jeffrey Madden MD Physician 040.00 X 975215 0 30711 Christopher Courtney Physician 040.00 X 998106 0 31227 Daniel Merenda Physician 040.00 X 900339 0 30570 Joshua Sykes Physician 040.00 X 1107897 0 30745 David Waxman Physician 040.00 X 859409 0 24405 9378039 748623 161 false true false High Point Construction Group 643 Route 20 South Rd - PO Box 577 Buckhannon WV 262014047 Construction Services 2317780 Stonewall Jackson Memorial Hospital 230 Hospital Plaza Weston WV 26452 Cancer Services 1079577 Mayo Collaborative Services Inc 200 SW 1st St Rochester MN 559050001 Laboratory Services 849964 Dinsmore & Shohl LLP 255 E 5th Street Suite 1900 Cincinnati OH 452024720 Legal Services 339349 Crestview Manor 199 Court St Jane Lew WV 263788548 Nursing and Rehab Services 225199 21 34481 83777 118258 Net Patient Service Revenue 621500 384796632 384796632 Pharmacy Income 900099 5654738 5654738 Reimbursements - Related Orgs 900099 1162511 1162511 Clinical Laboratory 900099 67282 67282 391681163 12022348 -468684 12491032 3494164 2092099 1402065 1402065 1402065 132552 132552 132552 132552 Cafeteria Income 900099 2073126 2073126 Allied Services Revenue 900099 121175 121175 Tuition Income 900099 86500 86500 266582 266582 2547383 407903769 393557485 -468684 14696710 0 0 0 0 5138037 2756798 2381239 0 123082614 116618885 6463729 4290670 4236145 54525 20664132 19685989 978143 9771585 9258427 513158 0 601349 601349 2242 2242 30077 30077 0 11481759 10439197 1042562 542208 23864 518344 9275430 6641327 2634103 33610 31769 1841 0 3953878 2988611 965267 855591 823992 31599 0 161446 153703 7743 8580997 6687092 1893905 38186203 13717740 24468463 20309975 16626906 3683069 -440948 -703623 262675 Medical Supplies 66507175 66507175 Provision for Doubtful Accounts 16578748 16578748 Taxes, Licenses Fees 11858831 9713807 2145024 Recruiting 2157527 2157527 597798 597798 354220934 304974156 49246778 0 534 8207 43948191 32838484 65956135 88627003 4972884 5381471 2831462 6183688 501782046 218957181 286204904 282824865 231066166 225041685 1587978 1453138 1287653 1354774 637855907 643713315 41210385 41585418 191796273 171036923 56645000 55345000 10709294 9199318 300360952 277166659 X 337494955 366546656 337494955 366546656 637855907 643713315 X 53682835 -19418959 -5212175 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 false false true 30077 30077 false II-B 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 22.73 of the 2018 dues were allocated to lobbying expense. The West Virginia Hospital Association estimates that during 2018, 16.84 of the dues paid should be allocated to lobbying expense. 9757815 9757815 291765296 79472565 212292731 3923797 333837 3589960 180371192 132475494 47895698 15963946 6675285 9288661 282824865 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Estimated Malpractice Costs- Current 1622241 Self Insurance Liability 7123759 Deferred Compensation Annunity 453318 9199318 X 373998161 -19418959 -16578748 -35997707 409995868 -2092099 -2092099 407903769 339734285 2092099 2092099 337642186 16578748 16578748 354220934 X 2 The annual audit and financial statements of UHC are prepared on a consolidated basis as a member of the WV United Health System WVUHS. 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. 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. The System does not have any material uncertain tax positions as of December 31, 2018 and 2017. XI 2d This consists of 16,578,748 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 2,092,099 is presented as an offset to Rent Revenue for 990 purposes. XII 2d Rental Expense of 2,092,099 is presented as an offset to Rent Revenue for 990 purposes. XII 4b This consists of 16,578,748 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 2938374 2938374 0.00870 64154600 46525772 17628828 0.05220 403704 403704 67496678 46929476 20567202 0.06090 38117 38117 0.00010 4113778 3007525 1106253 0.00330 220040 220040 0.00070 4371935 3007525 1364410 0.00410 71868613 49937001 21931612 0.06500 1943717 1943717 0.00550 1943717 1943717 0.00550 true 5507460 354557 155409955 183740568 -28330613 X true true 1 1 United Hospital Center 327 Medical Park Drive Bridgeport WV 26330 https//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 16 true false false true X https//wvumedicine.org/united-hospital-center/wp-content/uploads/sites/14/2016/08/Community-Health-N X true 16 true https//wvumedicine.org/united-hospital-center/wp-content/uploads/sites/14/2016/08/UHCCHNAImplementat false false true X 0000000200.000000000000 X X X X X X true true X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/bill-pay/financial-assistance/ X https//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 UHC has identified significant health problems and community needs through its CHNA completed in 2016. In its CHNA report, UHC has identified specific actions that the hospital has and will be taking to improve our community. These actions were developed, in part, through a survey where anyone could participate as well as a community meeting that was open to the public. Several organizations from local government, business, and non-profit organizations attended the community meeting. A few of these organizations were Harrison County Senior Center, Birth to Three and Health Check, Harrison-Clarksburg Health Department, Doddridge Health Department, Health Check, HealthSouth Mountainview, Harrison County Schools, Ritchie Regional Health Center, Community Care of WV, Harrison County EMS, Doddridge and Harrison County Family Resource Network, and American Cancer Society. The issues brought up in the community meeting as well as the survey were reviewed to identify top priorities. Group United Hospital Center Line Part V, Section B, Line 11 The hospital has invested significant resources to improve the health status of its constituents and has made progress on issues and priorities identified in the 2016 CHNA. Several of the priorities identified in the 2016 CHNA are consistent with those identified in 2013, including cardiovascular disease, cancer, diabetes, and physical activity. Thus, resources identified in the 2013 CHNA may be relevant to address needs identified in 2016. Public outreach on the topic of cardiac risk identification and stroke symptoms was one solution to address this priority. Additionally, UHCs Cecil B. Highland and Barbara Highland Cancer Center offers a wide array of resources in addressing the physical and emotion needs of cancer patients and their families. Other organizations are also advertising their services to better serve the community in these priorities. Identified needs such as drug use and abuse not addressed directly by UHC are being addressed by various organizations within the area and UHC will work with these organizations to help address these needs. It was determined there was more need for more county-specific data around drug use and abuse so that law enforcement and the community could respond appropriately. As a member of the West Virginia United Health System, UHC has engaged the WVU School of Public Health to help with the preparation of the 2019 CHNA that is currently underway. 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. 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 2018 amounts can be found at the following web address https//wvumedicine.org/about/community-benefit/. Part I Line 7 Total community benefit expense for 2018 is 71,868,613 and is 21.29 of total net expenses. To calculate net expense, bad debt of 16,578,749 was deducted from total expenses of 354,220,934 as shown in Part IX line 25 of the core Form 990, for a net expense of 337,642,185. 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 1,105 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 16,578,749 by our cost-to-charge ratio of 33.22 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 5,507,460. 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 1,067,300 which we then multiplied by our cost to charge ratio of 33.22 for a total of 354,557. Part III Line 3 The estimated bad debt attributable to patients eligible for charity care of 354,557 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 receivables 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 in 2018 or the provision for bad debts in 2017. 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 in 2018 and allowances for bad debts in 2017 and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2018 and 2017, from patients and third-party payors is as follows. For 2018, Medicare 29, Medicaid 18, Blue Cross 24, Commercial/Managed Care/Other 26, Patients 3, Total 100. For 2017, Medicare 29, Medicaid 14, Blue Cross 21, Commercial/Managed Care/Other 32, Patient 4, Total 100. 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 28,330,613 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 UHC gathers secondary data - information already gathered by the U.S. Census Bureau and the West Virginia Department of Health - to determine some of the key risk factors facing residents in the communities served. In addition, UHC conducts primary research in the form of one-on-one interviews with community leaders and the leadership of key public and private, voluntary health and welfare organizations see further discussion of 2016 CHNA in Part V of Schedule H. 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 2018 estimates, the primary service area is comprised of approximately 76,000 people. UHCs secondary service area includes Lewis, Upshur, Taylor, Gilmer, Braxton, Webster, Marion and Barbour Counties. There are approximately 160,000 people in the secondary service area. Located in mostly rural West Virginia, approximately 15 of the residents located in the UHC service area fall below the Federal Poverty Guidelines. 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 2018, UHC provided free health care worth more than 1.9 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 UHC 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 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, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Camden-Clark Medical Center located in Parkersburg, WV, Potomac Valley Hospital located in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. located in Buckhannon, WV, and Reynolds Memorial Hospital in Glen Dale, 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. X X X false false false false false false false true false Mike Tillman President / CEO 411203 148938 89969 17875 23280 691265 Jim Rutkowski Vice President of Finance 232425 62245 12197 31253 17281 355401 Geoffrey Marshall Vice President of Support Services 190828 49464 2849 41268 23099 307508 Tim Allen Vice President, Human Resources 205725 55771 26517 26538 17191 331742 Mark Povroznik Vice President, Quality 222391 63765 4700 35496 23871 350223 Jeff Bolyard General Counsel 263327 71289 6977 39197 22789 403579 John Fernandez Vice President, Operations 181873 55712 4529 32527 17104 291745 Stephanie Smart Vice President, Nursing 189620 54392 9507 26965 23216 303700 Linda Carte Vice Present, Cancer Center Post-Acute Care 176132 55976 3965 29499 23700 289272 Eric Radcliffe CMO 318913 93664 8589 44896 23324 489386 Evan Morgan MD Board Member, Ex-Officio 237632 9177 353 6948 22902 277012 Joseph Fazalare Board Member, Ex-Officio 790871 224929 660 7562 23183 1047205 Jeffrey Madden MD Physician 463867 510538 810 7562 23149 1005926 Christopher Courtney Physician 709500 285181 3425 7562 23665 1029333 Daniel Merenda Physician 661257 238441 641 7563 23007 930909 Joshua Sykes Physician 640049 408188 59660 7562 23183 1138642 David Waxman Physician 647793 208002 3613 7563 16843 883814 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 70,693 in 2018 Tim Allen received CAA distributions of 20,482 Jim Rutkowski received CAA distributions of 5,353. These amounts were appropriately reported as compensation on Form W-2 for 2018. Part I Line 4b The following individuals received deferred compensation contributions in 2018 Jim Rutkowski in the amount of 23,691 Geoffrey Marshall in the amount of 19,602 Mark Povroznik in the amount of 23,121 Jeff Bolyard in the amount of 26,822 John Fernandez in the amount of 18,891 Stephanie Smart in the amount of 19,920 Linda Carte in the amount of 18,512 and Eric Radcliffe in the amount of 32,521. 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. 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 149749998 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 5974560 149749998 23546 1155297 148571155 2016 true true true true C 23680000 176862 23503138 2018 true false true true A false false false false false false true B false true false false 0.02680 0.00310 0.02990 false false true C false true false false 0.02680 0.00310 0.02990 false false true A false true false false true false false false true B false true false false false false true Cantor Fitzgerald 0000000001.960000000000 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 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. Form 990, Part III, Line 4d Program Service Expenses 161,125,111, Grants and allocations 0, Revenue 205,820,270 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 25,423,946 in uncompensated care, which represented 6.61 of the total net patient service revenue in 2018. Included in the above amount was 8,845,197 of charity care for individuals that qualified for financial assistance and 16,578,749 in bad debt account balance write-offs. UHC wrote off 2,043 accounts to charity and 9,096 to bad debt related to patients that had Medicare coverage. United Hospital Center provided 1,943,717 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 1,105 patients supported by Health Access. Form 990, Part III, Line 4d Program Service Expenses 338,584, Grants and allocations 0, Revenue 86,806 To address other health manpower shortages through the region, UHCs School of Radiological Technology graduated 15 radiology technologists this year. The cost of this program was 338,584 with a tuition revenue of 86,806. 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 217,590 for 2018. 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 706 people and provided a benefit of 889. 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 81 hours to participate in health fairs/events for the community citizens at various locations throughout North Central West Virginia that had approximately 2,794 attendees and yielded a total community benefit of 20,267. 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 8 hours during these screenings, which served 119 individuals and provided a total community benefit of 17,850. UHC physicians also served approximately 100 individuals while attending the Doddridge and Shriners clinic. 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 136 presenting donors, 122 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 30 boxes of food and necessities to Shepherds Corner 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 interst. 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 2018. 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 5,252,669 of related organization capitalization and 40,494 malpractice adjustment. This malpractice adjustment was a related party transfer of medical malpractice liability from the local hospital to the System as part of moving to a self-insured captive insurance plan across the system with these hospitals 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. 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