2019-08-15T07:31:33-05:00 2018-09-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2017-10-01 550357057 WHEELING HOSPITAL INC WHEE 3042433681 1 MEDICAL PARK WHEELING WV 260036300 JAMES B MURDY CHIEF FINANCIAL OFFICER 3042433681 2019-08-14 1 JEFFREY D FRANK P00287234 3174648600 167.219.88.227 2019-08-14 10:54:42 ED P 0E4C15207DC127BDB52450F77D4060F40C3F1AE4 7E530C01EC0DBF1FFF79A5BAD1379F9D370DED1E 2017 2019-02-21 02:37:17Z JAMES B MURDY 1 MEDICAL PARK WHEELING WV 260036300 447344881 0 0928 X WWW.WHEELINGHOSPITAL.ORG X 1850 WV TO PROVIDE NEEDED CARE TO THE COMMUNITY REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. 15 13 3105 176 6507973 1242990 1315119 428931 332803758 349528711 18217112 14295254 14268412 19680009 366604401 383932905 31898 99993 0 0 176457532 195151368 0 0 0 158131651 184831341 334621081 380082702 31983320 3850203 436314624 417017935 105341479 106228181 330973145 310789754 X WHEELING HOSPITAL, INC. IS A CATHOLIC HOSPITAL THAT SERVES AS A HEALTH MINISTRY, PROVIDING COMPASSIONATE CARE TO PEOPLE OF ALL FAITHS IN A LOVING, SPIRITUAL ENVIRONMENT. GOD GIVES US THE RESPONSIBILITY TO CARRY OUT HIS MISSION OF HEALING AND TO PROMOTE THE WELL-BEING OF OUR EMPLOYEES AND OUR COMMUNITY. IN DOING SO, WE, THE WHEELING HOSPITAL, INC. FAMILY, FULFILL OUR MISSION THROUGH OUR:-HEALING-UNDERSTANDING-MINISTRY-ADVANCED TECHNOLOGY-NURTURANCE-TRADITION-ONGOING EDUCATION-UNITY-CARE-HOPE 0 0 333949634 99993 339034580 WHEELING HOSPITAL, INC. SERVICED 11,930 INPATIENTS, 640,250 OUTPATIENTS, AND 14,126 HOME HEALTH VISITS DURING FISCAL YEAR 2018. COMMUNITY SERVICES INCLUDED MEDICAL SCREENING, DIABETIC EDUCATION, CANCER SUPPORT, ETC., ALL OF WHICH IS PROVIDED FREE OF CHARGE. THIS INCLUDES THE PHYSICIAN PRACTICE DIVISION, THE WHEELING PEDIATRICS DIVISION, AND THE WOMEN'S HEALTH SERVICES DIVISION. SEE SCHEDULE H. 9678850 10343036 CONTINUOUS CARE CENTER SERVICED 315 SKILLED AND LONG-TERM PATIENTS FOR A TOTAL OF 39,555 PATIENT DAYS. 343628484 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 1 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 217 0 1 3105 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 15 13 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 WV X JAMES B MURDY 3042433681 1 MEDICAL PARK WHEELING WV 26003 THE MOST REVEREND MICHAEL J BRANSFIELD - CHAIRMAN 1.00 0.00 X X 0 0 0 VERY REV KEVIN M QUIRK JCDJV PRESIDENT/SECRETARY 1.00 0.00 X X 0 0 0 JAMES E ALTMEYER SR BOARD MEMBER 1.00 0.00 X 0 0 0 REV MON FREDERICK P ANNIEVG BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN J BATTAGLINO JR MD BOARD MEMBER 1.00 0.00 X 24692 0 0 THOMAS F BURGOYNE BOARD MEMBER 1.00 0.00 X 0 0 0 FRANK L CARENBAUER III DDS BOARD MEMBER 1.00 0.00 X 0 0 0 C GARY HILL BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD A IRVIN DO BOARD MEMBER (THRU 12/17) 1.00 0.00 X 80000 0 0 KENNETH C NANNERS MD BOARD MEMBER (AS OF 1/18) 1.00 0.00 X 75200 0 0 CURTIS R OLIVER BOARD MEMBER 1.00 0.00 X 0 0 0 SISTER MARY PALMER CSJ BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD M POLINSKY BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL A SLIVA BOARD MEMBER 1.00 0.00 X 0 0 0 NICHOLAS A SPARACHANE BOARD MEMBER 1.00 0.00 X 0 0 0 RAYMOND V THALMAN III BOARD MEMBER 1.00 0.00 X 0 0 0 RONALD L VIOLI CHIEF EXECUTIVE OFFICER 57.00 3.00 X 0 0 0 MICHAEL S MCKEETS CHIEF OPERATING OFFICER 52.00 8.00 X 208655 0 26338 JAMES B MURDY CHIEF FINANCIAL OFFICER 56.00 4.00 X 333364 0 51214 ANGELO GEORGES MD CHIEF MEDICAL OFFICER 56.00 4.00 X 531061 0 41602 DENNIS NIESS MD CHIEF MED. INFO. OFFICER 57.00 3.00 X 266178 0 42654 DAVID RAPP CHIEF INFORMATION OFFICER 56.00 4.00 X 313142 0 40219 JOHN DEBLASIS SENIOR ADMIN. & VICE PRESIDENT 30.00 30.00 X 189038 0 24785 KAREEN SIMON VICE PRESIDENT OF OPERATIONS 56.00 4.00 X 414266 0 14804 SHAWN STERN MEDICAL DIRECTOR 52.00 8.00 X 366574 0 42606 ANTHONY MARTINELLI SENIOR DIRECTOR 40.00 20.00 X 191389 0 28236 HEIDI PORTER VP OF QUALITY & REGULATORY AFFAIRS 52.00 8.00 X 173503 0 15825 DIANE LIVENGOOD SENIOR DIRECTOR 52.00 8.00 X 162329 0 16675 VINCENT AZZARELLO SENIOR DIRECTOR 52.00 8.00 X 151831 0 25967 KATHY STAHL CHIEF NURSING OFFICER 52.00 8.00 X 152953 0 13120 DEVENDER BATRA PHYSICIAN 40.00 0.00 X 1541370 0 33965 GREGORY S MERRICK PHYSICIAN 40.00 0.00 X 1301175 0 15662 JONDAVID POLLOCK PHYSICIAN 40.00 0.00 X 1179508 0 38437 CHANDRA S SWAMY PHYSICIAN 40.00 0.00 X 1069168 0 34817 VICTOR MAEVSKY PHYSICIAN 40.00 0.00 X 868838 0 41492 9594234 0 548418 179 0 1 0 R & V ASSOCIATES 310 GRANT STREET STE 1120 PITTSBURGH PA 15219 CONSULTING SERVICES 3812376 MOUNTAIN EMERGENCY PHYSICIANS LLP 4075 COPPER RIDGE DRIVE TRAVERSE CITY MI 49684 PHYSICIAN SERVICES 2750879 QUEST DIAGNOSTICS 2249 COLLECTION CENTER DRIVE CHICAGO IL 60693 LAB TESTING SERVICES 1981351 THREE RIVERS PAIN & ANESTHESIA 117 AMMONS DRIVE MCMURRAY PA 15317 PHYSICIAN SERVICES 1415200 UROLOGY GROUP ASSOCIATES 169 COUNTRY CLUB ROAD SEWICKLEY PA 15143 PHYSICIAN SERVICES 1020814 37 6500 422431 22865 428931 MEDICARE REVENUE 621990 179973417 179973417 NET PATIENT SVC. REV. 622110 131470223 131470223 MEDICAID REVENUE 621990 37973912 37973912 RENTS FROM AFFILIATES 900099 111159 111159 349528711 2153469 -151095 2304564 1364378 312586 1051792 1051792 1051792 74874904 77189 62440038 370270 12434866 -293081 12141785 12141785 372155 289082 83073 83073 APOTHECARY INCOME 446110 7659745 3299386 4360359 NON-OPERATING REVENUE 713940 5202794 2057876 3144918 MED SVCS/DIAGN LAB 621500 1150711 1150711 4531894 4531894 18545144 383932905 349377616 6507973 27618385 99993 99993 3992293 357157 3635136 150817279 139379530 11437749 6802108 6289389 512719 23238904 21195762 2043142 10300784 9106192 1194592 1863210 1863210 364856 364856 27598 27598 141742 141742 26899214 23356389 3542825 1885664 41161 1844503 17141311 15050315 2090996 813980 813980 4211678 4127734 83944 632894 483540 149354 2614900 2614900 17329810 16287758 1042052 5539406 5532412 6994 MEDICAL SUPPLIES 80387280 80363844 23436 LICENSES & TAXES 11925765 11763796 161969 CONSULT/MGMT CONTRACTS 4317563 2529 4315034 UBIT 355724 355724 0 8378746 7220359 1158387 380082702 343628484 36454218 0 126148485 68223395 5720319 5895151 34257890 40016851 3585677 4153492 3747331 3581060 451047309 273872952 156197322 177174357 62587110 28742643 97712094 15327847 20261535 436314624 417017935 46548988 48705508 56466245 54615636 2326246 2907037 105341479 106228181 X 318820980 298176223 12152165 12613531 330973145 310789754 436314624 417017935 X 3850203 -10854449 -13179145 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 27598 27598 0 PART II-B, LINE 1: LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT ARE SPECIFICALLY ALLOCABLE TO LOBBYING. WHEELING HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 6655405 6655405 205962462 96773370 109189092 207446 128004 79442 223434106 170534246 52899860 14787890 6437332 8350558 177174357 MUTUAL FUNDS 28091932 C COMMON STOCK 36724684 C CASH 14584810 C OTHER INVESTMENTS 5597288 C INVESTMENT - WHEELING RENAL CARE, LLC 916003 C INVESTMENT - DISREGARDED ENTITIES 11797377 C 97712094 ASSET RETIREMENT OBLIGATION 1404011 DEFERRED COMPENSATION PAYABLE 305225 ESTIMATED AMOUNT DUE TO THIRD PARTY PAYORS 579710 LONG-TERM PORTION ACCRUED PROPERTY TAXES 206585 CURRENT PORTION OF INSURANCE RESERVES 411506 2907037 X PART X, LINE 2: FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF WHEELING HOSPITAL, INC. AND SUBSIDIARIES: WHEELING HOSPITAL, INC. (THE HOSPITAL), BELMONT COMMUNITY HOSPITAL, MEDICAL PARK FOUNDATION (THE FOUNDATION), WHEELING PEDIATRICS, LLC (WP), WOMEN'S HEALTH SPECIALISTS OF WHEELING HOSPITAL, LLC (WHS), HARRISON COMMUNITY HOSPITAL (HCH), AND HARRISON COMMUNITY HOSPITAL FOUNDATION (HCF) ALL QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE US INTERNAL REVENUE CODE. WH HOLDINGS II, LLC (WHH II) IS TREATED AS A DISREGARDED ENTITY OF THE HOSPITAL. MOUNTAINEER FREEDOM LIMITED (MFLTD) IS A FOREIGN ENTITY, INCORPORATED IN THE CAYMAN ISLANDS. THE EFFECT OF INCOME TAXES ON MFLTD IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS IS NOT MATERIAL. THE HOSPITAL DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2018 AND 2017. CENTRAL AMERICA & THE CARIBBEAN 0 2 PROGRAM SERVICES CAPTIVE INSURANCE ACTIVITY 355435 0 2 0 0 0 2 355435 0 355435 1 0 1 0 0 0 UNIFORM SALE 136134 136134 112643 JEWELRY SALE 18082 18082 11303 4 217939 217939 14850 150286 372155 372155 14850 274232 289082 83073 1 1 X 1 X 1 X 1 1 0 0 1725491 0 1725491 0.00450 54859854 27900962 26958892 0.07090 56585345 27900962 28684383 0.07540 426747 7780 418967 0.00110 2021765 1376068 645697 0.00170 2448512 1383848 1064664 0.00280 59033857 29284810 29749047 0.07820 1 7206250 35215 61529328 76965788 -15436460 X 1 1 1 1 WHEELING HOSPITAL INC 1 MEDICAL PARK WHEELING WV 26003 WWW.WHEELINGHOSPITAL.ORG 89 X X X X WHEELING HOSPITAL INC 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X 1 15 0 1 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WHEELINGHOSPITAL.ORG/ABOUT/FINANCIALASSISTANCE.ASPX X HTTPS://WHEELINGHOSPITAL.ORG/ABOUT/FINANCIALASSISTANCE.ASPX X HTTPS://WHEELINGHOSPITAL.ORG/ABOUT/FINANCIALASSISTANCE.ASPX X X X X X 1 X 0 X X X 1 0 0 WHEELING HOSPITAL, INC. PART V, SECTION B, LINE 5: INTERVIEWS WERE CONDUCTED OVER A THREE DAY PERIOD IN LATE AUGUST AND THE BEGINNING OF SEPTEMBER 2016 WITH SELECTED STAKEHOLDERS FROM THE WHEELING SERVICE AREA TO DISCUSS THE COMMUNITY HEALTH NEEDS IN THE WHEELING SERVICE AREA. THE FOLLOWING AREAS WEREDISCUSSED:- POPULATION AND ECONOMIC TRENDS IN BOTH THE PRIMARY AND SECONDARY SERVICE AREAS AND FUTURE EXPECTATIONS,- CURRENT PERCEPTIONS ABOUT OVERALL HEALTH CARE IN THE SERVICE AREA, INCLUDING WHEELING HOSPITAL, INC.'S HEALTH CARE,- WHEELING HOSPITAL, INC.'S CURRENT OPERATIONS AND THE EXTENT TO WHICH THESE SERVICES ARE MEETING COMMUNITY NEEDS,- THE QUALITY AND ACCESS OF PRIMARY CARE SERVICES, EMERGENCY SERVICES, INPATIENT SERVICES, LONG TERM CARE SERVICES AND PUBLIC HEALTH SERVICES IN THE SERVICE AREA,- WHEELING HOSPITAL, INC.'S POSSIBLE ROLES FOR MEETING FUTURE HEALTH CARE NEEDS FOR COMMUNITY HEALTH SERVICES, AND- POTENTIAL FOR SUCCESS IN EXPANDING SERVICES AT WHEELING HOSPITAL, INC. AND THE CHALLENGES FACED IN EXPANDING SERVICES IN THE AREA.A VARIETY OF VARIOUS COMMUNITY REPRESENTATIVES WERE INTERVIEWED, INCLUDING THE DIRECTOR OF NURSING FROM BELMONT COMMUNITY HOSPITAL, THE WHEELING HOSPITAL, INC. DIRECTOR OF FAMILY MEDICINE, THE WHEELING HEALTH DEPARTMENT'S DEPUTY HEALTH COMMISSIONER, A LOCAL CATHOLIC CHARITIES REPRESENTATIVE, AND THE ADMINISTRATOR OF BISHOP J. HODGES CONTINUOUS CARE CENTER. THESE INDIVIDUALS WERE CHOSEN BECAUSE THEY PROVIDED A RANGE OF PERSPECTIVES ON THE STATE OF THE COMMUNITY AND HEALTH CARE, AS WELL AS PROVIDING DIVERSIFIED BACKGROUNDS. ADDITIONALLY, A MONTH LONG ONLINE SURVEY WAS CONDUCTED BY THE HOSPITAL IN ORDER TO GATHER INFORMATION FROM RECENT PATIENTS AND/OR THEIR FAMILY MEMBERS. THEY WERE ASKED TO RATE THEIR EXPERIENCE AS WELL AS COMMENT ON EXISTING OR NEEDED SERVICES.IN ADDITION, THE FOLLOWING ORGANIZATIONS WERE CONSULTED BY THE HOSPITAL INCONDUCTING ITS MOST RECENT CHNA:- BELMONT COUNTY HEALTH DEPARTMENT- BELMONT BEHAVIORAL HEALTH & REHAB- BISHOP J. HODGES, CCC- CATHOLIC CHARITIES- WHEELING HOSPITAL BOARD OF DIRECTORS- WHEELING CORPORATE HEALTH- WHEELING HOSPITAL FAMILY MEDICINE WHEELING HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE CHNA FOR WHEELING HOSPITAL, INC. AND BELMONT COMMUNITY HOSPITAL, A RELATED PARTY, WERE CONDUCTED SIMULTANEOUSLY, BUT SEPARATE REPORTS WERE ISSUED FOR EACH HOSPITAL WHEELING HOSPITAL, INC. PART V, SECTION B, LINE 11: WHEELING HOSPITAL, INC. HAS TAKEN ON FEASIBILITY STUDIES IN RELATION TO THE PROJECTS THAT ADDRESSED THE NEED FOR ADDITIONAL ASSISTED LIVING AND/OR INDEPENDENT LIVING COMMUNITIES FOR THE AREA'S AGING POPULATION. SIGNIFICANT FURTHER REVIEW AND CONSIDERATION IS REQUIRED BEFORE HOSPITAL MANAGEMENT WILL MAKE A DECISION REGARDING MOVING FORWARD WITH SUCH FACILITIES. THIS REMAINS AN AREA OF FOCUS AND INTEREST AND THE HOSPITAL IS COMMITTED TO EXPLORING OPTIONS IN THIS REGARD. ADDITIONALLY, WHEELING HOSPITAL, INC. HAS CONSTRUCTED A REPLACEMENT FOR THE BISHOP HODGES CONTINUOUS CARE CENTER (SNF/ICF) FACILITY ON ITS CAMPUS WITH A COMPLETION DATE OF JULY 2018. THIS IS A STATE OF THE ART FACILITY WITH PRIVATE ROOMS AND BATHS, LARGE ROOMS AND A DE-INSTITUTIONALIZED THEME OF DECOR. THE WHEELING HOSPITAL, INC. CHNA DATED SEPTEMBER 2016 IDENTIFIED MULTIPLE AREAS THAT SHOULD BE THE FOCUS FOR FURTHER SERVICE DEVELOPMENT IN THE COMMUNITY. THE FOLLOWING SUMMARY PRESENTS THOSE FINDINGS AS WELL AS THE PLANS AND ACTIONS FOR FY2018 FOR IMPLEMENTATION OR, WHEN APPLICABLE, THE REASONS FOR NOT IMPLEMENTING.CHRONIC DISEASE MANAGEMENT:WHEELING HOSPITAL, INC. HAS CONTINUED ITS TRADITION OF PROVIDING OUTREACH AND EDUCATION TO THE RESIDENTS OF WHEELING, WV AND SURROUNDING COMMUNITIES REGARDING THE CAUSES OF CHRONIC DISEASE, PREVENTATIVE MEASURE AND TREATMENT. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018, APPROXIMATELY 2,224 AREA RESIDENTS PARTICIPATED IN HEALTH FAIRS CONDUCTED BY WHEELING HOSPITAL, INC. THE HEALTH FAIRS PROVIDED DIABETES SCREENINGS AND EDUCATION, BLOOD PRESSURE MONITORING, CHOLESTEROL SCREENING AS WELL AS EDUCATION ON BREAST HEALTH AND BONE HEALTH. UNHEALTHY LIFESTYLES:WHEELING HOSPITAL, INC. PROVIDED OUTREACH AND EDUCATION FOR SMOKING CESSATION, PROPER NUTRITION AND THE IMPORTANCE OF PHYSICAL ACTIVITY TO APPROXIMATELY 787 COMMUNITY MEMBERS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. PARTICULAR ATTENTION WAS GIVEN TO HEALTH AND WELLNESS EDUCATION FOR THE OLDER ADULTS IN THE COMMUNITY GIVEN THE AGING OF THE POPULATION IN THE WHEELING HOSPITAL, INC. SERVICE AREA. THE HOSPITAL WILL CONTINUE TO ASSIST WITH HEALTH AND WELLNESS PROGRAMS AND PROVIDE THE NECESSARY RESOURCES FOR THOSE SEEKING HEALTHY LIFESTYLE THROUGH DIET AND EXERCISE. DRUG AND ALCOHOL ABUSE:WHEELING HOSPITAL, INC. WILL MAINTAIN ITS COLLABORATION AND REFERRAL NETWORK TO ADDRESS PATIENTS' NEEDS WITH REGARD TO ADDICTION AND ABUSE. THE HOSPITAL WILL PROVIDE OUTREACH AND EDUCATION TO ITS SURROUNDING COMMUNITIES. ADDITIONALLY, WHEELING HOSPITAL, INC. WILL ENGAGE WITH LOCAL LAW ENFORCEMENT AND OTHER COMMUNITY AGENCIES IN INITIATIVES AIMED AT ADDRESSING THE OPIOID EPIDEMIC THAT IS CURRENTLY RAVAGING THE OHIO VALLEY. PART V, SECTION B, LINE 7A: THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") OF THE HOSPITAL FACILITY CAN BE FOUND AT THE FOLLOWING WEB ADDRESS:HTTPS://WHEELINGHOSPITAL.ORG/FACILITIES/WHEELINGHOSPITAL/ COMMUNITYHEALTHNEEDSASSESSMENT_WH.PDF 1 1 - CONTINUOUS CARE CENTER PO BOX 6313 WHEELING WV 26003 SKILLED NURSING FACILITY PART I, LINE 3C: ELIGIBILITY FOR FINANCIAL ASSISTANCE IS DETERMINED BY REFERENCING THEFINANCIAL ASSISTANCE MATRIX, WHICH IS BASED ON THE FEDERAL POVERTY GUIDELINES FOR THE MOST CURRENT YEAR AVAILABLE AS ISSUED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. APPLICANTS ARE REQUIRED TO PROVIDE PROOF OF INCOME, SUCH AS UNEMPLOYMENT, WORKER'S COMPENSATION, SOCIAL SECURITY, AND ALIMONY/CHILD SUPPORT. THEY ARE ALSO ASKED IF THEY HAVE MEDICAID OR ANY OTHER THIRD PARTY INSURANCE. APPLICANTS CLAIMING THAT THEY HAVE NO INCOME ARE REQUIRED TO PROVIDE A LETTER OF SUPPORT FROM THE INDIVIDUAL PROVIDING THE SUPPORT FOR THE PATIENT. ADDITIONALLY, APPLICANTS MAY PROVIDE LETTERS OF DENIAL FROM INSURANCE PROVIDERS AS SUPPORT. ASSETS ARE ALSO CONSIDERED WHEN DECIDING WHETHER TO GRANT FINANCIAL ASSISTANCE AS THE PATIENT IS REQUIRED TO PROVIDE COPIES OF BANK STATEMENTS, CERTIFICATES OF DEPOSIT, MONEY MARKET ACCOUNT STATEMENTS, ETC. PART I, LINE 7: THE COST OF CHARITY CARE IS COMPUTED BY MULTIPLYING THE AMOUNT OF GROSS PATIENT CHARGES WRITTEN OFF DURING THE FISCAL YEAR IN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BY AN OVERALL COST-TO-CHARGE RATIO THAT IS COMPUTED BASED ON THE COSTING METHODOLOGY FROM WORKSHEET 2 OF THE 990 SCHEDULE H INSTRUCTIONS. PART III, LINE 2: BAD DEBT EXPENSE WAS CALCULATED BY TAKING THE BAD DEBT WRITE OFFS FOR 9/30/18 (BASED ON GROSS CHARGES) FROM THE GENERAL LEDGER. THE TOTAL BAD DEBT WRITE OFFS WERE THEN MULTIPLIED BY THE OVERALL COST-TO-CHARGE RATIO OF 36.40% CALCULATED ON WORKSHEET 2 OF SCHEDULE H. DISCOUNTS TO PATIENT ACCOUNTS ARE RECORDED AS CONTRACTUAL WRITE-OFF'S AND NOT AS BAD DEBT. THEREFORE, THE CALCULATED BAD DEBT EXPENSE DOES NOT INCLUDE ANY PORTION OF A PATIENT'S CHARGES THAT WERE DISCOUNTED. PART III, LINE 3: ESTIMATE OF FACILITY BAD DEBTS WHICH MAY QUALIFY FOR CHARITY: THIS IS ESTIMATED BY CALCULATING THE CHARITY WRITE-OFFS AS A PERCENTAGE OF TOTAL REVENUE AND APPLYING THIS PERCENTAGE (.45%) TO THE TOTAL BAD DEBT WRITE-OFFS FOR THE PERIOD. THE RESULTING AMOUNT IS THEN MULTIPLIED BY THE OVERALL COST/CHARGE RATIO COMPUTED ON WORKSHEET 2 OF THE 990 INSTRUCTIONS. PART III, LINE 4: WHEELING HOSPITAL, INC. DOES NOT HAVE SEPARATE AUDITED FINANCIAL STATEMENTS, BUT THE FOLLOWING FOOTNOTE IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE PROVISION FOR BAD DEBTS AS A PERCENTAGE OF NET PATIENT REVENUES WAS 5.75% AND 4.29% FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY.PROVISIONS FOR BAD DEBT INCLUDE: 2018 2017 GOVERNMENT AND STATE PROVISION $0 $0 COMMERCIAL, OTHER, AND SELF-PAY $23,067,877 $16,121,670 THE BAD DEBT REFLECTED ON THE FINANCIAL STATEMENTS IS THE GROSS AMOUNT OF THE ACCOUNTS DEEMED UNCOLLECTIBLE. THIS WOULD BE FOR ACCOUNTS THAT HAVE HAD NO PAYMENT FOR 60 DAYS AND HAVE HAD A MINIMUM OF FIVE STATEMENTS PRODUCED. THEREFORE, THE BAD DEBT AMOUNTS WOULD BE AFTER ANY DISCOUNTS OR PATIENT PAYMENTS HAVE BEEN APPLIED.THE RATIO FROM WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED. THIS RATIO WAS APPLIED TO THE TOTAL BAD DEBT EXPENSE INCLUDED IN NET PATIENT SERVICE REVENUE.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY WAS CALCULATED BY APPLYING THE PERCENTAGE OF CHARITY CARE TO GROSS PATIENT REVENUE TO THE TOTAL BAD DEBT EXPENSE AT COST. PART III, LINE 8: THE COSTS REFLECTED IN LINE 6 ARE THE ALLOWABLE INPATIENT AND OUTPATIENT COSTS FROM WORKSHEET D-1 AND D, PT. V OF THE 9/30/18 CMS COST REPORT. APPROXIMATELY $650K OF THE $15M SHORTFALL ON LINE 7 IS TREATED AS COMMUNITY BENEFIT. DESPITE THE FACT THAT THE PROGRAM SERVES ALL ELDERLY AND DISABLED BENEFICIARIES AND COULD REPRESENT COMMUNITY BENEFIT, THE MAJORITY OF THE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. THE $650K TREATED AS A COMMUNITY BENEFIT IS THE MEDICARE SHORTFALL RELATING TO THE INTERNS AND RESIDENTS' MEDICAL EDUCATION PROGRAM. THE COMMUNITY BENEFIT FOR THE INTERN AND RESIDENT PROGRAM IS REPORTED ON LINE 7F (HEALTH PROFESSIONS EDUCATION) OF SCHEDULE H. MEDICARE COSTS OF $77M ON LINE 6 OF PART III, SECTION B, ARE OBTAINED FROM WORKSHEET D-1, D, AND PART V OF THE 9/30/18 MEDICARE COST REPORT. PART III, LINE 9B: WHEELING HOSPITAL INC.'S COLLECTION POLICY HAS BEEN ESTABLISHED TO DEFRAY THE COSTS OF MEDICALLY NECESSARY SERVICES FOR THOSE PATIENTS WHO MEET CERTAIN GUIDELINES AND HAVE NO OTHER MEDICAL FUNDING SOURCES. INPATIENT, OUTPATIENT, EMERGENCY ROOM SERVICES, PROFESSIONAL SERVICES OF EMPLOYED PHYSICIANS AND PRESCRIPTION DRUGS ON AN ACUTE/EMERGENT BASIS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE. THE FINANCIAL ASSISTANCE/CHARITY CARE APPLICATION MUST BE SIGNED BY THE APPLICANT ATTESTING TO THE TRUTHFULNESS AND ACCURACY OF THE INFORMATION PROVIDED. ELIGIBILITY IS DETERMINED BY REFERENCING THE FINANCIAL ASSISTANCE/CHARITY CARE MATRIX, WHICH IS BASED ON THE FEDERAL POVERTY GUIDELINES FOR THE MOST CURRENT YEAR AVAILABLE. THOSE APPROVED APPLICANTS WHO ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE TO RECEIVE CHARITY CARE, AND THOSE WHO ARE FROM 201% TO 400% OF THOSE LIMITS ARE ELIGIBLE FOR DISCOUNTS. PART VI, LINE 2: WHEELING HOSPITAL, INC. ENGAGED ARNETT, CARBIS, TOOTHMAN, PLLC TO PERFORM A FORMAL NEEDS ASSESSMENT TO ASSESS THE HEALTH CARE NEEDS FOR THE COMMUNITY THAT IT SERVES. THIS ASSESSMENT WAS COMPLETED AND DATED SEPTEMBER 2016.THE PRIMARY TOOL UTILIZED, THROUGHOUT THE YEAR, TO GAUGE THE HEALTH CARE NEEDS OF THE COMMUNITY ARE THE NUMEROUS COMMUNITY EDUCATION AND HEALTHSCREENING PROGRAMS THAT THE HOSPITAL PROVIDES. THE COMMUNITIES ATTENDANCE AT THESE PROGRAMS AS WELL AS THEIR COMMENTS ON THE BENEFITS RECEIVED FROMTHE PROGRAMS PROVIDE THE HOSPITAL WITH A BAROMETER OF THE TYPE OF HEALTH CARE NEEDS THAT ARE MOST PREVALENT IN THE COMMUNITY. WE CAN ALSO MONITOR EMERGING TRENDS IN NEW/PREVIOUSLY UNKNOWN NEEDS THROUGH THESE PROGRAMS. EXAMPLES OF SOME OF THE PROGRAMS ARE: BLOOD PRESSURE SCREENINGS, MEN'S HEALTH FORUM, HEALTH FAIRS THROUGHOUT THE SERVICE AREA, OSTEOPOROSISSCREENINGS AND BONE DENSITY SCREENINGS. PART VI, LINE 3: IF THE PATIENT HAS A SCHEDULED PROCEDURE AND HAS BEEN PRE-REGISTERED AS SELF PAY, THEY ARE DIRECTED TO THE FINANCIAL COUNSELOR, WHERE PAYMENT ARRANGEMENTS AND DISCOUNTS/CHARITY ARE DISCUSSED, IF APPLICABLE. SELF PAY ACCOUNTS OVER $500 ARE SCREENED BY MEDASSIST, AN OFFSITE SERVICE FOR GOVERNMENT PROGRAM ELIGIBILITY. ONCE AN ACCOUNT DROPS TO BILLING, THE CREDIT/COLLECTION STAFF GETS THAT ACCOUNT AND RESEARCH FOR OTHER ACCOUNTS, NOTING INSURANCE OR CHARITY. IF NOTHING PRIOR, THE PATIENT IS CALLED TO DISCUSS PAYMENT/CHARITY, AS APPLICABLE. PART VI, LINE 4: WHEELING HOSPITAL, INC. PREDOMINANTLY SERVICES THE WHEELING METROPOLITAN STATISTICAL AREA. THE PRIMARY SERVICE AREA INCLUDES ONE COUNTY IN THE NORTHERN PANHANDLE OF WEST VIRGINIA (OHIO COUNTY) AND ONE COUNTY IN OHIO (BELMONT COUNTY), WITH A TOTAL POPULATION OF APPROXIMATELY 109,260.THE RACIAL MAKEUP OF THE MSA AS OF THE 2017 CENSUS WAS 93.45% WHITE, 3.9% AFRICAN AMERICAN, 0.65% ASIAN, 0.2% NATIVE AMERICAN, WITH THE REMAINDER FROM OTHER RACES OR A COMBINATION OF TWO OR MORE RACES. THE MEDIAN HOUSEHOLD INCOME FOR 2017 WAS APPROXIMATELY $46,130, WHILE THE MEDIAN HOUSEHOLD INCOME FOR THE UNITED STATES WAS APPROXIMATELY $57,652. THE BELOW POVERTY LEVEL PERCENTAGE FOR 2017 WAS APPROXIMATELY 11.9%, WHILE THE BELOW POVERTY LEVEL PERCENTAGE WAS APPROXIMATELY 12.3% FOR THE UNITED STATES. PART VI, LINE 5: A MAJORITY OF THE HOSPITAL'S BOARD MEMBERS ARE RESIDENTS OF THE PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL.IN ADDITION, THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ANY QUALIFIED PHYSICIAN IN THE COMMUNITY. PART VI, LINE 6: WHEELING HOSPITAL, INC. (THE "HOSPITAL OR "WHEELING HOSPITAL") WAS CREATED BY AN ACT OF THE VIRGINIA GENERAL ASSEMBLY IN 1850. CURRENTLY, THE HOSPITAL OPERATES AND EXISTS UNDER THE LAWS OF WEST VIRGINIA AS A NOT-FOR-PROFIT CORPORATION. UNDER ITS CORPORATE CHARTER, THE HOSPITAL IS OPERATED, SUPERVISED, AND CONTROLLED BY THE ROMAN CATHOLIC DIOCESE OF WHEELING/CHARLESTON (THE "DIOCESE"). THE HOSPITAL CONSISTS OF THE WHEELING HOSPITAL DIVISION, A FULL-SERVICE REGIONAL TEACHING HOSPITAL OFFERING A WIDE RANGE OF MEDICAL AND SURGICAL SERVICES ON AN INPATIENT AND OUTPATIENT BASIS, AND THE BISHOP BRANSFIELD CONTINUOUS CARE CENTER DIVISION (FORMERLY BISHOP HODGES CONTINUOUS CARE CENTER), HOUSING A 144-BED SKILLED AND INTERMEDIATE CARE CENTER. THE HOSPITAL ALSO OWNS AND OPERATES THE PHYSICIAN PRACTICE DIVISION AS A DEPARTMENT OF THE HOSPITAL. THIS DIVISION CONSISTS OF A GROUP OF PRIMARY CARE AND MULTISPECIALTY PHYSICIANS PRACTICING AT THE HOSPITAL.THE HOSPITAL IS THE SOLE MEMBER OF BELMONT COMMUNITY HOSPITAL. ("BELMONT HOSPITAL") LOCATED IN BELLAIRE, OHIO, AND WHOLLY OWNS A CAPTIVE INSURANCE COMPANY, MOUNTAINEER FREEDOM, LTD. (MFLTD). THE HOSPITAL IS ALSO THE SOLE MEMBER OF MEDICAL PARK FOUNDATION (THE "FOUNDATION"), WHICH RAISES CONTRIBUTIONS SOLELY FOR THE USE OF THE HOSPITAL-CONTROLLED ENTITIES. THE PURPOSE OF THE FOUNDATION IS TO CULTIVATE PHILANTHROPIC SUPPORT FOR PATIENT CARE SERVICES, IMPROVE HOSPITAL FACILITIES, SUPPORT THE UNCOMPENSATED CARE PROGRAM, AND SUPPORT COMMUNITY OUTREACH PROGRAMS.IN 2017, THE HOSPITAL BECAME THE SOLE MEMBER OF HARRISON COMMUNITY HOSPITAL (HCH), LOCATED IN CADIZ, OHIO, AND HARRISON COMMUNITY HOSPITAL FOUNDATION (HCF), WHICH RAISES CONTRIBUTIONS FOR THE USE OF HCH.THE HOSPITAL IS ALSO THE SOLE MEMBER OF WHEELING PEDIATRICS, LLC (WP) AND WOMEN'S HEALTH SERVICES (WHS). HOWEVER, THERE ARE NO ASSETS NOR ACTIVITIES FOR EITHER OF THESE LEGAL ENTITIES AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017.THE HOSPITAL ALSO OWNS TWO HOLDING COMPANIES, WH HOLDINGS I, LLC (WHH I) AND WH HOLDINGS II, INC. (WHH II). WHH I IS A TAXABLE LIMITED LIABILITY COMPANY. WHH II IS A NONPROFIT CORPORATION. THESE HOLDING COMPANIES MAY BE USED FOR ANY FUTURE ENDEAVORS THAT MIGHT BE UNDERTAKEN AND CAPITALIZED BY THE HOSPITAL OUTSIDE OF THE COVENANTS AND AGREEMENTS GOVERNING THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) - INSURED MORTGAGE. AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, THERE WERE NO ASSETS NOR ACTIVITIES FOR WHH I. 1 OHIO COUNTY FIRE CHIEFS ASSOCIATION 1500 CHAPLINE STREET WHEELING WV 26003 501(C)(3) 99993 CARDIAC CARE EQUIPMENT 1 0 SCHEDULE I, PART II, LINE 1 FOR ALL GRANTS, EACH DEPARMENT IS RESPONSIBLE FOR MAINTAINING ANY GRANT DOCUMENTATION AND IS RESPONSIBLE FOR COMPLETING ALL NECESSARY REPORTING. THE GRANT INCLUDED DOES NOT CARRY SPECIFIC GOALS, BENCHMARKS, OR SPECIFICATIONS AS REQUIRED BY WHEELING HOSPITAL, INC. THE GRANT GIVEN TO OHIO COUNTY FIRE CHIEF'S ASSOCIATION WAS PROVIDED TO AID THEM IN PROVIDING EMERGENCY ROOM STAFF WITH IMMEDIATE CRITICAL CARDIAC INFORMATION ABOUT A PATIENT FROM THE AMBULANCE. THESE UPGRADES ENHANCE THE PATIENT CARE PROVIDED BY BOTH EMS SERVICES AND THE EMERGENCY DEPARTMENT AS WELL AS THE DIAGNOSIS AND SURVIVAL BY THE EMERGENCY DEPARTMENT BECAUSE THE STAFF IS RECEIVING INFORMATION IN REAL TIME AND IS ABLE TO RELAY LIFE SAVING TREATMENT TO THE PATIENT EN ROUTE TO THE HOSPITAL. X X X 0 0 0 1 0 1 0 0 0 MICHAEL S MCKEETS CHIEF OPERATING OFFICER 183553 0 25102 0 0 0 16815 0 9523 0 234993 0 0 0 JAMES B MURDY CHIEF FINANCIAL OFFICER 258262 0 75102 0 0 0 21216 0 29998 0 384578 0 0 0 ANGELO GEORGES MD CHIEF MEDICAL OFFICER 503608 0 27453 0 0 0 10530 0 31072 0 572663 0 0 0 DENNIS NIESS MD CHIEF MED. INFO. OFFICER 240076 0 26102 0 0 0 18248 0 24406 0 308832 0 0 0 DAVID RAPP CHIEF INFORMATION OFFICER 253040 0 60102 0 0 0 15791 0 24428 0 353361 0 0 0 JOHN DEBLASIS SENIOR ADMIN. & VICE PRESIDENT 163937 0 25101 0 0 0 13206 0 11579 0 213823 0 0 0 KAREEN SIMON VICE PRESIDENT OF OPERATIONS 364164 0 50102 0 0 0 12970 0 1834 0 429070 0 0 0 SHAWN STERN MEDICAL DIRECTOR 341472 0 25102 0 0 0 11882 0 30724 0 409180 0 0 0 ANTHONY MARTINELLI SENIOR DIRECTOR 161288 0 30101 0 0 0 8655 0 19581 0 219625 0 0 0 HEIDI PORTER VP OF QUALITY & REGULATORY AFFAIRS 123402 0 50101 0 0 0 6642 0 9183 0 189328 0 0 0 DIANE LIVENGOOD SENIOR DIRECTOR 147228 0 15101 0 0 0 7492 0 9183 0 179004 0 0 0 VINCENT AZZARELLO SENIOR DIRECTOR 146730 0 5101 0 0 0 6456 0 19511 0 177798 0 0 0 KATHY STAHL CHIEF NURSING OFFICER 142852 0 10101 0 0 0 11078 0 2042 0 166073 0 0 0 DEVENDER BATRA PHYSICIAN 1541268 0 102 0 0 0 8370 0 25595 0 1575335 0 0 0 GREGORY S MERRICK PHYSICIAN 1283073 0 18102 0 0 0 13240 0 2422 0 1316837 0 0 0 JONDAVID POLLOCK PHYSICIAN 1179406 0 102 0 0 0 13240 0 25197 0 1217945 0 0 0 CHANDRA S SWAMY PHYSICIAN 523855 0 545313 0 0 0 13780 0 21037 0 1103985 0 0 0 VICTOR MAEVSKY PHYSICIAN 580724 0 288114 0 0 0 10260 0 31232 0 910330 0 0 0 PART I, LINE 5 DR. SWAMY'S INCENTIVES ARE BASED ON A PERCENTAGE OF NET REVENUE. OVERALL PHYSICIAN COMPENSATION WAS DETERMINED TO BE REASONABLE. PART I, LINE 6 DR. MAEVSKY'S INCENTIVES ARE BASED ON A PERCENTAGE OF NET INCOME. OVERALL PHYSICIAN COMPENSATION WAS DETERMINED TO BE REASONABLE. VALORIE SATKOSKE DAUGHTER OF CHIEF EXECUTIVE OFFICER 208823 PAYMENTS - EMPLOYEE COMPENSATION 0 R & V ASSOCIATES CHIEF EXECUTIVE OFFICER IS PRINCIPAL OF R & V ASSOCIATES. 3979898 PAYMENTS - INCLUDING OTHER CONSULTING SERVICES AND EXPENSES FOR REIMBURSEMENTS. 0 PART IV, LINE 3: EXPLANATION OF RELATIONSHIP/TRANSACTION WITH R & V ASSOCIATES:R & V ASSOCIATES IS AN INDEPENDENT BUSINESS CONSULTING FIRM THAT PROVIDES SERVICES TO WHEELING HOSPITAL, INC. (THE HOSPITAL). MR. VIOLI, INDEPENDENT CONSULTANT, IS A PRINCIPAL AND ONE OF THE MANAGING DIRECTORS OF THAT CONSULTING FIRM. MR. VIOLI RECEIVES ALL COMPENSATION DIRECTLY FROM R & V ASSOCIATES FOR HIS SERVICES AT THE HOSPITAL, AND NOT FROM THE HOSPITAL. ALTHOUGH MR. VIOLI CURRENTLY SERVES AS CHIEF EXECUTIVE OFFICER OF THE HOSPITAL, HE DOES SO THROUGH HIS AFFILIATION WITH R & V ASSOCIATES AND NOT THROUGH ANY DIRECT EMPLOYMENT RELATIONSHIP WITH THE HOSPITAL. THE COMPENSATION PAID TO R & V ASSOCIATES BY THE HOSPITAL IS ESTABLISHED BY AN INDEPENDENT AD HOC COMMITTEE OF THE BOARD OF DIRECTORS OF THE HOSPITAL. IT IS THE PRACTICE OF THE AD HOC COMMITTEE TO CONDUCT ITS DELIBERATIONS IN FULL COMPLIANCE WITH THE ESTABLISHED PROCEDURES UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND WITH THE SETTLED PURPOSE OF ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH RESPECT TO THE COMPENSATION PAID TO R & V ASSOCIATES. ADDITIONALLY, THE AD HOC COMMITTEE HAS SOLE AUTHORITY OVER THE RETENTION AND DISCHARGE OF R & V ASSOCIATES, AND MR. VIOLI, AS CHIEF EXECUTIVE OFFICER, HAS NO AUTHORITY OVER SUCH RETENTION OR ANY OTHER ASPECT OF THAT ENGAGEMENT. THE PAYMENTS TO R & V ASSOCIATES INCLUDE COMPENSATION PAYMENTS FOR MR. VIOLI, EXPENSE REIMBURSEMENT, AND OTHER CONSULTING SERVICES. FORM 990, PART VI, SECTION A, LINE 2 THE VERY REVEREND MONSIGNOR KEVIN M. QUIRK IS THE ASSISTANT TO THE MOST REVEREND MICHAEL J. BRANSFIELD, BISHOP OF THE DIOCESE OF WHEELING-CHARLESTON. FORM 990, PART VI, SECTION A, LINE 3 RONALD L. VIOLI, CHIEF EXECUTIVE OFFICER OF WHEELING HOSPITAL, INC., IS NOT AN EMPLOYEE OF WHEELING HOSPITAL, INC. RONALD L. VIOLI, INDEPENDENT CONSULTANT, IS A 50% PARTNER IN R & V ASSOCIATES, A CONSULTING FIRM WHICH WHEELING HOSPITAL, INC. CONTRACTS WITH FOR CONSULTING AND MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 WHEELING HOSPITAL, INC. HAS A SINGLE MEMBER, WILLIAM E. LORI, ARCHBISHOP OF THE DIOCESE OF BALTIMORE. FORM 990, PART VI, SECTION A, LINE 7A WHEELING HOSPITAL, INC. HAS A SINGLE MEMBER, WILLIAM E. LORI, ARCHBISHOP OF THE DIOCESE OF BALTIMORE, WHO HAS THE ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY OF WHEELING HOSPITAL, INC. FORM 990, PART VI, SECTION B, LINE 11B FOLLOWING COMPLETION OF FORM 990 BY THE WHEELING HOSPITAL, INC. TAX PREPARER, FORM 990 IS REVIEWED BY INTERNAL PERSONNEL AND THE EXECUTIVE TEAM PRIOR TO FILING. THE DRAFT RETURN IS SENT TO THE AD HOC COMMITTEE OF THE BOARD VIA COURIER, FEDEX OR UPS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND OFFICERS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY ANNUALLY. RECIPIENTS ARE ANNUALLY ASKED TO ACKNOWLEDGE THEY HAVE READ THE POLICY, IDENTIFY ANY AREAS OF CONFLICT AND RETURN THE SIGNED DISCLOSURE FORM TO WHEELING HOSPITAL, INC. RESPONSES ARE REVIEWED AND IDENTIFIED. CONFLICTS ARE REFERRED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. KEY EMPLOYEES AND OTHER EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT HIRING AND WHEN A CHANGE OCCURS THAT MAY BE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 RONALD L. VIOLI, CHIEF EXECUTIVE OFFICER OF WHEELING HOSPITAL, INC., IS NOT AN EMPLOYEE OF WHEELING HOSPITAL, INC. RONALD L. VIOLI, INDEPENDENT CONSULTANT, RECEIVES HIS COMPENSATION FROM R & V ASSOCIATES, WHICH RECEIVES PAYMENT FROM WHEELING HOSPITAL, INC. FOR CONSULTING AND MANAGEMENT SERVICES IT PROVIDES, INCLUDING FOR RONALD L. VIOLI'S SERVICES AS CHIEF EXECUTIVE OFFICER. WHEELING HOSPITAL, INC. HAS DETERMINED, BY MEANS OF COMMITTEE REVIEW, THAT THE PAYMENTS TO R & V ASSOCIATES ARE REASONABLE AND AT FAIR MARKET VALUE. THEREFORE, ALL COMPENSATION PAYMENTS TO RONALD L. VIOLI ARE REASONABLE. OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION IS REVIEWED BY THE WHEELING HOSPITAL, INC. AD HOC COMMITTEE. THE COMMITTEE REVIEWS NATIONAL, REGIONAL, AND LOCAL COMPENSATION SURVEYS. ADDITIONALLY, YEARS OF SERVICE ARE ALSO TAKEN INTO ACCOUNT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. WHEELING HOSPITAL, INC. ALSO FILES THE FINANCIAL STATEMENTS WITH WVHCA ANNUALLY. FORM 990, PART XI, LINE 9: NET RESTRICTED GRANT ACTIVITY 61,665. TRANSFERS/DIVIDENDS 83,937. UNREALIZED GAIN RESTRICTED INVESTMENTS -572,889. RESTRICTED ACTIVITY VARIANCE 2,465. FORGIVENESS OF DEBT -12,754,323. PART XII, LINE 3A WHEELING HOSPITAL, INC. ENTERED INTO A HUD/FHA SECTION 242 MORTGAGE INSURANCE AGREEMENT AND WAS REQUIRED BY THIS ARRANGEMENT TO UNDERGO AN A-133 AUDIT. WHEELING PEDIATRICS LLC 222 N 5TH STREET MARTINS FERRY OH 43935 261482791 PHYSICIAN OFFICES OH 0 0 WHEELING HOSPITAL INC WOMEN'S HEALTH SPECIALISTS OF WHEELING HOSPITAL LLC 1 MEDICAL PARK CENTER 3 SUITE 232 WHEELING WV 26003 262809731 PHYSICIAN OFFICES WV 0 0 WHEELING HOSPITAL INC WH HOLDINGS II LLC 1 MEDICAL PARK WHEELING WV 26003 273193246 PURCHASE REAL ESTATE WV -1191902 36320862 WHEELING HOSPITAL INC WH HOLDINGS I LLC 1 MEDICAL PARK WHEELING WV 26003 273193207 PURCHASE REAL ESTATE WV 0 0 WHEELING HOSPITAL INC BELMONT COMMUNITY HOSPITAL 4697 HARRISON STREET BELLAIRE OH 43906 340714643 HOSPITAL OH 501(C)(3) 3 WHEELING HOSPITAL INC 1 MEDICAL PARK FOUNDATION 1 MEDICAL PARK WHEELING WV 26003 550744690 CHURCH WV 501(C)(3) 1 WHEELING HOSPITAL INC 1 SELF INSURANCE TRUST AGREEMENT OF WHEELING HOSPITAL INC 1 MEDICAL PARK WHEELING WV 26003 550676674 INSURANCE WV 501(C)(3) 12A, I WHEELING HOSPITAL INC 1 HARRISON COMMUNITY HOSPITAL 951 EAST MARKET STREET CADIZ OH 43907 341571750 HOSPITAL OH 501(C)(3) 3 WHEELING HOSPITAL INC 1 HARRISON COMMUNITY HOSPITAL FOUNDATION 951 EAST MARKET STREET CADIZ OH 43907 341571749 SUPPORT OF HOSPITAL OH 501(C)(3) 12B, II WHEELING HOSPITAL INC 1 MOUNTAINEER FREEDOM LIMITED 94 SOLARIS AVENUE 2ND FLOOR CAMAN GRAND CAYMAN KY1-1102 CJ 981217988 CAPTIVE INSURANCE CJ WHEELING HOSPITAL INC C 1567273 25115700 1.00000 1 MOUNTAINEER FREEDOM PHYSICIAN & HOSPITAL ASSOCIATION INC 1 MEDICAL PARK WHEELING WV 26003 300386759 PHYSICIAN HOSPITAL WV WHEELING HOSPITAL INC C 1.00000 1 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 BELMONT COMMUNITY HOSPITAL A 8250 ACTUAL AMOUNT PAID BELMONT COMMUNITY HOSPITAL Q 94435 ACTUAL AMOUNT PAID BELMONT COMMUNITY HOSPITAL L 306481 ACTUAL AMOUNT PAID BELMONT COMMUNITY HOSPITAL O 51929 ACTUAL AMOUNT PAID BELMONT COMMUNITY HOSPITAL J 100294 ACTUAL AMOUNT PAID BELMONT COMMUNITY HOSPITAL R 3255531 ACTUAL AMOUNT PAID MOUNTAINEER FREEDOM LIMITED R 4922534 ACTUAL AMOUNT PAID BELMONT COMMUNITY HOSPITAL D 7585431 AMOUNT FORGIVEN HARRISON COMMUNITY HOSPITAL D 5168893 AMOUNT FORGIVEN HARRISON COMMUNITY HOSPITAL R 4016000 ACTUAL AMOUNT PAID