2018-11-12T06:04:37-00:00 2017-12-31 990 2017-01-01 550359755 Jefferson Memorial Hospital JEFF 3047281600 2000 Foundation Way Room 2310 Martinsburg WV 25401 Anna Buchanan Vice President of Finance 2018-11-09 false 157.182.216.2 2018-11-12 23:02:53 ES P 0A63003A2DC7132982EF3DF1E37B1510D6F938D3 714A1ACB7E7DEE539613438CC2220F9E5560AD5B 2017 2019-02-21 02:37:17Z Jefferson Medical Center Anna D Buchanan 2000 Foundation Way Suite 2310 Martinsburg WV 25401 55058023 false X https://wvumedicine.org/jefferson/ X 1912 WV Jefferson Memorial Hospital is a non-profit, critical access hospital serving the residents of the Eastern Panhandle of WV. 14 13 431 33 0 63600 62343 51651863 53552726 299934 1178635 -496521 232725 51518876 55026429 100 4000 0 19500455 19862125 0 0 30189613 33010301 49690168 52876426 1828708 2150003 57361023 64390074 20212988 23863980 37148035 40526094 X Jefferson Memorial Hospital is a non-profit critical access hospital serving the residents in the Eastern Panhandle of WV. It operates a 24/7 emergency room. Jefferson Memorial Hospital is organized to provide quality hospital patient care services to the Eastern Panhandle of WV regardless of the patients ability to pay. false false 15877513 17822726 As a not for profit critical access hospital, Jefferson Memorial Hospital JMH provides general medical services to the community of Ranson, WV. Such services include but are not limited to family medicine, internal medicine, observation to see if hospital admission is necessary, and outpatient ancillary testing. During 2017, JMH documented 1,451 outpatients in the observation status and 41,685 outpatient ancillary tests were performed. 9637178 14720065 Jefferson Memorial Hospital JMH is a critical access hospital and operates a 24 hours per day, 7 days per week emergency department which cares for patients regardless of their ability to pay. During 2017 the Emergancy Department documented 24,782 patient visits. 3823588 5038508 Jefferson Memorial Hospital JMH provides both general and advanced surgical services to those residents located in Ranson, WV and the surrounding area. Surgical service areas at JMH include gall bladder, breast and colon, orthopaedics and joint replacement, otolaryngology, gynecology, urology, ophthalmology and cosmetic surgery. In addition, many of these surgical procedures performed at JMH utilize cutting edge laparoscopy and endoscopy techniques. The hospital also provides a One Day Surgical Unit that provided care to 2,434 patients during 2017. 11679743 15974342 41018022 true true false true false false false false false false true false true 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 86 0 431 true false false false false false false false false false false X 14 13 false false false false false false false true true false false true true true true true true true true false X Anna D Buchanan 3042641000 2000 Foundation Way Suite 2310 Martinsburg WV 25401 David DeJarnett Director/ Vice Chairman 000.03 000.73 X X 0 0 0 Terry Hess Director/ Treasurer 000.03 000.73 X X 0 0 0 Christopher Burg Jr Director 000.03 000.73 X 0 0 0 Jacquiline Long Director 000.03 000.73 X 0 0 0 Henry Kayes Director 000.03 000.73 X 0 0 0 Emma Eggleston MD Director/Interim Dean, WVU Eastern Division SoM 000.03 000.73 X 0 0 0 Judie Charlton MD Director 000.03 X 0 0 0 Timothy Devine Director / JMH Med Staff President 040.00 000.73 X 0 162622 7095 Chaquita Howard-Bostic Director 000.03 000.73 X 0 0 0 Dawn Jones MD Director 000.03 000.73 X 0 0 0 Betty Gunnoe Director / Secretary 000.03 000.73 X X 0 0 0 Richard Pill Director / Chairman 000.03 000.73 X X 0 0 0 Brian Romine Director 000.03 000.73 X 0 0 0 Paul Welch MD Director/BMC Medical Staff 000.03 039.97 X 0 4000 0 Neal McLaughlin VP Operations 040.00 X 227244 0 34204 Charles Keeling CRNA 040.00 X 241854 0 34369 Angela Taylor CRNA 040.00 X 219312 0 33502 Philip May CRNA 040.00 X 211578 0 10102 Jonathan Kline Pharmacist 040.00 X 170343 0 30345 Judith Hockman Director, Home Health 040.00 X 155347 0 15674 1225678 166622 165291 21 false true false JMH Emergency Physicians Inc 20010 Century Blvd Suite 200 Germantown MD 20874 Physician Services 962830 FocusOne Solutions 13609 California St Omaha NE 681545260 Medical Solutions Provider 841939 Alliance Healthcare Services 100 Bayview Circle Newport Beach CA 92660 Clinical Care Service Provider 453140 Bowles Rice LLP PO Box 1386 Charleston WV 253251386 Legal Services 416946 Quest Diagnostics Nichols Institute 14225 Newbrook Dr Chantilly VA 201512228 Lab Services 148757 8 49731 12612 62343 Patient Service Revenue 621110 53552726 53552726 53552726 1210229 1210229 24432 24432 24432 24432 31594 -31594 -31594 -31594 Cafeteria Income 900099 124087 124087 Cash Discounts 900099 27860 27860 Pharmacy Income 621110 2915 2915 53431 53431 208293 55026429 53555641 1408445 X 4000 4000 0 0 0 261448 261448 0 15706567 14289826 1416741 664810 604844 59966 1687592 1566489 121103 1541708 1402645 139063 0 14573 14573 9320 5810 3510 7726 7726 0 10405677 6770191 3635486 3139 3139 1310738 948347 362391 295 295 0 514227 273913 240314 165821 36341 129480 0 0 404339 215379 188960 8552532 5083115 3469417 2426539 1292546 1133993 281814 281814 Provision for Doubtful Accounts 2668285 2668285 Medical Supplies 4517362 4517362 Recruiting 146512 130085 16427 Taxes, Licenses, Fees 1427145 1097643 329502 154257 103180 51077 52876426 41018022 11858404 0 27819 44269 15883005 18746541 5514701 7834734 792156 806524 28712 7540 38208028 22610862 15281842 15597166 18922707 20616780 910081 736520 57361023 64390074 9157721 13364677 9697653 9201885 1357614 1297418 20212988 23863980 X 31469308 34409305 335080 331612 5343647 5785177 37148035 40526094 57361023 64390074 X 2150003 789034 439022 X false true X true false X 0.00000 0.00000 0.00000 false false false false false false false false true 7726 7726 II-B 1i As a member of the WV Hospital Association and the American Hospital Association, a portion of the dues paid have been identified by the above mentioned organizations as attributable to lobbying activities. false 801329 801329 18311300 9981821 8329479 5765 5765 16815057 12224639 4590418 2274577 398637 1875940 15597166 Financial derivatives and other financial products Closely-held equity interests Beneficial Interests in Perpetual Trusts 5785177 F Bond Fund 36490 F Other Investments 598324 F Funded Depreciation 12827735 F Self Insurance Fund 1369054 F 20616780 Federal income taxes Capital Leases 28276 Self Insurance Liabilities 917000 Interest Rate Swaps 206513 Leases Payable - Current 172804 Debt Issuance Costs -27175 1297418 X 53097447 789034 -2668285 -1879251 54976698 49731 49731 55026429 50208141 50208141 2668285 2668285 52876426 X 2 The annual audit and financial statements of Jefferson Medical Center are prepared on a consolidated basis as a member of the WV United Health System. The System accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. There were no tax uncertainties that met the recognition threshold in 2017. XI 2d The amount shown on line 2d consists of 2,668,285 provision for doubtful accounts reported as an offset to revenue on the financial statements. XI 4b The amount shown on line 4b consists of 49,731 capital campaign contributions reported on the balance sheet. XII 4b The amount shown on line 4b consists of 2,668,285 provision for doubtful accounts reported as an offset to revenue on the financial statements. true true X true X false true true true false true true 896961 469470 427491 0.00850 14293397 14293397 198247 159569 38678 0.00080 15388605 14922436 466169 0.00930 46862 1920 44942 0.00090 1658599 1658599 0.03300 4000 4000 0.00010 1709461 1920 1707541 0.03400 17098066 14924356 2173710 0.04330 108 108 2085 2085 2193 2193 true 629112 9690 15413544 18633103 -3219559 X true true 1 1 Jefferson Memorial Hospital 300 South Preston Street Ranson WV 25438 https//wvumedicine.org/jefferson/ 103 X X X X A A 1 false false true X X X X X X X X 16 true true false true X https//wvumedicine.org/university-healthcare/wp-content/uploads/sites/19/2016/11/FINAL-University-He false 16 true https//wvumedicine.org/university-healthcare/wp-content/uploads/sites/19/2016/11/FINAL-University-He false false X 0000000200.000000000000 X X X X X true true X X X true X https//wvumedicine.org/wp-content/uploads/2015/10/ii010-financialpolicyfinal.pdf X https//wvumedicine.org/wp-content/uploads/2018/06/Financial-Assistance-Application-and-checklist-615 X https//wvumedicine.org/wp-content/uploads/2015/11/Plain-Language-Summary-102015.pdf X X X X X X true X false X X X X true X false true Group Jefferson Memorial Hospital Line Part V, Section B, Line 5 The Community Health Needs Assessment CHNA process involved collecting both primary and secondary data. Primary data was gathered from external and internal stakeholders via interviews, web-based survey instruments, focus groups, formal and informal key informant interviews, and observations of public meetings. The stakeholders represent the broad interests of the communities served by University Healthcare and included public health officials, teachers, school nurses, social service providers, community health center providers, staff, and board members, persons living with chronic health conditions and their families, other community members, and University Healthcare-affiliated executives, clinicians, administrators, and staff. In addition, special outreach efforts were made to be sure that the voices of all persons were heard and included in the development of health priorities and strategies to address those priorities. Dr. Buck partnered with Shepherd University and WVU BSW and MSW students and interns to increase outreach for input from clients of DHHR, Berkeley and Jefferson County Health Departments, Jefferson Community Ministries, Catholic Charities, and other social service agencies and organizations. Group Jefferson Memorial Hospital Line Part V, Section B, Line 3 Four different assessments were completed 1 Community Themes and Strengths Assessment CTSA 2 Health System Assessment HSA 3 Community Health Status Assessment CHSA and 4 Forces of Change Assessment FOC. The CHSA and HSA were conducted using surveys, focus groups, key informant interview research methods, and secondary analysis of hospital data. The CHSA consisted of a secondary analysis of publicly available health data and cancer registry data. A full list of individuals that contributed to the CHNA can be found at the end of the CHNA document http//wvumedicine.org/university-healthcare/wp-content/uploads/sites/19/2017/05/2016-Community-Health-Needs-AssessmentImplementation-Plan-Berkeley-Medical-Jefferson-Medical-Centers.pdf. Group Jefferson Memorial Hospital Line Part V, Section B, Line 4 The Community Needs Health Assessment CHNA was undertaken jointly with City Hospital, Inc. Group Jefferson Memorial Hospital Line Part V, Section B, Line 11 City Hospital and Jefferson Memorial Hospital worked collaboratively on strategies and their implementation but priorities for each hospital differed slightly. These differences reflected the unique attributes of the hospitals, services each hospital provides, and the communities they serve. Jefferson County priorities included 1 improved access to high quality care across the continuum and behavioral health services 2 initiatives to improve dietary habits, reduce sedentary behavior/increase activity levels, and reduce illicit drug use and, 3 strategies to address binge drinking and alcohol-related vehicle crash fatalities. Hospital-specific priorities for Jefferson Memorial Hospital were 1 hospital-wide and community diabetes initiatives 2 behavioral health in acute, emergency room, and community-based settings 3 collaborations to improve access to health care among persons with lower and fixed incomes and, 4 strategies to address community-wide trends related to population demographic trends, specifically, growth in aging and racial/ethnic minority populations. Group Jefferson Memorial Hospital Line Part V, Section B, Line 11 Universal problems to be addressed by the CHNA Implementation Teams IT were 1 high prevalence of substance abuse and gaps in care for persons with serious mental illness 2 high incidence of and poor health outcomes among persons with chronic disease such as diabetes, heart disease, and lung disease and, 3 rising rates of lung cancer deaths among women in the region and late stage breast cancer diagnoses. The CHNA identified a fourth priority area focused on maternal/child health disparities. Since community providers and other community groups were already addressing the issue, it was determined that the development of an additional UHC team would be redundant. Group Jefferson Memorial Hospital Line Part V, Section B, Line 13b Jefferson Memorial Hospital JMH offers discounted care only to individuals who qualify for free care. JMH 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 Jefferson Memorial Hospital 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 Jefferson Memorial Hospital JMH uses 200 Federal Poverty Guideline to determine free care eligibility. JMH 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. Part I Line 6a Jefferson Memorial Hospital community benefit numbers are reported in total with the other hospitals within West Virginia United Health System. The 2017 amounts can be found at the following web address http//wvumedicine.org/about/community-benefit/ Part I Line 7 Column f - Total community benefit expense for 2017 is 17,098,066 and is 34.05 of total net expenses. To calculate net expense, bad debt of 2,668,285 was deducted from total expenses of 52,876,427 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, unreimbursed Medicaid and other means-tested government programs at cost. Part II Physical Improvements and Housing - Jefferson Memorial Hospital employees volunteered one full day at the Boys and Girls Club in Charles Town as part of the United Way of the Eastern Panhandles annual Day of Caring. Part II Economic Development - A representative from JMH Home Health Services serves on the Jefferson County Chamber of Commerce Board of Directors. Part II Community Support - We sponsor and have a team participate in the annual March of Dimes Walk, American Cancer Society Relay for Life in Jefferson County and various other fundraising events for local, health related, non-profit organizations. Many WVUH-East employees serve as volunteer board directors on community non-profit organizations such as Hospice of the Panhandle, Boys and Girls Club of the Eastern Panhandle, and the United Way of the Eastern Panhandle as well as participate in other non-profit organizations such as the Jefferson County Council of Aging Senior Center and Jefferson County Community Ministries. Part II Environmental Improvements - 2017 marked the second full year for Jefferson Memorial Hospital as a tobacco free campus. Part II Leadership Development and Training - One manager participated in the Chamber of Commerces Leadership Jefferson program for 2017. Several managers participated in leadership development trainings and have sent several staff to in-service programs to enrich their skills. Part II Coalition building - JMH 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. JMH also sponsored health wellness events and participate in wellness events with the local schools, Jefferson County Parks Recreation, the City of Ranson, the City of Charles Town through its Charles Town NOW program and employer wellness fairs such as American Public University. Part II Community health improvement advocacy - WVUH-East is also a partner in the MAPP project, which is a collaborative initiative to assess community social service needs and develop a plan to tackle these issues. In 2017, Jefferson Memorial Hospital conducted its Cycle 2 community health needs assessment and is in the process of developing implementation plans to address four key issues - perinatal and maternal/infant health, chronic illness prevention and care, cancer prevention and care breast, lung and colon, and behavioral health. JMH staff participate on the wellness committee for the Jefferson County School Board. Part II Workforce Development - WVUH-East is also a major sponsor of the Womens Network, a new organization established by the Berkeley and Jefferson County Chambers. This group sponsors womens professional activities, social networking and professional development seminars. Jefferson Memorial Hospital also has agreements with area community colleges and universities to allow students to complete clinical rotations at the hospital. JMH also provides a job shadow program and a summer junior volunteer program which gives teens the opportunity to shadow professionals to learn about potential careers in healthcare. In addition, JMH participates in school career fairs K-12 in the surrounding counties. JMH also participates in the 40 Developmental Assets Program for students in middle school. Part III Line 2 Bad Debt Expense at Cost on Line 2 was calculated by multiplying bad debt expense of 2,668,285 by our cost-to-charge ratio of 49.47 for a total of 1,320,001 less DSH allocations to self-pay patient accounts of 690,889 for a total of 629,112. Part III Line 2 The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages. JMH grants credit without collateral to its patients, most of whom are local residents and are insured under third-party agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. JMH maintains allowances for potential credit losses and such losses have historically been within managements expectations. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care on Line 3 was calculated by pulling all outstanding patient balances of 15,000 or greater from our patient accounting system. That report totaled 19,589 which was then multiplied by the cost-to-charge ratio of 49.47 for a total of 9,690. Part III Line 3 We feel that at a minimum the estimated bad debt attributable to patients eligible for charity care of 9,690 should be considered community benefit due to the fact that anyone with outstanding balances of 15,000 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 and would have qualified for charity care if paperwork was completed. Part III Line 4 Jefferson Memorial Hospitals financial statements are prepared on a consolidated basis as a member of WV United Health System. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractual amounts due and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. 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. The Systems allowance for doubtful accounts for self-pay patients increased to 60 of self-pay accounts receivable at December 31, 2017, from 57 of self-pay accounts receivable at December 31, 2016. In addition, the Systems self-pay write-offs net of recoveries increased to approximately 61,142,000 in 2017, from approximately 51,775,000 in 2016, which is the result of a slightly higher payor mix percentage of individuals without insurance and a slightly higher exposure to self-pay balances from high deductible third-party insurance plans. The System does not maintain a material allowance for doubtful accounts from third-party payors, nor does it have a history of significant write-offs from third-party payors. 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 maintains allowances for potential credit losses and such losses have historically been within managements expectations. The mix of receivables at December 31, 2017 and 2016 from patients and third-party payors is as follows. For 2017, Medicare 29, Medicaid 14, Blue Cross 21, Commercial/HMO/Other 32, Patients 4, Total 100. For 2016, Medicare 31, Medicaid 14, Blue Cross 21, Commercial/HMO/Other 30, Patients 4, Total 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 The amount reported in Part III Line 6 18,633,103 was calculated using the total Medicare allowable cost from the Medicare cost report. Part III Line 8 Jefferson Memorial Hospitals 3,219,559 shortfall of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. Part III Line 9b JMH 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 Jefferson Memorial Hospital is a critical care hospital within the health care system of West Virginia University Hospitals - East WVUH-East. The 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 physician to population ratios, 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 and Jefferson County, WV with Morgan County, WV being a secondary service area. This data is then analyzed to provide general estimates to where WVUH-East could better care for residents of West Virginias Eastern Panhandle. Part VI Line 2 Sources utilized to help gather this information come from a variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau and the general health risk for our community come from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus. We also conduct market research to ask consumers how they perceive the health system and where they go for health care services. Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can then begin based on physician distribution and population estimates. Note that WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Partnerships to create and implement a community health improvement plan. Part VI Line 3 JMH employs 2 financial analysts to meet with patients to discuss financial eligibility for our charity care program. JMH has applications for charity and the qualification requirements for receiving charity available at all registration areas for both facilities. Patients who do not qualify for state or federal funded programs can apply for the charity care program at WVUH-EAST. Part VI Line 4 Jefferson Memorial Hospital is a non-profit critical access hospital located in Jefferson County, WV population 56,388 in the city of Ranson with a total population of 5,652 residents. Jefferson Memorial Hospital along with City Hospital located in Martinsburg makes up the Eastern Division of WVU Medicine, which is a part of the West Virginia United Health System. WVU Medicine provides a majority of inpatient services for the population in our Primary Service Area PSA. The PSA for the Eastern Division of WVU Medicine includes Berkeley County, WV, and Jefferson County, WV. The 2016 market share for Jefferson Memorials Primary Service Area is 7.9 with 28.4 of those patients covered by Medicaid and 1.5 of the patients uninsured. City Hospital, Inc., a non-profit acute care hospital under common management, is within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is in the extended service area. Jefferson Countys population is 53,338, with an average household income of 69,753 and an unemployment rate of 3.7. Currently, 10.1 of Jefferson County residents live below the poverty line according to the US Census Bureau Quick Facts 2017. Berkeley County has a population of 114,920, an average household income of 57,148 and an unemployment rate of 4.5. Currently 12.9 of Berkeley County residents live below the poverty line. In WVU Medicines Eastern Division extended service area, Morgan County, WV has a population of 17,686, with an average household income of 43,234 and unemployment of 4.7. Currently, 11.9 of Morgan County residents live below the poverty line. Part VI Line 5 In 2009, WVUH-East started 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, WVUH-East offered Discounted Mammogram Clinics in May and October 2016 cash, no insurance. The clinics were successful in serving over 50 patients at Jefferson Memorial Hospital. Part VI Line 5 Our Mini-Medical School Program, which is held 9 times a 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 WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 40 - 50. false true false false false false false false false false Timothy Devine Director / JMH Med Staff President 101360 60354 908 7095 169717 Charles Keeling CRNA 238964 2494 396 21700 12669 276223 Angela Taylor CRNA 216722 2452 138 3378 30124 252814 Philip May CRNA 210948 250 380 1563 8539 221680 Jonathan Kline Pharmacist 169931 250 161 2673 27673 200688 Neal McLaughlin VP Operations 185419 37494 4331 21752 12452 261448 Judith Hockman Director, Home Health 155097 250 2370 13304 171021 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 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. This review occurs annually and was last completed in 2016 for 2017 compensation amounts. Part I Line 4b During 2017, certain individuals reported in Part VII participated in a nonqualified retirement plan. The following is a list of those individuals, plan types and amounts. Neil McLaughlin - deferred contributions to the Cash Contributions Account of 18,870. Charles Keeling contributed 18,000 to the 457 plan at University Healthcare. Form 990, Part III, Line 4d Program Service Expenses 11,679,743, Grants and allocations 0, Revenue 15,974,342 Jefferson Memorial Hospital JMH is a not-for-profit, critical access hospital that operates twenty-four 24 hours a day, seven 7 days a week. The hospital offers a variety of services which include the following but not limited to birthing, cardiopulmonary, emergency, home health, infectious disease, laboratory, pediatric, pharmacy, radiology, care management, special care, surgery, transitional care, vascular therapy and womens imaging. It serves as part of a regional health system, West Virginia University Hospitals-East, Inc. WV University Healthcare which serves Berkeley, Jefferson and Morgan Counties in West Virginia. Form 990, Part IV, Line 24a Bond issuances allocated to Jefferson Memorial Hospital are being reported on Schedule K of West Virginia University Hospitals, Inc. EIN 55-0643304. West Virginia University Hospitals, Inc. is a 501c3 and is the parent hospital of Jefferson Memorial Hospital. Form 990, Part VI, Section B, Line 12c Each board member is required to disclose, annually, any relationships which may give rise to a potential conflict of interest. These responses 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 B, Line 15b Executive compensation is based upon the work of an independent salary consulting firm, which compiles data from comparable facilities in comparable geographic regions. The information is then used by the board of directors and compensation committee to set salaries. This work is documented and retained. Form 990, Part VI, Section C, Line 19 All financial and governing documents, including the conflict of interest policy are maintained on site and made available to the public upon written request. Form 990, Part IX, Line 11g This total consists of Consulting Professional fees of 3,481,387 all of which is considered management and general expenses Contracted Labor fees of 1,428,406 of which 1,284,308 are considered program service expenses and 144,098 management and general expenses Lab Fees of 1,182,531 of which all is considered program service expenses Contract Labor- Patient Care fees of 1,066,317 of which all is considered program service expenses Consulting Professional - Med Staff fees of 250,467 of which 240,467 is considered program service fees and 10,000 management and general expenses Contracted Physician Expense of 2,764,628 all of which is considered program service expense and Collection Agency Fees of 231,941 all considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets or fund balance includes 49,731 of capital contributions from Jefferson Foundation posted to equity accounts 301 of restricted assets held by a third party posted to equity accounts 488,454 of related organization capitalization and 2 of rounding. WVU Hospitals - East Inc 2000 Foundation Way Suite 2310 Martinsburg WV 25401 202337985 Health System WV 501C3 12a West Virginia University Hospitals Inc false WVU Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501C3 3 WV United Health System false WV United Health System Inc 3040 University Avenue Morgantown WV 26505 550754713 Health System WV 501C3 12a N/A false City Hospital Inc 2000 Foundation Way Suite 2310 Martinsburg WV 25401 550383321 Patient Care WV 501C3 3 WVUH-East Inc false University Healthcare Foundation 2000 Foundation Way Suite 2310 Martinsburg WV 25401 311118075 Hospital Support WV 501C3 12a N/A false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501C3 3 N/A false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501C3 3 WV United Health System false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501C3 3 N/A false United Health Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501C3 12a N/A false WVU Healthcare Co-Op PO Box 8059 Morgantown WV 26506 550650441 Support WV 501C3 12a WV United Health System false Camden-Clark Health Services 800 Garfield Ave Parkersburg WV 26102 550769602 Healthcare Access WV 501C3 12a, I WV United Health System false Camden-Clark Foundation 604 Ann Street Parkersburg WV 26102 550667789 Support WV 501C3 12a Camden-Clark Health Services false Camden-Clark Memorial Hospital 800 Garfield Ave Parkersburg WV 26102 311524546 Patient Care WV 501C3 3 Camden-Clark Health Services false Camden-Clark Physician Corp 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501C3 12a, I Camden-Clark Health Services false University Healthcare Physicians 2500 Foundation Way Martinsburg WV 25401 900893455 Patient Care WV 501C3 3 N/A false Potomac Valley Hospital 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501C3 3 WVU Hospitals Inc false St Joseph's Hospital of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501C3 3 WV United Health System false St Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Support WV 501C3 12b, II N/A false Reynolds Memorial Hospital Inc 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501C3 3 West Virginia University Hospitals Inc false Reynolds Memorial Foundation 800 Wheeling Ave Glen Dale WV 26038 550710402 Support WV 501C3 3 N/A false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV N/A C Corp false West Virginia United Insurance Services Inc 3040 University Avenue Suite 3200 Morgantown WV 26505 550756055 Provider Network WV N/A C Corp false false false true false false false false false false false false false false false false true true false false