2018-08-14T13:27:34-05:00 2017-09-30 SOMERVILLE & COMPANY PLLC 501 5TH AVENUE HUNTINGTON WV 25701 990 2016-10-01 550675666 CABELL HUNTINGTON HOSPITAL INC % DAVID M WARD SENIOR VP/CFO CABE 3045262571 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 DAVID M WARD SENIOR VP/CFO 3045262000 2018-08-12 true WADE S C NEWELL CPA P01051041 3045250301 2016 2022-09-23 18:48:47Z KEVIN FOWLER 1340 HAL GREER BLVD HUNTINGTON WV 25701 730041982 false X WWW.CABELLHUNTINGTON.ORG X 1986 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED 17 17 3229 246 1261089 59762 376134 1294664 580501507 605712923 5568662 4437394 4964103 5153069 591410406 616598050 12318500 16300114 0 0 232868957 232593938 0 0 0 324706732 322239296 569894189 571133348 21516217 45464702 576104202 619699501 364938637 332653551 211165565 287045950 X TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY, AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. false false 468680622 607508908 IT IS THE MISSION OF CABELL HUNTINGTON HOSPITAL TO PROMOTE HEALTH IN THE REGION THROUGH DEVELOPMENT AND DELIVERY OF A FULL SPECTRUM OF SERVICES THAT IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL DIMENSIONS OF LIVES OF THOSE SERVED. THEREFORE, THE PRIMARY PROGRAM SERVICE ACCOMPLISHMENT IS THE INPATIENT AND OUTPATIENT SERVICES PERFORMED. CABELL HUNTINGTON HOSPITAL IS LICENSED FOR 303 BEDS AND STAFFED OVER 3,200 INDIVIDUALS. DURING FISCAL YEAR 2017, IN ADDITION TO ITS ADULT AND PEDIATRIC UNITS, IT OPERATES A COMPREHENSIVE CANCER CENTER, A PEDIATRIC INTENSIVE CARE UNIT, A NEONATAL INTENSIVE CARE UNIT, A BURN INTENSIVE CARE UNIT, A SURGICAL INTENSIVE CARE UNIT, A MEDICAL INTENSIVE CARE UNIT, AND A CORONARY CARE UNIT. ON JUNE 17, 2014, THE HOSPITAL OPENED ITS FIRST PHASE OF CONSTRUCTION OF THE CHILDREN'S HOSPITAL, A HOSPITAL WITHIN A HOSPITAL. THIS PHASE OPENED TREATMENT, PROCEDURE, AND PLAY ROOMS, AS WELL AS THE FIRST 8 PATIENT READY ROOMS. ON MARCH 26, 2015, 10 NEWLY DESIGNED AND DECORATED PEDIATRIC INTENSIVE CARE ROOMS OPENED ALONG WITH EXPANDED NURSING STATION AND TWO SPECIALIZED ISOLATION ROOMS. THE FINISHED CHILDREN'S HOSPITAL UNIT HAS 72 BEDS WITH 36 BEDS IN THE LEVEL III NEONATAL INTENSIVE CARE UNIT, 26 BEDS IN THE GENERAL PEDIATRICS UNIT, AND 10 BEDS IN THE PEDIATRIC INTENSIVE CARE UNIT. THE HOSPITAL IS GOVERNED BY A VOLUNTARY BOARD OF INDEPENDENT CITIZENS OF THE COMMUNITY. DURING THE FISCAL YEAR 2017, THE HOSPITAL PROVIDED SERVICES TO 17,747 INPATIENTS, WHICH RESULTED IN PROVIDING 95,156 DAYS OF CARE. THE ORGANIZATION ALSO PROVIDED CARE TO 648,183 OUTPATIENTS. THIS INCLUDED 52,471 PATIENT VISITS TO THE EMERGENCY ROOM, WHICH IS OPERATED 24 HOURS AND IS OPEN TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IT ALSO INCLUDED 28,045 OUTPATIENT SURGICAL PROCEDURES AND 23,309 HOME HEALTH VISITS. 28393482 348510 CABELL HUNTINGTON HOSPITAL IS VERY INVOLVED WITH THE COMMUNITY IT SERVES. DURING THE FISCAL YEAR 2017, IT HELD NUMEROUS EVENTS, INCLUDING HEALTH SCREENINGS, EDUCATION OUTREACH, HEALTH FAIRS, AND COMMUNITY TRAINING. APPROXIMATELY 9,400 PEOPLE ATTENDED THESE EVENTS. THE COSTS ASSOCIATED WITH THESE ACTIVITIES IS $336,400. THE ORGANIZATION ALSO GIVES BACK TO THE COMMUNITY BY PARTICIPATING IN VARIOUS PROGRAMS THAT PROMOTE HEALTHY AND SAFE LIFESTYLES FOR THE PEOPLE THAT LIVE HERE. THIS YEAR, THE HOSPITAL PARTNERED WITH THE CITY OF HUNTINGTON IN THEIR FAIRFIELD INNOVATION CORRIDOR PROJECT TO MAKE THE AREA A HEALTHIER, SAFER, AND STABLE NEIGHBORHOOD. WITHIN THIS NEIGHBORHOOD IS THE A.D. LEWIS COMMUNITY CENTER THAT SUPPORTS ENRICHMENT PROGRAMMING AND MENTORSHIP FOR CHILDREN AND YOUNG ADULTS FROM THE FAIRFIELD NEIGHBORHOOD. THE ORGANIZATION GAVE $1,000,000 TO THIS PROJECT. THIS NEIGHBORHOOD IS ALSO KNOWN FOR HAVING A HIGH OVERDOSE POPULATION AND THE HOSPITAL IS AVID ABOUT HELPING THIS DROP. THE HOSPITAL GAVE $194,947 FOR THE SUPPORT OF HUNTINGTON'S KITCHEN PROGRAM THAT PROMOTES HEALTHY EATING LIFESTYLES. IT PROMOTES KIDS HEALTHY EXERCISE PROGRAMS BY PROVIDING A KIDS PLAYGROUND AT THE HUNTINGTON MALL WITH ANNUAL COSTS OF $30,199 AND PARTNERS WITH OTHER ORGANIZATIONS TO SUPPORT THE KIDS IN MOTION PROGRAM AT THE LOCAL YMCA. THE COSTS THIS FISCAL YEAR FOR THAT ARE $60,000. THIS PROGRAM HAS A GOAL OF GETTING KIDS AGES 5-17 MOVING AND HAVING FUN IN ORDER TO REDUCE CHILDHOOD OBESITY. THE KIDS LEARN ABOUT PHYSICAL FITNESS AS WELL AS NUTRITION. WE PROVIDE SERVICE TO EBENEZER OUTREACH WHICH IS A CLINIC FOR CITIZENS WITH LOW INCOME ($45,837). THE HOSPITAL CONTRIBUTED APPROXIMATELY $60,993 TO THE GOLDEN GIRLS GROUP HOME WHICH IS A HOME FOR ABUSED YOUNG FEMALES. THIS HOME HELPS THESE GIRLS TO BE ABLE TO LIVE IN A SAFE ENVIRONMENT, GET AN EDUCATION AND GET BACK INTO THE FLOW OF SOCIALIZATION. ADDITIONALLY, THE ORGANIZATION PROVIDES ACUTE INPATIENT AND OUTPATIENT CARE INCLUDING SERVICES THAT ARE REIMBURSED FOR AND NOTED AS CHARITY CARE. ANY PERSON IS PROVIDED SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL'S CHARITY CARE SERVICES WAS $14,891,334 (WHICH IS NETTED AGAINST REVENUES) AND BAD DEBT EXPENSE WAS $26,666,099. THE HOSPITAL CONSIDERS ALL OF THIS A COMMUNITY SERVICE. 15951604 15951604 CABELL HUNTINGTON HOSPITAL IS A TEACHING HOSPITAL THAT IS ASSOCIATED WITH MARSHALL UNIVERSITY SCHOOLS OF MEDICINE AND NURSING. WITH THAT, THE HOSPITAL IS LEADING THE WAY IN COMMUNITY HEALTH CARE AND WITH THAT COMES THE RESPONSIBILITY OF TRAINING OTHERS TO CONTINUE THE TRADITION OF EXCELLENCE. THE HOSPITAL RESIDENTS AND INTERNS GET THE OPPORTUNITY TO TRAIN WITH SOME OF THE MOST HIGHLY QUALIFIED MEDICAL SPECIALISTS IN THE AREA, SHARING INSIGHT INTO THE LATEST CONCEPTS IN MEDICAL EDUCATION AND PATIENT CARE. DURING THE FISCAL YEAR 2017, 190 INTERNS, FELLOWS, AND RESIDENTS ROTATED THROUGH THE HOSPITAL. . 513025708 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 true false true true false false false false false false false false true false false false false false false true true false false false true 166 0 true 3229 true true true false false false false false false false false false X 17 17 false false false false false true false true true false false true true true true true true true true true true WV X X DAVID M WARD SENIOR VPCFO 3045262000 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 KEVIN YINGLING MD CHAIRMAN/DIRECTOR 2.0 0.0 X X 0 0 0 BETH HAMMMERS VICE-CHAIRMAN/DIRECTOR 2.0 0.0 X X 0 0 0 VICKIE SMITH SECRETARY/DIRECTOR 2.0 0.0 X X 0 0 0 RANDIE LAWSON TREASURER/DIRECTOR 2.0 0.0 X X 0 0 0 DAVID HARRIS DIRECTOR 2.0 0.0 X 0 0 0 GARY WHITE DIRECTOR 2.0 0.0 X 0 0 0 TIM MILLNE DIRECTOR 2.0 0.0 X 0 0 0 STEVEN L BURTON DIRECTOR 2.0 0.0 X 0 0 0 LARRY DIAL MD DIRECTOR 2.0 0.0 X 0 0 0 DAN O'HANLAN DIRECTOR 2.0 0.0 X 0 0 0 JOE WERTHAMMER MD DIRECTOR 2.0 0.0 X 0 0 0 EDUARDO PINO MD DIRECTOR 2.0 0.0 X 0 0 0 JOHN LANDERS DIRECTOR 2.0 0.0 X 0 0 0 SARAH DENMAN DIRECTOR 2.0 0.0 X 0 0 0 ANTHONY STRADWICK DIRECTOR 2.0 0.0 X 0 0 0 JOHN LILLER DIRECTOR 2.0 0.0 X 0 0 0 ADAM FRANKS MD DIRECTOR 2.0 0.0 X 0 0 0 LYONEL MORRISON DIRECTOR 2.0 0.0 X 0 0 0 KEVIN FOWLER PRESIDENT & CEO 45.0 0.0 X 563595 0 23311 DAVID M WARD SR VP, CFO, & CAO 45.0 0.0 X 452463 0 18074 HOYT BURDICK SR VP & CMO 45.0 0.0 X 416181 0 23311 GLEN WASHINGTON VP & CEO PVH 45.0 0.0 X 306632 0 23311 PAUL SMITH VP & GENERAL COUNSEL 45.0 0.0 X 284407 0 23311 BRADLEY BURCK VP CHH FOUNDATION 45.0 0.0 X 226275 0 23311 DENNIS LEE VP & CIO 45.0 0.0 X 235341 0 23311 LISA CHAMBERLAIN STUMP VP STRATEGIC MARKETING & PLAN 45.0 0.0 X 218368 0 23311 TIM MARTIN VP ANCILLARY & SUPPORT 45.0 0.0 X 264245 0 25323 JOY PELFREY VP & CNO 45.0 0.0 X 260033 0 23311 HAROLD E PRESTON VP PHYSICIANS SERVICES & MANAG 45.0 0.0 X 264491 0 23311 AHMET OZTURK MD ANESTHESIOLOGIST 45.0 0.0 X 551505 0 23311 MICKEY NEAL MD ANESTHESIOLOGIST 45.0 0.0 X 377220 0 17598 DAVID COOK MD OPHTHALMOLOGIST 45.0 0.0 X 357918 0 23311 TIMOTHY DAMRON MD CARDIOLOGIST 45.0 0.0 X 524934 0 23311 JOSEPH DELAPA II MD ANESTHESIOLOGIST 45.0 0.0 X 449811 0 23311 BRENT MARSTELLER FORMER CEO/PRESIDENT 45.0 0.0 X 128400 0 0 DAVID GRALEY FORMER VP CHH FOUNDATION 45.0 0.0 X 177500 0 24644 BARRY TOURIGNY FORMER VP HUMAN RESOURCES 45.0 0.0 X 152991 0 0 6212310 0 388682 222 true true false UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 MEDICAL SERVICES 33051090 BAILES CRAIG AND YON 401 TENTH STREET SUITE 500 HUNTINGTON WV 25701 LEGAL FEES 1728350 CORNERSTONE RESEARCH 1919 PENNSYLVANIA AVE NW SUITE 6 WASHINGTON DC 200063420 CONSULTING 4363970 JONES DAY 51 LOUISANA AVENUE NW WASHINGTON DC 20001 LEGAL FEES 10225190 NORTHSTAR ANESTHESIA OF WEST VIRGIN 6225 N STATE HIGHWAY 161 SUITE 20 IRVING TX 75038 MEDICAL SERVICES 2706213 30 1294664 1294664 NET PATIENT SERVICE REVENUE 621990 592101599 592101599 LABORATORY REVENUE 621500 15264378 15031530 232848 AEROMED INCOME 623000 -1653054 -1653054 605712923 2231339 24682 2206657 0 0 249588 91031 158557 0 158557 158557 114790512 768444 113352901 1437611 768444 2206055 2206055 0 0 0 0 0 0 0 0 0 CAFETERIA 624200 2120677 2120677 OUTSIDE SERVICES 621990 1824984 1824984 OTHER REVENUE 621990 1048851 45292 1003559 4994512 616598050 607508908 1261089 6533389 16300114 16300114 0 0 0 3935143 714213 3220930 0 163710220 140790789 22919431 6172275 5308156 864119 46853645 40294135 6559510 11922655 10253483 1669172 0 1855572 1855572 88581 88581 0 0 587296 587296 67394463 61223733 6170730 4468351 4468351 7820525 6256420 1564105 2422116 2179904 242212 0 33950494 25462870 8487624 654170 503554 150616 0 0 5064062 3798046 1266016 0 19645847 17681262 1964585 4971414 4474273 497141 BAD DEBT 26666099 26666099 MEDICAL SUPPLIES 84416361 84416361 PROVIDER TAX 13659900 13659900 MEDICAL EDUCATION 12278619 12278619 36295426 36295426 571133348 513025708 58107640 0 3504 3500 95883510 66098861 0 0 74066110 70424748 0 0 0 0 2406193 1437266 6851482 8038302 3607807 3322035 514648530 286400108 211196264 228248422 151339345 201082206 10603819 10023453 0 0 3669980 3710516 16476188 27310192 576104202 619699501 69286056 67542923 0 0 0 0 82340000 79090000 0 0 0 0 23696906 21207651 0 0 189615675 164812977 364938637 332653551 X 211165565 287045950 0 0 0 0 211165565 287045950 576104202 619699501 X 45464702 7718376 22697307 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 50792 50792 false PART II-B, LINE 1 THE ORGANIZTION IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA) AND THE CHILDREN'S HOSPITAL ASSOCIATION (CHA), WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA AND CHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES, WHICH AMOUNTED TO $50,792. THE ASSOCIATIONS PROVIDE BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED AT THEIR RESPECTIVE WEBSITES, WWW.WVHA.ORG AND WWW.CHILDRENSHOSPITALS.ORG. 6415591 6415591 265046621 84252832 180793789 228708896 199829017 28879879 14477422 2318259 12159163 228248422 0 ESTIMATED THIRD PARTY SETTLEMENT 2826899 DERIVATIVE FINANCIAL INSTRUMENT 11916091 ACCRUED POST RETIREMENT BENEFITS 134335198 ACCRUED PROFESSIONAL LIABILITIES 14530678 DEFERRED GAIN 1204111 164812977 X 618421361 7718376 -5913291 1805085 616616276 -18226 -18226 616598050 542540976 18226 18226 542522750 28610598 28610598 571133348 PART X, LINE 2 THE CORPORATION 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. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017 AND 2016. THE CORPORATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS AS INTEREST EXPENSE AND PENALTIES AS OPERATING EXPENSES. PART XI, LINE 2D INCREASE IN PENSION LIABILITY INCLUDED ON AFS IS $16,992,119. INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS IS $-587,296. BAD DEBTS NETTED WITH REVENUE ON AFS IS $-26,666,099. CHANGE IN EFFECTIVE INTEREST RATE SWAP NETTED WITH REVENUE ON AFS IS $5,705,190. MANAGEMENT FEE REVENUE NETTED WITH EXPENSES IS $-1,003,559. ACQUISITION COSTS NETTED WITH EXPENSES IS $-328,964. K-1 AMOUNT FROM UBI PREMIER IS $-24,682. PART XI, LINE 4B RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 IS $-91,031. RENTAL REIMBURSEMENT RECLASS $72,805. PART XII, LINE 2D RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 IS $91,031. RENTAL REIMBURSEMENT RECLASS $-72,805. PART XII, LINE 4B INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS IS $587,296. BAD DEBTS NETTED WITH REVENUE ON AFS IS $26,666,099. ACQUISITION COSTS RECLASSED TO REVENUE ON FORM 990 IS $328,964. MANAGEMENT FEE REVENUE NETTED WITH EXPENSES IS $1,003,559. AMOUNT FROM PREMIER IS $24,682. OTHER ADJUSTMENT $-2. true true true X false true true false false 1112177 1112177 0.00200 172681887 118026719 54655168 0.10040 173794064 118026719 55767345 0.10240 336401 336401 0.00060 21330212 3310945 18019267 0.03310 7083198 6869102 214096 0.00040 717911 83294 634617 0.00120 152298 152298 0.00030 29620020 10263341 19356679 0.03560 203414084 128290060 75124024 0.13800 25000 25000 1083684 1083684 0.00200 305146 305146 0.00060 1413830 1413830 0.00260 false 8295823 1244374 128748366 182128680 -53380314 X true true OCCUMED LLC OCCUPATIONAL HLTH/URGENT CARE 0.6846 0.3154 HUNTINGTON SURGERY P REAL ESTATE/LEASE TO SURG CTR 0.47 0.53 1 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 X X X X CABELL HUNTINGTON HOSPITAL INC 1 false false true X X X X X X X X 15 true false false true X www.chhi.org X true 15 true www.chhi.org false true X 150. 0. X X X X X true true X X X true X www.chhi.org X www.chhi.org X www.chhi.org X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 IN THE SEPTEMBER 2016 COMMUNITY NEEDS ASSESSMENT, CABELL HUNTINGTON HOSPITAL (CHH) SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. CHH CARES FOR PATIENTS THROUGHOUT WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. THE HOSPITAL CONSULTED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS: ADDICTION AND RECOVERY CARE BECKLEY-RALEIGH COUNTY (WV) HEALTH DEPARTMENT CABELL COUNTY (WV) SCHOOL SYSTEMS CABELL COUNTY (WV) HEALTH DEPARTMENT CABELL HUNTINGTON HOSPITAL CONTACT RAPE CRISIS CENTER ENERGY SERVICES-AMERICA CORP. FOUNDATION FOR THE TRI-STATE COMMUNITY GALLIA COUNTY (OH) HEALTH DEPARTMENT HUNTINGTON BEHAVIORAL HEALTH SERVICES HUNTINGTON HOUSING AUTHORITY HUNTINGTON STEEL & SUPPLY HUNTINGTON SYMPHONY ORCHESTRA IRONTON-LAWRENCE COUNTY (OH) COMMUNITY ACTION KENTUCKY GENERAL ASSEMBLY HUNTINGTON (WV) YMCA LAWRENCE COUNTY (OH) HEALTH DEPARTMENT MARSHALL UNIVERSITY MEDICAL SCHOOL MINGO COUNTY (WV) HEALTH DEPARTMENT PRESTERA CENTER THE HERALD DISPATCH ST. MARY'S WOMEN AND FAMILY MEDICAL CENTER UNITED WAY OF THE RIVER CITIES VALLEY HEALTH SYSTEMS THESE ORGANIZATIONS WERE REPRESENTED BY PROFESSORS, PHYSICIANS, MID-LEVEL HEALTH CARE PROVIDERS, NURSES, CEO'S, CFO'S, DIRECTORS OF FACILITIES, AND OTHER CITIZENS OF THE SERVICE AREA. PART V, SECTION B, LINE 11 IN JUNE 2017, THE HOSPITAL HELD THE FIRST HEALTHCARE SUMMIT IN THE STATE AND ALSO THE FIRST REGIONAL HEALTHCARE SUMMIT. THE FOCUS OF THE SUMMIT WAS THE THREE PRIORITIES ABOVE AND ADDING DATA AND TECHNOLOGY. THE SUMMIT WAS ATTENDED BY OVER 150 PEOPLE FROM OVER 40 ORGANIZATIONS FROM WEST VIRGINIA, OHIO, AND KENTUCKY. THE KEYNOTE SPEAKERS ADDRESSED TREATING THE "WHOLE PERSON", WHICH THEY DEFINED AS A PATIENT'S CLINICAL, SOCIAL, PSYCHOLOGICAL, AND SPIRITUAL WELL-BEING, THROUGH A NETWORK OF CONGREGATIONS AND SOCIAL GROUPS. BY DOING THIS, YOU CAN ACCOMPLISH A REDUCTION IN UNNECESSARY EMERGENCY ROOM VISITS AND READMISSIONS. IN AUGUST 2017, A MINI SUMMIT WAS HELD WITH APPROXIMATELY 140 INDIVIDUALS FROM 40 ORGANIZATIONS IN ATTENDANCE. THIS WAS DESIGNED SPECIFICALLY TO ADDRESS ADDICTION TREATMENT AND WITHDRAWAL IN THE HEALTHCARE SETTING AND HOW HOSPITALS WILL NEED TO TAKE A ROLE IN ADDRESSING THIS IN THE COMMUNITIES THEY SERVE. THESE SUMMITS WILL CONTINUE INTO THE NEXT YEAR. PROGRAMS ADDED DURING THE YEAR TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT INCLUDED EXERCISE PROGRAMS OFFERED FOR THE SENIOR CITIZENS AT VARIOUS LOCATIONS IN THE COMMUNITY, ALZHEIMER'S AND PARKINSON SUPPORT GROUP MONTHLY MEETINGS, STROKE EDUCATION PROGRAMS, SOCIAL PROGRAMS FOR SENIORS, AND HEALTHY EATING PROGRAMS FOR ALL AGES. SUBSTANCE ABUSE IS A MAJOR HEALTH CARE ISSUE IN OUR COMMUNITIES. IT HAS HIT OUR AREA ESPECIALLY HARD WITH NEW BORN BABIES OF DRUG ADDICTED MOTHERS. THE HOOPS FAMILY CHILDREN'S HOSPITAL WITHIN CABELL HUNTINGTON HOSPITAL IS COMMITTED TO PROVIDING THESE INFANTS WITH THE MOST CURRENT AND EFFECTIVE CARE POSSIBLE. MOST OF THESE BABIES ARE DIAGNOSED WITH NEONATAL ABSTINENCE SYNDROME (NAS). THE HOSPITAL HAS ESTABLISHED THE NEONATAL THERAPEUTIC UNIT (NTU) TO PROVIDE THE LEVEL OF CARE THESE BABIES NEED. ON AN AVERAGE, THERE ARE 18-20 BABIES IN THIS UNIT DAILY. IN SEPTEMBER 2017 THE HOSPITAL OPENED THE HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER. THIS CENTER PROVIDES CHILDREN AND FAMILIES WITH COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED AS A RESULT OF ABUSE. IT IS THE ONLY HOSPITAL-BASED CHILD ADVOCACY CENTER IN THE REGION. CHILD PROTECTIVE SERVICES, POLICE INVESTIGATORS, MENTAL HEALTH PROFESSIONALS, VICTIM ADVOCATES, PROSECUTORS, AND MEDICAL PROVIDERS WORK TOGETHER TO DEVELOP A PLAN OF PERSONALIZED CARE FOR CHILDREN WHO ARE VICTIMS OF ABUSE. THESE SERVICES MAY INCLUDE THERAPY, COURTROOM PREPARATION, VICTIM ADVOCACY, FORENSIC INTERVIEWS, AND MEDICAL EXAMS. THIS COMPREHENSIVE APPROACH, WITH FOLLOW-UP SERVICES COORDINATED BY A CHILD ADVOCACY COORDINATOR, ENSURES THAT CHILDREN RECEIVE THE APPROPRIATE SERVICES IN A CHILD-FRIENDLY ENVIRONMENT, WHERE THE CHILD'S NEEDS COME FIRST. PART V, SECTION B, LINE 13(H) A PATIENT WHO DOES NOT QUALIFY FOR INCOME BASED FINANCIAL ASSISTANCE UNDER THE POLICY, BUT IS UNABLE TO PAY FOR THE COST OF MEDICALLY NECESSARY CARE MAY SEEK ASSISTANCE FOR 1) EXCEPTIONAL CIRCUMSTANCES IN WHICH THE PATIENT CERTIFIES THEY ARE UNDERGOING AN EXTREME PERSONAL OR FINANCIAL HARDSHIP, 2) SPECIAL MEDICAL CIRCUMSTANCES IN WHICH THE PATIENTS WHO ARE SEEKING TREATMENT THAT CAN ONLY BE PROVIDED BY THIS HOSPITAL'S MEDICAL STAFF OR WHO WOULD BENEFIT FROM CONTINUED MEDICAL SERVICES FROM THE HOSPITAL FOR CONTINUITY OF CARE, 3) MEDICAID SCREENING WHERE PATIENTS ARE SEEKING CARE MAY BE CONTACTED BY A REPRESENTATIVE TO DETERMINE WHETHER THEY QUALIFY FOR MEDICAID, AND 4) MEDICAID ADJUSTMENTS WHEN A PATIENT QUALIFIES FOR MEDICAID BUT FUNDING IS NOT AVAILABLE TO PAY FOR EMERGENCY SERVICES AND OTHER MEDICALLY NECESSARY CARE. 16 CABELL HUNTINGTON SURGERY CENTER 1201 HAL GREER BLVD HUNTINGTON WV 25701 OUTPATIENT SURGERY CENTER CABELL HUNTINGTON PAIN MANAGEMENT CENTER 1634 13TH AVENUE HUNTINGTON WV 25701 PAIN MANAGEMENT CLINIC CABELL BREAST HEALTH CENTER 1400 HAL GREER BLVD HUNTINGTON WV 25701 DIAGNOSTIC CENTER SPORTS MEDICINE REHAB SERVICES 2211 THIRD AVENUE HUNTINGTON WV 25701 SPORTS MEDICINE CLINIC CHH WOMENS HEALTH MERRITTS CREEK 104 MEADOW POINTE BARBOURSVILLE WV 25504 OB-GYN CLINIC COOK EYE CENTER 1300 THIRD AVENUE HUNTINGTON WV 25701 OUTPATIENT CATARACT CLINIC WOMEN'S HEALTH 1660 TWELFTH AVENUE HUNTINGTON WV 25701 OB GYN OUTPATIENT CLINIC CHH FAMILY PRACTICE BARBOURSVILLE 4 CHATEAU LANE BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC CENTER FOR SURGICAL WEIGHT CONTROL 1115 20TH STREET HUNTINGTON WV 25701 BARIATRIC CENTER COUNSELING CENTER 517 NINTH STREET HUNTINGTON WV 25701 COUNSELING SERVICES FAMILY MEDICAL CENTER KENOVA 750 OAK STREET KENOVA WV 25430 FAMILY OUTPATIENT CLINIC FAMILY MEDICAL CENTER PROCTORVILLE 7718 COUNTY ROAD 107 SUITE 100 PROCTORVILLE OH 45669 FAMILY OUTPATIENT CLINIC FAMILY MEDICAL CENTER MERRITTS CREEK 100 MEADOW POINTE BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC WOMEN'S & FAMILY MEDICAL CENTER 1115 20TH STREET HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC CABELL PEDIATRICS 1115 20TH STREET HUNTINGTON WV 25701 PEDIATRIC CLINIC CHH EXPRESS CARE HURRICANE 3109 TEAYS VALLEY ROAD HURRICANE WV 25526 FAMILY OUTPATIENT CLINIC PART I, LINE 7 A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2. THE TOTAL OPERATING EXPENSES WERE ADJUSTED FOR NON-PATIENT ACTIVITIES, MEDICAID TAXES, AND COMMUNITY BENEFIT AND BUILDING EXPENSES BEFORE CALCULATING THE RATIO. PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $26,666,009. PART II THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2017, THE HOSPITAL COMMUNITY BUILDING ACTIVITIES REACHED OUT TO NUMEROUS ORGANIZATIONS THAT SERVE INDIVIDUALS WITHIN THE DIRECT COMMUNITIES SERVED. FUTURE ACTIVITIES ARE DETERMINED BASED UPON THE COMMUNITY NEEDS ASSESSMENT, REQUESTS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS, AND OTHER FACTORS. THE HOSPITAL ALSO WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE. THE HOSPITAL SEEKS TO PROVIDE OR FUND ACTIVITIES WITH THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, RELIEVING GOVERNMENT BURDEN, MAKING HEALTHCARE AVAILABLE TO THE PUBLIC AND SERVICING LOW-INCOME CONSUMERS, ADDRESSING FEDERAL, STATE, OR LOCAL PUBLIC HEALTH PRIORITIES, AND LEVERAGING OR ENHANCING PUBLIC HEALTH DEPARTMENT ACTIVITIES. SOME OF THE SPECIFIC COMMUNITY BUILDING ACTIVITIES FUNDED BY THE ORGANIZATION INCLUDE: 1) HUNTINGTON AREA DEVELOPMENT COUNCIL WHICH PROMOTES NEW BUSINESS IN THE COMMUNITY. THE ORGANIZATION BELIEVES THE NEW BUSINESSES WILL EMPLOY THE PEOPLE IN THE COMMUNITY AND WILL PROVIDE BETTER HEALTHCARE BENEFITS, 2) YMCA KIDS IN MOTION PROGRAM, A PROGRAM AT THE LOCAL YMCA THAT PROMOTES BETTER LIFESTYLE HABITS FOR CHILDREN, 3) A.D. LEWIS COMMUNITY CENTER DONATION FOR ENRICHMENT PROGRAMMING AND MENTORSHIP FOR CHILDREN AND YOUNG ADULTS IN A NEIGHBORHOOD THAT HAS SEEN TROUBLING MISHAPS OVER THE PAST YEARS, 4) GOLDEN GIRLS GROUP HOME SUPPORT. THIS IS A HOME FOR GIRLS AGES 12 THROUGH 21 THAT ARE NEGLECTED AND NOT ABLE TO MAKE A SUCCESSFUL ADJUSTMENT TO THEIR NATURAL HOME OR FOSTER CARE, 5) HUNTINGTON MUSEUM OF ART KIDS ART PROGRAM, WHICH IS A PROGRAM TO ENCOURAGE CHILDREN TO BE INVOLVED WITH ARTS AT AN EARLY AGE, 6) GREATER HUNTINGTON PARKS AND RECREATION DONATIONS TO BUILD PLAYGROUNDS FOR CHILDREN TO PROMOTE EXERCISE AND HEALTHY LIFESTYLES, 7) EBENEZER MEDICAL OUTREACH PROGRAM TO ASSIST THOSE WHO CANNOT AFFORD NEEDED MEDICATIONS AND TO HELP CONTINUE HOUSING A FREE CLINIC TO SERVE THE COMMUNITY, 8) HUNTINGTON'S KITCHEN CONTINUED OPERATIONS TO PROMOTE HEALTHY EATING HABITS FOR KIDS AND ADULTS IN THE COMMUNITY, 9) AND NUMEROUS OTHER SUPPORT FOR THE SAME TYPES OF MISSIONS. PART III, LINE 4 FINANCIAL STATEMENT FOOTNOTE: THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. CONSIDERING HISTORICAL 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 CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ORGANIZATION HAS DEMONSTRATED SUCCESSFUL RESULTS IN COLLECTING RECEIVABLES FOR PATIENTS WHO HAVE AGREED TO A PAYMENT PLAN. THESE AMOUNTS WILL REMAIN IN PATIENT ACCOUNTS RECEIVABLE AT THEIR ESTIMATED NET REALIZABLE AMOUNTS AND WILL BE EVALUATED AS PART OF MANAGEMENT'S ASSESSMENT OF THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE METHODOLOGY USED TO DETERMINE THE COST FOR LINE TWO IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 2, FINANCIAL ASSISTANCE AT COST IN THE INTERNAL REVENUE INSTRUCTIONS FOR FORM 990 SCHEDULE H. THIS METHOD CALCULATES A COST RATIO BY USING TOTAL OPERATING EXPENSES LESS BAD DEBT AND OTHER EXPENSE ADJUSTMENTS DIVIDED BY GROSS PATIENT REVENUES. THE RATIO IS THEN APPLIED TO BAD DEBT EXPENSE TO GET THE ESTIMATED COST. LINE THREE IS A PERCENTAGE DERIVED BY LOOKING AT THE HISTORICAL PERCENTAGES OF UNINSURED AND SELF INSURED PATIENTS IN THE COMMUNITY SERVED. THERE ARE A NUMBER OF PATIENTS THAT DO NOT APPLY FOR FINANCIAL ASSISTANCE AND ARE DEFINITELY UNABLE TO PAY FOR THEIR OUT-OF-POCKET MEDICAL EXPENSES. IF THESE PATIENTS WENT THROUGH THE FINANCIAL ASSISTANCE PROCESS, THEY WOULD MOST LIKELY QUALIFY. THESE PATIENTS STILL NEED TO BE TREATED AND THIS IS WHY THE ORGANIZATION BELIEVES THIS SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 8 BECAUSE THE HOSPITAL IS A COMMUNITY BASED TEACHING HOSPITAL AND SERVES THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY, THIS AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE EXPENSES ALLOCATED TO THE MEDICARE REVENUE ARE DERIVED FROM THE MEDICARE COST REPORT AND ARE ALLOCATED TO CARRIER BY GROSS CHARGE RATIO AFTER THEY ARE ADJUSTED FOR COSTS ARE INCLUDED IN LINES 7F AND 7G. PART III, LINE 9B THE HOSPITAL HAS INCLUDED IN ITS FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCEDURES THAT WILL BE FOLLOWED FOR PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL SEEKS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. IF THE PATIENT HAS NOT BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO DISCHARGE OR SERVICE, THE HOSPITAL WILL BILL FOR CARE. PATIENTS WILL RECEIVE A SERIES OF BILLING STATEMENTS OVER A 120 DAY PERIOD BEGINNING AFTER THE PATIENT HAS BEEN DISCHARGED DELIVERED TO THE ADDRESS ON RECORD FOR THE PATIENT. THE PATIENT HAS UP TO THIS 120 DAY WINDOW TO HAVE AN APPLICATION PROCESSED OR PENDING. THEY WILL NOT BE SENT TO ANY COLLECTION AGENCIES/LAW FIRMS UNTIL THE APPLICATION IS PROCESSED AND THEN ONLY IF IT IS NOT APPROVED. PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING ITS OWN NEEDS ASSESSMENT AND CONSULTING WITH HEALTHCARE PROVIDERS SUCH AS MARSHALL UNIVERSITY JOAN C EDWARDS SCHOOL OF MEDICINE AND VARIOUS COMMUNITY AGENCIES. A 2015 COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED. THE ASSESSMENT REPRESENTS THE COMMUNITY THE HOSPITAL SERVES WHICH INCLUDES CABELL, LINCOLN, AND WAYNE COUNTIES IN WV, AND LAWRENCE COUNTY IN OHIO. THE REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF DATA REGARDING THE HEALTH ISSUES AND NEEDS OF THESE COUNTIES. THE RESULTS OF THE ASSESSMENT ENABLE THE COUNTY PUBLIC HEALTH DEPARTMENTS, HEALTH SYSTEMS, AND OTHER PROVIDERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND COMMIT RESOURCES TO IMPROVE THE OVERALL HEALTH OF THESE COMMUNITIES. THE CURRENT NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL WEBSITE, HTTPS://CABELLHUNTINGTON.ORG. PART VI, LINE 3 THE HOSPITAL HAS INFORMATION ABOUT ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS WEBSITE. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE AS WELL AS RESPONDING TO INQUIRIES FROM OUTPATIENTS REGARDING PROVIDING ASSISTANCE WITH THE APPLICATION PROCESS. PATIENTS CAN COMMUNICATE WITH FINANCIAL COUNSELORS IN PERSON OR BY TELEPHONE, MAIL, OR FAX IN ORDER TO LEARN MORE ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND OBTAIN INFORMATION REGARDING THEIR ELIGIBILITY FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE HOSPITAL ALSO CONTRACTS WITH MEDICAID ELIGIBILITY SPECIALISTS TO ASSIST THOSE PATIENTS WHO QUALIFY FOR MEDICAID. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND PROCESS IS POSTED ON THE HOSPITAL'S WEBSITE, HTTPS://CABELLHUNTINGTON.ORG. PART VI, LINE 4 THE HOSPITAL IS LOCATED IN HUNTINGTON, CABELL COUNTY, WV. CABELL COUNTY IS LOCATED IN THE WESTERN PORTION OF WV AND IS BORDERED ON THE NORTHWEST BY OHIO AND ON THE SOUTHWEST BY KY (REGION REFERRED TO AS THE TRI-STATE AREA). HUNTINGTON IS ONE OF THE THREE METROPOLITAN CENTERS IN THE TRI-STATE AREA. DUE TO SPECIALIZED SERVICES SUCH AS ITS BURN UNIT, PEDIATRIC INTENSIVE CARE AND NEONATAL INTENSIVE CARE UNITS, THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF FIVE COUNTIES IN WEST VIRGINIA, TWO COUNTIES IN OHIO, AND ONE COUNTY IN KENTUCKY, ALL OF WHICH CONTAIN MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. EIGHTY PERCENT (80%) OF THE TOTAL ADMISSIONS ORIGINATE FROM THE PRIMARY SERVICE AREA, 15% OF THE REMAINING COMES FROM THE SECONDARY SERVICE AREA, AND THE OTHER 5% OUTSIDE THE SERVICE AREA. ACCORDING TO OUR RECENT CHNA, THE MEDIAN AGE IN SERVICE AREA IS 49.3 WITH 18.1% OF THE POPULATION IN THE PRIMARY SERVICE AREA IS 65 YEARS AND OLDER. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IS APPROXIMATELY $41,833, WHILE APPROXIMATELY 15.6% OF THE POPULATION IS CLASSIFIED AS BEING AT THE POVERTY LEVEL BY THE US CENSUS BUREAU. THE UNEMPLOYMENT RATE IS APPROXIMATELY 4.4%. THE HOSPITAL IS AFFILIATED WITH THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH TRAIN PRIMARY CARE AND SPECIALTY PHYSICIANS FOR WV AND THE REGION. THE HOSPITAL'S AFFILIATION ALSO ENABLES IT TO PROVIDE SPECIALIZED HEALTHCARE SERVICES SUCH AS HIGH RISK OBSTETRICS, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, AND COMPREHENSIVE ONCOLOGY CARE. THE HOSPITAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR A NUMBER OF HEALTH PROFESSION EDUCATION PROGRAMS, INCLUDING NURSING, PHARMACY, PHYSICAL & OCCUPATIONAL THERAPY, AND RADIOLOGICAL TECHNOLOGY. PART VI, LINE 5 THE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS THAT INCLUDES REPRESENTATIVES OF SMALL BUSINESSES, ORGANIZED LABOR, THE ELDERLY, AND LOWER-INCOME CONSUMERS. A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. THEREOF THE HOSPITAL PROVIDES SPECIALIZED SERVICES NOT OTHERWISE AVAILABLE TO MEMBERS OF THE COMMUNITY, SUCH AS ITS NEONATAL AND PEDIATRIC SERVICES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY AS NOTED ABOVE. THE HOSPITAL PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS AND PROVIDES SUPPORT FOR MEDICAL RESEARCH CARRIED OUT BY MEDICAL SCHOOL FACULTY AND PHYSICIANS IN TRAINING. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL DEPARTMENTS. ANY SURPLUS OF FUNDS IS REINVESTED INTO REPLACEMENT OF EQUIPMENT OR NEW EQUIPMENT TO PROVIDE UPDATED SERVICES TO THE HOSPITAL'S PATIENTS OR TO PROVIDING NEW AND EXPANDED HEALTHCARE PROGRAMS. PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES FACTOR IN DETERMINING CRITERIA FOR FINANCIAL ASSISTANCE, THE PATIENT NEEDS TO BE UNINSURED, A UNITED STATES CITIZEN, AND DOES NOT HAVE ASSETS IN EXCESS OF $50,000. THE $50,000 ASSET LIMITATION EXCLUDES THE PATIENT'S PRIMARY RESIDENCE AND PRIMARY CARE. ADDITIONALLY, PATIENTS WHO EXPERIENCE FINANCIAL OR PERSONAL HARDSHIPS OR PERSONAL HARDSHIPS OR SPECIAL MEDICAL CIRCUMSTANCES MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE. true EBENEZER MEDICAL OUTREACH CENTER 1448 TENTH AVENUE HUNTINGTON WV 25701 550745033 501(C)(3) 45837 FMV MEDICAL/PHARMACY HUNTINGTON YMCA 934 TENTH AVENUE HUNTINGTON WV 25701 550397261 501(C)(3) 60000 FMV KID'S IN MOTION PROGRAM MARSHALL UNIVERSITY ONE JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556000789 501(C)(3) 15951604 FMV MEDICAL SCHOOL FOUNDATION FOR THE TRI-STATE PO BOX 2096 ASHLAND KY 41105 610729266 501(C)(3) 10400 FMV RECOVERY PROGRAM CITY OF HUNTINGTON FOUNDATION PO BOX 1659 HUNTINGTON WV 25717 471073143 501(C)(3) 10000 FMV POLICE PROGRAM WAYNE COUNTY BOE DOLLY PARTON LIBRARY 212 N COURT STREET WAYNE WV 25570 556000409 501(C)(3) 25000 FMV SUPPORT FOR EDUCATION KEITH ALBEE PERFORMING ARTS CENTER INC PO BOX 5425 HUNTINGTON WV 25703 205132843 501(C)(3) 60000 FMV SUPPORT FOR THE ARTS GOLDEN GIRLS INC 999 B STREET CEREDP WV 25507 311087689 501(C)(3) 60993 FMV SUPPORT FOR YOUNG GIRL'S HOME HUNTINGTON MUSEUM OF ART KIDS ART PROGRAM 2033 MCCOY ROAD HUNTINGTON WV 25701 530372921 501(C)(3) 46280 FMV PROGRAM TO HELP CHILDREN DEVELOP ARTISTICALLY UNITED WAY SIX FOR SUCCESS 820 MADISON AVENUE HUNTINGTON WV 25704 550384704 501(C)(3) 20000 FMV AREA DEVELOPMENT SCHEDULE I, PART I, LINE 2 THE ORGANIZATION HAS THE FOLLOWING PLAN ESTABLISHED TO MONITOR THE USE OF THE GRANT FUNDS. THE GRANTS AND FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL ARE APPROVED BY THE HOSPITAL'S BOARD AND THE CEO/PRESIDENT. THEY ARE APPROVED BASED ON THE NEEDS OF THE ORGANIZATION APPLYING FOR THEM AND HOW THEY WILL USE THE FUNDS RELATED TO THE HOSPITAL'S MISSION. THE GRANTS AND ASSISTANCE GIVEN TO MARSHALL UNIVERSITY ARE TO AID IN THE EDUCATIONAL MISSION OF THE HOSPITAL THROUGH THE INTERN AND RESIDENT PROGRAMS. ASSISTANCE IS GIVEN TO A COMMUNITY MEDICAL OUTREACH PROGRAM FOR HEALTH SERVICES AND A HEALTHY EATING PROGRAM. VARIOUS STAFF MEMBERS OF THE HOSPITAL REVIEW THE FINANCIAL INFORMATION GIVEN TO THEM AND REPORT BACK TO THE BOARD AND PRESIDENT/CEO. THE FUNDS DISPERSED FOR THIS ASSISTANCE IS REQUESTED WITH AN INVOICE AND CHECK REQUEST SIGNED BY THE APPROPRIATE HOSPITAL REPRESENTATIVE. FUNDS DISPERSED FOR THE YMCA ARE USED FOR HELPING CHILDREN LEARN TO LIVE A MORE HEALTHY LIFESTYLE. THIS IS ONE OF THE GOALS IN THE CHNA. SCHEDULE I, PART 1, LINE 1 AND 2 THE ORGANIZATION RESPONDS TO REQUESTS FOR ASSISTANCE FROM LEGITIMATE ORGANIZATIONS IN THE COMMUNITY THAT ARE KNOWN TO THE FILING ORGANIZATION. ELIGIBILITY IS BASED ON THE ORGANIZATIONS' MISSIONS (EDUCATION, HEALTHCARE, OR RELATED COMMUNITY BENEFITS), AND SELECTION IS BASED ON WHETHER THE FILING ORGANIZATION BELIEVES THE NEED FOR THE ASSISTANCE IS RESPONSIVE TO ITS MISSION. X X true true X X X X X X true true false false false true false false false KEVIN FOWLER PRESIDENT & CEO 445899 0 98579 0 19117 0 0 0 23311 0 586906 0 0 DAVID M WARD SR VP, CFO, & CAO 370345 0 76300 0 5818 0 6785 0 11289 0 470537 0 0 HOYT BURDICK SR VP & CMO 341334 0 73671 0 1176 0 0 0 23311 0 439492 0 0 GLEN WASHINGTON VP & CEO PVH 291056 0 0 15576 0 0 0 23311 0 329943 0 0 PAUL SMITH VP & GENERAL COUNSEL 231911 0 51320 0 1176 0 0 0 23311 0 307718 0 0 BRADLEY BURCK VP CHH FOUNDATION 195095 0 30340 0 840 0 0 0 23311 0 249586 0 0 DENNIS LEE VP & CIO 202688 0 31783 0 870 0 0 0 23311 0 258652 0 0 LISA CHAMBERLAIN STUMP VP STRATEGIC MARKETING & PLAN 187883 0 29615 0 870 0 0 0 23311 0 241679 0 0 TIM MARTIN VP ANCILLARY & SUPPORT 218570 0 44835 0 840 0 2012 0 23311 0 289568 0 0 JOY PELFREY VP & CNO 214243 0 45532 0 258 0 0 0 23311 0 283344 0 0 HAROLD E PRESTON VP PHYSICIANS SERVICES & MANAG 210401 0 54000 0 90 0 0 0 23311 0 287802 0 0 AHMET OZTURK MD ANESTHESIOLOGIST 551109 0 0 396 0 0 0 23311 0 574816 0 0 MICKEY NEAL MD ANESTHESIOLOGIST 303741 0 73144 0 335 0 0 0 17598 0 394818 0 0 DAVID COOK MD OPHTHALMOLOGIST 296875 0 60647 0 396 0 0 0 23311 0 381229 0 0 TIMOTHY DAMRON MD CARDIOLOGIST 448110 0 76566 0 258 0 0 0 23311 0 548245 0 0 JOSEPH DELAPA II MD ANESTHESIOLOGIST 449751 0 0 60 0 0 0 23311 0 473122 0 0 BRENT MARSTELLER FORMER CEO/PRESIDENT 128400 0 0 0 0 0 0 0 128400 0 0 DAVID GRALEY FORMER VP CHH FOUNDATION 177500 0 0 0 1333 0 23311 0 202144 0 0 BARRY TOURIGNY FORMER VP HUMAN RESOURCES 152991 0 0 0 0 0 0 0 152991 0 0 PART 1, LINE 1A KEVIN FOWLER, PRESIDENT AND CEO WAS PROVIDED WITH PERSONAL COUNTRY CLUB BENEFITS AND SPOUSAL TRAVEL. THESE BENEFITS WERE ADDED TO HIS W-2 AS TAXABLE COMPENSATION. PART 1, LINE 4A PAYMENTS TOTALING $152,991 WERE PAID TO THE FORMER VP OF HUMAN RESOURCES DURING FY 2017 PER SEVERANCE AGREEMENT. PART 1, LINE 4B PAYMENTS OF $72,850 WERE CONTRIBUTED TO A 457(F) PLAN FOR GLEN WASHINGTON. PART 1, LINE 6 A BONUS PLAN EXISTS FOR EXECUTIVES OF THE ORGANIZATION. DETAIL OF PAYMENTS MADE ARE DISCLOSED IN SCHEDULE J, PART II, COLUMN II. BONUSES ARE BASED ON MEETING MULTIPLE GOALS SET FORTH FOR EACH EXECUTIVE. BONUSES ARE ONLY ACCRUED AND PAID WHEN THE ORGANIZATION HAS NET INCOME. A WV HOSPITAL FINANCE AUTHORITY 621256910 956622YUZ 2008-10-16 48480000 REFUND SERIES 2004B BONDS false false false B WV HOSPITAL FINANCE AUTHORITY 621256910 956622YVO 2008-10-16 48475000 REFUND SERIES 2004C BONDS false false false C WV HOSPITAL FINANCE AUTHORITY 621256910 2009-01-27 14415000 REFUND TAXABLE DEBT false false false D THE CITY OF HUNTINGTON WV 556000187 2008-12-30 9685000 HOSPITAL IMPROVEMENTS false false false A 8950000 0 48480000 0 0 0 806255 644009 0 0 0 0 true false true true B 8915000 0 48475000 0 0 0 0 0 0 0 0 0 true false true true C 3732327 0 14415000 0 0 0 127348 0 0 0 14287652 0 false false true true D 2591031 0 9685000 0 0 0 87796 0 0 9597204 0 0 2009 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true true true CITIBANK 25.8 false false false 0 false true B false true true true CITIBANK 25.8 false false false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true PART 2, LINES 7 AND 8, COLUMN B, 1 OF 2 BONDS IN COLUMN A AND COLUMN B WERE ISSUED SIMULTANEOUSLY AND ISSUANCE COSTS WERE FOR BOTH ISSUES PART 2, LINE 11, "OTHER SPENT PROCEEDS", COLUMN D, 1 OF 2 PURPOSE OF ISSUE WAS TO REFUND TAXABLE DEBT A THE COUNTY COMMISSION OF CABELL COUNTY 556000305 2009-02-12 6500000 HOSPITAL IMPROVEMENTS false false false A 1726067 0 6500000 0 0 0 62856 0 0 5384787 1052357 0 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false true false false 0 false 0 false true A true PART 2, LINE 11, "OTHER SPENT PROCEEDS", COLUMN A, 2 OF 2 $1,052,357 IS THE AMOUNT OF PROCEEDS USED TO REIMBURSE THE HOSPITAL FOR AMOUNTS PREPAID FOR CAPITAL EXPENDITURES FOR THE SAME PROJECT CARI BURCK FAMILY MEMBER 226275 REPORTABLE COMPENSATION false PART IV FAMILY MEMBER OF BRADLEY BURCK, FOUNDATION VP FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATIONS BYLAWS SPECIFICALLY ALLOW OUTSIDE ENTITIES TO APPOINT INDIVIDUALS TO THE BOARD OF DIRECTORS. THE MAYOR OF THE CITY OF HUNTINGTON CAN APPOINT THREE MEMBERS, THE CABELL COUNTY COMMISSION CAN APPOINT THREE MEMBERS, AND THE ORGANIZED LABOR UNION CAN APPOINT TWO MEMBERS. THE CHAIRMAN OF THE BOARD MAY ALSO APPOINT FOUR DIRECTORS WITH MAJORITY APPROVAL OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE FORM 990 IS REVIEWED BY DREW HEFNER, DIRECTOR OF FINANCIAL DECISION SUPPORT, BARBARA GUNN, FINANCIAL MANAGER, MONTE WARD, CFO, PAUL SMITH, GENERAL COUNSEL, AND JIM BAILES, ATTORNEY. THE FINAL COPY OF FORM 990 IS APPROVED BY THESE INDIVIDUALS AND THEN SENT TO THE BOARD MEMBERS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C IN THE FALL OF EACH YEAR, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT OF INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT AND GENERAL COUNSEL TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF THE ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS OFFICERS. A COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. THIS INFORMATION, AS WELL AS THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER IS CONSIDERED BY THE COMPENSATION COMMITTEE IN ESTABLISHING THE COMPENSATION OF THE CHIEF OPERATION OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. THE FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, AND THUS, CAN BE ALSO FOUND ON GUIDESTAR. FORM 990, PART IX, LINE 11G OUTSIDE PHYSICIANS FEES $32,780,211; MISCELLANEOUS MEDICAL CONSULTING $23,698,462; COLLECTION SERVICES $1,885,764; BUSINESS NEGOTIATIONS $328,964; VARIOUS OUTSIDE LABOR $6,085,596; outside laboratory $2,615,466. FORM 990, PART XI, LINE 9 INCREASE IN PENSION LIABILITY $16,992,119, CHANGE IN EFFECTIVE INTEREST RATE SWAP $5,705,190, AND OTHER ADJUSTMENT $-2. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO GO WITH. DURING THE YEAR AUDITORS MEET WITH THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:HEALTHCARE FEES TOTAL FEES:32780211 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:27157603 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LABOR TOTAL FEES:6085596 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1371053 CABELL HUNTINGTON HOSPITAL FOUNDATION IN PO BOX 1427 HUNTINGTON WV 25716 311096222 FUNDRAISING WV 501(C)(3) LINE 7 CHH INC true CABELL HUNTINGTON HOSPITAL AUXILIARY INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 556014510 FUNDRAISING WV 501(C)(3) LINE 11A,I CHH INC true PLEASANT VALLEY MEDICAL GROUP INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 471358788 HEALTH SERVIC WV 501(C)(3) 170(B) CHH INVPVH true HEALTHNET AEROMEDICAL SERVICES INC 419 BROOKS STREET CHARLESTON WV 25301 550681969 SUPPORT WV 501(C)(3) 11A NA false TRI-STATE MRI PO BOX 3108 HUNTINGTON WV 25702 550669726 MRI CENTER WV CHH INC -62414 476645 false true 0.50000 OCCUMED LLC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 432093064 URGENT CARE C WV CHH INC -125290 659040 false true 0.68460 HUNT SURG PROP LP 1201 HAL GREER BOULEVARD HUNTINGTON WV 25701 550647723 REAL ESTATE S WV CHH INC 98141 545119 false false 0.45000 CHH-CABELL DEVELOPMENT CORPORATION 1201 HAL GREER BOULEVARD HUNTINGTON WV 25701 621184183 REAL ESTATE MGT WV CHH INC C 1703 -44757 0.51000 false MOUNTAIN REGIONAL SERVICES INC PO BOX 636 HUNTINGTON WV 25711 550655843 RECORD OWNER WV CHH INC C -7455 455095 1.00000 true MOUNTAIN HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 320573122 OWNS REAL EST WV CHH INC C 1.00000 true false false true true false false false false false true false false false true false true false false CABELL HUNTINGTON HOSPITAL FOUNDATION INC C 376134 OCCUMED LLC D 554611 OCCUMED LLC O 1437014 OCCUMED LLC Q 143708 HUNTINGTON SURGERY PROPERTIES LP K 244874