MINNIE HAMILTON HEALTH CARE CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MINNIE HAMILTON HEALTH CARE CENTER (EIN 55-0629032)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201743199349308844
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T13:01:17-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN550486667PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Arnett Carbis Toothman LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25329ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550629032EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Minnie Hamilton Health Care Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMINNBusinessNameControlTxt
Phone3043549244PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1186 Hospital DriveAddressLine1Txt
CityGrantsvilleCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26147ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephen S WhitedPersonNm
Person TitleCEOPersonTitleTxt
Phone3043549244PhoneNum
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDolores RosePreparerPersonNm
PTINP01286262PTIN
Phone3043460441PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.12.119.47IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm12:39:59IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEFD85F53444C93A008866C846AC1A54A412EFC7BAtSubmissionCreationDeviceId
At Submission Filing Device Id9BAAE1AE8F7C799F6A2C05DF6C6A66846D7BC49BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Minnie Hamilton Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerStephen S WhitedPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1186 Hospital DriveAddressLine1Txt
CityGrantsvilleCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26147ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,869,646GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mhhcc.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionThe organization operates a critical access hospital, community health center, federal qualified health center, and long-term care unit.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee338TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,401,448PYContributionsGrantsAmt
CY Contributions Grants$2,913,686CYContributionsGrantsAmt
PY Program Service Revenue$18,349,480PYProgramServiceRevenueAmt
CY Program Service Revenue$17,859,918CYProgramServiceRevenueAmt
PY Investment Income$1,250PYInvestmentIncomeAmt
CY Investment Income$3,578CYInvestmentIncomeAmt
PY Other Revenue$2,050,450PYOtherRevenueAmt
CY Other Revenue$2,088,927CYOtherRevenueAmt
PY Total Revenue$22,802,628PYTotalRevenueAmt
CY Total Revenue$22,866,109CYTotalRevenueAmt
PY Grants And Similar Paid$4,240PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,517CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,143,535PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,812,751CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,658,129PYOtherExpensesAmt
CY Other Expenses$9,398,262CYOtherExpensesAmt
PY Total Expenses$23,805,904PYTotalExpensesAmt
CY Total Expenses$24,234,530CYTotalExpensesAmt
PY Revenues Less Expenses-$1,003,276PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,368,421CYRevenuesLessExpensesAmt
Total Assets BOY$6,329,427TotalAssetsBOYAmt
Total Assets EOY$5,608,495TotalAssetsEOYAmt
Total Liabilities BOY$4,137,490TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,784,979TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,191,937NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$823,516NetAssetsOrFundBalancesEOYAmt
MissionMinnie Hamilton Health System is dedicated to maintaining the health and improving the quality of life of all people in our service area through an innovative delivery system of services and education.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,652,377ExpenseAmt
Revenue$19,733,995RevenueAmt
DescInpatient services provided included 683 acute care days, 8,602 long-term care days and 1,236 swing-bed days. Outpatient services included 27,179 outpatient visits and 3,919 emergency room visits. The Glenville Operations included 25,803 clinic visits and 4,529 dental visits for the year.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$323,550ExpenseAmt
Grant$23,517GrantAmt
Revenue$195,000RevenueAmt
DescThe hospital provides various community services that include social service case management; community outreach education; insurance eligibility assistance workers; healthcare worker recruitment and retention community projects; monetary support provided to local public schools; and and an oral health promotion project.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$19,975,927TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document159IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee338EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1William D GivenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3043549730PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1186 Hospital DriveAddressLine1Txt
CityGrantsvilleCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26147ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ronald Blankenship
President1.50Yes (X)Yes (X)$0$0$0
Jean Simers
Vice President1.50Yes (X)Yes (X)$0$0$0
Harold Carpenter
Treasurer1.00Yes (X)Yes (X)$0$0$0
Kathy Frederick
Secretary0.50Yes (X)Yes (X)$0$0$0
Richard Fitzwater
Director0.50Yes (X)$0$0$0
James Mace
Director0.50Yes (X)$0$0$0
Kathy Mason
Director0.50Yes (X)$0$0$0
Shelly Demarino
Director0.50Yes (X)$0$0$0
John Westfall DDS
Director0.50Yes (X)$0$0$0
Stephen S Whited
CEO40.00Yes (X)$165,305$0$44,683
William Daniel Given
CFO as of 7/201640.00Yes (X)$44,767$0$3,582
Kyle Pierson
CFO termed 6/24/1640.00Yes (X)$54,218$0$12,155
Jason Fincham DO
Physician57.00$660,758$0$53,774Yes (X)
Alfonso Cinco MD
Physician48.00$405,514$0$42,633Yes (X)
Roshan Hussain MD
Physician42.00$323,313$0$45,048Yes (X)
Stephen Ulaki DO
Physician34.00$266,096$0$12,076Yes (X)
Chadwick Smith MD
Chief of Staff17.00$223,510$0$28,843Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,143,481TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$242,794TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Staffcare Inc
PO Box 281923AtlantaGA30384Staffing solutions for RNS$343,958
Radiological Physician Associates Inc
700 Village DriveFairmontWV26554Physician Services$216,869
Odyssey Rehabilitation co West Virginia
Lock Box 759418BaltimoreMD21275Speech and occupation therapy$208,586
Thrasher Group
PO Box 940BridgeportWV26330Architects$145,746
Arnett Carbis Toothman LLP
PO Box 2629CharlestonWV25329Accounting and consulting services$127,127
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Fundraising$14,356FundraisingAmt
Government Grants$2,864,252GovernmentGrantsAmt
All Other Contributions$35,078AllOtherContributionsAmt
Total Contributions$2,913,686TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services622110$17,265,985$17,265,985
Other healthcare services622110$593,933$593,933
FieldValueIRS element (for citing)
Total Program Service Revenue$17,859,918TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,578TotalRevenueColumnAmt
Exclusion$3,578ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$11,872RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$11,872RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,872TotalRevenueColumnAmt
Exclusion$11,872ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,515FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$14,356ContriRptFundraisingEventAmt
Fundraising Direct Expenses$3,537FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,978TotalRevenueColumnAmt
Exclusion$7,978ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B Revenue900099$1,810,131$1,810,131
Cafeteria Revenue900099$88,912$88,912
Rebates/refunds900099$88,753$88,753

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,281TotalRevenueColumnAmt
Related Or Exempt Func Income$81,281RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,069,077OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,866,109TotalRevenueColumnAmt
Related Or Exempt Func Income$19,928,995RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$23,428ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$23,517TotalAmt
Program Services$23,517ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$324,947TotalAmt
Program Services$263,889ProgramServicesAmt
Management And General$61,058ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,353,144TotalAmt
Program Services$10,031,988ProgramServicesAmt
Management And General$2,321,156ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$265,504TotalAmt
Program Services$215,616ProgramServicesAmt
Management And General$49,888ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$979,986TotalAmt
Program Services$795,847ProgramServicesAmt
Management And General$184,139ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$889,170TotalAmt
Program Services$722,095ProgramServicesAmt
Management And General$167,075ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$42,670TotalAmt
Management And General$42,670ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$131,632TotalAmt
Management And General$131,632ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,558,450TotalAmt
Program Services$2,077,717ProgramServicesAmt
Management And General$480,733ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,307TotalAmt
Program Services$22,176ProgramServicesAmt
Management And General$5,131ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$814,157TotalAmt
Program Services$661,177ProgramServicesAmt
Management And General$152,980ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$456,193TotalAmt
Program Services$370,474ProgramServicesAmt
Management And General$85,719ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$481,347TotalAmt
Program Services$390,902ProgramServicesAmt
Management And General$90,445ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$76,643TotalAmt
Program Services$62,242ProgramServicesAmt
Management And General$14,401ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$60,156TotalAmt
Management And General$60,156ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$608,066TotalAmt
Program Services$493,810ProgramServicesAmt
Management And General$114,256ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$218,521TotalAmt
Management And General$218,521ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical supplies$1,616,077$1,616,077
Charity Care Expense$1,106,956$1,106,956
Bad debts$419,932$419,932
Healthcare provider tax$309,020$309,020

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$471,135TotalAmt
Program Services$392,492ProgramServicesAmt
Management And General$78,643ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,234,530TotalAmt
Program Services$19,975,927ProgramServicesAmt
Management And General$4,258,603ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,299BOYAmt
EOY$153,799EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$312,863BOYAmt
EOY$282,103EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$106,982BOYAmt
EOY$20,744EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,557,886BOYAmt
EOY$2,485,990EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$144,626BOYAmt
EOY$126,574EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$93,339BOYAmt
EOY$75,006EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,209,838LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,779,152LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,761,578BOYAmt
EOY$2,430,686EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$33,593BOYAmt
EOY$33,593EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$315,261BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,329,427BOYAmt
EOY$5,608,495EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,536,716BOYAmt
EOY$2,343,852EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,302,669BOYAmt
EOY$166,451EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$227,340BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$590,953BOYAmt
EOY$818,903EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$479,812BOYAmt
EOY$1,455,773EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,137,490BOYAmt
EOY$4,784,979EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,191,937BOYAmt
EOY$823,516EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,191,937BOYAmt
EOY$823,516EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,329,427BOYAmt
EOY$5,608,495EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,368,421ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,528OtherActivitiesAmt
Total Lobbying Expenditures$3,528TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of the organizations dues were used for lobbying. Dues were paid to West Virginia Hospital Association, West Virginia Health Care Association and the West Virginia Primary Care Association.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,395OtherCostOrOtherBasisAmt
Book Value$72,395BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,346,049OtherCostOrOtherBasisAmt
Depreciation$1,678,798DepreciationAmt
Book Value$667,251BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$462,218OtherCostOrOtherBasisAmt
Depreciation$146,709DepreciationAmt
Book Value$315,509BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,183,430OtherCostOrOtherBasisAmt
Depreciation$6,953,645DepreciationAmt
Book Value$1,229,785BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$145,746OtherCostOrOtherBasisAmt
Book Value$145,746BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,430,686TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated third party payor settlementsDesc
Amt$1,455,773Amt
FieldValueIRS element (for citing)
Total Liability$1,455,773TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$21,453,670TotalRevEtcAuditedFinclStmtAmt
Other Revenue$3,537OtherRevenueAmt
Revenue Not Reported$3,537RevenueNotReportedAmt
Revenue Subtotal$21,450,133RevenueSubtotalAmt
Other Revenues Not Included$1,415,976OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,415,976RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,866,109TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,822,091TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$3,537OtherExpensesIncludedAmt
Expenses Not Reported$3,537ExpensesNotReportedAmt
Expenses Subtotal$22,818,554ExpensesSubtotalAmt
Other Expenses Not Included$1,415,976OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,415,976ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,234,530TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:Accounting principles generally accepted in the United States of America require the management of the System to evaluate tax positions taken by the System. Management has evaluated the System's tax positions and did not become aware of any course of action on services or events that might adversely affect the System's tax exempt status. Therefore, no provision or liability for income taxes has been included in the financial statements.
Part XI, Line 2d - Other Adjustments:Fundraising expenses netted against fundraising revenue on 990 3,537.
Part XI, Line 4b - Other Adjustments:Bad debts netted against revenue on the financial statements 1,106,956. Charity care expenses netted against revenue on the financial statements 309,020.
Part XII, Line 2d - Other Adjustments:Fundraising expenses netted against fundraising revenue on 990 3,537.
Part XII, Line 4b - Other Adjustments:Bad debts netted against revenue in the financial statements 1,106,956. Charity care expenses netted against revenue on the financial statements 309,020.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$25,871GrossReceiptsEvent1Amt
Charitable Contri Event1$14,356CharitableContriEvent1Amt
Gross Revenue Event1$11,515GrossRevenueEvent1Amt
Cash Prizes Event1$1,897CashPrizesEvent1Amt
Entertainment Event1$1,640EntertainmentEvent1Amt
Gross Receipts Total$25,871GrossReceiptsTotalAmt
Charitable Contributions Tot$14,356CharitableContributionsTotAmt
Gross Revenue Total Events$11,515GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,897CashPrizesTotalEventsAmt
Entertainment Total Events$1,640EntertainmentTotalEventsAmt
Direct Expense Summary Events$3,537DirectExpenseSummaryEventsAmt
Net Income Summary$7,978NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$237,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,845DirectOffsettingRevenueAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,984,218TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,619,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$364,826NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,222,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,857,237DirectOffsettingRevenueAmt
Net Community Benefit Expns$364,826NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$323,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$195,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$128,550NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,517TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,517NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$347,067TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$195,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$152,067NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,569,130TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,052,237DirectOffsettingRevenueAmt
Net Community Benefit Expns$516,893NetCommunityBenefitExpnsAmt
Total Expense0.02140TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,120TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,120NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,100NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,680TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,680NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,900TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,900NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,106,956BadDebtExpenseAmt
Reimbursed By Medicare$4,057,077ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,057,077CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Minnie Hamilton Health Care CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1186 Hospital DriveAddressLine1Txt
CityGrantsvilleCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26147ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherLong Term Care (24 beds)OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Minnie Hamilton Health Care Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, page 8 for URLOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.mhhs.healthcare/patient-resources.htmlStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.mhhs.healthcare/patient-resources.htmlFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.mhhs.healthcare/patient-resources.htmlFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.mhhs.healthcare/patient-resources.htmlFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Minnie Hamilton Health Care Center, Inc.Part V, Section B, Line 5: The 2016 Calhoun and Gilmer Counties CHNA process began with thecommitment of the MHHS board of directors to form a Community Health Improvement Committee who worked to develop a list of key community partners. The list of partners included both organizations, agencies, and individuals who have traditionally been involved in community health improvement efforts, as well as numerous nontraditional partners and community sectors that are historically difficult to reach. One key partner in each county, has been the Family Resource Network which had received grant funding to conduct a community needs assessment during the timeframe for conduct of this CHNA. By combining resources the 2016 CHNA process has led to a more comprehensive view of community need because there is more comprehensive data available for review and more community sectors are involved and are able to advocate for their service recipients and constituents. A list of Steering Committee members and Partners involved with Community Health ImprovementPartnership for a HealthierCalhoun and Gilmer CountiesTina Persinger Calhoun County FRNJessica Greenlief Gilmer County FRNJamie Mullins* Calhoun County ExtensionLisa Montgomery Gilmer County ExtensionAnna Reno WV BCCASamantha Cason GenesisKyra-Ann Minney Gilmer County SchoolsTracey Keaton Calhoun County SchoolsBrenda Smith* Gilmer County Health DepartmentBarb Holt* Calhoun County (Mid-Ohio Valley Health Department)Barbara McKown* MHHSSamantha Cowan MHHS VISTA workerTim Underwood * Glenville State CollegeDonnie Pitts, retired Calhoun County Parks and School SystemDoyle Hupp Business leaderSteve Whited* MHHS; Calhoun County BOEShelly DeMarino* MHHS Board of DirectorsRick Poling* Committee on AgingChip Westfall Local government leaderRoger Hanshaw State government leaderRichard Cain Physician and/or dentistJim Davison Behavioral HealthSteve Carder* Faith CommunityJim Bennett* Economic DevelopmentLarry Chapman* Gilmer County CommissionRoger Jarvis Vulnerable population representativesShelia Garretson Court system
Minnie Hamilton Health Care Center, Inc.Part V, Section B, Line 11: The needs identified in the most recent CHNA which have not been addressed include cardiovascular disease, asthma, public transportation. The reasons the Hospital was unable to address these needs are because of limited resources and limited manpower.
Line 7ahttps://www.mhhs.healthcare/patient-resources.html
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line12 - Glenville ClinicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1921 Mineral Road Suite 101AddressLine1Txt
CityGlenvilleCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26351ZIPCd
FieldValueIRS element (for citing)
FacilityFederally Qualified Health CenterFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:1. The qualifications for the Sliding Fee Program are based on both the number of people in the household and the total gross income received in the household. 2. The applicants are required to complete the Sliding Fee Program application and to provide a proof of income within 30 days after filing their application. Acceptable proof of income includes: wage statement, W-2 forms, check stub, retirement statement, unemployment statement, social security check or benefit letter, alimony check, child support check, food stamp voucher, or other documents approved by financial management.3. If the patient has no income, they are asked to declare so by signing a Lack of Income Verification form. 4. The Financial Assistance Application, along with the above mentioned documents verifying income or lack of it, will be processed promptly by the cashier/clerk.5. After the patient has been approved for the Sliding Fee Program, they will receive a Sliding Fee identification card describing the benefits such as: A. No fee or a minimal fee of $15 or $25 for office visits, collected at the time of the visit B. 50% or 75% discount for lab tests C. 50% to 75% discount of diagnostic, non-invasive radiology services, the technical component only. D. 50% to 75% discount on respiratory procedures: Pulse Ox., EKG (Tech.& Prof.), Aerosol Treatment, Pulmonary Function Testing (PFT) and associated PFT testing. E. 50% to 75% discount on speech pathology procedures: limited to evaluations, testing and treatments. Supplies and equipment not included.6. Qualification for Sliding Fee remains in effect for one year from the date of approval, unless the patient or the household income should change within that year.7. The Sliding Fee Program benefits may apply to the outstanding patient accounts which do not exceed 365 days from the day of service. Accounts which have already been sent to a collection agency may not qualify for this program. 8. It is the patient's responsibility to reapply annually for continued participation in the Sliding Fee Program.
Part I, Line 7:The cost of charity care has been calculated by obtaining gross charges from the audited financial statements for charity care write offs and multiplying these charges by the aggregate hospital cost to charge ratio. The net amount was then reduced by the estimated "charity portion" of the revenue "disproportionate share" payment received from the state.Medicaid community benefit cost was estimated based on the costs in excess of reimbursements for the hospital's skilled nursing unit and rural health clinic. Other hospital services are reimbursed by WV Medicaid at 100% of cost. Since those costs and reimbursements would net to zero community benefit expense, those amounts are not included in the Medicaid costs and off-setting revenue totals reported.
Part II, Community Building Activities:The CEO attends economic development meetings in the community. To support leadership development and training- education assistance and scholarships are awarded to community members. The CEO attends workforce development meetings in the community.
Part III, Line 2:Bad debt expense as reported on audited financial statements.
Part III, Line 4:Financial statement footnote that describes bad debt expense: Patient accounts receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. In evaluating the collectability of 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. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon historical collection experience to determine collectability. Management also reviews troubled, aged accounts to determine collection potential. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), 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 standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Recoveries of accounts previously written off are recorded as a reduction to the provision for bad debt expense when received. Interest is not charged on patient accounts receivable.
Part III, Line 8:The Medicare costs and reimbursements were derived from the Medicare cost report.
Part III, Line 9b:All patients are informed about the financial assistance policy and charity care policy during the registration process and/or through a collection letter. Accounts that cannot be collected by the organization after normal in-house collection procedures may be referred to a collection agency for further collection action in accordance with established guidelines.
Part VI, Line 2:Records of types of visits and diagnosis are kept and analyzed for adjustment of appropriate services. Official community needs assessments are periodically performed by an outside agency.
Part VI, Line 3:The organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs or under the organization's financial assistance policy by making information available as follows:1) Posting on the facility's website2) Attaching information to billing invoices3) Posting information in emergency rooms, waiting rooms and admission offices4) Providing in writing to patients on admission to the facility5) Making information available on request
Part VI, Line 4:The organization services a rural area of 16,000 people in Calhoun, Gilmer and surrounding counties. The county has one of the highest unemployment rates in the State of WV. Patient principal payers percentages are: 34% Medicare, 28% Medicaid, 17% commercial, and 6% private pay. The nearest Hospital is over 30 miles away. The Health Care Center is designated as an HPSA site.
Part VI, Line 5:All board members reside in the service area and none are employed by, or have contractual arrangements with Minnie Hamilton Health Care Center. The medical staff privileges are available to all qualified providers in the area. All profit and available funding is utilized for continuation and improvement of the provision of appropriate health services through staffing and acquisition of equipment and supplies. A 24-hour emergency room doctor is provided regardless of a patient's ability to pay. The nearest hospital is 40 minutes away, by car. An active auxiliary is made up of local volunteers and has been present during all years of the facilities hospital services.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Calhoun Middle High School
50 Underwood CircleMt ZionWV26151501(c)3$8,000To provide assitance to students in grades 5-12.
Parkersburg Area Community Foundation and Regional Affiliates
PO Box 1762ParkersburgWV26102501(c)3$7,605To provide funding for scholarships to primarily high school seniors in the Parkersburg community.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen S Whited
CEO$165,305$0$0$0$0$0$24,799$0$19,990$0$210,094$0$0$0
Jason Fincham DO
Physician$660,758$0$0$0$0$0$34,350$0$20,231$0$715,339$0$0$0
Alfonso Cinco MD
Physician$405,514$0$0$0$0$0$33,031$0$9,813$0$448,358$0$0$0
Roshan Hussain MD
Physician$323,313$0$0$0$0$0$31,593$0$13,455$0$368,361$0$0$0
Stephen Ulaki DO
Physician$266,096$0$0$0$0$0$0$0$13,141$0$279,237$0$0$0
Chadwick Smith MD
Chief of Staff$223,510$0$0$0$0$0$21,428$0$7,804$0$252,742$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bForm 990 is reviewed by Executive Management, the Finance Committee and the Board of Directors.
Form 990, Part VI, Section B, line 12cThe Board of Directors sign the statement annually. Individual members are excused from decision making on issues where conflicts may arise. Board of Director members recuse themselves from voting on issues where a conflict may exist.
Form 990, Part VI, Section B, line 15A survey of like facilities in the state, utilizing the Health Care Authority information that is available, to compare salaries of top executives, as well as looking at job responsibilities and years of experience. The CEO is a contracted position and approved by the Board of Directors. Executive management is approved by the CEO.
Form 990, Part VI, Section C, line 19Audited Financial Statements are available upon request to the public. Annually the audited balance sheet and income statement are published in the local newspaper as per the Health Care Authority financial disclosure requirements.
Form 990, Part IX, line 11gPharmacy Services: Program service expenses 333,293. Management and general expenses 77,116. Fundraising expenses 0. Total expenses 410,409. Therapy Services: Program service expenses 224,766. Management and general expenses 52,005. Fundraising expenses 0. Total expenses 276,771. Lab Services: Program service expenses 212,851. Management and general expenses 49,249. Fundraising expenses 0. Total expenses 262,100. Physician Fees: Program service expenses 176,980. Management and general expenses 40,949. Fundraising expenses 0. Total expenses 217,929. Collections and Administrative: Program service expenses 446,867. Management and general expenses 103,394. Fundraising expenses 0. Total expenses 550,261. Fiscal Services: Program service expenses 421,738. Management and general expenses 97,580. Fundraising expenses 0. Total expenses 519,318. Other Purchased Services: Program service expenses 261,222. Management and general expenses 60,440. Fundraising expenses 0. Total expenses 321,662.
Form 990, Page 1, Line 6Volunteers of the organization include members of the hospital auxiliary and teenagers involved in a volunteer program.

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