2017-08-14T12:54:12-05:00 2016-09-30 SOMERVILLE & COMPANY PLLC 501 5TH AVENUE HUNTINGTON WV 25701 990 2015-10-01 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 2017-02-02 true WADE S C NEWELL CPA P01051041 3045250301 2015 2021-01-29 14:40:06Z KEVIN FOWLER 1340 HAL GREER BLVD HUNTINGTON WV 25701 636406631 false X WWW.CABELLHUNTINGTON.ORG X 1986 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED 18 18 2935 171 1294267 57633 437984 376134 516262370 580501507 6612558 5568662 4804097 4964103 528117009 591410406 10502025 12318500 0 0 220629637 232868957 0 0 0 287043557 324706732 518175219 569894189 9941790 21516217 537635453 576104202 342531438 364938637 195104015 211165565 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 449159161 30000 582128406 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 2,900 INDIVIDUALS. DURING FISCAL YEAR 2016, 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. WHEN FINISHED, IT WILL BE A 72 BED FACILITY 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 2016, THE HOSPITAL PROVIDED SERVICES TO 18,250 INPATIENTS, WHICH RESULTED IN PROVIDING 96,146 DAYS OF CARE. THE ORGANIZATION ALSO PROVIDED CARE TO 599,044 OUTPATIENTS. THIS INCLUDED 61,394 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 PROVIDED AN ADDITIONAL 18,757 OUTPATIENT SURGICAL PROCEDURES AND 20,539 HOME HEALTH VISITS. 29704863 100004 CABELL HUNTINGTON HOSPITAL IS VERY INVOLVED WITH THE COMMUNITY IT SERVES. DURING THE FISCAL YEAR 2016, IT HELD EVENTS, INCLUDING HEALTH SCREENINGS, EDUCATION OUTREACH, HEALTH FAIRS, AND COMMUNITY TRAINING. APPROXIMATELY 6,800 PEOPLE ATTENDED THESE EVENTS. THE COSTS ASSOCIATED WITH THESE ACTIVITIES IS $191,286. THE ORGANIZATION ALSO GIVES TO THE COMMUNITY BY PARTICIPATING IN HUNTINGTON'S KITCHEN PROGRAM THAT PROMOTES HEALTHY EATING LIFESTYLES OF WHICH COSTS ARE $161,085. IT PROMOTES KIDS HEALTHY EXERCISE BY PARTNERING WITH THE HUNTINGTON MALL TO PROVIDE A HEALTHY KIDS PLAYGROUND WITH COSTS INCURRED OF $30,199. DURING THE FISCAL YEAR 2016, CABELL HUNTINGTON HOSPITAL SUPPORTED KIDS IN MOTION WITH THE LOCAL YMCA. THIS PROGRAM HAS THE GOAL OF GETTING KIDS AGES 5-17 MOVING AND HAVING FUN IN ORDER TO REDUCE CHILDHOOD OBESITY. THE KIDS WILL LEARN ABOUT PHYSICAL FITNESS AS WELL AS NUTRITION (APPROXIMATE COST $50,000). WE PROVIDE SERVICE TO EBENEZER OUTREACH WHICH IS A CLINIC FOR CITIZENS WITH LOW INCOME ($50,004). 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 $12,580,405 (WHICH IS NETTED AGAINST REVENUES) AND BAD DEBT EXPENSE WAS $29,222,289. THE HOSPITAL CONSIDERS ALL OF THIS A COMMUNITY SERVICE. 12212990 12188496 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 2016, 190 INTERNS, FELLOWS, AND RESIDENTS ROTATED THROUGH THE HOSPITAL. . 491077014 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 194 0 true 2935 true true true false false false false false false false false false X 18 18 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 STEVEN L BURTON 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 GARY WHITE TREASURER/DIRECTOR 2.0 0.0 X X 0 0 0 CAROLYN BAGBY DIRECTOR 2.0 0.0 X 0 0 0 MARIAN COX DIRECTOR 2.0 0.0 X 0 0 0 TIM MILLNE DIRECTOR 2.0 0.0 X 0 0 0 LINDA BROWN MD DIRECTOR 2.0 0.0 X 0 0 0 LARRY DIAL MD DIRECTOR 2.0 0.0 X 0 0 0 CLARA ROSE SADLER 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 RANDIE LAWSON 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 KEVIN YINGLING 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 528427 0 22133 DAVID M WARD SR VP, CFO, & CAO 45.0 0.0 X 511668 0 16639 HOYT BURDICK SR VP & CMO 45.0 0.0 X 388652 0 24957 GLEN WASHINGTON VP & CEO PVH 45.0 0.0 X 296978 0 24947 PAUL SMITH VP & GENERAL COUNSEL 45.0 0.0 X 265357 0 24631 BRADLEY BURCK VP CHH FOUNDATION 45.0 0.0 X 190323 0 22133 DENNIS LEE VP & CIO 45.0 0.0 X 232153 0 22133 LISA CHAMBERLAIN STUMP VP STRATEGIC MARKETING & PLAN 45.0 0.0 X 216144 0 21182 TIM MARTIN VP ANCILLARY & SUPPORT 45.0 0.0 X 243900 0 22133 JOY PELFREY VP & CNO 45.0 0.0 X 243124 0 23752 HAROLD E PRESTON VP PHYSICIANS SERVICES & MANAG 45.0 0.0 X 221140 0 22133 AHMET OZTURK MD ANESTHESIOLOGIST 45.0 0.0 X 566250 0 22133 ALFREDO RIVAS MD ANESTHESIOLOGIST 45.0 0.0 X 491820 0 22133 MICHAEL VEGA MD ANESTHESIOLOGIST 45.0 0.0 X 425766 0 22133 TIMOTHY DAMRON MD CARDIOLOGIST 45.0 0.0 X 461020 0 22133 JOSEPH DELAPA II MD ANESTHESIOLOGIST 45.0 0.0 X 552017 0 10730 BRENT MARSTELLER FORMER CEO/PRESIDENT 24.0 0.0 X 248286 0 14756 DAVID GRALEY FORMER VP CHH FOUNDATION 24.0 0.0 X 144609 0 23979 BARRY TOURIGNY FORMER VP HUMAN RESOURCES 0.0 0.0 X 291145 0 17003 6518779 0 401773 211 true true false UNIVERSITY PHYSICIANS AND SURGEONS 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 MEDICAL SERVICES 38803544 BAILES CRAIG AND YON 401 TENTH STREET SUITE 500 HUNTINGTON WV 25701 LEGAL FEES 1889200 LAW OFFICES OF MILLER AND ZOIS LLC 1 SOUTH STREET SUITE 2450 BALTIMORE MD 21202 LEGAL FEES 1900000 JONES DAY 51 LOUISANA AVENUE NW WASHINGTON DC 20001 LEGAL FEES 1784094 MCDERMOTT WILL AND EMORY 500 NORTH CAPITAL STREET NW WASHINGTON DC 200011531 LEGAL FEES 6868405 34 376134 376134 NET PATIENT SERVICE REVENUE 621990 566750962 566750962 LABORATORY REVENUE 621500 14812841 14547997 264844 AEROMED INCOME 623000 -1062296 -1062296 580501507 3598321 9523 3588798 0 0 379971 184399 195572 0 195572 195572 46012563 769604 44811826 1200737 769604 1970341 1970341 0 0 0 CAFETERIA 624200 2052460 2052460 OUTSIDE SERVICES 621990 1655952 1655952 OTHER REVENUE 621990 1060119 40219 1019900 4768531 591410406 582128406 1294267 7611599 12318500 12318500 0 0 0 4243038 796118 3446920 0 164154957 144861203 19293754 10334889 8888005 1446884 42391609 36456784 5934825 11744464 10217684 1526780 0 1470322 1470322 231450 231450 0 0 627517 627517 76670593 45318478 31352115 4674634 4674634 9532103 7625682 1906421 3541073 3186966 354107 0 30461693 22846270 7615423 606256 460793 145463 0 0 5013885 3760414 1253471 0 18605475 16744928 1860547 3511757 3160581 351176 BAD DEBT 29222289 29222289 MEDICAL SUPPLIES 96871845 96871845 PROVIDER TAX 13450397 13450397 MEDICAL EDUCATION 11115446 11115446 19099997 19099997 569894189 491077014 78817175 0 5170 3504 79680322 95883510 0 0 78377546 74066110 0 0 0 0 3423977 2406193 6419299 6851482 1498319 3607807 479433746 268237482 201810067 211196264 136355452 151339345 8985727 10603819 0 0 3669980 3669980 17409594 16476188 537635453 576104202 61298420 69286056 0 0 0 0 85425000 82340000 0 0 0 0 24980575 23696906 0 0 170827443 189615675 342531438 364938637 X 195104015 211165565 0 0 0 0 195104015 211165565 537635453 576104202 X 21516217 8124229 -13578896 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 44541 44541 false PART II-B, LINE 1 THE ORGANIZATION 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 $44,541. 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 235593479 78211974 157381505 214846269 188286182 26560087 22578407 1739326 20839081 211196264 0 ESTIMATED THIRD PARTY SETTLEMENT 3792552 DERIVATIVE FINANCIAL INSTRUMENT 17621281 ACCRUED POST RETIREMENT BENEFITS 152213004 ACCRUED PROFESSIONAL LIABILITIES 14016284 DEFERRED GAIN 1972554 189615675 X 531988932 8124229 -67733333 -59609104 591598036 -187630 -187630 591410406 515927410 187630 187630 515739780 54154409 54154409 569894189 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 2016 AND 2015. 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 $-11,208,473. INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS IS $-627,517. BAD DEBTS NETTED WITH REVENUE ON AFS IS $-29,222,289. CHANGE IN EFFECTIVE INTEREST RATE SWAP NETTED WITH REVENUE ON AFS IS $-2,370,451. MANAGEMENT FEE REVENUE NETTED WITH EXPENSES IS $-1,019,900. ACQUISITION COSTS NETTED WITH EXPENSES IS -23,275,180. K-1 AMOUNT FROM UBI PREMIER IS -9,523. PART XI, LINE 4B RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 IS $-184,399. RENTAL REIMBURSEMENT RECLASS $-3,231. PART XII, LINE 2D RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990 IS $184,399. RENTAL REIMBURSEMENT RECLASS $3,231. PART XII, LINE 4B INVESTMENT MANAGEMENT FEES NETTED WITH REVENUE ON AFS IS $627,517. BAD DEBTS NETTED WITH REVENUE ON AFS IS $29,222,289. ACQUISITION COSTS RECLASSED TO REVENUE ON FORM 990 IS $23,275,180. MANAGEMENT FEE REVENUE NETTED WITH EXPENSES IS $1,019,900. AMOUNT FROM PREMIER IS $9,523. true true true X true X true true false true true 4142116 4142116 0.00730 171819154 102084636 69734518 0.12240 175961270 102084636 73876634 0.12970 191286 191286 0.00030 19617363 3167641 16449722 0.02890 58477591 54775847 3701744 0.00650 639403 25425 613978 0.00110 147486 147486 0.00030 79073129 57968913 21104216 0.03710 255034399 160053549 94980850 0.16680 25000 25000 214150 214150 0.00040 291288 291288 0.00050 530438 530438 0.00090 false 9096898 1637442 97276483 148917774 -51641291 X true true OCCUMED LLC OCCUPATIONAL HLTH/URGENT CARE 0.6846 0.3154 HUNTINGTON SURGERY P REAL ESTATE/LEASE TO SURG CTR 0.45 0.55 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 100 350. 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 false X false 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 THE PRIORITY HEALTH NEEDS DESCRIBED IN THE SEPTEMBER 2016 CHNA REPORT ARE 1) ACCESS TO HEALTH CARE, 2) CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND 3) BEHAVIORAL HEALTH. CABELL HUNTINGTON HOSPITAL CONTINUES TO BUILD UPON THE PREVIOUS HEALTH IMPROVEMENT ACTIVITIES SUCH AS YMCA KIDS IN MOTION, HUNTINGTON'S KITCHEN HEALTHY EATING, AND THE NEONATAL ABSTINENCE SYNDROME PROGRAM FOR DRUG EXPOSED NEWBORNS. THE CURRENT PRIORITIES ARE BEING ADDRESSED AS FOLLOWS: 1. ACCESS TO HEALTH CARE - A REGIONAL SUMMIT WILL BE HELD WITH OTHER PROVIDERS IN THE AREA TO EXPLORE HOW TO MEET THE NEEDS OF OUR COMMUNITIES. 2. CHRONIC DISEASE PREVENTION AND MANAGEMENT - WE WILL BE PROVIDING MORE EDUCATION AND OUTREACH TO PROMOTE DISEASE PREVENTION. THERE WILL BE MORE PROGRAMS TO EDUCATE INDIVIDUALS ON HELPING TO REDUCE PREVALENCE OF OBESITY THAT CAN LEAD TO MORE CHROIC ILLNESSES SUCH AS HEART DISEASE AND DIABETES. THE HOSPITAL WILL BE WORKING WITH COMMUNITY PARTNERS TO HELP REDUCE TOBACCO USE AMONG CHILDREN, ADOLESCENTS, AND YOUNG ADULTS. 3. BEHAVIORAL HEALTH - THE PUBLIC NEEDS TO BE BETTER EDUCATED AND BE ABLE TO RECOGNIZE EARLY SIGNS AND SYMPTOMS OF MENTAL HEALTH AND SUBSTANCE ABUSE. THE HOSPITAL WILL PROVIDE MORE PROGRAMS TO ADDRESS THESE ISSUES. HERE ARE SOME OF THE WAYS THE HOSPITAL IS MEETING ITS HEALTH CARE IMPROVEMENTS GOALS. 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 AT 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). CABELL HUNTINGTON HOSPITAL HAS ESTABLISHED THE NEONATAL THERAPEUTIC UNIT (NTU) TO PROVIDE THE LEVEL OF CARE THESE BABIES NEED. ON AN AVERAGE, THERE ARE 18 BABIES IN THIS UNIT DAILY. OUR GOAL IS TO EDUCATE THE COMMUNITY ABOUT THE SUBSTANCE ABUSE AND HELP PREVENT THIS IN THE FUTURE. IN THE FIGHT AGAINST OBESITY, WE BELIEVE IT NEEDS TO START AT AN EARLY AGE. THAT IS WHY WE HAVE PARTNERED WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO FORM KIDS IN MOTION AT THE LOCAL YMCA. THIS IS A 12-WEEK PROGRAM AT THE YMCA TO GET KIDS AGES 5-14 MOVING AND HAVING FUN, WHILE LEARNING ABOUT FITNESS AND NUTRITION. WEIGHT, BODY MASS INDEX, AND BODY FAT PERCENTAGE WILL BE TRACKED THROUGHOUT THE PROGRAM TO MEASURE PROGRESS AND CUSTOMIZE THE PROGRAM TO FIT EACH CHILD. THE HOSPITAL ALSO OPERATES HUNTINGTON'S KITCHEN TO HELP CHANGE UNHEALTHY EATING HABITS. THE KITCHEN IS ABOUT CHANGING THE CULTURE OF FOOD, THE MINDSET, AND THE HABITS. A TEAM OF COMMUNITY EDUCATORS TEACH COOKING CLASSES AND OFFER COOKING DEMONSTRATIONS. THE ADVISORY BOARD IS MADE UP OF DIETITIANS, NUTRITION EDUCATORS, CHEFS, BUSINESS LEADERS, AND COMMUNITY ACTIVISTS. THE GOAL IS TO GET PEOPLE TO START COOKING HEALTHY CHOICES AT HOME MORE FREQUENTLY. PART V, SECTION B, LINE 22D THE HOSPITAL USES ONE RATE TO CHARGE ALL PATIENTS. THE PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE (ESTABLISHED AFTER PROVIDING THE HOSPITAL WITH ALL INFORMATION REQUESTED ON APPLICATION) ARE THEN GIVEN A DISCOUNTED CHARGE BASED ON THE FINANCIAL ASSISTANCE POLICY. 15 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 WOMEN'S HEALTH 1660 TWELFTH AVENUE HUNTINGTON WV 25701 OB GYN OUTPATIENT CLINIC COOK EYE CENTER 1300 THIRD AVENUE HUNTINGTON WV 25701 OUTPATIENT CATARACT CLINIC FAMILY MEDICAL CENTER PROCTORVILLE 7718 COUNTY ROAD 107 SUITE 100 PROCTORVILLE OH 45669 FAMILY OUTPATIENT CLINIC CENTER FOR SURGICAL WEIGHT CONTROL 1115 20TH STREET HUNTINGTON WV 25701 BARIATRIC CENTER FAMILY MEDICAL CENTER KENOVA 750 OAK STREET KENOVA WV 25430 FAMILY OUTPATIENT CLINIC CABELL HUNTINGTON BALANCE CENTER 1340 HAL GREER BLVD HUNTINGTON WV 25701 BALANCE DISORDER CENTER WOMEN'S & FAMILY MEDICAL CENTER 1115 20TH STREET HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC FAMILY MEDICAL CENTER MERRITTS CREEK 100 MEADOW POINTE BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC CABELL PEDIATRICS 1115 20TH STREET HUNTINGTON WV 25701 PEDIATRIC CLINIC CHH FAMILY PRACTICE BARBOURSVILLE 4 CHATEAU LANE BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC CHH WOMENS HEALTH MERRITTS CREEK 104 MEADOW POINTE BARBOURSVILLE WV 25504 OB-GYN CLINIC COUNSELING CENTER 517 NINTH STREET HUNTINGTON WV 25701 COUNSELING SERVICES PART I, LINE 7 A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2 TO CALCULATE THE PERCENTAGE OF COST. THE TOTAL OPERATING EXPENSES WERE TAKEN AND ADJUSTED FOR NON-PATIENT ACTIVITIES INCLUDING MEDICAID TAXES. 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 $29,222,289. PART II THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2016, THE HOSPITAL COMMUNITY BUILDING ACTIVITIES REACHED OUT TO OVER 50,000 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 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, MARSHALL UNIVERSITY FOUNDATION CONTRIBUTIONS TO PROMOTE HIGHER EDUCATION AND HEALTHIER WELL-BEING, RONALD MCDONALD HOUSE TO HELP PROVIDE TEMPORARY HOUSING FOR PARENTS OF PEDIATRIC PATIENTS, PAUL AMBROSE WALKING TRAIL TO PROMOTE EXERCISE AND HEALTHY LIFESTYLES, EBENEZER MEDICAL OUTREACH PROGRAM TO ASSIST THOSE WHO CANNOT AFFORD NEEDED MEDICATIONS, CONTINUE HOUSING A FREE CLINIC TO SERVE THE COMMUNITY, HUNTINGTON'S KITCHEN TO PROMOTE HEALTHY EATING HABITS, CHILDREN'S PLAY PLACE TO PROVIDE A SAFE ENVIRONMENT FOR CHILDREN IN THE COMMUNITY TO EXERCISE, KIDS IN MOTION PROGRAM AT THE LOCAL YMCA TO PROMOTE BETTER LIFESTYLE FOR CHILDREN, AND MANY OTHER PROGRAMS WITH THE SAME TYPES OF MISSIONS. PART III, LINE 4 FINANCIAL STATEMENT FOOTNOTE: THE PROVISION FOR BAD DEBTS 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. METHODOLOGY: THE COSTING METHOD USED FOR LINE TWO IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 1, 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 OUR 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 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 INFORMATION ABOUT ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS OFFSITE LOCATIONS. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE AS WELL AS RESPOND TO INQUIRIES FROM OUTPATIENTS REGARDING CHARITY CARE AND FINANCIAL ASSISTANCE AND PROVIDE 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. 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. IT IS THE RESPONSIBILITY OF THE PATIENT TO MAKE SURE ALL OF THE DOCUMENTATION TO QUALIFY FOR ASSISTANCE IS FILED WITH THE HOSPITAL AND ANY GOVERNMENT ASSISTANCE PROGRAMS. IF THEY FAIL TO DO SO, THE PATIENT IS BILLED, AND IN MOST CASES, THEY WILL CALL THE BILLING DEPARTMENT. THE BILLING DEPARTMENT WILL REFER THEM BACK TO A FINANCIAL COUNSELOR TO FINISH THE NECESSARY FILINGS. BILLING WILL BE NOTIFIED IF THE ACCOUNT IS TO BE DISCOUNTED AND/OR SET UP ON A PAYMENT SCHEDULE. IF THE PATIENT FAILS TO FOLLOW THROUGH AT THIS TIME, LASTLY, THE ACCOUNT IS SENT TO THE COLLECTION AGENCY. 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 NINE COUNTIES IN WEST VIRGINIA, THREE COUNTIES IN OHIO, AND SIX COUNTIES 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 DISCHARGES ORIGINATE FROM THE PRIMARY SERVICE AREA. THE REMAINING 20% COMES FROM OUTSIDE THE SERVICE AREA. ACCORDING TO OUR RECENT CHNA, THE MEDIAN AGE IN SERVICE AREA IS 41.8 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. true EBENEZER MEDICAL OUTREACH CENTER 1448 TENTH AVENUE HUNTINGTON WV 25701 550745033 501(C)(3) 50004 FMV MEDICAL/PHARMACY HUNTINGTON YMCA 934 TENTH AVENUE HUNTINGTON WV 25701 550397261 501(C)(3) 50000 FMV KID'S IN MOTION PROGRAM MARSHALL UNIVERSITY ONE JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556000789 501(C)(3) 12188496 FMV MEDICAL SCHOOL FOUNDATION FOR THE TRI-STATE PO BOX 2096 ASHLAND KY 41105 610729266 501(C)(3) 15000 FMV RECOVERY PROGRAM WITHIN REACH WV 525 FIFTH STREET APT 1 HUNTINGTON WV 25701 471073143 501(C)(3) 15000 FMV RECOVERY PROGRAM 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 396884 0 117818 0 13725 0 0 0 22133 0 550560 0 0 DAVID M WARD SR VP, CFO, & CAO 363269 0 142665 0 5734 0 5909 0 10730 0 528307 0 0 HOYT BURDICK SR VP & CMO 334568 0 52908 0 1176 0 2824 0 22133 0 413609 0 0 GLEN WASHINGTON VP & CEO PVH 281402 0 0 0 15576 0 2814 0 22133 0 321925 0 0 PAUL SMITH VP & GENERAL COUNSEL 226484 0 37835 0 1038 0 2498 0 22133 0 289988 0 0 BRADLEY BURCK VP CHH FOUNDATION 189483 0 0 0 840 0 0 0 22133 0 212456 0 0 DENNIS LEE VP & CIO 198511 0 33027 0 615 0 0 0 22133 0 254286 0 0 LISA CHAMBERLAIN STUMP VP STRATEGIC MARKETING & PLAN 184902 0 30402 0 840 0 0 0 21182 0 237326 0 0 TIM MARTIN VP ANCILLARY & SUPPORT 208812 0 34248 0 840 0 0 0 22133 0 266033 0 0 JOY PELFREY VP & CNO 209227 0 33860 0 37 0 1619 0 22133 0 266876 0 0 HAROLD E PRESTON VP PHYSICIANS SERVICES & MANAG 197948 0 23102 0 90 0 0 0 22133 0 243273 0 0 AHMET OZTURK MD ANESTHESIOLOGIST 552109 15000 -859 0 22133 588383 ALFREDO RIVAS MD ANESTHESIOLOGIST 385573 0 106844 0 -597 0 0 0 22133 0 513953 0 0 MICHAEL VEGA MD ANESTHESIOLOGIST 321031 0 104847 0 -112 0 0 0 22133 0 447899 0 0 TIMOTHY DAMRON MD CARDIOLOGIST 397844 0 63046 0 130 0 0 0 22133 0 483153 0 0 JOSEPH DELAPA II MD ANESTHESIOLOGIST 448804 103280 -67 0 10730 562747 BRENT MARSTELLER FORMER CEO/PRESIDENT 170796 0 77422 0 68 0 0 0 14756 0 263042 0 0 DAVID GRALEY FORMER VP CHH FOUNDATION 144609 0 0 0 0 0 1846 0 22133 0 168588 0 0 BARRY TOURIGNY FORMER VP HUMAN RESOURCES 256935 0 33927 0 283 0 2247 0 14756 0 308148 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 $215,255 WERE PAID TO THE FORMER VP OF HUMAN RESOURCES DURING FY 2016 PER SEVERANCE AGREEMENT. PART 1, LINE 4B PAYMENTS OF $70,350 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 2008 SERIES A 621256910 956622yuz 2008-10-16 48480000 REFUND SERIES 2004B BONDS false false false B WV HOSPITAL FINANCE AUTHORITY 2008 SERIES B 621256910 956622yvo 2008-10-16 48475000 REFUND SERIES 2004C BONDS false false false C WV HOSPITAL FINANCE AUTHORITY 2009 SERIES A 621256910 2009-01-27 14415000 REFUND TAXABLE DEBT false false false D THE CITY OF HUNTINGTON WV SERIES 2008 556000187 2008-12-30 9685000 HOSPITAL IMPROVEMENTS false false false A 7350000 0 48480000 0 0 0 806255 644009 0 0 0 0 true false true true B 7265000 0 48475000 0 0 0 0 0 0 0 0 0 true false true true C 3105636 0 14415000 0 0 0 127348 0 0 0 14287652 0 false false true true D 2284456 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 CNTY SERIES 2009 556000305 2009-02-12 6500000 HOSPITAL IMPROVEMENTS false false false A 1462198 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 184182 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 $21,957,719; MISCELLANEOUS MEDICAL CONSULTING $21,984,056; COLLECTION SERVICES $1,644,555; BUSINESS NEGOTIATIONS $23,363,811; VARIOUS OUTSIDE LABOR $7,720,452. FORM 990, PART XI, LINE 9 DECREASE IN PENSION LIABILITY $-11,208,473, CHANGE IN EFFECTIVE INTEREST RATE SWAP $-2,370,451, AND OTHER ADJUSTMENT $28. 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:OTHER PROFESSIONAL FEES TOTAL FEES:76670593 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 -62431 493194 false true 0.50000 OCCUMED LLC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 432093064 URGENT CARE C WV CHH INC -13149 196440 false true 0.68460 HUNT SURG PROP LP 1201 HAL GREER BOULEVARD HUNTINGTON WV 25701 550647723 REAL ESTATE S WV CHH INC 94248 548635 false false 0.43000 CHH-CABELL DEVELOPMENT CORPORATION 1201 HAL GREER BOULEVARD HUNTINGTON WV 25701 621184183 OPERATES SURG WV CHH INC C 1500 -46873 0.51000 false MOUNTAIN REGIONAL SERVICES INC PO BOX 636 HUNTINGTON WV 25711 550655843 RECORD OWNER WV CHH INC C -6802 461870 1.00000 true MOUNTAIN HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 550675666 OWNS REAL EST WV CHH INC C 1.00000 true false false true true false false false false false false true false false false true false true false false CABELL HUNTINGTON HOSPITAL FOUNDATION INC C 376134 OCCUMED LLC D 598935 OCCUMED LLC O 1498124 OCCUMED LLC Q 148583 HUNTINGTON SURGERY PROPERTIES LP K 237742