2016-05-12T15:16:47-05:00 2015-06-30 550486667 Arnett Carbis Toothman LLP P O Box 2629 Charleston WV 25329 990 2014-07-01 550387249 Weirton Medical Center Inc WEIR 3047976000 601 Colliers Way Weirton WV 260625014 Eugene Trout CFO 3047976000 2016-05-12 1 Marlin Witt P00946392 3043460441 2014 2016-08-17 19:52:53Z Weirton Medical Center Charles O'Brien 601 Colliers Way Weirton WV 260625014 152570084 0 X www.weirtonmedical.com X 1949 WV Weirton Medical Center, in partnership with physicians, will lead the tri-state area in the provision of coordinated, safe, effective, quality healthcare services through a process of teamwork, innovation, and continuous improvement. 8 7 1431 48 3746 0 151115 478951 124039909 145080670 736594 790021 2023517 2991327 126951135 149340969 0 0 0 0 59869225 75938185 0 0 0 60260591 74728400 120129816 150666585 6821319 -1325616 94340403 92137442 67625664 75037665 26714739 17099777 Weirton Medical Center, in partnership with physicians, will lead the tri-state area in the provision of coordinated, safe, effective, quality healthcare services through a process of teamwork, innovation, and continuous improvement. 0 0 143703796 148688798 The medical center provided inpatient, outpatient, emergency, home health, physician and skilled nursing services including 35,422 inpatient days, 330,555 outpatient visits, 40,046 emergency room visits and 22,743 home health visits. Charges foregone for charity amounted to $971,571. 199375 Abeyance reduction program including 42 programs at local schools, businesses, churches and in-house designed to provide community benefits including health fairs, BPW and laboratory blood analysis, health clinics, cholesterol screening, presentation to WV HFMA, and other health related events. 143903171 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 126 0 1431 1 1 1 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Kellie Henwood 3047976440 601 Colliers Way Weirton WV 26062 Charles M O'Brien Jr President/CEO 40.00 X X 220000 0 0 Peggy Bahnsen Chairman 4.00 X X 0 0 0 James R Shockley Vice Chairman 3.00 X X 0 0 0 Michael Wehr Secretary 2.00 X X 0 0 0 John C Frankovitch Treasurer 4.00 X X 0 0 0 JJ Bernabei Director 3.00 X 0 0 0 Joe Paolo Jr Director 1.00 X 0 0 0 Eric Balzano MD Director 3.00 X 0 0 0 Sondra Weigel Director 1.00 X 0 0 0 John Greco Director 1.00 X 0 0 0 Eugene Trout CFO (11/2/14-Present) 40.00 1.00 X 116128 0 8711 Robert Frank CFO (7/1/14-10/31/14) 40.00 1.00 X 243094 0 25541 David Artman Director, Operations 40.00 X 213117 0 43 David Angalich Chief Informaton Officer 40.00 X 160973 0 27329 Edward Phillips CRNA-Staff Anesthestist 40.00 X 201651 0 9449 Jodie V Hartzell CRNA-Staff Anesthestist 40.00 X 185689 0 29399 Judith Martich CRNA-Staff Anesthestist 40.00 X 178090 0 30680 Robert A Mathieu CRNA-Staff Anesthestist 40.00 X 168597 0 8553 Ben Porco CRNA-Staff Anesthestist 40.00 X 161714 0 21492 Joseph P Endrich Former CEO (2012) 0.00 X 188824 0 0 2037877 0 161197 29 1 1 0 Siemans Medical Solutions Inc 51 Valley Stream Parkway Malvern PA 19355 Equipment maintenance and staff 3847114 R & V Associates 310 Grant St Suite 1120 Pittsburgh PA 15219 Contracted administrative services 1254718 Allegheny Health Network 30 E North Avenue Pittsburgh PA 15212 Contracted Medical Services 622496 Pharmacy Systems Inc PO Box 130 Dublin OH 43017 Contracted pharmacists 471979 Weirton Sleep Corp dba Greater Tri State 657 Morganza Road Canonsburg PA 15317 Contracted Medical Services 445704 39 478951 478951 Health care services 622110 145080670 145080670 145080670 447430 447430 717083 1337630 -620547 -620547 -620547 2234076 1891485 342591 342591 342591 EHR Incentive Income 900099 1823177 1823177 Premier K-1 income 900099 944979 941233 3746 Cafeteria & Vending Income 722100 630096 630096 213622 213622 3611874 149340969 148688798 3746 169474 X 1082093 1030585 51508 60487330 57608133 2879197 66477 63313 3164 10128989 9646849 482140 4173296 3974647 198649 1154042 1154042 82052 82052 35264 35264 18504921 17749009 755912 8732873 8317188 415685 1784973 1700008 84965 253826 241744 12082 1344513 1280514 63999 5413332 5155657 257675 2472580 2354885 117695 Medical supplies 20200560 20200560 Bad debts 7649899 7649899 Health care provider ta 3535258 3535258 Sales taxes 1910185 1819260 90925 1654122 1575662 78460 150666585 143903171 6763414 0 0 128677 787387 1523433 19562310 16561396 1414950 1840433 1682801 2024305 121220270 86710368 34833684 34509902 29830055 28332013 4363548 4116029 1865668 3101254 94340403 92137442 16864848 20715118 38527535 40332380 12233281 13990167 67625664 75037665 X 26714739 17099777 26714739 17099777 94340403 92137442 X -1325616 -160490 -8128856 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 124015 124015 59929153 44220444 15708709 252822 211247 41575 60539076 42278677 18260399 375204 375204 34509902 Estimated third-party settlements 1067249 Estimated malpractice liability 3685397 Accrued pension liability 9237521 13990167 143028700 1337630 1337630 141691070 7649899 7649899 149340969 144354316 1337630 1337630 143016686 7649899 7649899 150666585 Part XI, Line 2d - Other Adjustments: Rental expense netted against rent income on 990 1,337,630. Part XI, Line 4b - Other Adjustments: Bad debts netted against revenue on financials 7,649,899. Part XII, Line 2d - Other Adjustments: Rental expense netted against rent income on 990 1,337,630. Part XII, Line 4b - Other Adjustments: Bad debts netted against revenue on financials 7,649,899. 1 1 X 1 X 1 X 1 1 0 0 298539 298539 0.00210 24752522 11627678 13124844 0.09180 25051061 11627678 13423383 0.09390 199375 160360 39015 0.00030 199375 160360 39015 0.00030 25250436 11788038 13462398 0.09420 0 2350617 28130259 28461320 -331061 X 1 0 1 1 Weirton Medical Center 601 Colliers Way Weirton WV 260625014 X X X Weirton Medical Center 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X http://www.weirtonmedical.com/files/wmc-community-health-needs.pdf X 1 13 0 0 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X X X X 1 0 X X X X 1 X 0 0 Weirton Medical Center Part V, Section B, Line 5: Weirton Medical Center asked persons from the local community for input. These individuals come from different backgrounds and businesses in order to give a well rounded view of the community. Weirton Medical Center Part V, Section B, Line 11: Weirton Medical Center has developed an action plan that focuses on the priority areas of concern within the service area. These areas will address prevention and management of chronic diseases prevalent in the service area including diabetes, obesity, hypertension and high cholesterol. Other focus areas will include smoking cessation and the importance of physical activity. Weirton will also host events to increase awareness of services offered to educate and inform residents within the service area. Weirton Medical Center Part V, Section B, Line 22d: There are 2 primary methods of determining the amounts to charge those patients who are deemed to be FAP-eligible: Charity Care - discounts are provided on a sliding scale that is based on the family income's percentage of Federal Poverty Guidelines; Un-insured Patients: consistently applied discounts are provided and are based on the average discount provided to all insured patients. Part I, Line 3c: Weirton Medical Center is required by law to give a reasonable amount of services without charge to eligible persons who cannot afford to pay for care. Eligibility for financial assistance is based upon U.S. Citizenship and the U.S. Government's Federal Poverty Guidelines. These guidelines are updated each year. A person may qualify for financial assistance if their household income is at or below 300% of the current guidelines. Part I, Line 7: The cost of charity care was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions. The unreimbursed cost of Medicaid was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H Instructions. 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 $ 7,649,899. Part III, Line 2: The cost of bad debt was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions. Part III, Line 4: 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 Medical Center 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 Medical Center records a 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 bad debt expense when received. Interest is not charged on patient accounts receivable. Part III, Line 8: The organization does not consider the shortfall reported in Medicare revenue to be community benefits since some years have shortfalls and others have overages. The unreimbursed cost of Medicare was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H Instructions. Part III, Line 9b: There is no collection from patients who qualify for charity care. If a patient qualifies, they receive no bill. Part VI, Line 2: Weirton Medical Center conducts a community health needs assessment of the residents of its service area every three years. The assessment results are tabulated and analyzed to determine the health needs of the communities served. The health needs are then prioritized and a plan is developed to address the needs. Part VI, Line 3: A charity care policy is posted at all registration areas. All patients are seen or called by the financial counselors and/or the Customer Service Department to determine what services can be offered. The patients are screened for charity care and provided education about the state Medicaid application. Part VI, Line 4: Weirton Medical Center serves the counties of Brooke and Hancock in West Virginia, and portions of Washington County in Pennsylvania and Jefferson County in Ohio.Brooke County, West Virginia has a projected population of 18,564. The median age is 40.6 years and 18.7 percent of the population is age 65 or older. The median household income is $43,361. The July 2010 unemployment rate was 13.3 percent. In FY 2010, Brooke County residents made up 26.9 percent of Weirton Medical Center's total patient volume.Hancock County, West Virginia has a projected population of 31,594. The median age is 44.6 and 20.0 percent of the population is age 65 or older. The median household income is $44,478 and 13.7 percent of the population was unemployed in July 2010. Hancock County residents made up 35.7 percent of Weirton Medical Center's total patient volume in FY 2010.Jefferson County, Ohio has a projected population of 67,320 with a median age of 45.0 years. The percentage of population that is 65 years or older is 19.5 percent. The median household income is $43,471. The August 2010 unemployment rate was 13.2 percent. In FY 2010, 19.4 percent of the total patient volume came from Jefferson County.The total service area population was 107,207 in 2009 and is projected to be 102,362 in 2014 - a decline of 4.5 percent.The region is also served by Trinity Health System in Steubenville, Ohio. Patients from the area also use Wheeling Hospital, Ohio Valley Medical Center in Wheeling, and Washington Hospital in Washington, Pennsylvania. Patients also seek medical care from tertiary hospitals located in Pittsburgh, Pennsylvania. Part VI, Line 5: 1. All members of the Weirton Medical Center's governing board reside within its service area. Two of the board members are contractors of the organization. The current president of the medical staff, who has a two year tenure, has a seat on the board by virtue of this office and is employed by a contractor with the hospital. There are no family members on the governing board. 2. The organization extends privileges to all qualified physicians in its community; three departments have granted exclusivity to physician groups. 3. If there are surplus funds, the organization, based on its priorities and identified needs, may elect to use those for new clinical programs, the acquisition of new or replacement equipment or other specific purposes. Management recommends such initiatives to the board for approval. The organization does not conduct medical education or research.4. Weirton Medical Center operates a 24 hour, seven day a week emergency room available to all, regardless of ability to pay.6. Weirton Medical Center does not actively solicit charitable support; rather the Weirton Medical Center Foundation, a related entity, supports the hospital in its pursuit of a strong, healthy community, by engaging in fundraising activities and providing direct and supplemental funding to Weirton Medical Center. Weirton Medical Center benefits from a strong volunteer program whose members provide approximately 16,000 annual hours of assistance to the organization. Weirton Medical Center also provides numerous community classes and screenings, some of which benefit from volunteer participation.7. On the Weirton Medical Center website there is a link to its Community Benefits Report. 1 X X X X 1 0 0 0 0 0 0 0 0 Charles M O'Brien Jr President/CEO 220000 0 0 0 0 0 0 0 0 0 220000 0 0 0 Robert Frank CFO (7/1/14-10/31/14) 243094 0 0 0 0 0 2511 0 23976 0 269581 0 0 0 David Artman Director, Operations 213117 0 0 0 0 0 0 0 1097 0 214214 0 0 0 David Angalich Chief Informaton Officer 160973 0 0 0 0 0 0 0 28276 0 189249 0 0 0 Edward Phillips CRNA-Staff Anesthestist 201651 0 0 0 0 0 3203 0 6686 0 211540 0 0 0 Jodie V Hartzell CRNA-Staff Anesthestist 185689 0 0 0 0 0 2485 0 27354 0 215528 0 0 0 Judith Martich CRNA-Staff Anesthestist 178090 0 0 0 0 0 3351 0 27769 0 209210 0 0 0 Robert A Mathieu CRNA-Staff Anesthestist 168597 0 0 0 0 0 2237 0 6756 0 177590 0 0 0 Ben Porco CRNA-Staff Anesthestist 161714 0 0 0 0 0 2796 0 19136 0 183646 0 0 0 Joseph P Endrich Former CEO (2012) 0 0 0 0 188824 0 0 0 0 0 188824 0 0 0 Part I, Line 4a The former CEO, Dr. Endrich received a $188,824 severance payment. Form 990, Part VI, Section B, line 11 The 990 is reviewed by the Finance Director, the CFO and the board of directors before approval is given and it is submitted to the IRS. Form 990, Part VI, Section B, line 12c The board and medical staff executive are required to complete conflict of interest statements annually. The compliance committee oversees the process. Form 990, Part VI, Section B, line 15 A board designated compensation committee is utilized not only for the CEO but for all of senior management. Comparability data is obtained through the Director of Human Resources and a performance evaluation is completed. Form 990, Part VI, Section C, line 19 The financial statements are available through the West Virginia Health Care Authority as part of the freedom of information act/sunshine laws and are also published in the legal section of the newspaper annually. The governing documents, conflict of interest policy and financial statements are available upon request. Form 990, Part IX, line 11g Security: Program service expenses 326,565. Management and general expenses 16,321. Fundraising expenses 0. Total expenses 342,886. Consulting Services: Program service expenses 389,165. Management and general expenses 19,450. Fundraising expenses 0. Total expenses 408,615. Medical Purchased Services: Program service expenses 43,400. Management and general expenses 0. Fundraising expenses 0. Total expenses 43,400. Service contract: Program service expenses 6,270,376. Management and general expenses 313,387. Fundraising expenses 0. Total expenses 6,583,763. Miscellaneous service: Program service expenses 8,138,503. Management and general expenses 406,754. Fundraising expenses 0. Total expenses 8,545,257. Physician fees: Program service expenses 2,581,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,581,000. Form 990, Part XI, line 9: Defined benefit pension plan adjustment -3,274,969. Inclusion of disregarded entity deficit net assets from prior period -4,853,887. Form 990, Part XI, line 9, Other Changes in Net Assets WMC Physician Practices, Inc. (PPI) was incorporated in 2013 as a wholly owned, for-profit corporation of Weirton Medical Center. In 2013 Weirton Medical Center purchased 100% of the outstanding shares of All About Women Health Associates, Inc. (AAW). Both entities provide physician medical services to the residents of Weirton, West Virginia and surrounding areas. In June 2014, PPI was converted to a limited liability company. In January 2015, AAW was merged into PPI and the surviving entity is WMC Physician Practices, LLC. The following is the adjustment for the inclusion of the beginning net assets of the disregarded entity WMC Physicians Practices, wholly owned by Weirton Medical Center and included in the ending net assets on the Form 990: Weirton Medical Center unrestricted net assets, 6/30/2014: $26,714,739 + (4,853,887) deficit beginning net assets of WMC Physicians Practices, LLC (disregard entity) + (4,761,075) change in net assets for current period ended 6/30/15 = $17,099,777, ending net assets. Weirton Medical Physicians Practice 651 Colliers Way Weirton WV 26062 461883875 Multiple Physician Practice WV -8672948 4519405 Weirton Medical Center Foundation 601 Colliers Way Weirton WV 26062 550689248 Supporting organization WV 501(c)(3) Line 11a, I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0