2015-05-15T13:14:34-05:00 2014-06-30 550486667 Arnett Carbis Toothman LLP P O Box 2629 Charleston WV 25329 990 2013-07-01 550387249 Weirton Medical Center Inc WEIR 3047976000 601 Colliers Way Weirton WV 260625014 Eugene Trout CFO 3047976000 2015-05-13 1 Harry C Harless P01042847 3043460441 2013 2016-03-07 17:11:31Z Weirton Medical Center Charles O'Brien 601 Colliers Way Weirton WV 260625014 130718368 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. 10 9 1437 60 -2869 -3154 169014 151115 109766031 124039909 1367345 736594 1580873 2023517 112883263 126951135 0 0 0 0 56066317 59869225 0 0 0 55394342 60260591 111460659 120129816 1422604 6821319 75688844 94340403 58961964 67625664 16726880 26714739 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 113875890 124039909 The medical center provided inpatient, outpatient, emergency, psychiatric, home health, physician and skilled nursing services including 35,620 inpatient days, 213,819 outpatient visits, 37,552 emergency room visits and 12,241 home health visits. Charges foregone for charity amounted to $4,458,253. Abeyance reduction program including 65 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.Expenses are included in line 4a above. 113875890 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 1 0 0 1 113 0 1 1437 1 0 0 0 0 0 0 0 0 0 0 X 10 9 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 8.00 X X 220000 0 0 James R Shockley Chairman 4.00 X 0 0 0 Michael Wehr Secretary 2.00 X 0 0 0 John J York Director 1.00 X 0 0 0 John C Frankovitch Treasurer 4.00 X 0 0 0 Peggy Bahnsen Vice-Chairman 3.00 X 0 0 0 JJ Bernabei Director 3.00 2.00 X 0 0 0 Mitch Fuscardo DO Director 3.00 1.00 X 0 0 0 Joe Paolo Jr Director 1.00 X 0 0 0 Sondra Weigel Director 1.00 X 0 0 0 Robert Frank CFO 40.00 X 257480 0 4180 Sherry Zisk CNO 40.00 X 232160 0 26888 David Artman Director, Operations 40.00 X 156637 0 51 David Angalich Chief Informaton Officer 40.00 X 153226 0 26888 Stephen Alatis Physician 40.00 X 705915 0 27622 Keith Bravo Physician 40.00 X 553093 0 7779 Stanley Mannino Physician 40.00 X 565972 0 33 Gurdev Purewal Physician 40.00 X 434151 0 19 Venkata Kella Physician 40.00 X 350453 0 27622 3629087 0 121082 44 0 1 0 Siemans Medical Solutions Inc PO Box 12001 Dept 0733 Dallas TX 75312 Equipment maintenance and staff 8591715 R & V Associates 310 Grant St Suite 1120 Pittsburgh PA 15219 Contracted administrative services 1200000 Pharmacy Systems Inc PO Box 130 Dublin OH 43017 Contracted pharmacists 870497 Central Blood Bank Five Parkway Center Pittsburgh PA 15220 Lab 617407 Executive Health Resources Inc PO Box 822688 Philadelphia PA 19182 Consulting agency 330450 32 151115 151115 Health care services 622110 124039909 124039909 124039909 395879 395879 497876 78506 419370 419370 419370 4029442 3688727 340715 340715 340715 Premier K-1 income 900099 905129 -2869 907998 Cafeteria & Vending Income 722100 559409 559409 Other Investment Loss 900099 -619006 -619006 758615 758615 1604147 126951135 124039909 -2869 2762980 X 1130434 1060799 69635 45491263 42689001 2802262 316162 296686 19476 9511099 8925215 585884 3420267 3209579 210688 640716 640716 48235 48235 25191 25191 16646963 15699920 947043 4920181 4617098 303083 1643585 1542340 101245 177340 166416 10924 1592457 1494362 98095 3304876 3101296 203580 316003 296537 19466 Medical supplies 16418343 16418343 Bad debts 8651657 8651657 Health care provider ta 3150909 3150909 Sales taxes 1781202 1671480 109722 942933 884252 58681 120129816 113875890 6253926 0 643357 787387 9870788 19562310 1172862 1414950 1656141 1682801 116633209 81799525 26766285 34833684 29034110 29830055 4201605 4363548 2343696 1865668 75688844 94340403 16878577 16864848 26796620 38527535 15286767 12233281 58961964 67625664 X 16726880 26714739 16726880 26714739 75688844 94340403 X 6821319 1796706 1369834 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 124015 124015 59357315 40125971 19231344 195889 195889 0 54233668 38917899 15315769 2722322 2559766 162556 34833684 Estimated third-party settlements 893084 Estimated malpractice liability 3346984 Accrued pension liability 7993213 12233281 118377984 78506 78506 118299478 8651657 8651657 126951135 111556665 78506 78506 111478159 8651657 8651657 120129816 Part XI, Line 2d - Other Adjustments: Rental expense netted against rent income on 990 78,506. Part XI, Line 4b - Other Adjustments: Bad debts netted against revenue on financials 8,651,657. Part XII, Line 2d - Other Adjustments: Rental expense netted against rent income on 990 78,506. Part XII, Line 4b - Other Adjustments: Bad debts netted against revenue on financials 8,651,657. 1 1 X 1 X 1 X 1 1 0 1 1 1178843 1178843 0.01060 19743460 12861680 6881780 0.06170 20922303 12861680 8060623 0.07230 75 156842 156842 0.00140 224387 27702 196685 0.00180 75 381229 27702 353527 0.00320 75 21303532 12889382 8414150 0.07550 0 8651657 26700578 26918979 -218401 X 1 0 1 1 Weirton Medical Center 601 Colliers Way Weirton WV 260625014 X X X Weirton Medical Center 1 1 X X X X X X X X X X 13 1 0 1 X www.weirtonmedical.com X X X X 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 Weirton Medical Center Part V, Section B, Line 1j: 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.The top five leading causes of death for residents of the service area, and surrounding states in its service area are heart disease, cancer, stroke, COPD and pneumonia/influenza. Heart disease ranks highest and cancer ranks next highest. The Hospitals action plan focuses on the prevention and management of heart disease through the development of a comprehensive cardiovascular program. There will also be an increased focus on cancer prevention, early detection, treatment and support for cancer patients and their families, and other cancer-related needs. Healthy mothers and babies is another identified priority in the action plan given the percentage of low weight births, high percentage of births to mothers under 18 and number of mothers smoking during pregnancy. The action plan will focus on development of a womans center improving access to OB/GYN, high risk OB and primary care services along with patient education and screenings. Weirton Medical Center Part V, Section B, Line 3: 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. 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 $ 8,651,657. Schedule H, Part I, Line 6b The Organization makes its community benefit report available through the WVHCA and its website. The report is also available upon request. 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 previously conducted a community health needs assessment of the residents of its service area every five years, but is now on a 3 year cycle. The assessment results are tabulated and analyzed to determine the health needs. 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.5. During 2014 Weirton Medical Center operated an inpatient geriatric-psychiatric unit that was not available elsewhere in the surrounding communities.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 257480 0 0 0 0 0 0 0 8858 0 266338 0 0 0 Sherry Zisk CNO 232160 0 0 0 0 0 0 0 31566 0 263726 0 0 0 David Artman Director, Operations 156637 0 0 0 0 0 0 0 4654 0 161291 0 0 0 David Angalich Chief Informaton Officer 153226 0 0 0 0 0 0 0 31478 0 184704 0 0 0 Stephen Alatis Physician 705915 0 0 0 0 0 0 0 31301 0 737216 0 0 0 Keith Bravo Physician 553093 0 0 0 0 0 4100 0 30568 0 587761 0 0 0 Stanley Mannino Physician 565972 0 0 0 0 0 0 0 2439 0 568411 0 0 0 Gurdev Purewal Physician 434151 0 0 0 0 0 0 0 2610 0 436761 0 0 0 Venkata Kella Physician 350453 0 0 0 0 0 0 0 30907 0 381360 0 0 0 Part I, Line 4a The former CEO, Dr. Endrich received a $182,693.26 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 253,899. Management and general expenses 16,667. Fundraising expenses 0. Total expenses 270,566. Cost review: Program service expenses 103,056. Management and general expenses 6,765. Fundraising expenses 0. Total expenses 109,821. Collections: Program service expenses 168,499. Management and general expenses 11,061. Fundraising expenses 0. Total expenses 179,560. Service contract: Program service expenses 5,724,245. Management and general expenses 375,760. Fundraising expenses 0. Total expenses 6,100,005. Miscellaneous service: Program service expenses 7,889,118. Management and general expenses 517,871. Fundraising expenses 0. Total expenses 8,406,989. Consulting: Program service expenses 288,212. Management and general expenses 18,919. Fundraising expenses 0. Total expenses 307,131. Physician fees: Program service expenses 1,272,891. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,272,891. Form 990, Part XI, line 9: Defined benefit pension plan adjustment 1,369,834. Weirton Medical Physicians Practice 651 Colliers Way Weirton WV 26062 461883875 Physician Practice WV -276315 2897755 Weirton Medical Center Inc Weirton Medical Center Foundation 601 Colliers Way Weirton WV 26062 550689248 Supporting organization WV 501(c)(3) 11 Weirton Medical Corporation 0 All About Women Health Associates Inc 651 Colliers Way Box 300 Weirton WV 26062 562356850 Office of physicians WV Weirton Medical Center Inc C -972225 580655 1.00000 1 Weirton Medical Physicians Practice 651 Colliers Way Weirton WV 26062 461883875 Office of physicians WV WEirton Medical Center Inc C -3671037 2409539 1.00000 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 All About Women Health Associates Inc D 1105078 FMV - Cash WMC Physician Practices Inc B 300000 FMV - Cash WMC Physician Practices Inc D 6481519 FMV - Cash