WHEELING HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WHEELING HOSPITAL INC (EIN 55-0357057)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-07-03
IRS object ID
201301849349300210
Schema version
2011v1.5
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)
Timestamp2013-07-03T09:26:01-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550357057EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Wheeling Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWHEENameControl
Phone3042433681Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Medical ParkAddressLine1
CityWheelingCity
StateWVState
ZIP Code260036300ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames B MurdyName
TitleCFOTitle
Phone3042433681Phone
Date Signed2013-07-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRebecca LyonsName
PTINP01487105PTIN
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonald VioliNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 Medical ParkAddressLine1
CityWheelingCity
StateWVState
ZIP Code260036300ZIPCode
FieldValueIRS element (for citing)
Gross Receipts310606482GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.wheelinghospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1850YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTo provide needed care to the community regardless of an individual's ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2572TotalNbrEmployees
Total Nbr Volunteers343TotalNbrVolunteers
Total Gross UBI13999129TotalGrossUBI
Net Unrelated Business Txbl Income4241272NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year727534ContributionsGrantsPriorYear
Contributions Grants Current Year973741ContributionsGrantsCurrentYear
Program Service Revenue Prior Year265936185ProgramServiceRevenuePriorYear
Program Service Revenue CY281580887ProgramServiceRevenueCY
Investment Income Prior Year3962940InvestmentIncomePriorYear
Investment Income Current Year4135001InvestmentIncomeCurrentYear
Other Revenue Prior Year13692386OtherRevenuePriorYear
Other Revenue Current Year9018933OtherRevenueCurrentYear
Total Revenue Prior Year284319045TotalRevenuePriorYear
Total Revenue Current Year295708562TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY600000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year128839334SalariesEtcPriorYear
Salaries Etc Current Year141954497SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year135112666OtherExpensePriorYear
Other Expenses Current Year142795834OtherExpensesCurrentYear
Total Expenses Prior Year263952000TotalExpensesPriorYear
Total Expenses Current Year285350331TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20367045RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10358231RevenuesLessExpensesCY
Total Assets BOY260978372TotalAssetsBOY
Total Assets EOY294451055TotalAssetsEOY
Total Liabilities BOY85616847TotalLiabilitiesBOY
Total Liabilities EOY100718392TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY175361525NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY193732663NetAssetsOrFundBalancesEOY
Mission DescriptionWheeling Hospital is a Catholic hospital which serves as a healing ministry providing compassionate care to people of all faiths in a loving, spiritual environment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense254138898Expense
Grants600000Grants
Revenue263436883Revenue
DescriptionWheeling Hospital serviced 11,490 inpatients and 514,616 outpatients during the fiscal year 2012. Community services included medical screening, diabetic education, cancer support, etc. and is provided free of charge. (This includes the Physician Practice, Wheeling Pediatrics and Women's Health Service Divisions.)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7265265Expense
Revenue8653182Revenue
DescriptionContinuous Care Center serviced 336 skilled and long term care patients for a total of 39,288 patient days.Description
FieldValueIRS element (for citing)
Total Program Service Expense261404163TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096583NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2572NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1James B MurdyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3042433681TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 Medical ParkAddressLine1
CityWheelingCity
StateWVState
ZIP Code260036300ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
The Most Rev Michael J Bransfield
Chairman1.00XX000
Very Rev Kevin M Quirk JCD JV
President/Secretary1.00XX000
James E Altmeyer Sr
Board Member1.00X000
Rev Mon Frederick P Annie VG
Board Member1.00X000
John J Battaglino Jr MD
Board Member1.00X2250100
Thomas F Burgoyne
Board Member1.00X000
Frank L Carenbauer III DDS
Board Member1.00X000
David A Ghaphery MD start 112
Board Member1.00X000
C Gary Hill
Board Member1.00X000
Howard L Long
Board Member1.00X000
Curtis R Oliver
Board Member1.00X000
Sister Mary Palmer CSJ
Board Member1.00X000
Richard M Polinsky
Board Member1.00X000
Nick A Sparachane
Board Member1.00X000
Raymond V Thalman III
Board Member1.00X000
Ronald L Violi Sch J L
Chief Executive Officer60.00X000
Michael S McKeets
Chief Operating Officer60.00X193629020476
James B Murdy
Chief Financial Officer60.00X255420047775
Patricia Liebman
Executive Vice President60.00383281030965X
Angelo Georges MD
Chief Medical Officer60.00500678040445X
Dennis Niess MD
Chief Med Info Officer60.00275641028815X
David Rapp
Chief Info Officer60.00226357035526X
Cinda Marsh
Chief Nursing Officer60.0018077309408X
Chandra S Swamy
Physician40.001172209028476X
Jessica Ybanez-Morano
Physician40.00810896045641X
Gregory S Merrick
Physician40.00118639605501X
Ahmad Rahbar
Physician40.00849167015277X
Jondavid Pollock
Physician40.00109453005422X
Robert Coram
Former Senior Clinical Director0.007612209072X
Susan Falbo
Former VP HR0.001260280354X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7353628TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation323153TotalOtherCompensation
Number Individuals GT100 K119NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GrazianoPJ Dick (Sch O)
PO Box 6774PittsburghPA15212Construction Manager13997582
R & V Associates
310 Grant St Ste 1120PittsburghPA15219Consulting3071545
Eclipsys Corporation
1750 Clint Moore RdBoca RatonFL33487Medical Equipment Services1370334
McKay Consulting
8590 Business Park DriveShreveportLA71105Consulting810786
US Security Associates
PO Box 931703AtlantaGA31193Security803100
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K
Government Grants434303GovernmentGrants
All Other Contributions539438AllOtherContributions
Noncash Contributions42506NoncashContributions
Total Contributions973741TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMed Svcs/Diagn LabDescription
Business Code621500BusinessCode
Total Revenue Column281580887TotalRevenueColumn
Related Or Exempt Function Income270942925RelatedOrExemptFunctionIncome
Unrelated Business Revenue10637962UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue281580887TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3312910TotalRevenueColumn
Related Or Exempt Function Income1147140RelatedOrExemptFunctionIncome
Exclusion$2,165,770ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1123124Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real358505Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real764619Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column764619TotalRevenueColumn
Exclusion$764,619ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15084632Securities
Other45377Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities14031750Securities
Other276168Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1052882Securities
Other-230791Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column822091TotalRevenueColumn
Exclusion$822,091ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events194842GrossIncomeFundraisingEvents
Fundraising Direct Expenses231497FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-36655TotalRevenueColumn
Exclusion-$36,655ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Apothecary44611031130221113551$1,999,471
Non-Operating Revenue71394024275552247616$179,939
Cafeteria Sales9000991123895$1,123,895

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1626497TotalRevenueColumn
Exclusion$1,626,497ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8290969TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column295708562TotalRevenueColumn
Related Or Exempt Function Income272090065RelatedOrExemptFunctionIncome
Unrelated Business Revenue13999129UnrelatedBusinessRevenue
Exclusion$8,645,627ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total600000Total
Program Services600000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4308857Total
Program Services549847ProgramServices
Management And General3759010ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total111006671Total
Program Services104058181ProgramServices
Management And General6948490ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4463349Total
Program Services4149298ProgramServices
Management And General314051ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14351814Total
Program Services13344169ProgramServices
Management And General1007645ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7823806Total
Program Services6975786ProgramServices
Management And General848020ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total789412Total
Program Services122179ProgramServices
Management And General667233ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total224589Total
Management And General224589ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total151519Total
Management And General151519ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total261213Total
Program Services261213ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15534718Total
Program Services14121189ProgramServices
Management And General1413529ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1564331Total
Program Services33696ProgramServices
Management And General1530635ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total65800765Total
Program Services64287299ProgramServices
Management And General1513466ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total727038Total
Management And General727038ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3516502Total
Program Services3451478ProgramServices
Management And General65024ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total741060Total
Program Services615061ProgramServices
Management And General125999ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1287785Total
Program Services1287785ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14312164Total
Program Services14082523ProgramServices
Management And General229641ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6712348Total
Program Services6711260ProgramServices
Management And General1088ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt1460201814602018
Licenses/Taxes77278517501029226822
Consult/Mgmt Contracts344128420923439192
UBI Tax12761341276134

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4125103Total
Program Services3371926ProgramServices
Management And General753177ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total285350331Total
Program Services261404163ProgramServices
Management And General23946168ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY832474BOY
EOY30501722EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY37747713BOY
EOY9618837EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25304977BOY
EOY27040136EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2536745BOY
EOY1982418EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4353652BOY
EOY4578956EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis331967559LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec204541966LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY112941875BOY
EOY127425593EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY61136829BOY
EOY70823974EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9176763BOY
EOY8858130EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6947344BOY
EOY13621289EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY260978372BOY
EOY294451055EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43491824BOY
EOY38918550EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY40794335BOY
EOY60401438EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1330688BOY
EOY1398404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY85616847BOY
EOY100718392EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY168261395BOY
EOY186090362EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7100130BOY
EOY7642301EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY175361525BOY
EOY193732663EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY260978372BOY
EOY294451055EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10358231ReconcilationRevenueExpenses
Reconcilation Other Changes8012907ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$151,519OtherActivitiesAmount
Total Lobbying Expenditures IIB151519TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationPart II-B, Line 1(i), Other Lobbying Activities: Lobbying expenses represents the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying and amounts paid to Lewis, Glasser, Casey & Rollins for governmental relations. Wheeling Hospital, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4308291OtherCostOrOtherBasis
Book Value4308291BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis138448419OtherCostOrOtherBasis
Depreciation71800426Depreciation
Book Value66647993BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis133514OtherCostOrOtherBasis
Depreciation29888Depreciation
Book Value103626BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis179094973OtherCostOrOtherBasis
Depreciation127626171Depreciation
Book Value51468802BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9982362OtherCostOrOtherBasis
Depreciation5085481Depreciation
Book Value4896881BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings127425593TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Deferred Compensation Payable$158,412
Deferred Purchase - Long Term Portion$12,517
Asset Retirement Obligation$1,051,500
Accrued Property Tax - Long Term Portion$175,975
FieldValueIRS element (for citing)
Total Of Amounts1398404TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Book SaleNameOfEvent1
Gross Receipts Event147197GrossReceiptsEvent1
Gross Revenue Event147197GrossRevenueEvent1
Other Direct Expenses Event142587OtherDirectExpensesEvent1
Name Of Event2Reverse RaffleNameOfEvent2
Gross Receipts Event241163GrossReceiptsEvent2
Gross Revenue Event241163GrossRevenueEvent2
Cash Prizes Event23250CashPrizesEvent2
Other Direct Expenses Event25268OtherDirectExpensesEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events106482GrossReceiptsOtherEvents
Gross Revenue Other Events106482GrossRevenueOtherEvents
Cash Prizes Other Events2300CashPrizesOtherEvents
Other Direct Expenses Other Events178092OtherDirectExpensesOtherEvents
Gross Receipts Total194842GrossReceiptsTotal
Gross Revenue Total Events194842GrossRevenueTotalEvents
Cash Prizes Total Events5550CashPrizesTotalEvents
Other Direct Expenses Total Events225947OtherDirectExpensesTotalEvents
Direct Expense Summary Events231497DirectExpenseSummaryEvents
Net Income Summary-36655NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4737644TotalCommunityBenefitExpense
Net Community Benefit Expense4737644NetCommunityBenefitExpense
Percent Of Total Expense0.01750PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35023752TotalCommunityBenefitExpense
Direct Offsetting Revenue22447139DirectOffsettingRevenue
Net Community Benefit Expense12576613NetCommunityBenefitExpense
Percent Of Total Expense0.04650PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense39761396TotalCommunityBenefitExpense
Direct Offsetting Revenue22447139DirectOffsettingRevenue
Net Community Benefit Expense17314257NetCommunityBenefitExpense
Percent Of Total Expense0.06400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense563558TotalCommunityBenefitExpense
Direct Offsetting Revenue11514DirectOffsettingRevenue
Net Community Benefit Expense552044NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2655667TotalCommunityBenefitExpense
Direct Offsetting Revenue1206591DirectOffsettingRevenue
Net Community Benefit Expense1449076NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3219225TotalCommunityBenefitExpense
Direct Offsetting Revenue1218105DirectOffsettingRevenue
Net Community Benefit Expense2001120NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense42980621TotalCommunityBenefitExpense
Direct Offsetting Revenue23665244DirectOffsettingRevenue
Net Community Benefit Expense19315377NetCommunityBenefitExpense
Percent Of Total Expense0.07140PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,245,283BadDebtExpenseAmount
Amount Attributable To117114AmountAttributableTo
Amount Reimbursed By Medicare41318618AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare55876654CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14558036MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 Wheeling Renal Care LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivitySpecialty O/P facilityDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.50000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Wheeling Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11 Medical ParkAddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Wheeling Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Continuous Care Center
PO Box 6316WheelingWV26003Skilled Nursing Facility
Wheeling Renal Care LLC
500 Medical Park Suite 100WheelingWV26003Specialty O/P Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 6a: The hospital files a separate community benefit report with the West Virginia Healthcare Authority.
Part I, L7 Col(f): $14,602,018 of bad debt expense was included on Form 990, Part IX, Line 25, column (A), but was subtracted for purposes of calculating the percentage in column f.
Part I, Line 2: Wheeling Hospital will accept applications for financial assistance and charity care from any person at any time. All hospital accounts for inpatient, outpatient, emergency room services, professional services of employed physicians and prescription drugs on an acute/emergent basis are eligible for financial assistance and charity care. Patients must submit a denial of coverage letter from Medicaid or Veteran's Outreach Center in order to be eligible for charity care. Those applicants who fail to submit a Medicaid or Veteran's Outreach Center denial, and are at or below 200% of the Federal Poverty Guidelines, will be eligible for a 65% discount based on their financial situation. Once a patient has provided sufficient documentation to prove financial status, eligibility is determined by referencing the Financial Assistance/Charity Care Matrix, which is based on the Federal Poverty Guidelines for the most current year available as issued by the Department of Health and Human Services. A patient shall be notified in writing of approval or denial of financial assistance/charity care. Those approved applicants who are at or below 200% of the Federal Poverty Guidelines and have provided the required documentation are eligible to receive Charity Care. Those approved applicants who are between 201% and 400% of the Federal Poverty Guidelines are eligible to receive a percentage discount up to 65% after complete analysis and approval of the CFO or his designee. Applicants at or below 200% of the Federal Poverty Guidelines, who fail to provide all required documentation, will be considered for financial assistance based on their financial situation.
Part II: Community Building Activities is not applicable to this organization.
Part III, Line 4: Wheeling Hospital does not have separate audited financial statements. The bad debt reflected on the financial statements is the gross amount of the accounts deemed uncollectible. This would be for accounts that have had no payment for 60 days and have had a minimum of five statements produced. Therefore, the bad debt amounts would be after any discounts or patient payments have been applied.The ratio from Worksheet 2 of the Schedule H instructions was used. This ratio was applied to the total bad debt expense included on Form 990, Part IX, Line 25, column (A). The estimated amount of bad debt expense that could reasonably be attributable to patients who likely would qualify for financial assistance under the Hospital's Charity Care Policy was calculated by applying the percentage of charity care to gross patient revenue to the total bad debt expense at cost.
Part III, Line 8: The costs reflected in line 6 are the allowable costs from Worksheet D-1 of the 9/30/12 CMS cost report. None of the shortfall on line 7 is treated as community benefit. Despite the fact that the program serves all elderly and disabled beneficiaries and could represent community benefit, it is not treated as community benefit to be consistent with the presentation of the consolidated audited financial statements.
Part III, Line 9b: Wheeling Hospital's collection policy has been established to defray the costs of medically necessary services for those patients who meet certain guidelines and have no other medical funding sources. Inpatient, outpatient, emergency room services, professional services of employed physicians and prescription drugs on an acute/emergent basis are eligible for financial assistance/charity care. The Financial Assistance/Charity Care application must be signed by the applicant attesting to the truthfulness and accuracy of the information provided. Certain denial letters are required in order to be eligible for charity care. Eligibility is determined by referencing the Financial Assistance/Charity Care Matrix, which is based on the Federal Poverty Guidelines for the most current year available. Those approved applicants who are at or below 200% of the Federal Poverty Guidelines and have provided the required documentation are eligible to receive charity care, and those who are from 201% to 400% of those limits are eligible for discounts.
Part V, Section B, Line 13g: In addition to providing the full FAP upon request, a summary is posted in the hospital facility's emergency rooms and waiting rooms.Wheeling Hospital, Inc.
Part V, Section B, Line 19d: The Hospital charges the same amount to all patients, irrespective of their financial status.Wheeling Hospital, Inc.
Part VI, Line 2: Wheeling Hospital engaged Arnett & Foster to perform a formal needs assessment to assess the health care needs for the community that it serves. This assessment was completed and dated December 2012 and will be included for fiscal year ending September 30, 2013.
Part VI, Line 3: If the patient has a scheduled procedure and has been pre-registered as self pay, they are directed to the financial counselor, where payment arrangements and discounts/charity are discussed if applicable. Self pay patients are seen by Medical Advocacy Services for Healthcare (MASH), screened for Medicare and Medicaid, and if not eligible for any programs, they supply them with the Charity Form and explain it to them. Self pay accounts over $500 are screened by the MASH service offsite for government program eligibility. Once an account drops to billing, the credit/collection staff gets that account and research for other accounts, noting insurance or charity. If nothing prior, the patient is called to discuss payment/charity as applicable.
Part VI, Line 4: Wheeling Hospital predominantly services the Wheeling Metropolitan Statistical Area. The primary services area includes one county in the Northern Panhandle of West Virginia (Ohio County) and one county in Ohio (Belmont County), with a total population of approximately 114,000.The racial makeup of the MSA as of the 2011 census was 93.3% white, 3.8% African American, 0.8% Asian, 0.2% Native American, with the remainder from other races or a combination of two or more races. The median household income for 2011 was approximately $41,000, while the median household income for the United States was approximately $52,762. The below poverty level percentage for 2011 was approximately 15.4%, while the below poverty level percentage was approximately 14.3% for the United States.
Part VI, Line 5: A majority of the hospital's board members are residents of the primary service area and are neither employees nor contractors of the hospital.In addition, the hospital extends medical staff privileges to any qualified physician in the community.
Part VI, Line 6: Wheeling Hospital, Inc. (the "Hospital") was created by an Act of the Virginia Assembly in 1850. Currently, the Hospital operates and exists under the laws of West Virginia as a not-for-profit corporation. Under its corporate charter, the Hospital is operated, supervised, and controlled by the Roman Catholic Church of the United States of America through the Diocese of Wheeling/Charleston. The Hospital consists of the Wheeling Hospital Division, a full-service regional teaching hospital offering a wide range of medical and surgical services on an inpatient and outpatient basis, and the Bishop Joseph H. Hodges Continuous Care Center (CCC) Division, housing a 120-bed skilled and intermediate care center. The Hospital also operates a group of primary care and multispecialty physicians practicing at the Hospital (the "Physician Practice Division") as a department of the Hospital.The Hospital is also the sole member of Belmont Community Hospital, Inc., ("Belmont Hospital") located in Bellaire, Ohio.In addition, in October 2006, the Hospital and various West Virginia physicians formed a captive insurance company called Mountaineer Freedom Risk Retention Group Inc. ("MFRRG"). The Hospital is a 97% owner in this entity while the Physicians have a 3% noncontrolling interest. The terms of the by-laws provide that distributions, whether on a regular basis or upon dissolution, will be allocated based on the capital contributions the respective owners have made to MFRRG.The Medical Park Foundation (the "Foundation") raises contributions solely for the use of the Hospital controlled entities. The purpose of the Foundation is to cultivate philanthropic support for patient-care services, improve hospital facilities, support the uncompensated care program, and support community outreach programs. The Hospital is the sole member of the Foundation.In August 2010, Wheeling Hospital formed two holding companies, WH Holdings I, LLC and WH Holdings II, Inc. WH Holdings I, LLC is a taxable limited liability company, while WH Holdings II, Inc. is a non-profit corporation. These companies may be used for any future endeavors that might be undertaken by the Hospital separate from the United States Department of Housing and Urban Development (HUD) - insured mortgage. Capitalization for these holding companies will be derived, as necessary, from assets excluded from the HUD-insurance mortgage. At September 30, 2012, WH Holdings II, Inc. had both assets and activity related to the purchase of the Mt. DeChantal property. At September 30, 2012, there were neither assets nor activity for WH Holdings I, LLC.
WVReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Wheeling Jesuit UniversityBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1216 Washington AvenueAddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient550394213EINOfRecipient
IRC SectionSection 501(c)(3)IRCSection
Amount Of Cash Grant600000AmountOfCashGrant
Purpose Of GrantEnhancement of the Nursing Education program at Wheeling Jesuit UniversityPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: As is the case with most hospitals in the United States, Wheeling Hospital struggles to maintain a steady flow of well-educated nurses from the local area to replace outgoing nurses who are retiring or relocating. To that end, senior management from Wheeling Hospital conducted several meetings with Wheeling Jesuit University administration to discuss various benchmarks and goals aimed at strengthening and adding depth to the nursing education program at Wheeling Jesuit University. In order to help foster this goal, Wheeling Hospital agreed to donate $600,000 to Wheeling Jesuit University. Specific stipulations were not made by Wheeling Hospital, however, the mutual agreement between the parties was that Wheeling Jesuit would use the funds to make improvements to their nursing education program in order to better serve Wheeling Hospital's ongoing needs for well-trained nurses. An excerpt from the Wheeling Hospital Board Minutes dated July 26, 2011 is attached as evidence that this decision brought to the Board of Directors. Wheeling Hospital administration continues to meet with Wheeling Jesuit University administration regarding various aspects of the nursing education program. Note: Although the minutes state that the funds would be disbursed over 5 quarters, in fact the initial payment was delayed for several months and the full $600,000 was paid during Wheeling Hospital's 2012 fiscal year.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Ronald L Violi Sch J L
000000000000
Michael S McKeets
17352802010100012901075750002141050
James B Murdy
225166030254000160790316960003031950
Patricia Liebman
36904501010141350105350204300004142460
Angelo Georges MD
500577010100080850323600005411230
Dennis Niess MD
245387030254000134640153510003044560
David Rapp
18625604010100097670257590002618830
Cinda Marsh
1706720101010000094080001901810
Chandra S Swamy
53279806394110001053501794100012006850
Jessica Ybanez-Morano
741153069743000107800348610008565370
Gregory S Merrick
116829501810100022000330100011918970
Ahmad Rahbar
513011033615600010402048750008644440
Jondavid Pollock
1094429010100021230329900010999520
Robert Coram
76021010100049208580000851940
Susan Falbo
12602800000003540001263820

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aRent paid for Ron Violi, "Chief Executive Officer" in the amount of $11,370. Rent is paid because he lives over 60 miles from the Wheeling Hospital, Inc. Campus and his duties often require late hours. Rent also paid on behalf of Patricia Liebman in the amount of $14,135. This is for the convenience of Wheeling Hospital, Inc.
Part I, Line 5Dr. Swamy and Dr. Rahbar's incentives are based on a percentage of net revenue. Dr. Morano's incentive is based on the greater of net revenue or cash receipts.
Part I, Line 6Dr. Rahbar and Dr. Morano's incentives are based on a percentage of net income.
Part IIIForm 990, Part VII, Section A, Line 5: R & V Associates, a business consulting firm, provides services to Wheeling Hospital, Inc. which include a management contract to manage the facility. Of the total amount paid to R & V Associates reported on Form 990, Part VII, Section B, $1,155,000 is allocated to the agreement to provide Mr. Violi's services as "Chief Executive Officer", reported on this Form 990 in Part VII, Section A and on Schedule J, Part II. The amounts are paid to R & V Associates and not to Mr. Violi. Mr. Violi is a principal and one of the managing directors of that firm.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Valerie Satkoske
Daughter of "CEO"99556Payments - Employee Compensation0
Scott Satkoske
Son-in-law of "CEO"136823Payments - Employee Compensation0
R & V Associates
"CEO" is principal3071545Payments - R & V Associates include compensation payments for "CEO" services of Ronald Violi, for other consulting services including services of Mr. Violi other than in his capacity as "CEO", and for expense reimbursements.0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPart IV, Line 3:Identifier
Return ReferenceExplanation of Relationship/Transaction with R & V Associates:ReturnReference
ExplanationR & V Associates is an independent business consulting firm that provides services to Wheeling Hospital (the "Hospital"). Mr. Violi is a principal and one of the managing directors of that consulting firm. Mr. Violi receives all compensation for his services at the Hospital in the amount of $1,155,000 directly from R & V Associates, and not from the Hospital. Although Mr. Violi currently serves as acting "CEO" of the Hospital, he does so through his affiliation with R & V Associates and not through any direct employment relationship with the Hospital. The compensation paid to R & V Associates by the Hospital is established by an independent Ad Hoc Committee of the Board of Directors of the Hospital. It is the practice of this Ad Hoc Committee to conduct its deliberations in full compliance with the established procedures under Section 4958 of the Internal Revenue Code of 1986, as amended, and with the settled purpose of establishing a rebuttable presumption of reasonableness with respect to the compensation paid to R & V Associates. Additionally, the Ad Hoc Committee has sole authority over the retention and discharge of R & V Associates, and Mr. Violi, as acting "CEO" has no authority over such retention or any other aspect of that engagement. The payments to R & V Associates include compensation payments for Mr. Violi, expense reimbursement, and other consulting services.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XEquipment110709Other - Donated Use
XOther Equip.1231797Other - Donated Use
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationThe numbers that appear in column b represent the number of items contributed.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2The Very Reverend Kevin M. Quirk is the assistant to the Most Reverend Michael J. Bransfield, Bishop of the Diocese of Wheeling-Charleston.
Form 990, Part VI, Section A, line 3Ronald L. Violi, "CEO" of Wheeling Hospital, Inc., is not an employee of Wheeling Hosptial, Inc. Ronald L. Violi is a 50% partner in R & V Associates, a consulting firm which Wheeling Hospital, Inc. contracts with for consulting and management services.
Form 990, Part VI, Section A, line 6Wheeling Hospital has a single member, The Most Reverend Michael J. Bransfield, Bishop of the Diocese of Wheeling-Charleston.
Form 990, Part VI, Section A, line 7aWheeling Hospital has a single member, The Most Reverend Michael J. Bransfield, Bishop of the Diocese of Wheeling-Charleston, who has the ability to elect members of the governing body of Wheeling Hospital.
Form 990, Part VI, Section B, line 11Following completion of the Form 990 by the Wheeling Hospital tax preparer, the Form 990 is reviewed by internal personnel and the executive team prior to filing.
Form 990, Part VI, Section B, line 12cAll members of the board of directors and officers receive a copy of the Conflict of Interest Policy annually. Recipients are annually asked to acknowledge they have read the policy, identify any areas of conflict and return the signed disclosure form to Wheeling Hospital, Inc. Responses are reviewed and identified. Conflicts are referred to the Board of Directors for discussion and approval. Key employees and other employees are required to complete a Conflict of Interest questionnaire at hiring and when a change occurs that may be a conflict of interest.
Form 990, Part VI, Section B, line 15Ronald L. Violi, "CEO" of Wheeling Hospital, Inc., is not an employee of Wheeling Hospital, Inc. Ronald L. Violi receives his compensation from R & V Associates, which receives payments from Wheeling Hospital, Inc. for consulting and management services it provides, including for Ronald L. Violi's services as "CEO". Wheeling Hospital, Inc. has determined by means of committee review that the payments to R & V Associates are reasonable and at fair market value. Therefore all compensation payments to Ronald L. Violi are reasonable. Other officers and key employees' compensation is reviewed by a Wheeling Hospital committee. The committee reviews national, regional and local compensation surveys. Additionally, years of service are also taken into account.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy, and financial statements are available upon request. Wheeling Hospital, Inc. also files the financial statements with the WVHCA annually.
Form 990, Part VII, Section B:Amounts paid to Graziano/PJ Dick represent amounts paid for services and materials. These amounts cannot be separated.
Form 990, Part XI, line 5:Net unrealized gains on investments: 8,201,206. Grant Activity 66,158. Contributed Capital -256,992. Transfers 2,535. Total to Form 990, Part XI, Line 5: 8,012,907.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 3aWheeling Hospital, Inc. entered into a HUD/FHA Section 242 mortgage insurance arrangement and was required by this arrangement to undergo an A-133 audit.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Wheeling Pediatrics LLC
222 N 5th StMartins FerryOH43935261482791Physician OfficesOH00Wheeling Hospital Inc
Women's Health Specialists of Wheeling Hospital LLC
1 Medical Park Center 3 Suite 232WheelingWV26003262809731Physician OfficesWV00Wheeling Hospital Inc
WH Holdings I LLC
1 Medical ParkWheelingWV26003273193207Purchase Real EstateWV00Wheeling Hospital Inc
WH Holdings II LLC
1 Medical ParkWheelingWV26003273193246Purchase Real EstateWV-10930086172888Wheeling Hospital Inc

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Belmont Community Hospital Inc
4697 Harison StreetBellaireOH43906340714643HospitalOHSection 501(c)(3)Schedule A, Line 3Wheeling Hospital Inc1
Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWVSection 501(c)(3)Schedule A, Line 1Wheeling Hospital Inc1
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550676674InsuranceWVSection 501(c)(3)Schedule A, Line 11aWheeling Hospital Inc1

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Mountaineer Freedom Risk Retention Group Inc
One Medical ParkWheelingWV26003320184323Captive InsuranceWVWheeling Hospital IncC4594703270237610.97000
Mountaineer Freedom Phyician & Hospital Association Inc
One Medical ParkWheelingWV26003300386759Physician Hospital AssoicationWVWheeling Hospital IncC0.97000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Belmont Community Hospital Inc
P2220432Actual amount paid
Belmont Community Hospital Inc
K377957Actual amount paid
Belmont Community Hospital Inc
N2360343Actual amount paid
Belmont Community Hospital Inc
L69708Actual amount paid
Belmont Community Hospital Inc
H119057Actual amount paid
Belmont Community Hospital Inc
A31502Actual amount paid
Belmont Community Hospital Inc
J58603Actual amount paid
Mountaineer Freedom Risk Retention Group Inc
B256992Actual amount paid
Mountaineer Freedom Risk Retention Group Inc
Q6193192Actual amount paid

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.