WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (EIN 55-0779739)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-01
IRS object ID
201313059349301251
Schema version
2012v2.2
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)
Timestamp2013-11-01T02:47:28-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550779739EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Virginia University Medical Corporation Charleston DivisionBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3043471297Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 7000AddressLine1
CityMorgantownCity
StateWVState
ZIP Code265077000ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJane HaleyName
TitleCFOTitle
Phone3043471297Phone
Date Signed2013-11-01DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1West Virginia University Physicians CharlestonBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ Gregory Rosencrance MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14522 MacCorkle Ave SEAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42432746GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewvupc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTo support the West Virginia University School of Medicine - Charleston Division.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees277TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19896136ProgramServiceRevenuePriorYear
Program Service Revenue CY42040192ProgramServiceRevenueCY
Investment Income Prior Year91131InvestmentIncomePriorYear
Investment Income Current Year392199InvestmentIncomeCurrentYear
Other Revenue Current Year355OtherRevenueCurrentYear
Total Revenue Prior Year19987267TotalRevenuePriorYear
Total Revenue Current Year42432746TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year915234GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1785193GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15874197SalariesEtcPriorYear
Salaries Etc Current Year32850192SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3913659OtherExpensePriorYear
Other Expenses Current Year10121974OtherExpensesCurrentYear
Total Expenses Prior Year20703090TotalExpensesPriorYear
Total Expenses Current Year44757359TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-715823RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2324613RevenuesLessExpensesCY
Total Assets BOY17202281TotalAssetsBOY
Total Assets EOY14385805TotalAssetsEOY
Total Liabilities BOY4343436TotalLiabilitiesBOY
Total Liabilities EOY3549187TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12858845NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10836618NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of West Virginia University School of Medicine Charleston Division d/b/a West Virginia University Physicians of Charleston, is to support the West Virginia University School of Medicine and to improve the lives of our patients, physicians, students, and employees by maintaining an efficient, effective and friendly academic and clinical practice environment.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense36364604Expense
Grants6550Grants
Revenue42040547Revenue
DescriptionThe Corporation supported the faculty physicians of the West Virginia University School of Medicine in their provision of medical services with approximately 106,466 patient visits and 242,596 procedures during 2012. The Corporation incurred expenditures for salaries, wages and employee benefits on behalf of the School of Medicine for faculty physicians and staff.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2696386Expense
Grants1778643Grants
DescriptionThe corporation continuously meets its exempt purpose by providing funds to the state-supported West Virginia University School of Medicine. By providing these funds, the Corporation has both lessened the burdens of government and advanced graduate medical education in West Virginia. As part of its mission to support the School of Medicine, the Corporation incurred expenditures for professional liability premiums on behalf of the faculty physicians of the School of Medicine of approximately 917,743 for the year ended December 31, 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense384074Expense
DescriptionThe Corporation has also lessened the burdens of government by relieving poverty in West Virginia by supporting the faculty physicians in their provision of charity care. In addition, the Corporation has promoted health for the benefit of the community, West Virginia both rural and metropolitan areas and surrounding states. For example, the Corporation has supported the faculty physicians in their non-revenue producing endeavors such as practicing in free care clinics, providing health-realted informatoin via telemedicine and printed materials, and providing phone access to the faculty physicians for the states rural physicians.Description
FieldValueIRS element (for citing)
Total Program Service Expense39445064TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees277NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary Jo ShahanNamePerson
Telephone Number3045984554TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 8059AddressLine1
CityMorgantownCity
StateWVState
ZIP Code26506ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
J Gregory Rosencrance MD
Chairman, President/CEO040.00XX287752025124
Roberto E Kusminsky MD
Director040.00X269298028292
Raheel Khan MD
Director040.00X178087019391
John Linton PhD
Director040.00X5274303791
Jeffrey V Ashley MD
Director040.00X313952024175
Stephen H Bush MD
Director040.00X457352032974
L Clark Hansbarger
Director040.00X121334012338
Doug Haden MD
Director040.00X263769026380
Arthur J Ross III MD
Director/ WVU SOM Dean040.00X000
Jane Weise Haley
CFO040.00X109728011780
Frank C Lucente MD
Physician040.00434924032974X
Patrick A Stone
Physician040.00428981032974X
Brett A Faulkner
Physician040.00422320032974X
James A Lohan
Physician040.00416875032974X
Todd A Witsberger
Physician040.00373847032974X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4130962TotalReportableCompFromOrg
Total Other Compensation349115TotalOtherCompensation
Number Individuals GT100 K80NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Mountain State Blue Cross Blue Sheild
PO Box 1948ParkersburgWV26102Employee Benefits867812
Antione Skaff
4916 MacCorkle Ave SECharlestonWV25304Rent110400
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Direct Patient Care6211102463702324637023
Education and Research6117101072213010722130
Expense Reimbursements90009964148956414895
Other Health Care900099266144266144
FieldValueIRS element (for citing)
Total Program Service Revenue42040192TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column392199TotalRevenueColumn
Exclusion$392,199ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCash RebatesDescription
Total Revenue Column355TotalRevenueColumn
Related Or Exempt Function Income355RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue355TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42432746TotalRevenueColumn
Related Or Exempt Function Income42040547RelatedOrExemptFunctionIncome
Exclusion$392,199ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1785193Total
Program Services1785193ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2238262Total
Program Services2116754ProgramServices
Management And General121508ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26066886Total
Program Services22520897ProgramServices
Management And General3545989ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2287262Total
Program Services1976116ProgramServices
Management And General311146ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1067706Total
Program Services909177ProgramServices
Management And General158529ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1190076Total
Program Services1028185ProgramServices
Management And General161891ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total88860Total
Management And General88860ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47374Total
Management And General47374ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2580077Total
Program Services2244667ProgramServices
Management And General335410ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total96404Total
Program Services83871ProgramServices
Management And General12533ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1416441Total
Program Services1270009ProgramServices
Management And General146432ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total42304Total
Program Services36804ProgramServices
Management And General5500ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total388512Total
Program Services338005ProgramServices
Management And General50507ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total377126Total
Program Services328100ProgramServices
Management And General49026ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total693Total
Program Services603ProgramServices
Management And General90ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total453135Total
Program Services394227ProgramServices
Management And General58908ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1140548Total
Program Services992277ProgramServices
Management And General148271ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for Doubtful Accounts29495742949574
Association Dues25330422037432930
Taxes, License and Fees17647015352922941
Recruiting45232393525880

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total65920Total
Program Services57350ProgramServices
Management And General8570ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44757359Total
Program Services39445064ProgramServices
Management And General5312295ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2872BOY
EOY2973EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2159890BOY
EOY1992165EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3430523BOY
EOY2658927EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY218591BOY
EOY125952EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY188917BOY
EOY125435EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3351686LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1119737LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1254213BOY
EOY2231949EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7993583BOY
EOY6439427EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1953692BOY
EOY808977EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17202281BOY
EOY14385805EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4199997BOY
EOY3549187EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY143439BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4343436BOY
EOY3549187EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12858845BOY
EOY10836618EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12858845BOY
EOY10836618EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17202281BOY
EOY14385805EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2324613ReconcilationRevenueExpenses
Reconciliation Unrealized Invest302383ReconciliationUnrealizedInvest
Reconcilation Other Changes3ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis303334OtherCostOrOtherBasis
Depreciation132691Depreciation
Book Value170643BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1777830OtherCostOrOtherBasis
Depreciation796404Depreciation
Book Value981426BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1270522OtherCostOrOtherBasis
Depreciation190642Depreciation
Book Value1079880BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2231949TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Other Current Receivable694555
CIP114422
FieldValueIRS element (for citing)
Total Book Value Other Assets808977TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal income taxesDescription
FieldValueIRS element (for citing)
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt33370305TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments302383NetUnrealizedGainsInvestments
Other Revenues-2949574OtherRevenues
Revenue Not Rptd F990-2647191RevenueNotRptdF990
Revenue Subtotal36017496RevenueSubtotal
Other Revenues Not Included6415250OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6415250RevenueNotRptdOnFinStmt
Total Revenue Per Form99042432746TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35392534TotExpensesEtcAuditedFinclStmt
Expenses Subtotal35392534ExpensesSubtotal
Other Expenses Not Included9364825OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt9364825ExpensesNotRptdOnFinStmt
Total Expenses Per Form99044757359TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
X2The Corporation accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were not tax uncertainties that met the recognition threshold in 2012 and 2011.
XI2dBad Debt and Recovery of Bad Debt totaling 2,949,574 reported as an offset to Revenue on audited Financial Statements, reported as expense on Form 990.
XI4dCash rebates of 355 and Salary/Fringe benefit reimbursements of 6,414,895 posted as offsets to expense on audited Financial Statements.
XII4dBad Debt and Recovery of Bad Debt totaling 2,949,574 reported as an offset to Revenue on audited Financial Statements, reported as expense on Form 990. Cash rebates of 355 and Salary/Fringe benefit reimbursements of 6,414,895 posted as offsets to expense on audited Financial Statements, plus 1 rounding.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WVU School of Medicine - Charleston DivisionBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13110 MacCorkle Ave SEAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient556000842EINOfRecipient
IRC Section3IRCSection
Amount Of Cash Grant1778643AmountOfCashGrant
Purpose Of GrantSupportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
J Gregory Rosencrance MD
Chairman, President/CEO20000086680107225124312876
Roberto E Kusminsky MD
Director22017844801431928292297590
Raheel Khan MD
Director16348310000460419391197478
Jeffrey V Ashley MD
Director193955118096190124175338127
Stephen H Bush MD
Director38672269165146532974490326
Doug Haden MD
Director2119855146032426380290149
Frank C Lucente MD
Physician31910011499682832974467898
Patrick A Stone
Physician29000013858040132974461955
Brett A Faulkner
Physician40000012696962432974455294
James A Lohan
Physician3245199200035632974449849
Todd A Witsberger
Physician3105196250082832974406821

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

ExplanationExplanation
Form 990 Part VI Section A Line 6 The membership of the Corporation consists of physicians who are faculty members of the West Virginia University School of Medicine, Charleston Division the School of Medicine. Revenues of the Corporation are used for the public purpose of furthering the goals and objectives of the School of Medicine and are derived principally from billings for medical services furnished by the Corporations membership within the scope of their duties as faculty of the School of Medicine.
Form 990 Part VI Section A Line 7a There are nine voting members of the Corporations board of directors. The members consist of the Associate Vice President and six 6 departmental chairs. The eighth is elected for a 2 year term from and by the full-time faculty members of the West Virginia University Medical Corporation - Charleston Division. The ninth is the Dean of the West Virginia University School of Medicine, who is an ex-officio voting member.
Form 990 Part VI Section A Line 7b Any substantive changes in the bylaws proposed by the board of directors must be consistent with West Virginia University Board of Governors policies and shall not be adopted by the Board or implemented until the same have been approved by the President of the University or his designee.
Form 990 Part VI Section B Line 11b Form 990 is prepared by the tax accountant at West Virginia University Hospitals, Inc. with assistance from the West Viriginia University Medical Corporation Manager of Accounting. Before the 990 is filed with the IRS, the CFO reviews the 990 with the Finance Committee and Board members to ensure they have an understanding of the information provided on the form.
Form 990 Part VI Section B Line 12c All new employees must complete an electronic disclosure module at the outset of employment that addresses whether they have any relationships that could constitute a conflict of interest as described in the corporations by-laws and related conflict of interest policy. The electronic disclosure forms must also be updated annually, and any disclosures of potential conflicts on either the initial or recurring annual disclosures will be reviewed and analyzed to determine whether a conflict exists and, if so, the employment ramifications of the same.
Form 990 Part VI Section B Line 12c Additionally, the corporation has adopted a policy that requires employed faculty to disclose annually, in writing, any outside relationships which could potentially constitute a conflict of interest on forms prescribed by the corporations Conflict of Interest policy. Again, documented disclosures of potential conflicts will be reviewed and analyzed to determine whether actual conflicts exist.
Form 990 Part VI Section B Line 15 The corporation reviews compensation of the CEO, officers and faculty against reported benchmarks. The corporation also obtains Fair Market Value studies from its affiliated hospitals. These are reviewed at least annually.
Form 990 Part VI Section C Line 19 The corporation provides financial statements to the public upon written request. The corporation has a website where its Code of Conduct which contains information regarding conflict avoidance is posted, along with the corporations Conflict of Interest policy, related resources and disclosure forms. www.wvupc.org/compliance
Form 990 Part XI Line 9 3 of rounding due to Financial statements being rounded to nearest dollar.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1West Virginia University School of Medicine Charleston DivisionBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13110 MacCorkle AveAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
EIN556000842EIN
Primary ActivitiesEducationPrimaryActivities
Legal Domicile StateWVLegalDomicileState
Exempt Code Section501c3ExemptCodeSection
Public Charity Status2PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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