OHIO VALLEY MEDICAL CENTER INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OHIO VALLEY MEDICAL CENTER INCORPORATED (EIN 55-0614866)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349301641
Schema version
2012v2.0
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)
Timestamp2013-11-13T09:58:03-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550614866EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OHIO VALLEY MEDICAL CENTER INCORPORATEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOHIONameControl
Phone3042340123Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Eoff StreetAddressLine1
CityWheelingCity
StateWVState
ZIP Code260033823ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLisa SimonName
TitleSr VP & CFOTitle
Phone3042348407Phone
Date Signed2013-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnXInitialReturn
Name Of Principal Officer PersonLisa SimonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 Eoff StreetAddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode
FieldValueIRS element (for citing)
Gross Receipts105219757GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.ovmc-eorh.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1890YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionThe medical staff and employees of OVMC are committed to providing high-quality, cost-effective care to promote the health and well-being of those living in our community. To achieve this charitable goal, OVMC delivers specialized hospital based care and outpatient services and offers health, wellness, and professional education programs.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers85TotalNbrVolunteers
Total Gross UBI648159TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year496117ContributionsGrantsPriorYear
Contributions Grants Current Year4418310ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85435483ProgramServiceRevenuePriorYear
Program Service Revenue CY96286224ProgramServiceRevenueCY
Investment Income Prior Year11737InvestmentIncomePriorYear
Investment Income Current Year-1759InvestmentIncomeCurrentYear
Other Revenue Prior Year3016791OtherRevenuePriorYear
Other Revenue Current Year4516982OtherRevenueCurrentYear
Total Revenue Prior Year88960128TotalRevenuePriorYear
Total Revenue Current Year105219757TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40992492SalariesEtcPriorYear
Salaries Etc Current Year45891529SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year45293573OtherExpensePriorYear
Other Expenses Current Year51029538OtherExpensesCurrentYear
Total Expenses Prior Year86286065TotalExpensesPriorYear
Total Expenses Current Year96921067TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2674063RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8298690RevenuesLessExpensesCY
Total Assets BOY48661938TotalAssetsBOY
Total Assets EOY50875333TotalAssetsEOY
Total Liabilities BOY48312714TotalLiabilitiesBOY
Total Liabilities EOY43966113TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY349224NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6909220NetAssetsOrFundBalancesEOY
Mission DescriptionThe medical staff and employees of OVMC are committed to providing high-quality, cost-effective care to promote the health and well-being of those living in our community. To achieve this charitable goal, OVMC delivers specialized. hospital-based care and outpatient services and offers health, wellness, and professional education programs.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense82822774Expense
Grants0Grants
Revenue100801447Revenue
DescriptionOhio Valley Medical Center Inc (OVMC) is an acute care facility which provides a teaching program to physician residents/interns and also provides specialty services such as a psychiatric/chemical dependency unit. OVMC provides quality medical healthcare, including acute inpatient care, and outpatient services, to the public regardless of race, creed, sex, natural origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of OVMC, it is recognized that not all individuals possess the ability to purchase essential medical services. It is the mission of the hospital to service the community with respect to providing healthcare medical services and healthcare education. Therefore, in keeping with the hospital's commitment to service all members of the community: free care and/or subsidized care was provided during the year: care was provided to persons covered by government programs which reimburse the hospital at below cost during the year; and health activities and programs to support the community were conducted during the year. In addition to providing essential healthcare services to the community, other activities conducted during the year included wellness, community education and special programs.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense82822774TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Assets1ReportOtherAssets
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
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 Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRick ScherichNamePerson
Telephone Number3042348433TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Eoff StreetAddressLine1
CityWheelingCity
StateWVState
ZIP Code260033823ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Kenneth Barber
Trustee00X000
Darrell Cummings
Trustee00X000
Wilbur Jones Jr
Trustee00X000
James Kepner
Trustee00X000
Orphy Klempa
Trustee00X000
Kristine Molnar
Trustee00X000
Howard Shackelford Jr MD
Trustee00X000
James Squibb Jr
Trustee00X000
Shawn Stern DO
Trustee/President, Medical Staff00X000
Michael Caruso
CEO/President/Trustee040302559017172X
Lisa Simon
Sr VP & CFO040279324017472X
Pradip Mehta MD
Anesthesiologist040507757013144X
Robert Caveney MD
Orthopedic Physician040495669017037X
Romeo Reyes MD
Anesthesiologist040485045013732X
Shishir Shah MD
Anesthesiologist040469266017172X
Scott Naum DO
Gastroenterology Physician040403771017217X
Brian Felici
Former CEO & President0017000000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3113391TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation112946TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sodexho Inc & Affliates
PO Box 539622AtlantaGA303536922Food Services & Mgt1288215
Alliance Imaging
PO Box 96485ChicagoIL606936485MRI & PET1203001
Horizon Health
PO Box 840839DallasTX752840839Behavioral Management675939
Cesar Pizzaro MD
2115 Chapline StWheelingWV26003OB/GYN556383
Otis Elevator Company
PO Box 905454CharlotteNC282905454Elevator Maintenance529889
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants4350061GovernmentGrants
All Other Contributions68249AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions4418310TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Revenues62200096272360962723600$0
Non-Patient Revenue62150013864013864$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue96286224TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-1859TotalRevenueColumn
Related Or Exempt Function Income-1859RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other100Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other100Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column100TotalRevenueColumn
Related Or Exempt Function Income100RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory0GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Cafeteria, Auxiliary & All Other900099232922600$2,329,226
Health Club Fees7139003117060311706$0
Other Practitioner6213003225890322589$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1553461TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,553,461ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4516982TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column105219757TotalRevenueColumn
Related Or Exempt Function Income96270601RelatedOrExemptFunctionIncome
Unrelated Business Revenue648159UnrelatedBusinessRevenue
Exclusion$3,882,687ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37632725Total
Program Services37434172ProgramServices
Management And General198553ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total-337549Total
Program Services-337549ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5415183Total
Program Services5415183ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3181170Total
Program Services3201305ProgramServices
Management And General-20135ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total358190Total
Program Services0ProgramServices
Management And General358190ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2932478Total
Program Services2932478ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total619Total
Program Services436ProgramServices
Management And General183ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total349920Total
Program Services349787ProgramServices
Management And General133ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total179Total
Program Services179ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2324186Total
Program Services2199659ProgramServices
Management And General124527ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total122353Total
Program Services121323ProgramServices
Management And General1030ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total148027Total
Program Services148027ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2719311Total
Program Services2719311ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1116424Total
Program Services119505ProgramServices
Management And General996919ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Broad Based Provider Tax95112909511290
Home Office Allocation103409930103409930
Purchased Services512142148985952228260
All Other Supplies1935650919344733117760

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5187799Total
Program Services4275630ProgramServices
Management And General912169ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total96921067Total
Program Services82822774ProgramServices
Management And General14098293ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY802188BOY
EOY608064EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY754692BOY
EOY818244EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14299342BOY
EOY13670038EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY48014BOY
EOY47703EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3794311BOY
EOY3575670EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY276540BOY
EOY256303EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis124003238LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec101115472LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19161310BOY
EOY22887766EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2112625BOY
EOY2236225EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7412916BOY
EOY6775320EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY48661938BOY
EOY50875333EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7330260BOY
EOY6750359EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12518270BOY
EOY13784757EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY28464184BOY
EOY23430997EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY48312714BOY
EOY43966113EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3007679BOY
EOY3858966EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY369402BOY
EOY339047EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2987501BOY
EOY2711207EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY349224BOY
EOY6909220EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48661938BOY
EOY50875333EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8298690ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes-1738694ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis857615OtherCostOrOtherBasis
Book Value857615BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis87458651OtherCostOrOtherBasis
Depreciation69775327Depreciation
Book Value17683324BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis34702299OtherCostOrOtherBasis
Depreciation30484474Depreciation
Book Value4217825BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis984673OtherCostOrOtherBasis
Depreciation855671Depreciation
Book Value129002BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22887766TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Pension Costs6368403
Net Client Accounts Receivable406917
FieldValueIRS element (for citing)
Total Book Value Other Assets6775320TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Interfunds Accounts$21,061,777
Accrued Building Abatement$233,260
Self Funded Malpractice$2,135,960
FieldValueIRS element (for citing)
Total Of Amounts23430997TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense2784238TotalCommunityBenefitExpense
Direct Offsetting Revenue369871DirectOffsettingRevenue
Net Community Benefit Expense2414367NetCommunityBenefitExpense
Percent Of Total Expense0.0249PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense13186020TotalCommunityBenefitExpense
Direct Offsetting Revenue13145381DirectOffsettingRevenue
Net Community Benefit Expense40639NetCommunityBenefitExpense
Percent Of Total Expense0.0004PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense15970258TotalCommunityBenefitExpense
Direct Offsetting Revenue13515252DirectOffsettingRevenue
Net Community Benefit Expense2455006NetCommunityBenefitExpense
Percent Of Total Expense0.0253PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense1337882TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1337882NetCommunityBenefitExpense
Percent Of Total Expense0.0138PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense3329229TotalCommunityBenefitExpense
Direct Offsetting Revenue1120636DirectOffsettingRevenue
Net Community Benefit Expense2208593NetCommunityBenefitExpense
Percent Of Total Expense0.0228PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense4667111TotalCommunityBenefitExpense
Direct Offsetting Revenue1120636DirectOffsettingRevenue
Net Community Benefit Expense3546475NetCommunityBenefitExpense
Percent Of Total Expense0.0366PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense20637369TotalCommunityBenefitExpense
Direct Offsetting Revenue14635888DirectOffsettingRevenue
Net Community Benefit Expense6001481NetCommunityBenefitExpense
Percent Of Total Expense0.0619PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,586,588BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare20406211AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21651636CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1245425MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
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 Line1DASCO-Ohio Valley HME LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityRetail durable medical equipmentDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.25OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0PhysicansProfitOrOwnership
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 Line1Ohio Valley Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12000 Eoff StreetAddressLine1
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 Line1Ohio Valley Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L03cSchedule H, Part I, Line 3cFPG is used when determining eligibility for free care but not used for providing for discounted care.
SchH_P01_S00_L07Schedule H, Part I, Line 7Cost to Charge ratio from worksheet 2 was used to determine cost.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4The organizations financial statements do not include a footnote regarding bad debt expense.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8Cost was determined by Medicare Cost Report.
SchH_P03_S0C_L09aSchedule H, Part III, Section C, Line 9aOhio Valley Medical Center (OVMC) collection on private pay accounts will be performed consistently to ensure optimization of cash flow and for timely identification of bad debt accounts. Patients have the responsibility to provide requested information, pursue all other sources of financial assistance as may be available and to make appropriate payment arrangements. As a service to patients, OVMC will assist by billing insurance companies and other third party payers, and assist in obtaining their payments on behalf of the patients. Patient accounts considered uncollectible are to be written-off to the appropriate bad debt account. RULES (GUIDELINES): - The goal of all contacts with patients is to determine when an outstanding account will be paid. Patients should be asked to commit to a payment date. - Any request for an itemized statement should be fulfilled but at no time should a HCFA 1450 (UB-92) or HCFA 1500 be sent to a patient. - Any request for a discount from the amount billed or financial assistance (charity care) must be referred to the Financial Counselor or Manager of Credit and Collections. - A continuous and reasonable collection effort will be made for all payer types, with the exception of charity care accounts and medically indigent accounts (Medicaid). - All patients should be encouraged to enter into a payment plan arrangement, if they are unable to pay the full amount owed. - If a patient breaches the payment plan arrangement by failure to pay according to terms agreed upon, the account will enter the collection process. - Bad debts are amounts (usually co-insurance and deductibles) owed on the patient accounts for services provided by the hospital that were not anticipated as being uncollectible at the time the services were performed. - Patient accounts considered uncollectible or which are to be written-off to bad debt must meet the following criteria: a. Patient accounts have been returned by the Collection Agency or b. Patient accounts are determined to be charity care or c. Patients are medically indigent (Medicaid) or d. Patient is bankrupt, in which a legal inquiry is required or e. Patient is deceased, in which an estate inquiry is required - When the patient cannot be located (i.e. incorrect address) after all possible steps have been completed (attempts to contact a relative, employer, referring physician, referrals from previous hospital or any other persons or places that may be listed on the admitting forms) the account is sent directly to the Collection Agency. - A Bad Debt log will be updated and accumulated daily as patient accounts are written off. - Payments received on accounts that have been identified as a bad debt and have been written off will be recorded to a Bad Debt Recovery Account. 1. Registration: a. Admitting Office gathers the patient's third party payer (Insurance, Medicare, Medicaid) cards/information and all applicable forms/applications. b. Financial Counselor determines the patient's ability to pay, which includes 1. verifying third payer eligibility; 2. establishing whether all or a portion of the bill will be a Self-Pay account; 3. assisting in the completion of charity care application; 4. establishing a payment plan arrangement when possible; 5. and checking pre-certification requirements. c. On-site WV Department of Health and Human Services employee assists the patient in creating an application for Medicaid and determines Medicaid eligibility. 1. Dual-Eligibility/Crossover Claims are also entered into the system at this time for proper electronic transfer/correspondence from Medicare to Medicaid. d. Manager of Credit & Collections reviews all documentation for accuracy. 2. Charity Care - refer to Policy Number 11.842.55 3. Payment Plan Arrangement: a. Patient must complete a payment plan application (Extended Financial Arrangement Application) b. Approved by the Manager of Credit & Collections based upon the patient's ability to pay as verified by the application. c. Monthly payments must be at least $25.00 per month. d. Patients receive a monthly billing statement reflecting the payment amount per the payment plan arrangement. e. If patient defaults on the arrangement, the outstanding amount is then considered a Self-Pay account. 4. The portion of the bill that has been determined to be the patient's responsibility, such as deductibles, coinsurance, and/or non-covered services, are due and payable when the services are rendered. 5. Patient Accounting Department: a. Accounts are assigned to each Patient Accounting Representative based on payer types (Insurance, Medicare, Medicaid, or Self-Pay accounts). b. Each Representative is responsible for the following: 1. verifying proper and consistent billing; 2. tracking the payment plan arrangements; 3. inquiring on bankruptcy and estate cases; 4. corresponding with third party payers; 5. receiving calls from patients (PHONE CALLS ARE NEVER MADE TO THE PATIENT); 6. and addressing any problems that may arise. c. Representatives document all correspondence and collection processes through notes in the system. 6. Approximately 5 days after discharge/visit, the Patient Accounting Department either bills the patient's third party payer, or processes a statement for Self-Pay accounts to be sent to the patient. 7. Medicare Account: a. Medicare Payment - remaining amount, if determined to be the responsibility of Insurance or Medicaid, is billed to that payer and the specific process at #8 or #9 is followed. If the remaining amount is determined to be the patient's responsibility, then the process at #10 is followed. b. Medicare Denial - determination will be made as to why the amount was denied and either correctly re-bill; bill another payer, if applicable, following the specific process #8 or #9; or bill the patient following the Self-Pay process at #10. 8. Medicaid Account: a. Medicaid Payment - remaining amount is deemed to be charity care as the patient is medically indigent, and the account is written-off as a bad debt. b. Medicaid Denial - determination will be made as to why the amount was denied and either correctly re-bill or bill the patient c. Dually Eligible - proper transfer and billing of Medicare and Medicaid EOB/Remits is verified, and any errors are followed up with the specific payer. Once both EOB/Remits have been received and determined to be accurate, the remaining amount is written off as bad debt. 9. Insurance Account: a. Insurance Payment - remaining amount, if determined to be the responsibility of Insurance or Medicaid, is billed to that payer and the specific process at #8 or #9 is followed. If the remaining amount is determined to be the patient's responsibility, then the process at #10 is followed. b. Insurance Denial - determination will be made as to why the amount was denied and either correctly re-bill; bill another payer, if applicable, following the specific process at #8 or #9; or bill the patient following the Self-Pay process at #10. c. No Response - after approximately 30 days, the system will print a reminder and a follow-up phone call will be made to the payer to assess the situation. Multiple phone calls may be made. If the payer still does not respond the patient receives the following: 1. 20 days after billing - statement is sent to the patient notifying them that their insurance has not responded or paid, and that they should contact their payer. 2. 50 days after billing - statement is sent to the patient notifying them that their insurance has not responded or paid, and that they should contact their payer. 3. 80 days after billing - statement is sent to the patient notifying them that they are responsible for the amount. 4. After the 3rd statement is sent the process at #10 is followed. 5. Medicare and Medicaid patients do not receive these statements.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9b10. Self Pay Account: a. Billing Statements: 1. 1st bill is sent to the patient approximately 5 days after discharge/visit and states that they have 30 days to pay the outstanding amount. 2. 2nd bill is sent to the patient approximately 35 days after discharge/visit, and states that their account is 30 days old. 3. 3rd bill is sent to the patient approximately 65 days after the discharge/visit, and states that their account is now 60 days old. b. If no payment has been received after approximately 95 days after the discharge/visit, the account is turned over to the Collection Agency. c. If patient is making payments, the billing statements will continue until either 1. amount has been paid in full, or 2. payments cease, at which time the account will be turned over to the Collection Agency. d. When statements and letters are returned due to an incorrect address the Patient Accounting Department will try to locate the 12. Collection Agency: a. Once the accounts are turned over to the Collection Agency, the length of time that they are kept depends on the following: 1. Patient does not make payments - the Collection Agency returns accounts to OVMC after 1 year of inactivity. 2. Patient is making payments - Collection Agency keeps them indefinitely until either the account is paid in full or 1 year from turn-over inactivity, at which time the account is returned to OVMC in an electronic file. b. All accounts sent to the Collection Agency are coded as an "Agency Code" and are tracked. A report of these accounts is periodically reviewed and an inquiry is made for accounts being held for a long period of time. The Collection Agency also has the capability to send reports summarizing the accounts. This report is also reviewed periodically. c. Accounts returned by the Collection Agency should be accompanied by documentation of the collection efforts applied. 13. Once an account is returned from the Collection Agency, it is considered uncollectible and written-off as a bad debt, at which time the collection process ends. 14. Deceased Patient: a. Patient Accounting Department verifies the estate status to determine if there is any possibility of collection of the outstanding amount owed. 1. Estate - collection process continues on the account. 2. No Estate - account is written-off as a bad debt. 15. Bankrupt Patient: a. Patient Accounting Department verifies the bankruptcy status to determine if there is any possibility of collection of the outstanding amount owed. 1. Possibility - collection process continues on account. 2. No Possibility - account is written-off as a bad debt.
SchH_P05_S0B_L22Schedule H, Part V, Section B, Line 22If the patient requested and if the situation warranted, the patient was given a discount.
SchH_P06_S00_L02Schedule H, Part VI, Line 2The hospital is under new management and is in the process of creating a new strategic assessment that reviews the healthcare needs of the community it serves.
SchH_P06_S00_L03Schedule H, Part VI, Line 3See collection/bad debt write off policy.
SchH_P06_S00_L04Schedule H, Part VI, Line 4See answer to question number two above.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase 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 OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Shishir Shah MD
Anesthesiologist38326608600000000171720486438000
Pradip Mehta MD
Anesthesiologist385317012244000000131440520901000
Romeo Reyes MD
Anesthesiologist38496501000800005880131440498777000
Scott Naum DO
Gastroenterology Physician403771000001460170710420988000
Robert Caveney MD
Orthopedic Physician4956690000000170370512706000
Michael Caruso
CEO/President/Trustee0302559000000017172031973100
Lisa Simon
Sr VP & CFO0250724028600000300017172029679600
Brian Felici
Former CEO & President000001700000000017000000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L04Schedule J, Part I, Line 4Payment for Brian Felici, former Chief Executive Officer, in settlement of claims.
SchJ_P01_S00_L07Schedule J, Part I, Line 7Compensation is reasonable based on comparability data, caps and subject to a formula.
SchJ_P02_S00_L00Schedule J, Part IICompensation is reasonable based on comparability data, caps and subject to a formula.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Howard Shackelford MD
Trustee277204Physician Services0
James Squibb Jr
Trustee205472Advertising0
Derrick Latos MD
Trustee179605Physician Services0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L09Form 990, Part VI, Section A, Line 9Michael Caruso - 114 Elm Street, Wheeling WV 26003
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bForm 990 and all schedules are reviewed by the CFO & Board of Directors prior to final submission.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe excutive comitee of the board reviews the conflicts. Trustees with conflicts are not allowed to vote on matters in which their conflict pertains.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Compensation is reasonable based on comparative data, caps and subject to a formula.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19All required documentation is filed with the West Virginia Healthcare Authority and is disclosed on their website.
F990_P11_S00_L09Form 990, Part XI, Line 9Pension decreased by $1,429,423 & Auxiliary decreased by $8,948 & Restricted Net Assets decreased $300,323

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Ohio Valley Health Services & Education Foundation
2000 Eoff StreetWheelingWV26003550615693Supporting OrganizationWV501 (c) (3)PFN/A
Ohio Valley Health Services & Education Corporation
2000 Eoff StreetWheelingWV26003550357044Supporting OrganizationWV501 (c) (3)13N/A
East Ohio Regional Hospital
90 North Fourth StreetMartins FerryOH43935340714457HospitalOH501 (c) (3)3N/A
Family Services of the Upper Ohio Valley
51 11th StreetWheelingWV26003550357074Social ServicesWV501 (c) (3)7N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1River Health Enterprises IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Eoff StreetAddressLine1
CityWheelingCity
StateWVState
ZIP Code26003ZIPCode
FieldValueIRS element (for citing)
EIN550611593EIN
Primary ActivityPhysician OfficesPrimaryActivity
Legal Domicile StateWVLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAdditional time needed to compile and review the informationExplanation

Comments

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