WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (EIN 55-0779739)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201241359349305354
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T15:17:30-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arnett & Foster PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 2629 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25329 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550779739 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | West Virginia University Medical | BusinessNameLine1 |
| Business Name Line2 | Corporation Charleston Division | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 3043471297 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 7000 | AddressLine1 |
| City | Morgantown | City |
| State | WV | State |
| ZIP Code | 265077000 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jane Weise Haley | Name |
| Title | CFO | Title |
| Phone | 3042935033 | Phone |
| Date Signed | 2012-05-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Greg Gibbs | Name |
| Phone | 3043460441 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | West Virginia University Physicians | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | J Gregory Rosencrance M | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 7000 | AddressLine1 |
| City | Morgantown | City |
| State | WV | State |
| ZIP Code | 265077000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43226947 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | wvupc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | The organization's mission is to support the West Virginia University School of Medicine - Charleston Division. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 268 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26341 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 46089451 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 43194930 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 46399 | InvestmentIncomePriorYear |
| Investment Income Current Year | 32017 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46162191 | TotalRevenuePriorYear |
| Total Revenue Current Year | 43226947 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1539492 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2006192 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 29820642 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30241217 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8274452 | OtherExpensePriorYear |
| Other Expenses Current Year | 7490585 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 39634586 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39737994 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6527605 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3488953 | RevenuesLessExpensesCY |
| Total Assets BOY | 14127540 | TotalAssetsBOY |
| Total Assets EOY | 17598077 | TotalAssetsEOY |
| Total Liabilities BOY | 4003599 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3985183 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10123941 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13612894 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of West Virginia University Medical Corporation - Charleston Division, doing business as 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 29792137 | Expense |
| Grants | 9967 | Grants |
| Revenue | 43194930 | Revenue |
| Description | The Corporation supported the faculty physicians of the West Virginia School of Medicine in their provision of medical services with approximately 239,500 procedures performed and 107,000 patient visits during the year ended June 30, 2011. The Corporation incurred expenditures for salaries, wages and employee benefits on behalf of the School of Medicine for faculty physicians, residents, and staff. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2631757 | Expense |
| Grants | 1996225 | Grants |
| Description | The 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 $635,532 for the year ended June 30, 2011. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1705324 | Expense |
| Description | The 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-related information via telemedicine and printed materials, and providing phone access to the faculty physicians for the state's rural physicians. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 34129218 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 268 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kelly Henderson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3042857122 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 Scott Avenue | AddressLine1 |
| City | Morgantown | City |
| State | WV | State |
| ZIP Code | 265070897 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| James G Rosencrance MD | |||||||
| Chairman, President/CEO | 40.00 | X | X | 233850 | 0 | 21814 | |
| Roberto Kusminsky MD | |||||||
| Director | 40.00 | X | 224740 | 0 | 27615 | ||
| Elizabeth Kurczinski MD | |||||||
| Director | 40.00 | X | 124572 | 0 | 17952 | ||
| Raheel Khan MD | |||||||
| Director | 40.00 | X | 107541 | 0 | 10672 | ||
| Martin Kommer MD | |||||||
| Director | 40.00 | X | 118538 | 0 | 12088 | ||
| Jeffrey Ashley MD | |||||||
| Director | 40.00 | X | 252216 | 0 | 23242 | ||
| Stephen Bush MD | |||||||
| Director | 40.00 | X | 556481 | 0 | 54368 | ||
| L Clark Hansburger | |||||||
| Director | 40.00 | X | 128826 | 0 | 11810 | ||
| R Todd Depond | |||||||
| Director | 40.00 | X | 264360 | 0 | 40556 | ||
| Jane Weise Haley | |||||||
| Chief Financial Officer | 40.00 | X | 95291 | 0 | 32584 | ||
| Frank C Lucente MD | |||||||
| Physician | 40.00 | 420062 | 0 | 48877 | X | ||
| Brett A Faulknier MD | |||||||
| Physician | 40.00 | 418263 | 0 | 32377 | X | ||
| Patrick A Stone MD | |||||||
| Physician | 40.00 | 401538 | 0 | 48798 | X | ||
| Luis A Bracero MD | |||||||
| Physician | 40.00 | 364923 | 0 | 54377 | X | ||
| Samuel C Rossi MD | |||||||
| Physician | 40.00 | 354829 | 0 | 32377 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4066030 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 469507 | TotalOtherCompensation |
| Number Individuals GT100 K | 80 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Direct patient care | 621111 | 27075738 | 27075738 |
| Education & research | 611710 | 8815742 | 8815742 |
| Expense reimbursements | 900099 | 5906119 | 5906119 |
| Other health care | 900099 | 1397331 | 1397331 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 43194930 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32017 | TotalRevenueColumn |
| Exclusion | $32,017 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43226947 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43194930 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $32,017 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2006192 | Total |
| Program Services | 2006192 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2337081 | Total |
| Program Services | 2215543 | ProgramServices |
| Management And General | 121538 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23689437 | Total |
| Program Services | 19906997 | ProgramServices |
| Management And General | 3782440 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1981877 | Total |
| Program Services | 1783689 | ProgramServices |
| Management And General | 198188 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1140301 | Total |
| Program Services | 969256 | ProgramServices |
| Management And General | 171045 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1092521 | Total |
| Program Services | 928643 | ProgramServices |
| Management And General | 163878 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57684 | Total |
| Management And General | 57684 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66461 | Total |
| Management And General | 66461 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1947546 | Total |
| Program Services | 1655415 | ProgramServices |
| Management And General | 292131 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90987 | Total |
| Program Services | 13633 | ProgramServices |
| Management And General | 77354 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1070778 | Total |
| Program Services | 877528 | ProgramServices |
| Management And General | 193250 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25269 | Total |
| Program Services | 21479 | ProgramServices |
| Management And General | 3790 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450717 | Total |
| Program Services | 428181 | ProgramServices |
| Management And General | 22536 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 242954 | Total |
| Program Services | 206511 | ProgramServices |
| Management And General | 36443 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135262 | Total |
| Program Services | 114973 | ProgramServices |
| Management And General | 20289 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149491 | Total |
| Program Services | 134542 | ProgramServices |
| Management And General | 14949 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 881307 | Total |
| Program Services | 635532 | ProgramServices |
| Management And General | 245775 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad debts | 1969679 | 1969679 | 0 |
| Dues, memberships, lice | 215600 | 100460 | 115140 |
| Repairs and maintenance | 67354 | 63265 | 4089 |
| Recruitment | 24408 | 14960 | 9448 |
| WV provider tax | 19624 | 18446 | 1178 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75464 | Total |
| Program Services | 64294 | ProgramServices |
| Management And General | 11170 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39737994 | Total |
| Program Services | 34129218 | ProgramServices |
| Management And General | 5608776 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1424 | BOY |
| EOY | 1422 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10343578 | BOY |
| EOY | 13346265 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2451056 | BOY |
| EOY | 2871266 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231156 | BOY |
| EOY | 143381 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96230 | BOY |
| EOY | 187364 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1109240 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 566516 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 561439 | BOY |
| EOY | 542724 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 442657 | BOY |
| EOY | 505655 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14127540 | BOY |
| EOY | 17598077 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3817251 | BOY |
| EOY | 3952239 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186348 | BOY |
| EOY | 32944 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4003599 | BOY |
| EOY | 3985183 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10123941 | BOY |
| EOY | 13612894 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10123941 | BOY |
| EOY | 13612894 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14127540 | BOY |
| EOY | 17598077 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 3488953 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 204836 | OtherCostOrOtherBasis |
| Depreciation | 102668 | Depreciation |
| Book Value | 102168 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 872202 | OtherCostOrOtherBasis |
| Depreciation | 463848 | Depreciation |
| Book Value | 408354 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32202 | OtherCostOrOtherBasis |
| Book Value | 32202 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 542724 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to related party | Description |
| Amount | $32,944 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32944 | TotalOfAmounts |
| Total Revenue | 43226947 | TotalRevenue |
| Total Expenses | 39737994 | TotalExpenses |
| Excess Or Deficit For Year | 3488953 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 3488953 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 37320828 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 37320828 | RevenueSubtotal |
| Other Revenues Not Included | 5906119 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 5906119 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 43226947 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 33831875 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 33831875 | ExpensesSubtotal |
| Other Expenses Not Included | 5906119 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 5906119 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 39737994 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XII, Line 4b - Other Adjustments: | Expense reimbursements 5,906,119. |
| Part XIII, Line 4b - Other Adjustments: | Expense reimbursements 5,906,119. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WVU School of Medicine | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3110 MacCorkle Ave SE | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 556000842 | EINOfRecipient |
| IRC Section | 3 | IRCSection |
| Amount Of Cash Grant | 1996225 | AmountOfCashGrant |
| Purpose Of Grant | To support the School of Medicine. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Not considered necessary since given to related entity. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James G Rosencrance MD | |||||||||||||
| 233850 | 0 | 0 | 0 | 0 | 0 | 21814 | 0 | 2661 | 0 | 258325 | 0 | 0 | 0 |
| Roberto Kusminsky MD | |||||||||||||
| 224740 | 0 | 0 | 0 | 0 | 0 | 27615 | 0 | 2988 | 0 | 255343 | 0 | 0 | 0 |
| Jeffrey Ashley MD | |||||||||||||
| 252216 | 0 | 0 | 0 | 0 | 0 | 23242 | 0 | 2765 | 0 | 278223 | 0 | 0 | 0 |
| Stephen Bush MD | |||||||||||||
| 509067 | 0 | 47414 | 0 | 0 | 0 | 54368 | 0 | 4981 | 0 | 615830 | 0 | 0 | 0 |
| R Todd Depond | |||||||||||||
| 264360 | 0 | 0 | 0 | 0 | 0 | 40556 | 0 | 2808 | 0 | 307724 | 0 | 0 | 0 |
| Frank C Lucente MD | |||||||||||||
| 420062 | 0 | 0 | 0 | 0 | 0 | 48877 | 0 | 3867 | 0 | 472806 | 0 | 0 | 0 |
| Brett A Faulknier MD | |||||||||||||
| 416005 | 0 | 2258 | 0 | 0 | 0 | 32377 | 0 | 5254 | 0 | 455894 | 0 | 0 | 0 |
| Patrick A Stone MD | |||||||||||||
| 401538 | 0 | 0 | 0 | 0 | 0 | 48798 | 0 | 3829 | 0 | 454165 | 0 | 0 | 0 |
| Luis A Bracero MD | |||||||||||||
| 364923 | 0 | 0 | 0 | 0 | 0 | 54377 | 0 | 4067 | 0 | 423367 | 0 | 0 | 0 |
| Samuel C Rossi MD | |||||||||||||
| 354829 | 0 | 0 | 0 | 0 | 0 | 32377 | 0 | 4027 | 0 | 391233 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 Corporation's 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 Corporation's 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 11 | Form 990 is prepared by the Corporation's independent accountants, with assistance from the Controller of the Master Service Organization. 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. | |
| 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 corporation's 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. 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 corporation's 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 12c | |
| The corporation reviews compensation of the CEO, officers and faculty against reported benchmarks. The corporation also obtains Fair Market Value studies from its affiliated hospital. These are reviewed at least annually. | Form 990, Part VI, Section B, line 15 | |
| 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 corporation's Conflict of Interest policy and related resources and disclosure forms. www.wvupc.org/compliance | Form 990, Part VI, Section C, line 19 | |
| Oversight of Audit | The oversight process of the audit has not changed since last year. | Form 990, Part XII, Line 2c |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | West Virginia University School of Medicine Charleston Division | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3110 MacCorkle Avenue | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 556000842 | EIN |
| Primary Activities | Education | PrimaryActivities |
| Legal Domicile State | WV | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 2 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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