WEIRTON MEDICAL CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WEIRTON MEDICAL CENTER INC (EIN 55-0387249)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201241369349304454
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T13:59:09-05:00 | 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 | 550387249 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weirton Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEIR | NameControl |
| Phone | 3047976000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 Colliers Way | AddressLine1 |
| City | Weirton | City |
| State | WV | State |
| ZIP Code | 260625014 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert Frank | Name |
| Title | CFO | Title |
| Phone | 3047976000 | Phone |
| Date Signed | 2012-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Harry C Harless | 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 | Weirton Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert Frank | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 Colliers Way | AddressLine1 |
| City | Weirton | City |
| State | WV | State |
| ZIP Code | 260625014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 118073233 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.weirtonmedical.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | Weirton Medical Center, in partnership with physicians, will lead the tri-state area in the provision of coordinated, safe, effective, quality healthcare services through a process of teamwork, innovation, and continuous improvement. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1112 | TotalNbrEmployees |
| Total Nbr Volunteers | 63 | TotalNbrVolunteers |
| Total Gross UBI | 504 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 125490 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 156988 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 93354468 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 93068659 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 685502 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1717938 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 986133 | OtherRevenuePriorYear |
| Other Revenue Current Year | 981632 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 95151593 | TotalRevenuePriorYear |
| Total Revenue Current Year | 95925217 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 50748045 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 46957455 | 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 | 48224835 | OtherExpensePriorYear |
| Other Expenses Current Year | 50227379 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 98972880 | TotalExpensesPriorYear |
| Total Expenses Current Year | 97184834 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3821287 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1259617 | RevenuesLessExpensesCY |
| Total Assets BOY | 80356791 | TotalAssetsBOY |
| Total Assets EOY | 80476335 | TotalAssetsEOY |
| Total Liabilities BOY | 58754671 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 51386584 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21602120 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 29089751 | NetAssetsOrFundBalancesEOY |
| Mission Description | Weirton Medical Center, in partnership with physicians, will lead the tri-state area in the provision of coordinated, safe, effective, quality healthcare services through a process of teamwork, innovation, and continuous improvement. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 90491545 | Expense |
| Revenue | 93068659 | Revenue |
| Description | The medical center provided inpatient, outpatient, emergency, psychiatric, home health, physician and skilled nursing services including 32,779 inpatient days, 191,289 outpatient visits, 40,316 emergency room visits and 9,204 home health visits. Charges foregone for charity amounted to $2,299,144. | Description |
| Total Program Service Expense | 90491545 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 71 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1112 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kellie Henwood | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3047976440 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 South Colliers Way | AddressLine1 |
| City | Weirton | City |
| State | WV | State |
| ZIP Code | 26062 | 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 |
|---|---|---|---|---|---|---|---|
| Joseph P Endrich | |||||||
| Chief Executive Officer | 40.00 | X | X | 326282 | 0 | 2328 | |
| David L Snyder | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Jon M Rogers | |||||||
| Treasurer | 3.00 | X | X | 0 | 0 | 0 | |
| William R Kiefer | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Arthur L Miser Jr | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| James R Shockley | |||||||
| Vice-Chairman | 3.00 | X | X | 0 | 0 | 0 | |
| Donald R Donell | |||||||
| Chairman | 3.00 | X | X | 0 | 0 | 0 | |
| John A Spadafora Jr | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| John J York | |||||||
| Secretary | 3.00 | X | X | 0 | 0 | 0 | |
| Richard Ajayi | |||||||
| Trustee | 40.00 | X | 259112 | 0 | 19862 | ||
| Carl Jones | |||||||
| Physician | 40.00 | 512694 | 0 | 234 | X | ||
| Keith Bravo | |||||||
| Physician | 40.00 | 470132 | 0 | 3146 | X | ||
| Craig Oser | |||||||
| Physician | 40.00 | 362742 | 0 | 6262 | X | ||
| Lisa Noble | |||||||
| Physician | 40.00 | 255043 | 0 | 78 | X | ||
| John Mitchell | |||||||
| Physician | 40.00 | 246728 | 0 | 16669 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2432733 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 48579 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Quorum Health Resources | |||||
| 105 Continental Place Blvd | Brentwood | TN | 37027 | Consulting agency | 1847302 |
| Intertech Security | |||||
| 1501 Preble Ave | Pittsburgh | PA | 15232 | Nurse Call System | 437018 |
| Helvey & Associates Inc | |||||
| 1029 E Center | Warsaw | IN | 46580 | Patient billing | 416245 |
| Center Pointe Sleep Assoc | |||||
| Ste 400 453 Valley Brook Rd | McMurray | PA | 15317 | Sleep Studies | 322200 |
| Innovation In Health Care | |||||
| PO Box 9727 | Greenville | SC | 29604 | Consulting agency | 267331 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Government Grants | 3000 | GovernmentGrants |
| All Other Contributions | 153988 | AllOtherContributions |
| Total Contributions | 156988 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Health care services | Description |
| Business Code | 622110 | BusinessCode |
| Total Revenue Column | 93068659 | TotalRevenueColumn |
| Related Or Exempt Function Income | 93068659 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 93068659 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1416174 | TotalRevenueColumn |
| Unrelated Business Revenue | 504 | UnrelatedBusinessRevenue |
| Exclusion | $1,415,670 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 381579 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 381579 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 381579 | TotalRevenueColumn |
| Exclusion | $381,579 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22449780 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22143430 | Securities |
| Other | 4586 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 306350 | Securities |
| Other | -4586 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 301764 | TotalRevenueColumn |
| Exclusion | $301,764 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria & Vending In | 722100 | 432293 | $432,293 |
| Other revenue | 900099 | 155090 | $155,090 |
| Physical Therapy | 621990 | 7085 | $7,085 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5585 | TotalRevenueColumn |
| Exclusion | $5,585 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 600053 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 95925217 | TotalRevenueColumn |
| Related Or Exempt Function Income | 93068659 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 504 | UnrelatedBusinessRevenue |
| Exclusion | $2,699,066 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 542381 | Total |
| Program Services | 500943 | ProgramServices |
| Management And General | 41438 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36647311 | Total |
| Program Services | 33847456 | ProgramServices |
| Management And General | 2799855 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1592388 | Total |
| Program Services | 1470730 | ProgramServices |
| Management And General | 121658 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5450741 | Total |
| Program Services | 5034304 | ProgramServices |
| Management And General | 416437 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2724634 | Total |
| Program Services | 2516472 | ProgramServices |
| Management And General | 208162 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138972 | Total |
| Management And General | 138972 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81567 | Total |
| Management And General | 81567 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31014 | Total |
| Management And General | 31014 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13910878 | Total |
| Program Services | 12872045 | ProgramServices |
| Management And General | 1038833 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16503462 | Total |
| Program Services | 15242598 | ProgramServices |
| Management And General | 1260864 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1793914 | Total |
| Program Services | 1656859 | ProgramServices |
| Management And General | 137055 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97375 | Total |
| Program Services | 89936 | ProgramServices |
| Management And General | 7439 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1380432 | Total |
| Program Services | 1274967 | ProgramServices |
| Management And General | 105465 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2622958 | Total |
| Program Services | 2422564 | ProgramServices |
| Management And General | 200394 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365163 | Total |
| Program Services | 337265 | ProgramServices |
| Management And General | 27898 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad debts | 10311364 | 10311364 | |
| Health care provider ta | 1932076 | 1932076 | |
| Repairs & maintenance | 294009 | 271547 | 22462 |
| Sales taxes | 292065 | 269751 | 22314 |
| Books, dues, and subscr | 270793 | 250104 | 20689 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201337 | Total |
| Program Services | 190564 | ProgramServices |
| Management And General | 10773 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97184834 | Total |
| Program Services | 90491545 | ProgramServices |
| Management And General | 6693289 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5014535 | BOY |
| EOY | 3448144 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14946620 | BOY |
| EOY | 14271893 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136339 | BOY |
| EOY | 99989 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1171024 | BOY |
| EOY | 1092696 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1730544 | BOY |
| EOY | 1959708 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 92997808 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 72816169 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20526874 | BOY |
| EOY | 20181639 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34282381 | BOY |
| EOY | 35948395 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 712915 | BOY |
| EOY | 1191714 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1835559 | BOY |
| EOY | 2282157 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80356791 | BOY |
| EOY | 80476335 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14021147 | BOY |
| EOY | 11149725 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25055791 | BOY |
| EOY | 23745367 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4143781 | BOY |
| EOY | 4772254 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15533952 | BOY |
| EOY | 11719238 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58754671 | BOY |
| EOY | 51386584 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21602120 | BOY |
| EOY | 29089751 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21602120 | BOY |
| EOY | 29089751 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80356791 | BOY |
| EOY | 80476335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1259617 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 8747248 | 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 124015 | OtherCostOrOtherBasis |
| Book Value | 124015 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47434423 | OtherCostOrOtherBasis |
| Depreciation | 36938549 | Depreciation |
| Book Value | 10495874 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 211247 | OtherCostOrOtherBasis |
| Depreciation | 211247 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41106117 | OtherCostOrOtherBasis |
| Depreciation | 33324713 | Depreciation |
| Book Value | 7781404 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4122006 | OtherCostOrOtherBasis |
| Depreciation | 2341660 | Depreciation |
| Book Value | 1780346 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20181639 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated third-party settlements | $629,572 |
| Estimated malpractice liability | $2,984,268 |
| Accrued pension liability | $8,105,398 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11719238 | TotalOfAmounts |
| Total Revenue | 95925217 | TotalRevenue |
| Total Expenses | 97184834 | TotalExpenses |
| Excess Or Deficit For Year | -1259617 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 4911383 | NetUnrealizedGLOnInvestments |
| Other | $3,835,865 | OtherAmount |
| Total Adjustments | 8747248 | TotalAdjustments |
| Excess Or Deficit Per FS | 7487631 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 95894158 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 251184 | OtherRevenues |
| Revenue Not Rptd F990 | 251184 | RevenueNotRptdF990 |
| Revenue Subtotal | 95642974 | RevenueSubtotal |
| Other Revenues Not Included | 282243 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 282243 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 95925217 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 97160328 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 97160328 | ExpensesSubtotal |
| Other Expenses Not Included | 24506 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 24506 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 97184834 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Defined benefit pension plan adjustment 3,842,418. Equity Income -6,553. |
| Part XII, Line 2d - Other Adjustments: | Income per books: Premier Purchasing Partners LP 251,184. |
| Part XII, Line 4b - Other Adjustments: | Equity loss from AEIX 2,512. Excluded Dividend Income From Premier 255,225. Grant expenses netted against income on financial statements 24,506. |
| Part XIII, Line 4b - Other Adjustments: | Grant expenses 24,506. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 929083 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 929083 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12955978 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8354271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4601707 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04740 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13885061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8354271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5530790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05700 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 45 | NumberOfActivitiesOrPrograms |
| Persons Served | 3572 | PersonsServed |
| Total Community Benefit Expense | 25805 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3750 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22055 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 45 | NumberOfActivitiesOrPrograms |
| Persons Served | 3572 | PersonsServed |
| Total Community Benefit Expense | 25805 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3750 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22055 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 45 | NumberOfActivitiesOrPrograms |
| Persons Served | 3572 | PersonsServed |
| Total Community Benefit Expense | 13910866 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8358021 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5552845 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05720 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,166,822 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 19269570 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19527020 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -257450 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weirton Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 Colliers Way | AddressLine1 |
| City | Weirton | City |
| State | WV | State |
| ZIP Code | 260625014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weirton Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: Weirton Medical Center is required by law to give a reasonable amount of services without charge to eligible persons who cannot afford to pay for care. Eligibility for financial assistance is based upon US Citizenship, West Virginia Residency and the U.S. Government's Federal Poverty Guidelines. These guidelines are updated each year. A person may qualify for financial assistance if their household income is at or below 200% of the current guidelines. | ||
| Part I, Line 7: The cost of charity care was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions. The unreimbursed cost of Medicaid was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H Instructions. | ||
| The organization provides a community benefit report through the West Virginia Health Care Authority. | Community Benefit Report | Part I, Line 3 |
| Part III, Line 4: Patient accounts receivable are carried at the original charge less an estimate made for doubtful or uncollectible accounts. The allowance is based upon a review of the outstanding balances aged by financial class. Management uses collection percentages based upon historical collection experience to determine collectibility. Management also reviews troubled, aged accounts to determine collection potential. Patient accounts receivable are written off when deemed uncollectible. Recoveries of accounts previously written off are recorded as a reduction to bad debt expense when received. Interest is not charged on patient accounts receivable. | ||
| Part III, Line 9b: There is no collection from patients who qualify for charity care. If a patient qualifies, they receive no bill. | ||
| Part VI, Line 2: Weirton Medical Center conducts a community health needs assessment of the residents of its service area every five years. The assessment results are tabulated and analyzed to determine the health needs. The health needs are then prioritized and a plan is developed to address the needs. | ||
| Part VI, Line 3: A charity care Policy is posted at all registration areas. All self-patients are seen or called by the financial counselors to see what services can be offered. The patients are screened for charity care and provided education about the state Medicaid application. | ||
| Part VI, Line 4: Weirton Medical Center serves the counties of Brooke and Hancock in West Virginia, and portions of Washington County in Pennsylvania and Jefferson County in Ohio.Brooke County, West Virginia had a 2010 population of 20,069. The median age is 44.8 years and 19.1 percent of the population is age 65 or older. The median household income is $38,624. The January 2011 unemployment rate was 8.2 percent. Hancock County, West Virginia had a 2010 population of 30,676. The median age is 45.3 and 18.8 percent of the population is age 65 or older. The median household income is $44,478 and 13.4 percent of the population was unemployed in January 2011. Jefferson County, Ohio had a 2010 population of 69,709 with a median age of 43.9 years. The percentage of population that is 65 years or older is 18.3 percent. The median household income is $37,527. The January 2011 unemployment rate was 10.6 percent. The total service area population was 229,752 in 2010. The region is also served by Trinity Health System in Steubenville, Ohio. Patients from the area also use Wheeling Hospital, Ohio Valley Medical Center in Wheeling, and Washington Hospital in Washington, Pennsylvania. Patients also seek medical care from tertiary hospitals located in Pittsburgh, Pennsylvania | ||
| Part VI, Line 6: The majority of the organization's governing body is comprised of persons who reside in the organization's primary service area, who are neither employees or contractors of the organization, nor family members thereof. The organization operates an emergency room available to all, regardless of ability to pay. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| 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 | 1 | 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph P Endrich | |||||||||||||
| 326282 | 0 | 0 | 0 | 0 | 0 | 2171 | 0 | 1603 | 0 | 330056 | 0 | 0 | 0 |
| Richard Ajayi | |||||||||||||
| 196596 | 0 | 62516 | 0 | 0 | 0 | 775 | 0 | 20550 | 0 | 280437 | 0 | 0 | 0 |
| Carl Jones | |||||||||||||
| 500501 | 0 | 12193 | 0 | 0 | 0 | 0 | 0 | 705 | 0 | 513399 | 0 | 0 | 0 |
| Keith Bravo | |||||||||||||
| 292824 | 0 | 177308 | 0 | 0 | 0 | 2911 | 0 | 706 | 0 | 473749 | 0 | 0 | 0 |
| Craig Oser | |||||||||||||
| 350242 | 0 | 12500 | 0 | 0 | 0 | 0 | 0 | 6733 | 0 | 369475 | 0 | 0 | 0 |
| Lisa Noble | |||||||||||||
| 141974 | 0 | 113069 | 0 | 0 | 0 | 0 | 0 | 549 | 0 | 255592 | 0 | 0 | 0 |
| John Mitchell | |||||||||||||
| 213646 | 0 | 33082 | 0 | 0 | 0 | 16499 | 0 | 641 | 0 | 263868 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 6 | ReturnReference |
| Explanation | Certain physicians receive a base pay and an incentive based on the net revenue in which they produce. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weirton Municipal Hospital Building Commission | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 556000623 | IssuerEIN |
| Date Issued | 2005-06-24 | DateIssued |
| Issue Price | 6700000 | IssuePrice |
| Description Of Purpose | Capital expenditures, expansion of medical center and technology upgrades | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 6700000 | TotalProceeds |
| Capital Expenditures | 6700000 | CapitalExpenditures |
| Year Of Subst Completion | 2005 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The 990 is reviewed by the Director, Finance Director, the CFO and the board before approval is given and it is submitted to the IRS. | |
| The board and medical staff executive are required to complete conflict of interest statements annually. The compliance committee oversees the process. | Form 990, Part VI, Section B, line 12c | |
| A board designated compensation committee is utilized not only for the CEO but for all of senior management. Comparability data is obtained through the Director of Human Resources and a performance evaluation completed. | Form 990, Part VI, Section B, line 15 | |
| The financial statements are available through the West Virginia Health Care Authority as part of the freedom of information act/sunshine laws and are also published in the legal section of the newspaper annually. The governing documents, conflict of interest policy and financial statements are available upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 4,911,383. Defined benefit pension plan adjustment 3,842,418. Equity Income -6,553. Total to Form 990, Part XI, Line 5: 8,747,248. | Form 990, Part XI, line 5: |
| Audit oversight | The process for a separate committee to oversee the audit of financial statements has not changes from prior year. | Part XII, line 2c |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tri-State Community Care Network Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 Colliers Way | AddressLine1 |
| City | Weirton | City |
| State | WV | State |
| ZIP Code | 26052 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550731090 | EIN |
| Primary Activities | Healthcare | PrimaryActivities |
| Legal Domicile State | WV | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Weirton Medical Center Foundation | ||||||||||
| 601 Colliers Way | Weirton | WV | 26062 | 550689248 | Supporting organization | WV | 501(c)(3) | 11 | N/A | 0 |
| Weirton Medical Corporation | ||||||||||
| 601 Colliers Way | weirton | WV | 26062 | 550689267 | Supporting organization | WV | 501(c)(3) | 11, Type II | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 | 0 | 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 |