2012-05-15T13:59:09-05:00 2011-06-30 Arnett & Foster PLLC P O Box 2629 Charleston WV 25329 990 2010-07-01 550387249 Weirton Medical Center Inc WEIR 3047976000 601 Colliers Way Weirton WV 260625014 Robert Frank 3047976000 2012-05-14 1 Harry C Harless 3043460441 2010 2016-02-24 21:20:13Z Weirton Medical Center Robert Frank 601 Colliers Way Weirton WV 260625014 118073233 0 X www.weirtonmedical.com X 1949 WV 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. 10 8 1112 63 504 0 125490 156988 93354468 93068659 685502 1717938 986133 981632 95151593 95925217 0 0 0 0 50748045 46957455 0 0 0 48224835 50227379 98972880 97184834 -3821287 -1259617 80356791 80476335 58754671 51386584 21602120 29089751 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. 0 0 90491545 93068659 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. 90491545 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 71 0 1 1112 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA NY NC X Kellie Henwood 3047976440 601 South Colliers Way Weirton WV 26062 Joseph P Endrich 40.00 X X 326282 0 2328 David L Snyder 3.00 X 0 0 0 Jon M Rogers 3.00 X X 0 0 0 William R Kiefer 3.00 X 0 0 0 Arthur L Miser Jr 3.00 X 0 0 0 James R Shockley 3.00 X X 0 0 0 Donald R Donell 3.00 X X 0 0 0 John A Spadafora Jr 3.00 X 0 0 0 John J York 3.00 X X 0 0 0 Richard Ajayi 40.00 X 259112 0 19862 Carl Jones 40.00 X 512694 0 234 Keith Bravo 40.00 X 470132 0 3146 Craig Oser 40.00 X 362742 0 6262 Lisa Noble 40.00 X 255043 0 78 John Mitchell 40.00 X 246728 0 16669 2432733 0 48579 24 0 1 0 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 21 3000 153988 156988 Health care services 622110 93068659 93068659 93068659 1416174 504 1415670 381579 381579 381579 381579 22449780 22143430 4586 306350 -4586 301764 301764 Cafeteria & Vending In 722100 432293 432293 Other revenue 900099 155090 155090 Physical Therapy 621990 7085 7085 5585 5585 600053 95925217 93068659 504 2699066 542381 500943 41438 36647311 33847456 2799855 1592388 1470730 121658 5450741 5034304 416437 2724634 2516472 208162 138972 138972 81567 81567 31014 31014 13910878 12872045 1038833 16503462 15242598 1260864 1793914 1656859 137055 97375 89936 7439 1380432 1274967 105465 2622958 2422564 200394 365163 337265 27898 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 201337 190564 10773 97184834 90491545 6693289 0 5014535 3448144 14946620 14271893 136339 99989 1171024 1092696 1730544 1959708 92997808 72816169 20526874 20181639 34282381 35948395 712915 1191714 1835559 2282157 80356791 80476335 14021147 11149725 25055791 23745367 4143781 4772254 15533952 11719238 58754671 51386584 X 21602120 29089751 21602120 29089751 80356791 80476335 X -1259617 8747248 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 124015 124015 47434423 36938549 10495874 211247 211247 0 41106117 33324713 7781404 4122006 2341660 1780346 20181639 Estimated third-party settlements 629572 Estimated malpractice liability 2984268 Accrued pension liability 8105398 11719238 95925217 97184834 -1259617 4911383 3835865 8747248 7487631 95894158 251184 251184 95642974 282243 282243 95925217 97160328 0 97160328 24506 24506 97184834 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. 1 1 X 1 X 1 X 1 1 0 1 1 929083 929083 0.00960 12955978 8354271 4601707 0.04740 13885061 8354271 5530790 0.05700 45 3572 25805 3750 22055 0.00020 45 3572 25805 3750 22055 0.00020 45 3572 13910866 8358021 5552845 0.05720 0 4166822 19269570 19527020 -257450 X 1 0 1 1 Weirton Medical Center

601 Colliers Way Weirton WV 260625014

X X X Weirton Medical Center 1 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. Community Benefit Report Part I, Line 3 The organization provides a community benefit report through the West Virginia Health Care Authority. 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. 1 X X X X 0 0 0 0 0 1 0 0 0 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 Part I, Line 6 Certain physicians receive a base pay and an incentive based on the net revenue in which they produce. Weirton Municipal Hospital Building Commission 556000623 2005-06-24 6700000 Capital expenditures, expansion of medical center and technology upgrades 0 0 0 6700000 6700000 2005 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 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. Form 990, Part VI, Section B, line 12c 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 15 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 C, line 19 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: 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. Audit oversight Part XII, line 2c The process for a separate committee to oversee the audit of financial statements has not changes from prior year. Tri-State Community Care Network Inc 601 Colliers Way Weirton WV 26052 550731090 Healthcare WV N/A 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0