2011-04-18T13:42:26-05:00 2010-06-30 Arnett & Foster PLLC P O Box 2629 Charleston WV 25329 990 2009-07-01 550492006 West Virginia University Medical Corporation WEST 3042935033 PO Box 897 Morgantown WV 265070897 Mitchell Harris 3042935033 2011-04-11 1 Harry C Harless 3043460441 2009 2016-02-24 21:20:13Z University Health Associates Mitchell Harris PO Box 897 Morgantown WV 265070897 238369584 0 X N/A X 1971 WV The organization's mission is to support the West Virginia University School of Medicine. 8 0 1889 0 0 0 0 222113960 237938224 272727 -203700 0 222386687 237734524 11877540 11594264 0 160212479 166139672 0 0 49671334 51017192 221761353 228751128 625334 8983396 77833947 81445904 50387418 44988209 27446529 36457695 The Corporation's mission is to support the West Virginia 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. Revenues of the Corporation are used for the public purpose of furthering the goals and objectives of the West Virginia University 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. 0 0 206938524 11594264 237866388 The Corporation supported the faculty physicians of the West Virginia University School of Medicine in their provision of medical services with approximately 577,283 patient visits and 3,301,464 procedures during the year ended June 30, 2010.The Corporation continuously meets its exempt purpose by providing funds to the state-supported West Virginia School of Medicine. By providing these funds, the Corporation has both lessened the burdens to 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. The Corporation has also lessened the burdens on government by relieving poverty in West Virginia by supporting the faculty physicians in their provision of charity care. 206938524 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 263 0 1889 1 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X Kelly A Henderson 3042935033 255 Scott Avenue Morgantown WV 265070897 Michael Hurst MD 40.00 X 319816 0 32377 Karen MacKay MD 40.00 X 227302 0 15652 James Brick MD 40.00 X 350498 0 32377 Sanford Emery MD 40.00 X 526134 0 31893 Norman Ferrari III MD 40.00 X 249636 0 29135 Ronald Pellegrino MD 40.00 X 123565 0 10687 Lakshmikumar Pillai MD 40.00 X 295093 0 31058 Ansaar Rai MD 40.00 X 418410 0 32377 Gary Marano MD 40.00 X 531459 0 28503 Mitchell Harris 40.00 X 232851 0 38242 Mathis Frick MD 40.00 X 693233 0 32377 Richard Driver Jr MD 40.00 X 469413 0 32377 Kevin Halbritter MD 40.00 X 295099 0 32377 David Brisell 40.00 X 225828 0 30541 Robert Schreiber 40.00 X 182776 0 24233 Tara Steed 40.00 X 151127 0 26276 Julian Bailes MD 40.00 X 976346 0 32377 Robert Beto II MD 40.00 X 754176 0 32377 Ronald Hargraves MD 40.00 X 655168 0 32377 John France MD 40.00 X 650291 0 32377 Wissam Gharib MD 40.00 X 518354 0 32377 8846575 0 622367 390 0 1 0 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Billing Software Maintenance 541068 Danhill Construction Company PO Box 685 Gauley Bridge WV 26085 Building Contractor 488960 Fidelity Properties Inc PO Box 2055 Alliance OH 44601 Patient Accounts Collection Agency 227326 GE Medical Systems PO Box 640944 Pittsburgh PA 15264 MRI Equipment Maintenance 158355 Claimlogic LLC 3535 NW 58th St 1010 Oklahoma City OK 73132 Claim Eligibility Service 149941 9 Direct patient care 621110 181392379 181392379 Expense reimbursements 621110 28652269 28652269 Other health care 621110 27429581 27429581 Rent-Physician office 531120 384534 384534 Student computer lease 531120 71836 71836 7625 7625 237938224 156065 156065 275295 269597 365463 5698 -365463 -359765 -359765 237734524 237866388 0 -131864 11594264 11594264 5514937 4006977 1507960 136609925 127589346 9020579 9872084 8981164 890920 8027337 6399354 1627983 6115389 5395222 720167 9508 9508 81137 81137 16922 270 16652 2421346 883749 1537597 639843 79402 560441 10586859 8881406 1705453 5081974 4319678 762296 3593701 3414016 179685 1385951 1309589 76362 504399 468789 35610 1120519 1120519 6603888 5943499 660389 4785229 3949627 835602 Provision for bad debts 9778264 9778264 Dues & licenses 1664742 1461395 203347 Maintenance & repairs 1285957 1105604 180353 Recruitment 389441 372801 16640 Medicaid provider tax 302495 302495 765017 701613 63404 228751128 206938524 21812604 0 8175 8471 14477072 24560115 17971354 17585715 124838 56153 335881 295611 60076441 30237944 33431294 29838497 2751229 2836850 8734104 6264492 77833947 81445904 25214859 25046983 116760 51540 21340212 19125278 3715587 764408 50387418 44988209 X 27446529 36457695 27446529 36457695 77833947 81445904 X 0 1 1 X 0 X 190057 190057 32224527 17366680 14857847 27551515 12854014 14697501 110342 17250 93092 29838497 Due from affiliates 2422398 Other receivables 3068114 Due from physicians 773980 6264492 Due to affiliates 764408 764408 237734524 228751128 8983396 27770 27770 9011166 209166334 27770 27770 209138564 28595960 28595960 237734524 200155168 0 200155168 28595960 28595960 228751128 Part XII, Line 4b - Other Adjustments: Expense reimbursements: 28595960. Part XIII, Line 4b - Other Adjustments: Expense reimbursements: 28595960. 0 West Virginia University School of Medicine 1150 HSN PO Box 9100 Morgantown WV 26506 556000842 3 11594264 To support the WVU School of Medicine. X X X X 0 0 0 0 0 1 0 0 0 Michael Hurst MD 319816 0 0 0 0 0 32377 0 3595 0 355788 0 0 0 Karen MacKay MD 185055 0 42247 0 0 0 15652 0 2684 0 245638 0 0 0 James Brick MD 350498 0 0 0 0 0 32377 0 5326 0 388201 0 0 0 Sanford Emery MD 526134 0 0 0 0 0 31893 0 4110 0 562137 0 0 0 Norman Ferrari III MD 249636 0 0 0 0 0 29135 0 3557 0 282328 0 0 0 Lakshmikumar Pillai MD 295093 0 0 0 0 0 31058 0 3787 0 329938 0 0 0 Ansaar Rai MD 339855 0 78555 0 0 0 32377 0 5976 0 456763 0 0 0 Gary Marano MD 476936 0 54523 0 0 0 28503 0 4996 0 564958 0 0 0 Mitchell Harris 213616 0 19235 0 0 0 28015 0 14156 0 275022 0 0 0 Mathis Frick MD 547160 0 146073 0 0 0 32377 0 3826 0 729436 0 0 0 Richard Driver Jr MD 457445 0 11968 0 0 0 32377 0 5976 0 507766 0 0 0 Kevin Halbritter MD 295099 0 0 0 0 0 32377 0 5326 0 332802 0 0 0 David Brisell 206010 0 19818 0 0 0 26224 0 7449 0 259501 0 0 0 Robert Schreiber 167223 0 15553 0 0 0 20176 0 6631 0 209583 0 0 0 Tara Steed 137844 0 13283 0 0 0 16050 0 12616 0 179793 0 0 0 Julian Bailes MD 946346 0 30000 0 0 0 32377 0 5326 0 1014049 0 0 0 Robert Beto II MD 669176 0 85000 0 0 0 32377 0 5326 0 791879 0 0 0 Ronald Hargraves MD 635168 0 20000 0 0 0 32377 0 4476 0 692021 0 0 0 John France MD 650291 0 0 0 0 0 32377 0 4110 0 686778 0 0 0 Wissam Gharib MD 430778 0 87576 0 0 0 32377 0 9476 0 560207 0 0 0 Part I, Line 6 Year-end incentives for management are based on the bottom line performance of the organization as a whole. West Virginia Hospital Finance Authority 621256910 2008-07-08 7000000 Clinical information system 0 0 7000000 7000000 2009 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section A, line 6 Membership in the Corporation is limited to physicians and surgeons licensed to practice medicine in West Virginia. Corporation members are Clinical Department physician faculty members of the West Virginia University School of Medicine. Each member occupies one of the following categories: 1) Voting ("Full-time") faculty members 2) Non-Voting ("Part-time") faculty members Form 990, Part VI, Section A, line 7a There are eight voting members of the Corporation's board of directors. Seven are elected from and by the full-time physician faculty members of the Corporation. The eighth 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 Proposed revisions to the by-laws are subject to approval by majority vote of the Board. Such revisions are then subject to approval by two thirds (2/3) of full-time faculty members present in person or by written proxy at a regular or duly called special meeting of the Corporation, and shall be effective when approved by the President of West Virginia University. Form 990, Part VI, Section B, line 11 Form 990 is prepared by the Corporation's independent accountants, with assistance from the Corporation's Controller. Before the 990 is filed with the IRS, the CFO and the Controller review the 990 with the Finance Committee and Board members to ensure they have an understanding of the information provided on the form. Form 990, Part VI, Section B, line 12c Annually, employees and physicians are required to answer questions regarding any potential conflicts of interest. The Human Resources department reviews the reports for any discrepancies and follows up as necessary. Form 990, Part VI, Section B, line 15 A compensation committee reviews performance, goals, and comparable market data to determine compensation for the officers and key employees. Form 990, Part VI, Section C, line 18 The organization's Form 1023 and Form 990 are available to the public upon request. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Page 12, Part XI, Line 2C Clarification Of Item Marked Yes The finance committee of the board oversees the audit. This has not changed since the prior year. Schedule H Hospital Although the organization qualifies as a hospital under IRC Section 170(b)(1)(A)(iii) as shown on Schedule A item 3, the organization does not qualify as a hospital for Schedule H or State of West Virginia purposes. West Virginia University School of Medicine PO Box 9100 Morgantown WV 265069600 556000842 Medical education WV 501(c)3 2 N/A West Virginia University Dental Corporation PO Box 1587 Morgantown WV 265071587 550524309 Dental services WV 501(c)3 2 N/A 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0