2011-11-15T08:59:18-00:00 2010-12-31 990 2010-01-01 550383321 City Hospital Inc CITY 3042641000 2000 Foundation Way Room No 2310 Martinsburg WV 25401 Christopher Knight 2011-11-11 false 2010 2016-02-24 21:20:13Z Christopher Knight 2000 Foundation Way Suite 2310 Martinsburg WV 25401 124795038 false X www.wvuh-east.org X 1940 WV City Hospital is a non profit acute care hospital providing high-quality health & wellness services to the residents of the Eastern Panhandle of WV, expanding access to care and participating in the education of healthcare professionals. City Hospital is a non profit acute care hospital providing high-quality health wellness services to the residents of the Eastern Panhandle of WV, expanding access to care and participating in the education of healthcare professionals. 15 9 867 109 0 20681 18390 112857969 122008270 745926 878976 1342830 1779750 114967406 124685386 5570758 4335415 0 55321514 59670788 0 0 61359954 60058968 122252226 124065171 -7284820 620215 89187253 94664400 64479379 69146750 24707874 25517650 X City Hospital is a non-profit acute care hospital located in the Eastern Panhandle of WV. The mission of City Hospital is to provide high quality, cost effective health and wellness services to the community. CHI provides these to patients in need without consideration of their ability to pay. false false 43015152 89503021 City Hospital provides general medical services to the residents in the Eastern Panhandle region of WV. Such services include family medicine, internal medicine, observation, a fully accredited cancer center, and outpatient ancillary testing. During 2010, City Hospital documented 135,111 ancillary tests, and 2,507 observation visits. 6335995 13183511 The General Surgery department at City Hospital is staffed by specialists and general surgeons offering the latest in surgical techniques including laproscopic procedures, lithotripsy, and same day/ambulatory surgery. Same day surgery visits for 2010 totaled 6,283. 6445751 13441883 In Septermber 2009 City Hospital Inc opened a new 18-bed Orthopedic Unit. The unit is tailored toward personal care, patient comfort and privacy. The unit features a dedicated orthopedic nursing staff supported by staff from rehabilitation, care management, nutririon, and respiratory therapy. The team specializes in the care of patients following orthopedic surgery including total joints, fractures and knee and hip replacements. Orthopedic patient days in 2010 totaled 3,999. 41301872 4335415 8596877 97098770 true true false true false false false false false true false false false true true false true false false false false false false false false true false true false true false false false false false false false false false false false false false false false false true true true false false true 110 0 867 true false false false false false false false false false false false false false X 15 9 false false false false false false false true true false false true true true true true true true true false X Christopher Knight 3042641358 2000 Foundation Way Suite 2310 Martinsburg WV 25401 Richard Pill 001.00 X X 0 0 0 Walter Washington 001.00 X X 0 0 0 Douglas M Widmeyer 001.00 X X 0 0 0 Shelia Hamilton 001.00 X X 0 0 0 Robert Baronner Jr 001.00 X 0 0 0 Fred Butcher PhD 001.00 X 0 0 0 Betty Gunnoe 001.00 X 0 0 0 Mitch Jacques MD 001.00 X 0 0 0 Robert E Jones III 001.00 X 0 0 0 Max Oates Jr 001.00 X 0 0 0 Rhonda Monroe 001.00 X 0 0 0 Dawn Jones MD 001.00 X 0 0 0 Jeffrey B DeBord DO 001.00 X 0 0 0 Nicholas Trietsch 001.00 X 0 0 0 Dr Richard Knapp 001.00 X 0 0 0 Anthony Zelenka 050.00 X 231480 0 29960 James Paskert 040.00 X 167829 0 10900 E Christian Miller 040.00 X 135959 0 15021 Charles Steg 040.00 X 132611 0 6667 Denver Dehaven 040.00 X 126890 0 8452 Carol Crosmun 040.00 X 122500 0 8333 Karla Demarco 050.00 X 121655 0 12990 1038924 92323 18 false true false Quest Diagnostics 14225 Newbrook Dr Chantilly VA 20151 Lab Services 714032 Handcraft Cleaners and Laundry 1501 Roseneath Rd Richmond VA 23230 Laundry Services 583637 Blue Ridge Drywall 353 Stickey Ct Martinsburg WV 25401 Contractor Services 512635 Insight Health Services 26250 Enterprise Ct Lake Forest CA 92630 Mobile MRI and PET services 509120 Martin & Seibert LC 1164 Winchester Av Martinsburg WV 25402 Collections 480900 17 17890 500 18390 Patient Services 121229489 121229489 Wellness Center 778781 778781 122008270 988628 988628 51356 51356 51356 51356 109652 -109652 -109652 -109652 Cafeteria Income 345618 345618 Patient Pharmacy 963822 963822 Cash Discounts 305356 305356 113598 113598 1728394 124685386 124725292 -58296 4335415 4335415 0 0 0 440169 440169 0 44075087 36062213 8012874 1265866 1035731 230135 10119227 8312978 1806249 3770439 3084971 685468 0 115467 5499 109968 92635 92635 0 0 10973817 7464463 3509354 297689 1468 296221 22047342 20518636 1528706 478292 88708 389584 0 2062732 376279 1686453 92557 25137 67420 0 0 1147812 1147812 0 5123631 5123631 557183 557183 Provision for Doubtful Accounts 13322158 13322158 Association Dues 130614 38353 92261 Educational Training 94989 6201 88788 Taxes, Licenses, Fees 2988691 2239040 749651 Recruiting 274768 137333 137435 258591 44187 214404 124065171 97098770 26966401 0 32490 43010 28918351 18960480 12273719 12841702 1746471 1336500 1518723 1777782 270002 359773 99383011 57565059 26336216 41817952 15648955 13004060 2442326 4523141 89187253 94664400 5346128 9198849 49436551 48383698 9696700 11564203 64479379 69146750 X 24707874 25205594 312056 24707874 25517650 89187253 94664400 X 620215 189561 X false true true X false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000000 1000000 1000000 1000000 4000000 6000000 10669 12860 12507 12820 48856 250000 250000 250000 250000 1000000 1500000 10669 12860 12507 12820 48856 false 106462 106462 27160017 13215710 13944307 52928433 39957917 12970516 19188099 4391432 14796667 41817952 Accrued wages, benefits and payroll taxes 4960690 Malpractice Liability 585685 Accrued pension benefits 1181694 Accrued bond interest 194449 Due to third Party Payors 974000 Interest Rate Swaps 1491369 Self Insurance Liability 2176316 11564203 124685386 124065171 620215 -323088 512647 189559 809774 125060000 264033 110581 374614 124685386 124685386 120446000 -3619171 -3619171 124065171 124065171 X 2 The annual audit and financial statements of City Hospital are prepared on a consolidated basis as a member of the WV United Health System. The System accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. There were no tax uncertainties that met the recognition threshold in 2010. XI 8 The amount on line 5 Other changes in net assets or fund balance includes 312,058 Change in restricted net assets, 201,267 Capital Campaign assets released from restriction and 678 of related organization capitalization. XII 2d The amount shown on line 2d consists of 110,000 Loss on disposal of assets and 581 rounding adjustment due to financial statements being truncated. XIII 2d The amount shown on line 2d consists of 595,000 unrealized loss on debt instruments, 4,325,000 Related organization transfers 110,000 Loss on disposal of assets and 829 rounding adjustment due to financial statements being truncated. true true X true X false true true true false false 3328029 3328029 0.03010 19086401 11447767 7638634 0.06900 324449 277193 47256 0.00040 22738879 11724960 11013919 0.09950 243804 9346 234458 0.00210 287360 121981 165379 0.00150 69900 69900 0.00060 601064 131327 469737 0.00420 23339943 11856287 11483656 0.10370 7417 7417 0.00010 36012 36012 0.00030 2031 2031 45460 45460 0.00040 true 6104213 203627 38052814 42285359 -4232545 X true false 1 1 City Hospital Inc

2000 Foundation Way Suite 2310 Martinsburg WV 25401

X X X X Part I line 3c City Hospital Inc. CHI uses 200 Federal Poverty Guideline to determine free care eligibility. However, City Hospital does not offer discounted care to individuals who do not qualify for free care. Part I line 6a Community benfit amounts for City Hospital, Inc are reported on WV United Health Systems website www.unitedhealthsystem.org under community responsibility report. Part I line 7 column f Total community benefit expense for 2010 is 23,339,943 and is 21.08 of total net expenses. To calculate net expense, bad debt of 13,322,158 was deducted from total expenses of 124,065,171 as shown in Part IX line 25 of the core Form 990. Part I line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-charge ratio, which was used to calculate Charity Care at cost, Unreimbursed Medicaid and other means-tested government programs at cost. To calculate the Medicare allowable cost shown on Part III question 8 we used the allowable cost from the Medicare Cost Report. Part II - See Schedule O. Part III line 4 City Hospitals footnote for Accounts Receivable - patients states accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts. The allowance for doubtful accounts is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages.City Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. CHI maintains allowances for potential credit losses and such losses have historically been within managements expectations. Part III line 4 Bad Debt Expense at Cost was calculated by multiplying bad debt expense of 13,322,158 by our cost-to-charge ratio of 45.82 for a total of 6,104,213. Estimated bad debt attributable to patients eligible for charity was calculated by pulling all outstanding patient balances of 25,000 or greater from our patient accounting system. That report totaled 444,407, which was then multiplied by the cost-to-charge ratio of 45.82 for a total of 203,627. Part III line 4 We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 203,627 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Part III line 8 Part III Line 6 was calculated using total cost from the Medicare Cost Report less Medicare reimbursement of direct GME. City Hospitals shortfall of 4,232,545 on Medicare programs should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. Part III line 9b CHI does have a debt collection policy. The policy does not yet address collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Part V Line 21 - City Hospital charges all patients an amount equal to gross charges regardless of payment method. Part VI Line 2 City Hospital Inc is a part of WVUH-East, Inc. a healthcare system serving the Eastern Panhandle of WV. The West Virginia University Hospitals, East WVUH-East Marketing Department considers several components in assessing how the organization determines the need of the communities it serves. Through outside consultants to collaborating with various departments, a needs assessment takes into account several factors including physician to population ratios, physician availability in the entire service area, and general health risks for our community. The Primary Service Area PSA for WVUH-East includes Berkeley County, WV and Jefferson County, WV with Morgan County, WV being a secondary service area. Part VI Line 2 Sources utilized to help gather this information come from variety of areas. Physician distribution and population data come from the American Medical Association and the U.S. Census Bureau. The general health risk for our community comes from clinical diagnosis information gathered by the West Virginia Health Care Authority and Thomson Reuters Market Planner Plus. We also conduct market research to ask comsumers how they perceive the health system and where they go for health care services Part VI Line 2 Once all the data is gathered to determine where residents of West Virginia are going for care and what types of services they are receiving, a needs assessment can begin based on physician distribution and population estimates. WVUH-East is working with other local organizations in a project known as MAPP Mobilizing for Action through Planning and Partnerships to create and impliment a community health improvement plan. Part VI Line 3 City Hospital employs 4 financial analysts to meet with patients to discuss financial eligibility for our charity care program. City Hospital has the qualification requirements, as well as, applications for charity care available at all registration areas. Patients that do not qualify for state or federally funded programs can apply for the charity care program at City Hospital. Part VI Line 4 City Hospital is a non-profit acute care hospital located in Berkeley County, WV population 104,169 in the city of Martinsburg, WV, the most populous city in the Eastern Panhandle, with a total population of 17,227 residents. The Primary Service Area for City Hospital consists of Berkeley County, WV and Jefferson County, WV, with an extended service area including Morgan County, WV. The 2009 market share for City Hospitals Primary Service Area is 38.82 with 16.0 of those patients covered by Medicaid and 7.4 uninsured. Jefferson Memorial Hospital, a non-profit critical access hospital under common management, is located within the Primary Service Area and War Memorial Hospital, a non-profit critical access hospital, operated by Valley Health System, is located in the extended service area of Morgan County, WV. Part VI Line 4 Berkeley County has a population of 104,169, an average household income of 25,140, and an unemployment rate of 8.8. 10.6 of Berkeley County residents were below the federal poverty guidelines for 2009 FPG 2009 according to the U.S. Census Bureau. Jefferson Countys population is 53,498, average household income of 30,947 and unemployment of 6.6. 9.2 of Jefferson County residents fell below FPG 2009. In CHIs extended service area, Morgan County has a population of 17,541, average Part VI Line 4 household income of 35,016 and unemployment of 9.0. 10.4 of Morgan County residents were below FPG 2009. Part VI Line 5 The CHI board of directors is a community board, with fourteen of the fifteen members living in or around Martinsburg, WV. The remaining board member lives in Morgantown, WV and has connections with CHI through the WV United Health System. Having members living outside our PSA allows us to be more aware of the healthcare needs in other areas of West Virginia. None of the board members are neither employees nor contractors of the organization, nor family members thereof. Part VI Line 5 CHI extends privileges to all qualified medical staff in Berkley County and surrounding communities to meet its healthcare needs. CHI allocates available funding to capital purchases and expanded services to improve patient care, support medical education in Berkeley County and surrounding counties in West Virginia and bordering states. Part VI Line 5 In 2009, CHI began offering discounted screening in response to a struggling economy. Recognizing that individuals were putting off scheduling routine, preventive testing such as mammograms and blood work, CHI offered Discounted Mammogram Clinics in October/November 2010 and Discounted Cardiac Calcium Scoring Clinics in December 2010. The clinics were successful in serving over 150 patients at City Hospital. Part VI Line 5 Our Mini-Medical School Program, which is held 6 times per year in Berkeley County, is a community health education program featuring local physicians and topics that address health needs in our communities. The program is jointly sponsored by WVUH-East and the WVU Robert C. Byrd Health Sciences Center Eastern Division. It is offered free to the community with an average attendance of 75 - 100 in Berkeley County. Part VI Line 6 CHI is a part of the WV United Health System. CHI plays a significant role in improving the general health care of the community. The strategic plan of the System states intent to build a regional health care delivery system in its services area, defined above, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System managment is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include United Health Center, which is more centrally located in the state, Jefferson Memorial Hospital which is located in the Eastern Panhandle of WV and West Virginia University Hospitals located in Morgantown, WV. true WVUH-East Services 2000 Foundation Way Suite 2310 Martinsburg WV 25401 311118076 501c3 4335415 Physician Support 1 I 2 City Hospital provides physician support to WVUH-East Services to help WVUH-East Services meet the mission of both City Hopsital and WVUH-East Services. X X X X X false false false false false false false false false Anthony Zelenka 230406 300 774 29960 261440 James Paskert 166964 300 565 10900 178729 E Christian Miller 135245 300 414 15021 150980 Form 990 Part IV 12a The consolidated financial statements are audited at the system level. Even though the audit is performed at the system level, each companys audit/finance committee members participate in the annual audit planning with the independent auditors. In addition, the audit/finance members of each company have special meetings to review the audit report, SAS 114, SAS 115, and the Constructive Service Letter CSL with the auditors. The SAS 115 and CSL are detailed by company where deficiencies are identified. The audit work itself is actually performed at the company level. Form 990 Part VI 11A The Form 990 is prepared by the WVUH tax accountant and then reviewed by the WVUH-East Controller. Upon approval at this level, it is reivewed by WVUH-Easts Vice President of Finance. After gaining approval from the VP of Finance, it is then presented to all of the Board Members for a final review. Upon approval by the Board of Directors, it is signed and submitted to the IRS. Form 990 Part VI 12c All Board Members are required to disclose, annually, any relationship which may lead to a potential conflict of interest. Form 990 Part VI 15b The compensation of all executives is determined through the use of an independent salary consulting firm compiling the compensation data of comparable organizations in comparable geographic locations. This data is then used by an independent compensation committee to set the compensation for each executive. The data and supporting documentation are retained and documented. Form 990 Part VI 19 All financial and governing documents are retained onsite and are made available to the public upon request. Form 990 Part IV 24a Bond issuances allocated to City Hospital, Inc are being reported on Schedule K of West Virginia University Hosptials, Inc EIN 55-0643304. West Virginia University Hospitals, Inc is a 501c3 and is the parent hospital of City Hospital, Inc. Form 990 Part XI 5 The amount on line 5 Other changes in net assets or fund balance includes 323,087 of unrealized losses, 312,058 Change in restricted net assets, 201,267 Capital Campaign assets releaed from restriction and 677 of related organization capitalization. Form 990 Schedule H, Part VI Line 1 Part II - Physical improvements and housing - City Hospital employees spent a weekday volunteering at two local social service agencies. City Hospital also provided the kick-off breakfast for all 500 volunteers throughout the Eastern Panhandle. Economic Development - In 2010, hospital representatives participated as members of the Berkeley County Development Authority and the Region 9 Planning Council during work hours. Form 990 Schedule H, Part VI Line 1 Part II - Community Support - City Hospital supports and participates in many health related community activities by providing judges for science fairs at the local schools. We have teams that participate in the annual March of Dimes Walk in Berkeley County, American Cancer Society Relay for Life in Berkeley County and various other fundraising events for local, health related, non-profit organizations. Many employees serve as volunteer board of directors for community non-profit organizations such as Hospice of the Panhandle, Boys Girls Club of the Eastern Panhandle, Eastern Panhandle Free Clinic and the United Way of the Eastern Panhandle. Form 990 Schedule H, Part VI Line 1 Part II - Coalition building - CHI staff participate in the Health Human Services Council as well as Healthier Berkeley County. All of these entities focus on improving community access to health care, human services in general, and determine ways to encourage healthy lifestyles. Community health improvement advocacy - City Hospital is a partner in the MAPP project which is a collaborative imitative to assess community social services needs and develop a plan to tackle these issues. Form 990 Schedule H, Part VI Line 1 Part II - Workforce Development - City Hospital participates in activities sponsored by the Martinsburg Berkeley County Chambers Workforce Development Committee. City Hospital is also a major sponsor of the Womens Network, which is an organization, established by the Berkeley County Chamber, which sponsors womens professional activities, social network and professional development seminars. Form 990 Part III Program Service Accomplishments Line 4d Other Activities Program Service Expenses 41,301,872, Grants and allocations 4,335,415, Revenue 8,596,877 City Hospital, Inc. CHI is a not-for-profit facility that operates twenty-four hours a day, seven days a week. The hospital provides acute care services, as well as emergency and specialty patient care. CHI serves as part of a regional health system, WVUH-East which serves Berkeley, Jefferson and Morgan Counties. City Hospital serves as a clinical education site for WVU, the WV School of Osteopathic Medicine and other universities and community colleges in the area. The Erma Byrd Health Professions Education Center, which houses WVUs Robert C Byrd Health Sciences Center-Eastern Division, is also located on the City Hospital campus. West Virginia United Health System Inc 1000 Technology Drive Fairmont WV 26554 550754713 Patient Access WV 501C3 11 a N/A false West Virginia University Hospitals PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501C3 3 N/A false West Virginia University Hospitals - East Inc 2000 Foundation Way Martinsburg WV 25401 202337985 Patient Access WV 501C3 11a N/A false Jefferson Memorial Hospital Inc 2000 Foundation Way Martinsburg WV 25401 550359755 Patient Care WV 501C3 3 N/A false City Hospital Foundation 2000 Foundation Way Martinsburg WV 25401 311118075 Hospital Support WV 501C3 11a N/A false Jefferson Healthcare Foundation Inc 2000 Foundation Way Martinsburg WV 25401 550768901 Hospital Support WV 501C3 11a N/A false WVUH-East Services Inc 2000 Foundation Way Martinsburg WV 25401 311118076 Patient Care WV 501C3 3 N/A false United Health Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501C3 11a N/A false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501C3 3 N/A false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501C3 3 N/A false United Summit Center Inc 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501C3 3 N/A false West Virginia Health Care Co-Op PO Box 8059 Morgantown WV 26506 550650441 Support WV 501C3 11a N/A false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV N/A C Corp West Virginia United Insurance Services Inc 1000 Technology Drive Suite 2320 Fairmont WV 26554 550756055 Provider Network WV N/A C Corp WVUH-East Enterprises 2000 Foundation Way Martinsburg WV 25401 550653982 Medical Equip WV N/A C Corp 1.00000 false false true false false false false false false true true false false false true false false false City Hosptial Foundation j 437708 Cost West Virginia University Hospitals-East Inc o 7221914 Cost Jefferson Memorial Hospital k 372741 Cost