WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (EIN 55-0779739)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-03
IRS object ID
201131239349301158
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-03T14:52:22-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Arnett & Foster PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1
CityCharlestonCity
StateWVState
ZIP Code25329ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550779739EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Virginia University MedicalBusinessNameLine1
Business Name Line2Corporation Charleston DivisionBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3042935033Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 7000AddressLine1
CityMorgantownCity
StateWVState
ZIP Code265077000ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJane Weise HaleyName
TitleCFOTitle
Phone3042935033Phone
Date Signed2011-05-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHarry C HarlessName
Phone3043460441Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1West Virginia University PhysiciansBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ Gregory Rosencrance MNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 7000AddressLine1
CityMorgantownCity
StateWVState
ZIP Code265077000ZIPCode
FieldValueIRS element (for citing)
Gross Receipts46162191GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewvupc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionThe organization's mission is to support the West Virginia University School of Medicine - Charleston Division.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees268TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year26341ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38211129ProgramServiceRevenuePriorYear
Program Service Revenue CY46089451ProgramServiceRevenueCY
Investment Income Prior Year7869InvestmentIncomePriorYear
Investment Income Current Year46399InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year38218998TotalRevenuePriorYear
Total Revenue Current Year46162191TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2078181GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1539492GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28123890SalariesEtcPriorYear
Salaries Etc Current Year29820642SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7710571OtherExpensePriorYear
Other Expenses Current Year8274452OtherExpensesCurrentYear
Total Expenses Prior Year37912642TotalExpensesPriorYear
Total Expenses Current Year39634586TotalExpensesCurrentYear
Revenues Less Expenses Prior Year306356RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6527605RevenuesLessExpensesCY
Total Assets BOY7672430TotalAssetsBOY
Total Assets EOY14127540TotalAssetsEOY
Total Liabilities BOY4076094TotalLiabilitiesBOY
Total Liabilities EOY4003599TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3596336NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10123941NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of West Virginia University Medical Corporation - Charleston Division, doing business as West Virginia University Physicians of Charleston, is to support the West Virginia University School of Medicine and to improve the lives of our patients, physicians, students, and employees by maintaining an efficient,effective and friendly academic and clinical practice environment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense30380596Expense
Grants12225Grants
Revenue46089451Revenue
DescriptionThe Corporation supported the faculty physicians of the West Virginia School of Medicine in their provision of medical services with approximately 109,413 patient visits and 224,727 procedures during the year ended June 30, 2010. The Corporation incurred expenditures for salaries, wages and employee benefits on behalf of the School of Medicine for faculty physicians, residents, and staff.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2238077Expense
Grants1527267Grants
Revenue0Revenue
DescriptionThe Corporation continuously meets its exempt purpose by providing funds to the state-supported West Virginia University School of Medicine. By providing these funds, the Corporation has both lessened the burdens of government and advanced graduate medical education in West Virginia. As part of its mission to support the School of Medicine, the Corporation incurred expenditures for professional liability premiums on behalf of the faculty physicians of the School of Medicine of approximately $710,810 for the year ended June 30, 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1421534Expense
Grants0Grants
Revenue0Revenue
DescriptionThe Corporation has also lessened the burdens of government by relieving poverty in West Virginia by supporting the faculty physicians in their provision of charity care.In addition, the Corporation has promoted health for the benefit of the community, West Virginia (both rural and metropolitan areas) and surrounding states. For example, the Corporation has supported the faculty physicians in their non-revenue producing endeavors such as practicing in free care clinics, providing health-related information via telemedicine and printed materials, and providing phone access to the faculty physicians for the state's rural physicians.Description
FieldValueIRS element (for citing)
Total Program Service Expense34040207TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees268NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kelly HendersonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3042935033TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1255 Scott AvenueAddressLine1
CityMorgantownCity
StateWVState
ZIP Code265070897ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Jeffrey V Ashley MD
Director40.00X211010021956
Stephen H Bush MD
Director40.00X635401032377
Martin Kommor MD
Director40.00X117817011990
John N Udall Jr MD
Director40.00X150164016694
Michael D Hall MD
Director40.00X292558032377
James G Rosencrance MD
Chairman, President/CEO40.00X230116022888X
James P Boland MD
Director40.00X228690028233
Luther C Hansbarger
Dean, WVU SOM-Charleston40.00X142799012499
Elizabeth Kurczynski MD
Director40.00X105354010235
Jane Weise Haley
Chief Financial Officer40.0094257015133X
Frank C Lucente MD
Physician40.00428401032377X
Patrick A Stone MD
Physician40.00412072032374X
Samual G Heywood MD
Physician40.00349953032377X
Luis A Bracero MD
Physician40.00374124032377X
Byron C Calhoun MD
Physician40.00377797032377X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4150513TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation366264TotalOtherCompensation
Number Individuals GT100 K80NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Goracy IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line133 Ship AvenueAddressLine1
CityMedfordCity
StateMAState
ZIP Code02155ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesComputer consultantDescriptionOfServices
Compensation109710Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions26341AllOtherContributions
Noncash Contributions26341NoncashContributions
Total Contributions26341TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Direct patient care6211113071448430714484
Education & research61171079007697900769
Expense reimbursements90009961618156161815
Other health care90009913123831312383
FieldValueIRS element (for citing)
Total Program Service Revenue46089451TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46399TotalRevenueColumn
Exclusion$46,399ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column46162191TotalRevenueColumn
Related Or Exempt Function Income46089451RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$46,399ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1539492Total
Program Services1539492ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2584576Total
Program Services2165707ProgramServices
Management And General418869ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22927798Total
Program Services19519811ProgramServices
Management And General3407987ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2159334Total
Program Services1943401ProgramServices
Management And General215933ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1084781Total
Program Services922064ProgramServices
Management And General162717ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1064153Total
Program Services904530ProgramServices
Management And General159623ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48596Total
Management And General48596ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48029Total
Management And General48029ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1929509Total
Program Services1640083ProgramServices
Management And General289426ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total58551Total
Program Services16692ProgramServices
Management And General41859ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1165083Total
Program Services903942ProgramServices
Management And General261141ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33861Total
Program Services28782ProgramServices
Management And General5079ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total430807Total
Program Services409267ProgramServices
Management And General21540ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total257571Total
Program Services218935ProgramServices
Management And General38636ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total114932Total
Program Services97692ProgramServices
Management And General17240ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total141952Total
Program Services127757ProgramServices
Management And General14195ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1027584Total
Program Services723003ProgramServices
Management And General304581ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad debts25464062546406
Dues, memberships, lice229428109465119963
Repairs and maintenance88794816967098
WV provider tax4778047780
Recruitment1004310043

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total95526Total
Program Services83659ProgramServices
Management And General11867ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39634586Total
Program Services34040207ProgramServices
Management And General5594379ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1405BOY
EOY1424EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2836701BOY
EOY10343578EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2704266BOY
EOY2451056EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY222552BOY
EOY231156EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY266593BOY
EOY96230EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis978464LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec417025LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY507930BOY
EOY561439EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1132983BOY
EOY442657EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7672430BOY
EOY14127540EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3327939BOY
EOY3817251EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY748155BOY
EOY186348EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4076094BOY
EOY4003599EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3596336BOY
EOY10123941EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3596336BOY
EOY10123941EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7672430BOY
EOY14127540EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis202544OtherCostOrOtherBasis
Depreciation82355Depreciation
Book Value120189BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis766734OtherCostOrOtherBasis
Depreciation334670Depreciation
Book Value432064BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9186OtherCostOrOtherBasis
Book Value9186BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings561439TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to affiliates$116,396
Due to related party$69,952
FieldValueIRS element (for citing)
Total Of Amounts186348TotalOfAmounts
Total Revenue46162191TotalRevenue
Total Expenses39634586TotalExpenses
Excess Or Deficit For Year6527605ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS6527605ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt39974035TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal39974035RevenueSubtotal
Other Revenues Not Included6188156OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6188156RevenueNotRptdOnFinStmt
Total Revenue Per Form99046162191TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33446430TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33446430ExpensesSubtotal
Other Expenses Not Included6188156OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6188156ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039634586TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 4b - Other Adjustments:Expense reimbursements: 6161815. Non cash contribution: 26341.
Part XIII, Line 4b - Other Adjustments:Expense reimbursements: 6161815. Non cash contribution: 26341.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WVU School of MedicineBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13110 MacCorkle Ave SEAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient556000842EINOfRecipient
IRC Section3IRCSection
Amount Of Cash Grant1527267AmountOfCashGrant
Purpose Of GrantTo support the School of Medicine.PurposeOfGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jeffrey V Ashley MD
210801020900021956026310235597000
Stephen H Bush MD
59742903797200032377050730672851000
John N Udall Jr MD
1501640000016694025160169374000
Michael D Hall MD
292349020900032377024040327339000
James G Rosencrance MD
2301160000022288026610255065000
James P Boland MD
228481020900028233026400259563000
Luther C Hansbarger
1427990000012499025480157846000
Frank C Lucente MD
4284010000032377031630463941000
Patrick A Stone MD
4120720000032374031160447562000
Samual G Heywood MD
349750020300032377038580386188000
Luis A Bracero MD
373915020900032377040670410568000
Byron C Calhoun MD
3777970000032377037340413908000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionEquipmentDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99026341NoncashContribsRptdF990
Method Of Determining RevenuesReplacement costMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6The membership of the Corporation consists of physicians who are faculty members of the West Virginia University School of Medicine, Charleston Division (the School of Medicine). Revenues of the Corporation are used for the public purpose of furthering the goals and objectives of the School of Medicine and are derived principally from billings for medical services furnished by the Corporation's membership within the scope of their duties as faculty of the School of Medicine.
Form 990, Part VI, Section A, line 7aThere are nine voting members of the Corporation's board of directors. The members consist of the Associate Vice President and six (6) departmental chairs. The eighth is elected for a 2 year term from and by the full-time faculty members of the West Virginia University Medical Corporation - Charleston Division. The ninth is the Dean of the West Virginia University School of Medicine, who is an ex-officio voting member.
Form 990, Part VI, Section A, line 7bAny substantive changes in the bylaws proposed by the board of directors must be consistent with West Virginia University Board of Governors policies and shall not be adopted by the Board or implemented until the same have been approved by the President of the University or his designee.
Form 990, Part VI, Section B, line 11Form 990 is prepared by the Corporation's independent accountants, with assistance from the Controller of the Master Service Organization. Before the 990 is filed with the IRS, the CFO reviews the 990 with the Finance Committee and Board members to ensure they have an understanding of the information provided on the form.
Form 990, Part VI, Section B, line 12cAll new employees must complete an electronic disclosure module at the outset of employment that addresses whether they have any relationships that could constitute a conflict of interest as described in the corporation's by-laws and related conflict of interest policy. The electronic disclosure forms must also be updated annually, and any disclosures of potential conflicts on either the initial or recurring annual disclosures will be reviewed and analyzed to determine whether a conflict exists and, if so, the employment ramifications of the same. Additionally, the corporation has adopted a policy that requires employed faculty to disclose annually, in writing, any outside relationships which could potentially constitute a conflict of interest on forms prescribed by the corporation's Conflict of Interest policy. Again, documented disclosures of potential conflicts will be reviewed and analyzed to determine whether actual conflicts exist.
Form 990, Part VI, Section B, line 15The corporation reviews compensation of the CEO, officers and faculty against reported benchmarks. The corporation also obtains Fair Market Value studies from its affiliated hospital. These are reviewed at least annually.
Form 990, Part VI, Section C, line 19The corporation provides financial statements to the public upon written request. The corporation has a website where its Code of Conduct which contains information regarding conflict avoidance is posted, along with the corporation's Conflict of Interest policy and related resources and disclosure forms. www.wvupc.org/compliance
FORM 990, PAGE 12, PART XI, LINE 2CThe oversight process of the audit has not changed since last year.CLARIFICATION OF ITEM MARKED YES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1West Virginia University School of Medicine Charleston DivisionBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13110 MacCorkle AvenueAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
EIN556000842EIN
Primary ActivitiesEducationPrimaryActivities
Legal Domicile StateWVLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status2PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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