2023-11-15T14:32:52-06:00 2022-12-31 390859910 Baker Tilly US LLP 101 Washington Street East Charleston WV 25301 990 2022-01-01 871759588 Webster Memorial Hospital WEBS 3048475682 812 Gorman Avenue Elkins WV 26241 William Koch VP of Finance 3048475682 2023-11-15 1 William Koch 999009999 0 Dolores Rose P01286262 3043460441 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z William Dempsey 812 Gorman Avenue Elkins WV 26241 19166243 0 X www.wcmhwv.org X 2019 WV To provide acute short-term care to residents of Webster and surrounding counties of West Virginia. 7 7 225 7 0 0 0 77081 0 18658777 0 730 0 429655 0 19166243 0 0 0 0 0 12483224 0 0 0 0 9166474 0 21649698 0 -2483455 0 6538128 0 3821676 0 2716452 The mission of Webster Memorial Hospital is to provide excellent, high quality care in a compassionate and cost-effective manner. 0 0 15883479 19088432 Critical Access Hospital services provided included 298 inpatient days, 28,613 outpaitent visits, and 6,969 RHC visits. Charges forgone for charity amounted to $1,065. 15883479 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 14 0 225 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Dalila Miller 3048475682 324 Miller Mountain Drive Webster Springs WV 26288 Mary Anne Carpenter Chair 1.00 X X 0 0 0 Christopher Graham Vice Chair 1.00 X X 0 0 0 Larry Lynch Secretary/Treasurer 1.00 X X 0 0 0 Karen Dotson Trustee 1.00 X 0 0 0 Keith Hamrick Trustee 1.00 X 0 0 0 Jim Phares Trustee 1.00 X 0 0 0 Dave Morris Trustee 1.00 X 0 0 0 Dalila Miller Director of Business Operations 40.00 X 59272 0 325 William Dempsey CEO 40.00 X 0 143134 24611 William Koch VP of Finance 1.00 40.00 X 0 129285 2307 Frankie Pucket MD Chief of Staff 40.00 X 751098 0 6750 Chelsea Donathan MD Physician 40.00 X 460626 0 4254 Johathan Beam MD Pharmacist 40.00 X 176578 0 1802 Jeanette Boyce MD Physician 40.00 X 169017 0 1744 William Trusnovic MD Physician 40.00 X 453309 0 4535 2069900 272419 46328 16 0 1 0 Andrew B Cook 291 Hidden Creek Lane Frankford WV 24938 Physician 188110 1 77081 77081 Patient Service Revenue 621300 10473892 10473892 340B Pharmacy Revenue 900099 8184885 8184885 18658777 730 730 Other Revenue 900099 396124 396124 Employee Meals 722514 33531 33531 429655 19166243 19088432 0 730 10862317 7126766 3735551 57074 37446 19628 798034 523590 274444 765799 502441 263358 217958 217958 1160873 1065406 95467 7965 7965 599978 390676 209302 506983 332632 174351 287999 188956 99043 101195 66394 34801 19602 12861 6741 930085 610229 319856 408596 268080 140516 Medical supplies 2105503 2105503 Bad debt expense 2056533 2056533 Licenses & Dues 336137 220539 115598 Provider tax 263182 263182 163885 112245 51640 21649698 15883479 5766219 0 1417367 92131 2120755 470679 258464 2845413 930085 0 1915328 0 263404 0 6538128 2134645 420929 0 1266102 0 3821676 X 581431 2135021 0 2716452 0 6538128 X -2483455 5199907 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1970 1970 0 Part II-B, Line 1: A portion of dues paid by the Hospital to the American Hospital Association and West Virginia Hospital Association is attributable to lobbying. 233000 233000 900000 180000 720000 1652413 730085 922328 60000 20000 40000 1915328 Third-party settlements 612105 Covid 19 Advance 653997 1266102 X 19244511 2134801 2134801 17109710 2056533 2056533 19166243 19593165 0 19593165 2056533 2056533 21649698 Part X, Line 2: Accounting principles generally accepted in the United States of America require the System to evaluate tax positions taken by the System and recognize a tax liability or asset if the System has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Services (IRS). The System has concluded that as of December 31, 2022 and 2021, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the consolidated financial statements. The System is subject to routine audits by taxing jurisdictions; however, there are currently no audits or any tax examinations for years prior to the fiscal year ended December 31, 2019. Part XI, Line 2d - Other Adjustments: Net assets released from restriction 129,469. Inherent contributions 2,005,332. Part XI, Line 4b - Other Adjustments: Bad debts netted against income on financial statements 2,056,533. Part XII, Line 4b - Other Adjustments: Bad debts netted against income on financial statements 2,056,533. 1 1 1 X 175.000000000000 1 X 175.000000000000 1 1 0 0 264112 264112 302353 250680 51673 0.00240 566465 514792 51673 0.00240 566 566 0.00000 566 566 0.00000 567031 514792 52239 0.00240 1 136658 2446701 2446701 X 1 1 1 1 Webster Memorial Hospital PO Box 312 Webster Springs WV 26288 https://www.wcmhwv.org/ X X X Rural Health Clinic Webster Memorial Hospital 1 0 0 1 X X X X X X X 22 1 0 0 1 X https://www.wcmhwv.org/downloadable-forms-1 X 1 22 1 https://www.wcmhwv.org/downloadable-forms-1 0 1 X 175.000000000000 175.000000000000 X X X 1 1 X X X 1 X https://www.wcmhwv.org/downloadable-forms-1 X https://www.wcmhwv.org/downloadable-forms-1 X https://www.wcmhwv.org/downloadable-forms-1 X X X X 1 X 0 X X X X 1 X 0 0 Webster Memorial Hospital Part V, Section B, Line 5: The Community Health Needs Assessment (CHNA) questionnaire was taken to multiple public locations for community members to fill out and give their opinion of services needed and their satisfaction with services already provided by the hospital. Officials and employees were interviewed for the CHNA from the following: Webster County Health Department, Board of Education, Family Resource Network, United National Bank, Catholic Charities, and the food pantry. Webster Memorial Hospital Part V, Section B, Line 11: Based upon the results of the Community Health Needs Assessment, Webster Memorial Hospital will develop a three-year Implementation Strategy to address the following significant community health related needs:*Increased education and promotion of community resources*Utilize existing affiliations to promote healthier lifestyle choices*Chronic disease maintenance and prevention (Diabetes, Cardiovascular, Respiratory)*Improve overall health statusThe CHNA has provided valuable insight to the contributing factors of health related issues faced by the residents of Webster County and the surrounding communities. It will assist Webster Memorial Hospital as well as other community providers to collaborate their efforts to provide the necessary resources for the community. Initiatives were aggregated among two main categories, increased education and promotion of community resources and promotion of healthier lifestyle choices. 2 1 - The Cowen Clinic 70 Technology Drive Cowen WV 26206 Prenatal primary care, pain management, wellness clinic 2 - Webster Physical Therapy 139 Bakers Island Webster Springs WV 26288 Physical therapy Part I, Line 3c: The patient's income is considered and reviewed to determine the amount of discount they receive, if not free care. The patient's assets are also reviewed. They can only have one vehicle and one house. If the patient has more than one vehicle, the total value of the vehicles cannot exceed $2,000. If the value exceeds $2,000, the patient will automatically be reduced to a percentage less than 100%. Part I, Line 7: The Hospital is a CAH and is paid 100% costs from Medicaid with the exception of the RHC which is PPS. The Medicaid community benefit expense reported on Part I, Line 7b is from the RHC excess cost over reimbursements. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 136,658. Part II, Community Building Activities: The Hospital distributes educational material regarding smoking cessation, healthy eating, saying no to drugs, cancer, diabetes & other diseases, how to live a healthier life along with physical activities. The Hospital also assists the community with kids needs for sports. 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 8: The Medicare cost report was used to report Medicare revenue and expenses.CAH's receive cost reimbursement for Medicare services. A settlement process takes place after the Medicare cost report is filed in order to make payments (revenue) equal allowable cost. Thus, there is no "shortfall" of cost versus payments for CAH Medicare services. Part III, Line 9b: Patient's are informed about the finanical assistance program when they call to ask about their medical bills. The billers offer patient information about the program over the phone or if the patient is seen by the biller in person, they are shown the application and the documents that are needed. Part VI, Line 2: Director of Clinical Operations & Quality continuously reviews referral logs made by secretaries to see if there are any services we can provide here. Then we find out cost and reimbursement issues and present to CEO. Part VI, Line 3: If the patient presents to the registration desk and is private pay, the registration clerk informs the patient that we currently have a Financial Assistance program that will help them receive a discount or have the total amount written off and offers them the application. If a patient is private pay and admitted as an observation or inpatient, the social worker reviews the financial assistance program with the patient and offers them the application before discharge. If a patient calls into the billing office to ask about their billing statement and they state they don't think they can pay or want to make a payment contract, the billers will offer the patient information on the program and offer to mail them an application. Part VI, Line 4: Our geographical service area is rural. The majority (91.2%) of the Hospital's patients reside in Webster County, West Virginia. A portion of the remaining patients reside in Nicholas County (3.1%) and Randolph County (1.5%). The population of Webster County is 8249. The residents of Webster County have a median household income of $33,358 and 23% of the residents live in poverty. There is one hospital serving the community and the next nearest facility is 40 miles away. Part VI, Line 5: Governing body is comprised of members of all areas of the community and are not employees of the organization. The Hospital extends privileges to all qualified staff working for the facility. The Hospital uses surplus funds to provide new services for patients. The emergency room is available to all patients whether they have the ability to pay or not. The Hospital offers MRI, Cardiac and Pulmonary Rehab and Nuclear medicine, which are not available at any other location in the County. The Hospital offers charitable care and serves as a source of community volunteer activities. X 0 0 0 0 0 0 0 0 0 Frankie Pucket MD Chief of Staff 750996 0 102 0 0 0 6750 0 0 0 757848 0 0 0 Chelsea Donathan MD Physician 460524 0 102 0 0 0 4254 0 0 0 464880 0 0 0 William Trusnovic MD Physician 453207 0 102 0 0 0 4535 0 0 0 457844 0 0 0 Johathan Beam MD Pharmacist 175827 0 751 0 0 0 1802 0 0 0 178380 0 0 0 Jeanette Boyce MD Physician 168916 0 101 0 0 0 1744 0 0 0 170761 0 0 0 William Dempsey CEO 0 143026 0 108 0 0 0 1430 0 23181 0 167745 0 0 Lisa Clutter Family Member of Chris Graham, Board Member 29156 Employee compensation 0 Form 990, Part VI, Section A, line 3 On January 1, 2022, the Hospital's operations were transferred to a nonprofit corporation, Davis Health System, Inc. Form 990, Part VI, Section B, line 11b During a regularly scheduled board meeting, each board member receives a copy of the completed Form 990. The board will vote and approve the completed form before filing. If the return is completed and due between regularly scheduled board meetings, an electronic copy of the 990 is emailed to all board members and approved before the return is filed. Form 990, Part VI, Section B, line 12c Officers and Directors are required to complete an annual conflict of interest questionnaire. This questionnaire is then reviewed by the Board of Trustees, annually, for any interests that could give rise to conflicts. If a conflict should arise, the individual would have to disclose this conflict to the Board of Trustees. The board member would not be permitted to vote on the issue, if applicable. Form 990, Part VI, Section B, line 15 To determine compensation of the Organization's CEO, the organization compares Forms 990 of other organizations, reviews written employment contracts and performs compensation surveys of similar facilities. A review of compensation is conducted internally by the Board of Trustees. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy and financial statements are made available upon request. Form 990, Part XI, line 9: Inherent contributions for transfer of ownership to Davis Health System 2,005,332. Contributions of property, plant and equipment 3,194,575. Form 990, Part XII, Line 2c: The Organization's finance committee of the board of directors selects the independent accountant. The process remains unchanged from prior years.