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Nonprofiteer
← POTOMAC VALLEY HOSPITAL INC

Form 990 for tax year 2023

Filed by POTOMAC VALLEY HOSPITAL INC.

Totals

Total revenue
$83,206,937
Total expenses
$75,042,321
Contributions and grants received
$1,193,345
Grants paid
$38,500
Program service revenue
$81,692,415
Investment income
$55,511
Other revenue
$265,666
Total assets, end of year
$59,974,562
Total liabilities, end of year
$32,725,860
Net assets or fund balances, end of year
$27,248,702
Program services expenses (Part IX)
$63,483,650
Management and general expenses
$11,558,671
Fundraising expenses
$0
Program service expenses (Part III)
$63,483,650

Program services were 84.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $1,191,530

  • 1f · All other contributions, gifts and grants

    $1,815

  • 2a · Program service revenue: Patient Services

    total $79,922,273 · related or exempt $79,922,273

  • 2b · Program service revenue: Pharmacy Revenue

    total $1,639,038 · related or exempt $1,639,038

  • 2c · Program service revenue: Provider Relief Funds Reserve

    total $84,838 · related or exempt $84,838

  • 2d · Program service revenue: Patient Care Quality Incentives

    total $46,266 · related or exempt $46,266

  • 3 · Investment income

    total $43,145 · excluded $43,145

  • 6a · Gross rents

    real property $14,472

  • 6b · Less rental expenses

    real property $5,531

  • 6c · Rental income or loss

    real property $8,941

  • 6d · Net rental income or loss

    total $8,941 · excluded $8,941

  • 7a · Gross sales of assets other than inventory

    securities $7,831 · other assets $4,535

  • 7c · Gain or loss

    securities $7,831 · other assets $4,535

  • 7d · Net gain or loss

    total $12,366 · excluded $12,366

  • 11a · Other revenue: Cafeteria Income

    total $145,942 · excluded $145,942

  • 11b · Other revenue: Rebate Revenue

    total $35,052 · related or exempt $35,052

  • 11c · Other revenue: GPO Admin Fee Shareback

    total $21,141 · related or exempt $21,141

  • 11d · All other revenue

    total $54,590 · related or exempt $54,590

  • 11e · Other revenue, total

    $256,725

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $28,500 · program services $28,500

  • 2 · Grants to domestic individuals

    total $10,000 · program services $10,000

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $1,330,105 · program services $923,303 · management and general $406,802

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $24,867,691 · program services $22,221,365 · management and general $2,646,326

  • 8 · Pension plan contributions

    total $743,672 · program services $698,796 · management and general $44,876

  • 9 · Other employee benefits

    total $5,447,534 · program services $4,885,067 · management and general $562,467

  • 10 · Payroll taxes

    total $1,945,824 · program services $1,738,757 · management and general $207,067

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $86,767 · management and general $86,767

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $6,443 · program services $6,443

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $8,362,002 · program services $7,801,826 · management and general $560,176

  • 12 · Advertising and promotion

    total $290,294 · program services $4,639 · management and general $285,655

  • 13 · Office expenses

    total $2,642,011 · program services $1,883,910 · management and general $758,101

  • 14 · Information technology

    total $3,177 · program services $2,577 · management and general $600

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $1,255,900 · program services $1,063,603 · management and general $192,297

  • 17 · Travel

    total $333,083 · program services $277,823 · management and general $55,260

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $565,303 · program services $477,775 · management and general $87,528

  • 21 · Payments to affiliates

    total $5,121,622 · program services $549,941 · management and general $4,571,681

  • 22 · Depreciation, depletion and amortization

    total $2,250,202 · program services $1,904,308 · management and general $345,894

  • 23 · Insurance

    total $592,932 · program services $490,845 · management and general $102,087

  • 24a · Other expenses: Medical Supplies

    total $12,894,932 · program services $12,894,932

  • 24b · Other expenses: Provision for Doubtful Accounts

    total $3,607,097 · program services $3,607,097

  • 24c · Other expenses: Taxes, Licenses and Fees

    total $2,075,040 · program services $1,752,585 · management and general $322,455

  • 24d · Other expenses: Recruiting

    total $400,964 · program services $199,683 · management and general $201,281

  • 24e · All other expenses

    total $181,226 · program services $59,875 · management and general $121,351

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,868,750 · end of year $131,193

  • 2 · Savings and temporary cash investments

    beginning of year $115,056 · end of year $15,168,697

  • 4 · Accounts receivable

    beginning of year $13,674,028 · end of year $13,927,890

  • 8 · Inventories for sale or use

    beginning of year $820,510 · end of year $889,568

  • 9 · Prepaid expenses and deferred charges

    beginning of year $405,331 · end of year $901,675

  • 10a · Land, buildings and equipment: cost or other basis

    $38,328,908

  • 10b · Land, buildings and equipment: accumulated depreciation

    $12,823,635

  • 10c · Land, buildings and equipment, net

    beginning of year $23,753,234 · end of year $25,505,273

  • 15 · Other assets

    beginning of year $4,420,833 · end of year $3,450,266

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,714,673 · end of year $11,300,958

  • 20 · Tax-exempt bond liabilities

    beginning of year $18,500,000 · end of year $17,659,000

  • 23 · Secured mortgages and notes payable

    beginning of year $548,767 · end of year $458,373

  • 25 · Other liabilities

    beginning of year $3,175,336 · end of year $3,307,529

  • 27 · Net assets without donor restrictions

    beginning of year $20,102,111 · end of year $27,180,795

  • 28 · Net assets with donor restrictions

    beginning of year $16,855 · end of year $67,907

Mission and programs · 2023

Mission

Potomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home. PVH recognizes health as a condition to which everyone has a just claim and will make a priority of meeting the changing needs of the community within the limits of available resources.

Activities or mission (Part I)

Potomac Valley strives to improve the total health status of area residents and provide supportive care for the chronically and/or terminally ill patients at home.

  • Family medicine services are provided in multiple clinic locations, and as rural health clinics, to serve the primary care needs of the population in Mineral County and provide access to care. During 2023, PVH had 12,409 family medicine patient encounters.

    Expenses $15,915,892 · Revenue $18,053,049

  • General surgical services are provided as emergent and scheduled services on both an inpatient and an outpatient basis. PVH had 1,302 general surgery visits in 2023. PVH also performed 603 orthopaedic surgeries.

    Expenses $12,464,648 · Revenue $11,598,064

  • PVH Emergency Department is staffed 24 hours everyday with specially trained physicians and nursing staff. The level of care ranges from continuation or initiation of advanced life support, to the assessment and treatment of minor illness, injuries or the acceleration of chronic medical conditions. The Emergency Department is connected by ration to Civil Defense and all area rescue squads and ambulances, thus allowing the staff to be fully prepared for any incoming emergency in advance of the arrival. The Emergency Department saw 17,640 patients in 2023.

    Expenses $9,232,757 · Revenue $13,907,252

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Charles Bess MD

    Director, Chief of Staff

    Total calculated
    $728,673
    From this org
    $682,706
    From related orgs
    $0
    Other
    $45,967
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $348,264
    Bonus
    $238,309
    Other
    $96,133
    Deferred
    $14,850
    Nontaxable benefits
    $31,117
    Filer's total
    $728,673

  • Hamed Vahedikafshgari MD

    Physician

    Total calculated
    $668,663
    From this org
    $622,325
    From related orgs
    $0
    Other
    $46,338
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $520,532
    Bonus
    $100,984
    Other
    $809
    Deferred
    $14,850
    Nontaxable benefits
    $31,488
    Filer's total
    $668,663

  • Michael Gould DO

    Director through 08/10/23, Physician

    Total calculated
    $653,629
    From this org
    $0
    From related orgs
    $611,233
    Other
    $42,396
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $355,697 related
    Bonus
    not reported
    Other
    not reported + $255,536 related
    Deferred
    not reported + $11,232 related
    Nontaxable benefits
    not reported + $31,164 related
    Filer's total
    not reported + $653,629 related

  • Sherif Dabash MD

    Physician

    Total calculated
    $551,377
    From this org
    $527,413
    From related orgs
    $0
    Other
    $23,964
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $426,964
    Bonus
    $100,000
    Other
    $449
    Deferred
    $14,850
    Nontaxable benefits
    $9,114
    Filer's total
    $551,377

  • Mark Boucot

    Director, CEO

    Total calculated
    $541,898
    From this org
    $218,743
    From related orgs
    $218,743
    Other
    $104,412
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $163,932 + $163,932 related
    Bonus
    $49,151 + $49,151 related
    Other
    $5,660 + $5,660 related
    Deferred
    $36,633 + $36,633 related
    Nontaxable benefits
    $15,573 + $15,573 related
    Filer's total
    $270,949 + $270,949 related

  • Alan Stephens MD

    Physician

    Total calculated
    $535,147
    From this org
    $488,997
    From related orgs
    $0
    Other
    $46,150
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $427,011
    Bonus
    $1,500
    Other
    $60,486
    Deferred
    $14,850
    Nontaxable benefits
    $31,300
    Filer's total
    $535,147

  • Boyd Sprenkle MD

    Physician

    Total calculated
    $463,033
    From this org
    $357,645
    From related orgs
    $81,283
    Other
    $24,105
    Hours/week
    33 + 7 related

    Schedule J breakdown matched by us

    Base
    $353,519 + $80,345 related
    Bonus
    $1,222 + $278 related
    Other
    $2,904 + $660 related
    Deferred
    $9,983 + $2,269 related
    Nontaxable benefits
    $9,659 + $2,194 related
    Filer's total
    $377,287 + $85,746 related

  • Rabie Zalzal MD

    Physician

    Total calculated
    $399,809
    From this org
    $363,267
    From related orgs
    $0
    Other
    $36,542
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,280
    Bonus
    $750
    Other
    $146,236
    Deferred
    $10,238
    Nontaxable benefits
    $26,305
    Filer's total
    $399,809

  • Amy Boothe

    VP Operations Finance

    Total calculated
    $271,706
    From this org
    $121,975
    From related orgs
    $121,975
    Other
    $27,756
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $100,182 + $100,182 related
    Bonus
    $19,585 + $19,585 related
    Other
    $2,208 + $2,208 related
    Deferred
    $4,622 + $4,622 related
    Nontaxable benefits
    $9,256 + $9,256 related
    Filer's total
    $135,853 + $135,853 related

  • Kendra Thayer

    VP of Nursing, CNO

    Total calculated
    $254,434
    From this org
    $107,577
    From related orgs
    $107,577
    Other
    $39,280
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $94,780 + $94,780 related
    Bonus
    $10,960 + $10,960 related
    Other
    $1,837 + $1,837 related
    Deferred
    $4,392 + $4,392 related
    Nontaxable benefits
    $15,248 + $15,248 related
    Filer's total
    $127,217 + $127,217 related

  • Marjorie Fridkin

    CMO

    Total calculated
    $204,279
    From this org
    $62,071
    From related orgs
    $126,023
    Other
    $16,185
    Hours/week
    13 + 27 related

    Schedule J breakdown matched by us

    Base
    $56,609 + $114,933 related
    Bonus
    not reported
    Other
    $5,462 + $11,089 related
    Deferred
    $5,201 + $10,560 related
    Nontaxable benefits
    $140 + $285 related
    Filer's total
    $67,412 + $136,867 related

  • Elaine Geroski

    VP, Nursing, Through September 2022

    Total calculated
    $153,501
    From this org
    $102,132
    From related orgs
    $34,886
    Other
    $16,483

    Schedule J breakdown matched by us

    Base
    $89,717 + $34,728 related
    Bonus
    $12,140 + $50 related
    Other
    $275 + $108 related
    Deferred
    $4,071 + $1,575 related
    Nontaxable benefits
    $7,919 + $2,918 related
    Filer's total
    $114,122 + $39,379 related

  • Robin Haupt

    Director, Secretary

    Total calculated
    $0
    Hours/week
    1

  • Jerry Whisner

    Director, Chair

    Total calculated
    $0
    Hours/week
    1

  • Dinah Courrier

    Director through 11/20/23

    Total calculated
    $0
    Hours/week
    1

  • Frances Jones

    Director

    Total calculated
    $0
    Hours/week
    1

  • Kevin Clark

    Director

    Total calculated
    $0
    Hours/week
    1

  • Louie Kitzmiller

    Director, Treasurer

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I Line 6a
Per the WVUHS Incentive Plan, incentives are contingent on meeting a net earning target.
Part I Line 4b
Mark Boucot received deferred compensation contributions of 29,208 from Potomac Valley Hospital and 29,208 from a related party. Marjorie Fridkin received deferred compensation contributions of 4,307 from Potomac Valley Hospital and 8,744 from a related party in 2023. These amounts are properly recorded in deferred compensation on the Form 990 Schedule J.
Part I Line 3
Compensation for CEOs are determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202433179349308223

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