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Nonprofiteer
← POTOMAC VALLEY HOSPITAL INC

Form 990 for tax year 2022

Filed by POTOMAC VALLEY HOSPITAL INC.

Totals

Total revenue
$71,436,905
Total expenses
$61,047,480
Contributions and grants received
$124,894
Grants paid
$36,888
Program service revenue
$70,970,041
Investment income
$36
Other revenue
$341,934
Total assets, end of year
$54,057,742
Total liabilities, end of year
$33,938,776
Net assets or fund balances, end of year
$20,118,966
Program services expenses (Part IX)
$51,455,346
Management and general expenses
$9,592,134
Fundraising expenses
$0
Program service expenses (Part III)
$51,455,346

Program services were 84.3% 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)

    $69,213

  • 1f · All other contributions, gifts and grants

    $55,681

  • 2a · Program service revenue: Patient Services

    total $69,481,066 · related or exempt $69,481,066

  • 2b · Program service revenue: Pharmacy Revenue

    total $758,639 · related or exempt $758,639

  • 2c · Program service revenue: COVID Relief Funds - Other

    total $592,270 · related or exempt $592,270

  • 2d · Program service revenue: COVID Relief Funds - Federal

    total $138,066 · related or exempt $138,066

  • 3 · Investment income

    total $36 · excluded $36

  • 6a · Gross rents

    real property $16,130

  • 6b · Less rental expenses

    real property $12,343

  • 6c · Rental income or loss

    real property $3,787

  • 6d · Net rental income or loss

    total $3,787 · excluded $3,787

  • 11a · Other revenue: HPSA Bonus Payments

    total $143,641 · related or exempt $143,641

  • 11b · Other revenue: Cafeteria Income

    total $127,722 · excluded $127,722

  • 11c · Other revenue: Rebate Revenue

    total $24,215 · related or exempt $24,215

  • 11d · All other revenue

    total $42,569 · related or exempt $42,569

  • 11e · Other revenue, total

    $338,147

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $24,422 · program services $24,422

  • 2 · Grants to domestic individuals

    total $12,466 · program services $12,466

  • 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 $1,552,689 · program services $1,140,348 · management and general $412,341

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $20,409,333 · program services $17,987,090 · management and general $2,422,243

  • 8 · Pension plan contributions

    total $658,935 · program services $589,143 · management and general $69,792

  • 9 · Other employee benefits

    total $3,612,580 · program services $3,225,490 · management and general $387,090

  • 10 · Payroll taxes

    total $1,504,363 · program services $1,325,821 · management and general $178,542

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $32,611 · management and general $32,611

  • 11c · Fees: accounting

    total $118 · program services $118

  • 11d · Fees: lobbying

    total $5,129 · program services $5,129

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $4,350,786 · program services $3,927,450 · management and general $423,336

  • 12 · Advertising and promotion

    total $244,597 · program services $11,163 · management and general $233,434

  • 13 · Office expenses

    total $2,231,259 · program services $1,703,776 · management and general $527,483

  • 14 · Information technology

    total $600 · management and general $600

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $1,070,462 · program services $896,092 · management and general $174,370

  • 17 · Travel

    total $306,582 · program services $265,102 · management and general $41,480

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $523,045 · program services $434,047 · management and general $88,998

  • 21 · Payments to affiliates

    total $6,715,743 · program services $3,080,205 · management and general $3,635,538

  • 22 · Depreciation, depletion and amortization

    total $2,165,230 · program services $1,799,276 · management and general $365,954

  • 23 · Insurance

    total $576,308 · program services $485,968 · management and general $90,340

  • 24a · Other expenses: Medical Supplies

    total $9,693,741 · program services $9,693,741

  • 24b · Other expenses: Provision for Doubtful Accounts

    total $2,899,075 · program services $2,899,075

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

    total $1,746,438 · program services $1,448,984 · management and general $297,454

  • 24d · Other expenses: Recruiting

    total $543,703 · program services $460,624 · management and general $83,079

  • 24e · All other expenses

    total $167,265 · program services $39,816 · management and general $127,449

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $166,227 · end of year $10,868,750

  • 2 · Savings and temporary cash investments

    beginning of year $5,558,721 · end of year $115,056

  • 4 · Accounts receivable

    beginning of year $8,364,626 · end of year $13,674,028

  • 7 · Other notes and loans receivable

    beginning of year $2,410

  • 8 · Inventories for sale or use

    beginning of year $639,937 · end of year $820,510

  • 9 · Prepaid expenses and deferred charges

    beginning of year $466,055 · end of year $405,331

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

    $34,824,420

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

    $11,071,186

  • 10c · Land, buildings and equipment, net

    beginning of year $21,177,146 · end of year $23,753,234

  • 15 · Other assets

    beginning of year $4,906,074 · end of year $4,420,833

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,173,387 · end of year $11,714,673

  • 19 · Deferred revenue

    beginning of year $2,928,840

  • 20 · Tax-exempt bond liabilities

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

  • 23 · Secured mortgages and notes payable

    beginning of year $640,379 · end of year $548,767

  • 25 · Other liabilities

    beginning of year $606,237 · end of year $3,175,336

  • 27 · Net assets without donor restrictions

    beginning of year $10,419,740 · end of year $20,102,111

  • 28 · Net assets with donor restrictions

    beginning of year $12,613 · end of year $16,855

Mission and programs · 2022

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 2022, PVH had 11,961 family medicine patient encounters.

    Expenses $18,704,578 · Revenue $25,505,264

  • 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 16,370 patients in 2022.

    Expenses $10,972,054 · Revenue $15,802,735

  • General surgical services are provided as emergent and scheduled services on both an inpatient and an outpatient basis. PVH had 2,352 general surgery visits in 2022.

    Expenses $4,688,911 · Revenue $5,860,991

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Charles Bess MD

    Physician, Director Through November 2022

    Total calculated
    $682,306
    From this org
    $649,729
    From related orgs
    $0
    Other
    $32,577
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $283,724
    Bonus
    $363,477
    Other
    $2,528
    Deferred
    $3,894
    Nontaxable benefits
    $28,683
    Filer's total
    $682,306

  • Michael Gould DO

    Director, Chief of Staff

    Total calculated
    $594,605
    From this org
    $297,608
    From related orgs
    $260,322
    Other
    $36,675
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $292,347 + $200,679 related
    Bonus
    $5,000
    Other
    $261 + $59,643 related
    Deferred
    $8,934 + $5,981 related
    Nontaxable benefits
    $9,639 + $12,121 related
    Filer's total
    $316,181 + $278,424 related

  • Hamed Vahedikafshgari MD

    Physician

    Total calculated
    $590,035
    From this org
    $546,827
    From related orgs
    $0
    Other
    $43,208
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $521,287
    Bonus
    $25,000
    Other
    $540
    Deferred
    $13,725
    Nontaxable benefits
    $29,483
    Filer's total
    $590,035

  • Mark Boucot

    Director, CEO

    Total calculated
    $521,385
    From this org
    $211,411
    From related orgs
    $211,411
    Other
    $98,563
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $157,100 + $157,100 related
    Bonus
    $48,697 + $48,697 related
    Other
    $5,614 + $5,613 related
    Deferred
    $34,753 + $34,753 related
    Nontaxable benefits
    $14,529 + $14,529 related
    Filer's total
    $260,693 + $260,692 related

  • Alan Stephens MD

    Physician

    Total calculated
    $474,168
    From this org
    $431,178
    From related orgs
    $0
    Other
    $42,990
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $389,514
    Bonus
    $40,000
    Other
    $1,664
    Deferred
    $13,725
    Nontaxable benefits
    $29,265
    Filer's total
    $474,168

  • James Viglianco MD

    Physician

    Total calculated
    $447,294
    From this org
    $412,786
    From related orgs
    $0
    Other
    $34,508
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $361,819
    Bonus
    not reported
    Other
    $50,967
    Deferred
    $13,275
    Nontaxable benefits
    $21,233
    Filer's total
    $447,294

  • Boyd Sprenkle MD

    Physician

    Total calculated
    $442,333
    From this org
    $340,077
    From related orgs
    $79,477
    Other
    $22,779
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $327,998 + $76,654 related
    Bonus
    not reported
    Other
    $12,079 + $2,823 related
    Deferred
    $9,892 + $2,312 related
    Nontaxable benefits
    $8,572 + $2,003 related
    Filer's total
    $358,541 + $83,792 related

  • Daniel Hurley DO

    Physician

    Total calculated
    $304,662
    From this org
    $290,052
    From related orgs
    $0
    Other
    $14,610
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,671
    Bonus
    $61,026
    Other
    $355
    Deferred
    $6,890
    Nontaxable benefits
    $7,720
    Filer's total
    $304,662

  • Amy Boothe

    VP Operations Finance

    Total calculated
    $220,820
    From this org
    $134,574
    From related orgs
    $61,384
    Other
    $24,862
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $116,758 + $53,258 related
    Bonus
    $11,200 + $5,109 related
    Other
    $6,616 + $3,017 related
    Deferred
    $5,453 + $2,487 related
    Nontaxable benefits
    $11,621 + $5,301 related
    Filer's total
    $151,648 + $69,172 related

  • Kendra Thayer

    VP of Nursing, CNO September- December 2022

    Total calculated
    $167,831
    From this org
    $23,988
    From related orgs
    $127,020
    Other
    $16,823
    Hours/week
    11 + 29 related

    Schedule J breakdown matched by us

    Base
    $23,911 + $110,024 related
    Bonus
    not reported + $16,802 related
    Other
    $77 + $194 related
    Deferred
    $928 + $2,612 related
    Nontaxable benefits
    $3,377 + $9,906 related
    Filer's total
    $28,293 + $139,538 related

  • Elaine Geroski

    VP, Nursing, January - September 2022

    Total calculated
    $138,805
    From this org
    $123,438
    From related orgs
    $0
    Other
    $15,367
    Hours/week
    40

  • Robin Haupt

    Director, Secretary

    Total calculated
    $0
    Hours/week
    1

  • Jerry Whisner

    Director, President

    Total calculated
    $0
    Hours/week
    1

  • Dinah Courrier

    Director

    Total calculated
    $0
    Hours/week
    1

  • Frances Jones

    Director Through November 2022

    Total calculated
    $0
    Hours/week
    1

  • Kevin Clark

    Director

    Total calculated
    $0
    Hours/week
    1

  • Brandon Combs

    Director Through September

    Total calculated
    $0
    Hours/week
    1

  • Louie Kitzmiller

    Director, Treasurer Appointed July 2022

    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 56,172 in 2022. This amount is 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

  • Keyser Rotary Club

    $5,000

    Sponsorship

  • Mineral County Board of Education

    no cash amount reported

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Allied Health Sourcing Solutions

    Supply Chain Management · WV

    Directly controlled by NA

Related corporations and trusts

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

  • Allied Health Services Inc

    C Corp · Medical Lab · WV

    Directly controlled by West Virginia United Health System

  • West Virginia United Insurance Services Inc

    C Corp · Provider Network · WV

    Directly controlled by West Virginia United Health System

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202323189349308007

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