Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
West Virginia University Hospitals Inc
 
Employer identification number

55-0643304
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2017
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Schedule L (Form 990 or 990-EZ) 2017
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Paula Congelio Independent Contractor 119,577 Consultant/Liason   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Part IV Line 1 Services to be performed by Ms. Congelio per the contract are as follows a. Consult with WVUH with regarding to the relationships, contracts, and funds flows amount the components of the academic medical center. b. To serve as a liaison with the other components of the academic medical center. To consult with WVUH with regard to WVUHs relationships, contracts, and funds flows with entities outside of the academic medical center including, but not limited to, the West Virginia Legislature, West Virginia Department of Health and Human Services, West Virginia Medicaid Program, West Virginia Public Employees Insurance Agency, West Virginia Bureau of Risk and Insurance Management, and West Virginia University Foundation, Incorporated. d. To serve as a liaison with such entities outside of the academic medical center. To consult with WVUH with regard to aspects of WVUHs business, operations, affairs, finances, budgets, and reimbursement. To perform such other duties as WVUH may reasonably request. To perform such duties in a timely, professional, and courteous. To perform such duties in accordance with all applicable laws.
Schedule L (Form 990 or 990-EZ) 2017


Additional Data


Software ID: 17005317
Software Version: 18.2.0.0