SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBulletGo to www.irs.gov/Form990 for the latest information.

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
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)West Virginia United Health System
3040 University Avenue

Morgantown,WV26505
55-0754713 		Healthcare access WV 501c3 12a N/A
 
No
(2)West Virginia University Hospitals East Inc
2000 Foundation Way Suite 2310

Martinsburg,WV25401
20-2337985 		Healthcare access WV 501c3 12a WVU Hospitals Inc
 
Yes
 
(3)City Hospital Inc
2000 Foundation Way Suite 2310

Martinsburg,WV25401
55-0383321 		Patient Care WV 501c3 3 West Virginia University Hospitals East Inc
 
 
No
(4)Jefferson Memorial Hospital
2000 Foundation Way Suite 2310

Martinsburg,WV25401
55-0359755 		Patient Care WV 501c3 3 West Virginia University Hospitals East Inc
 
 
No
(5)University Healthcare Foundation
2000 Foundation Way Suite 2310

Martinsburg,WV25401
31-1118075 		Support City Hospital WV 501c3 12a N/A
 
No
(6)United Summit Center
6 Hospital Plaza

Clarksburg,WV26301
55-0752788 		Behavioral Health WV 501c3 3 N/A
 
No
(7)United Hospital Center Inc
327 Medical Park Drive

Bridgeport,WV26330
55-0525724 		Patient Care WV 501c3 3 West Virginia United Health System
 
 
No
(8)United Physicians Care Inc
686 South Pike Street

Shinnston,WV26431
55-0638563 		Patient Care WV 501c3 3 N/A
 
No
(9)United Health Foundation
327 Medical Park Drive

Bridgeport,WV26330
55-0621706 		Hospital Support WV 501c3 12a United Hospital Center Inc
 
 
No
(10)WV Health Care Co-Op
PO Box 8059

Morgantown,WV26506
55-0650441 		Support WV 501c3 12a West Virginia United Health System
 
 
No
(11)Healthnet Inc
419 Brooks Street

Charleston,WV25301
55-0681969 		Support WV 501c3 12a N/A
 
No
(12)Camden-Clark Health Services
800 Garfield Ave

Parkersburg,WV26102
55-0769602 		Healthcare Access WV 501c3 12a, I West Virginia United Health System
 
 
No
(13)Camden-Clark Foundation
800 Garfield Ave

Parkersburg,WV26102
55-0667789 		Hospital Support WV 501c3 12a Camden-Clark Health Services
 
 
No
(14)Camden-Clark Memorial Hospital
800 Garfield Ave

Parkersburg,WV26102
31-1524546 		Patient Care WV 501c3 3 Camden-Clark Health Services
 
 
No
(15)Camden-Clark Physician Corp
604 Ann Street

Parkersburg,WV26101
26-4058719 		Patient Care WV 501c3 12a, I Camden-Clark Health Services
 
 
No
(16)West Virginia University Medical Corporation
PO Box 897

Morgantown,WV26507
55-0492006 		Healthcare Access WV 501c3 3 N/A
 
No
(17)Potomac Valley Hospital
100 Pin Oak Lane

Keyser,WV26726
55-0420956 		Patient Care Services WV 501c3 3 WVU Hospitals Inc
 
Yes
 
(18)St Joseph's Hospital of Buckhannon Inc
1 Amalia Drive

Buckhannon,WV26201
55-0356996 		Patient Care Services WV 501c3 3 West Virginia United Health System
 
 
No
(19)St Joseph's Foundation of Buckhannon Inc
1 Amalia Drive

Buckhannon,WV26201
55-0727650 		Hospital Support WV 501c3 12b II N/A
 
No
(20)Reynolds Memorial Hospital
800 Wheeling Ave

Glen Dale,WV26038
55-0357045 		Patient Care WV 501c3 3 WVU Hospitals Inc
 
Yes
 
(21)Reynolds Memorial Foundation
800 Wheeling Ave

Glen Dale,WV26038
55-0710402 		Hospital Supprt WV 501c3 12a N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Gateway Home Care LLC

1353 Edwin Miller Blvd
Martinsburg,WV254043703
54-1965474 		Durable Medical Equipment WV N/A
 Related       No     No  












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Allied Health Services Inc

PO Box 782
Morgantown,WV26507
55-0652017 		Medical Lab WV N/A
 C Corp         No
(2) West Virginia United Insurance Services Inc

3040 University Ave Suite 3200
Morgantown,WV26505
55-0756055 		Provider Network WV N/A
 C Corp         No










Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) West Virginia University Hospitals East Inc

 d 3,483,376 Cash Received
(2) Potomac Valley Hospital

 a 118,856 Cash Received
(3) Potomac Valley Hospital

 d 935,695 Cash Received



Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2017

Additional Data


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