| FACILITY
NAME |
ADMINISTRATOR |
CONTACT INFO |
ASC TYPE |
COMMENCEMENT
DATE |
ASC Accrediation
and Certification |
JCAHO |
AAAHC |
AAAASF |
OWNERSHIP
STRUCTURE |
# OF PHYSICIAN
OWNERS |
RO OR ENTITIES |
HOS. TRANSFER
RELATIONSHIPS |
STAFF: # OF FTE'S
Personnel |
Administrator |
Physicians |
Director of
Nursing |
Registered Nurses |
LPN's |
Surgery Techs |
Other Health
Professionals |
Other Non-Health
Professionals |
Total |
MED STAFF BY
PRIMARY SPECIALITY |
GASTROENTEROLOGY |
GYNECOLOGY |
GENERAL |
CRNA |
OPTHALMOLOGY |
ORAL/MAXILLOFACIAL |
ORTHOPEDIC |
ENT |
PAIN MANAGEMENT |
PLASTIC |
UROLOGY |
OTHER |
TOTAL |
# OF OPERATING
ROOMS |
# OF PROCEDURE
ROOMS |
AMBULATORY
SURGICAL CASES |
GASTROENTEROLOGY |
GYNECOLOGY |
GENERAL |
OPTHALMOLOGY |
ORAL/MAXILLOFACIAL |
ORTHOPEDIC |
ENT |
PAIN MANAGEMENT |
PLASTIC |
UROLOGY |
OTHER |
TOTAL |
REVENUES |
TOTAL GROSS
REVENUE |
MEDICARE |
MEDICAID |
COMMERCIAL |
PEIA |
HMO |
OTHER COVERAGE |
UNINSURED |
TOTAL PATIENT
REVENUE |
TOTAL
CONTRACTUAL ADJUSTMENTS/ALLOWANCES |
BAD DEBT |
CHARITY |
NET PATIENT
REVENUE |
OTHER REVENUE |
TOTAL NET REVENUE |
EXPENDITURES |
SALARY &
BENEFITS |
ADMINISTRATION |
MEDICAL STAFF |
OTHER MEDICAL
STAFF |
NON MEDICAL STAFF |
TOTAL SALARY
EXPENDITURES |
TOTAL BENEFITS |
TOTAL SALARY
& BENEFIT EXPENDITURES |
OPERATING
EXPENDITURES |
TOTAL
EXPENDITURES |
COMMENTS |
| Anwar Eye
Center |
Josette Anwar,
e-mail: anwareyes@aol.com, phone: 304-845-0908, fax: 304-845-1250 |
Debbie Fox, e-mail: anwareyes@aol.com, phone: 304-845-0908, fax:
304-845-1250 |
Single Speciality |
Jul-90 |
|
no |
no |
no |
Physician |
1 |
Dr. M.F. Anwar, Inc.
(Medical Office) |
Reynolds Memorial
Hospital - 1 |
|
1c |
3c |
1e |
2e |
1e |
4e |
1e, 1c |
|
9e, 5c |
|
|
|
1 |
1 |
2 |
|
|
|
|
|
|
|
4 |
2 |
3 |
|
|
|
|
3131 |
|
|
|
|
|
|
|
3131 |
|
|
$2,468,524.00 |
$150,520.00 |
$331,143.00 |
|
$60,208.00 |
|
|
$3,010,395.00 |
$1,353,470.00 |
$67,618.00 |
$0.00 |
$1,589,307.00 |
$0.00 |
$1,589,307.00 |
|
|
|
$231,131.00 |
|
|
$231,131.00 |
$31,667.00 |
$262,798.00 |
$1,023,847.00 |
$1,286,645.00 |
Revenue
amounts are based on % of total number cases.
Computer does not break down charges/revenue by carrier. PEIA is
included under the commercial. |
| Beckley
Surgery Center |
Lisa Sisk, phone:
255-2724, fax: 255-3691, e-mail: lsisk@suddenlinkmail.com |
Kim Paine, phone: 255-2724 x310, fax: 255-3691, e-mail:
kpaine@suddenlinkmail.com |
Multi Specialty |
Feb-99 |
|
no |
yes |
no |
Physician |
1 |
Mountain State ENT
& Facial Plastic Surgery Parent company & management |
Beckley Appalachian
Regional - 0, Raleigh General - 0 |
|
1e |
|
administrator |
4e |
1e |
1e |
7c |
3e |
10e, 7c |
|
3 |
|
|
7 |
3 |
|
|
2 |
|
|
|
2-podiatry |
17 |
1 |
1 |
|
49 |
|
|
787 |
|
|
466 |
|
12 |
|
25 |
1363 |
|
$4,860,206.00 |
$579,138.00 |
$103,537.00 |
$722,113.00 |
$93,114.00 |
|
$29,192.00 |
|
$74,376.00 |
$3,275,838.00 |
$50,357.97 |
$29,472.00 |
$74,376.00 |
$1,508,886.00 |
$1,583,261.00 |
|
$254,948.00 |
|
|
|
|
$254,948.00 |
$31,160.00 |
$286,108.00 |
$978,916.00 |
$1,265,024.00 |
|
| Cabell-Huntington
Surgery Center |
Lexa Woodyard, phone:
523-1885, fax: 523-8942, email: lexa.woodyard@chhi.org |
Sean Sidey, phone: 523-1885, fax: 523-8942, email: sean.sidey@chhi.org |
Multi Specialty |
1984 |
|
yes |
no |
no |
Other:
individual surgeons and hospital as general partner |
15 |
|
St. Marys Medical
Center, Cabell Huntington Hospital |
|
1 |
|
2 |
19 |
|
5 |
|
|
25 |
|
8 |
18 |
6 |
34 |
6 |
1 |
4 |
5 |
0 |
5 |
6 |
8 |
101 |
4 |
2 |
|
767 |
253 |
177 |
1941 |
0 |
69 |
360 |
0 |
23 |
131 |
85 |
3806 |
|
$13,015,008.75 |
$6,309,589.63 |
$1,286,311.00 |
$87,241.00 |
|
$3,002,612.88 |
$2,214,491.24 |
|
$13,051,008.75 |
$8,896,404.75 |
$65,374.56 |
|
$4,118,604.00 |
$5,317.98 |
$4,123,921.98 |
|
|
$326,242.40 |
$907,116.52 |
|
|
$1,233,358.92 |
$226,991.75 |
$1,460,350.67 |
$3,775,107.62 |
$3,922,825.26 |
|
| Cook Eye
Center |
David W. Cook, phone:
522-1802, fax: 529-6752 |
Drema Cook, phone: 522-1802, fax: 529-6752 |
Single Specialty -
Ophthalmology |
3/21/1991 |
|
no |
no |
no |
Physician |
1 |
|
|
|
|
1 |
|
2 |
|
1 |
|
|
4 |
|
|
|
|
|
1 |
|
|
|
|
|
|
3 |
4 |
1 |
0 |
|
|
|
|
564 |
|
|
|
|
|
|
|
564 |
|
|
$287,147.13 |
$12,569.81 |
$47,953.71 |
$19,175.59 |
$155,241.25 |
$11,001.48 |
$1,395.78 |
$534,484.78 |
$199,334.36 |
|
|
$335,150.42 |
|
$335,150.42 |
|
|
$75,153.84 |
$42,791.98 |
|
|
$117,945.82 |
|
$117,945.82 |
$225,251.59 |
$343,197.41 |
|
| Day Surgery
Center |
Olivia Price, phone:
925-9300 x7, fax: 925-2924, e-mail: oprice@daysurgerycenter.com |
SAME |
Multi Specialty |
Jul-95 |
|
no |
no |
no |
Physician |
6 |
|
CAMC Memorial - 8,
Thomas Memorial - 0 |
|
1e |
0 |
1e |
5e |
1e |
2e |
2e |
10e |
22e |
|
|
5 |
0 |
16 |
0 |
0 |
0 |
0 |
2 |
3 |
3 |
4 |
33 |
3 |
2 |
|
4870 |
5 |
9 |
0 |
0 |
0 |
0 |
2328 |
65 |
684 |
0 |
7961 |
|
$18,560,194.17 |
$6,949,632.25 |
$1,577,475.00 |
$3,386,887.29 |
$2,027,864.52 |
$0.00 |
$4,561,597.11 |
$56,738.00 |
$18,560,194.17 |
$12,616,435.06 |
$0.00 |
$0.00 |
$5,721,034.37 |
$701,415.87 |
$6,422,450.24 |
|
|
$339,068.49 |
$606,908.21 |
|
$67,009.16 |
$1,012,985.86 |
$138,811.18 |
$1,151,797.04 |
$2,193,873.99 |
$3,345,671.03 |
|
| Greenbrier
Clinic |
Ed Jones, phone:
536-4870 X376, fax: 793-2314 |
Leta Morgan, phone: 536-4870 X282, fax: 536-8010 |
Single Specialty |
8/20/2002 |
|
no |
no |
no |
Physician |
7 |
Greenbrier Clinic,
Inc., Corporation-Owner |
Greenbrier Valley
Medical Center |
|
|
1 |
1 |
1 |
0 |
2 |
0 |
1 |
6 |
|
1 |
|
|
|
|
|
|
|
|
|
|
|
1 |
0 |
2 |
|
1117 |
|
|
|
|
|
|
|
|
|
|
1117 |
|
$2,332,918.00 |
$704,630.00 |
$1,912.00 |
$1,099,626.00 |
$354,266.00 |
$0.00 |
$77,726.00 |
$94,758.00 |
$2,332,918.00 |
$938,637.00 |
$1,647.00 |
$0.00 |
$1,392,634.00 |
$0.00 |
$1,392,634.00 |
|
|
$218,230.00 |
$102,162.00 |
$62,665.00 |
$37,257.00 |
$420,314.00 |
$91,510.00 |
$511,824.00 |
$450,040.00 |
$961,864.00 |
|
| Huntington
Internal Medicine Group |
Mark Morgan, phone:
528-4600, fax: 697-0856, e-mail: mmorgan@uhswv.com |
Sarah Adkins, phone: 399-2360, fax: 697-0856, e-mail: sadkins@uhswv.com |
Single Specialty,
Gastroenterology |
6/27/2006 |
yes |
no |
no |
no |
Physician |
36 |
|
St. Mary's Med Center
- 7 |
|
1e |
9e |
1e |
1e |
4.3e |
|
1e |
2e |
19.3 |
|
4 |
|
1 |
|
|
|
|
|
|
|
|
4 |
9 |
0 |
4 |
|
4899 |
|
|
|
|
|
|
|
|
|
|
4899 |
|
$940,327.00 |
$585,472.00 |
|
$305,165.00 |
$7,097.00 |
|
$42,593.00 |
|
$940,327.00 |
|
|
|
$940,327.00 |
|
$940,327.00 |
|
|
|
$221,382.00 |
|
$83,962.00 |
$305,344.00 |
$79,970.00 |
$385,314.00 |
$653,761.00 |
$1,039,075.00 |
|
| Jerry N.
Black |
Norma Haymond E-MAIL:
NHAYMOND@3WLOGIC.NET, PHONE: 304-472-2100, FAX: 304-472-2100 |
SAME |
Single Specialty |
11/10/1986 |
|
no |
no |
no |
Physician |
1 |
|
St. Joseph's - 0,
Stonewall Jackson - 0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
|
|
|
|
|
|
|
1 |
2 |
1 |
|
|
|
|
979 |
|
|
|
|
|
|
|
979 |
|
$1,213,020.65 |
|
|
|
|
|
|
|
|
$433,818.97 |
|
|
$779,955.76 |
$157.76 |
$780,113.52 |
|
|
|
|
|
|
$245,349.00 |
|
|
$143,577.00 |
$388,926.00 |
Total
Contractual Andjustments and Allowances are approximate. Staff and Services paid to American Eye
Centers |
| Lee's
Surgicenter |
Hans Lee, phone:
342-1113, fax: 346-2271 |
SAME |
Single Specialty |
|
|
|
|
|
Physician |
|
|
CAMC General - 0 |
|
1e |
3e |
1e |
9e |
1e |
2e |
2e |
12e |
31e |
|
|
|
|
2 |
|
|
|
|
|
3 |
|
|
5 |
1 |
0 |
|
|
|
|
|
|
|
|
|
1236 |
|
|
1236 |
|
$2,897,150.00 |
$97,104.00 |
$16,579.00 |
$195,638.00 |
$282,819.00 |
|
$156,258.00 |
|
$2,148,752.00 |
$982,180.00 |
$21,406.00 |
$10,900.00 |
$1,134,266.00 |
|
$1,134,266.00 |
|
|
$52,647.00 |
$210,587.00 |
|
|
|
$35,607.00 |
$298,841.00 |
$685,207.00 |
$984,048.00 |
|
| Surgical Eye
Center of Morgantown |
Heather A. Huffman,
phone: 598-5755, fax: 598-5754, e-mail: hhuffman@readocs.com |
Jeffrey C. Dyer, phone: 598-3301, fax: 225-0927, e-mail: jdyer@readocs.com |
Multi Specialty |
6/1/1997 |
|
yes |
no |
no |
Division
of Regional Eye Association |
7 |
|
Monongalia General
Hospital - 1 |
|
|
0.5e, 0.3c |
1.1c |
2.7e, 0.8c |
0.8c |
1e |
|
1e, .09c |
5.2e, 3.9c |
|
|
|
|
1 |
7 |
|
|
|
|
|
|
|
8 |
2 |
1 |
|
|
|
|
1,982 |
|
|
|
|
|
|
|
1,982 |
|
|
$2,689,177.00 |
$34,650.00 |
$630,245.00 |
$144,790.00 |
$188,833.00 |
|
$135,157.00 |
$3,822,852.00 |
$1,969,617.00 |
$21,946.00 |
|
$1,831,289.00 |
$672.00 |
$1,831,961.00 |
|
|
|
$274,033.00 |
$24,848.00 |
$52,982.00 |
$351,863.00 |
$142,359.00 |
$494,222.00 |
$1,337,739.00 |
$1,831,961.00 |
|
| Tri-State
Surgical Center |
Thomas E. Knutson,
Jr., e-mail: knutson@cfoeonline.com, phone: 304-267-0556, fax: 304-267-1460 |
Stacey Ferguson, e-mail: sferguson@tristatesurgicalcenter.com, phone:
304-267-0556, fax: 304-267-1460 |
Single Specialty |
Feb-04 |
|
no |
no |
no |
Physician |
3 |
|
City Hospital - 3 |
|
|
|
1.01e |
5.13e |
0.99e |
2.41e |
|
7.86e |
17.4e |
|
2 |
|
1 |
2 |
2 |
|
3 |
|
1 |
|
|
5 |
16 |
2 |
1 |
|
460 |
|
195 |
334 |
|
1048 |
|
175 |
|
|
184 |
2396 |
|
$3,884,389.00 |
$405,333.00 |
$66,861.00 |
$1,414,740.00 |
|
|
$469,283.00 |
|
$1,520,972.00 |
|
|
|
$1,520,972.00 |
$7,200.00 |
$1,528,172.00 |
|
|
|
$483,402.00 |
$310,147.00 |
|
$793,549.00 |
$407,347.00 |
$1,200,896.00 |
$2,039,725.00 |
$3,240,621.00 |
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Total |
|
|
Single Speciality-7 |
|
1 |
2 |
1 |
0 |
|
78 |
|
|
|
|
|
|
|
|
|
|
|
|
|
18 |
23 |
9 |
63 |
22 |
1 |
7 |
7 |
3 |
11 |
9 |
26 |
199 |
18 |
17 |
|
12162 |
258 |
381 |
9718 |
0 |
1117 |
826 |
2503 |
1336 |
815 |
294 |
29434 |
|
47703213.57 |
21075747.01 |
3250414.81 |
8220752 |
2929126.11 |
3406895.13 |
7562141.83 |
288048.78 |
45996279.7 |
30665735.14 |
228349.53 |
40372 |
19437915.55 |
2223649.61 |
21661564.16 |
|
254948 |
1011341.73 |
3079513.71 |
397660 |
241210.16 |
4966788.6 |
1185422.93 |
6170096.53 |
13507045.2 |
18609857.7 |
|
| |
|
|
Multi-Speciality-4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|