2024-11-13T20:27:20-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2023-01-01 884128022 CAMC GREENBRIER VALLEY MEDICAL CENTER INC CAMC 3043887603 501 MORRIS ST CHARLESTON WV 25301 JEFF SANDENE CHIEF FINANCIAL OFFICER 3043887603 2024-11-13 1 0 ANGELA M MOORE P00244342 3174648600 2023 2024-10-15 13:58:12Z JEFF SANDENE 501 MORRIS ST CHARLESTON WV 25301 87953182 0 X WWW.CAMC.ORG/GVMC X 2022 WV CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. (CAMC GVMC) OWNS AND OPERATES THE LICENSED GENERAL ACUTE CARE HOSPITAL FACILITY DESIGNED TO PROVIDE CARE FOR COMMUNITY RESIDENTS THROUGH EVERY STAGE OF LIFE. CAMC GVMC PATIENTS DEPEND ON CAMC GVMC TO PROVIDE CONVENIENT AND COMPASSIONATE CARE DELIVERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. 3 0 680 13 0 0 0 2545 0 87185819 0 487487 0 277331 0 87953182 0 0 0 0 0 45544791 0 0 0 0 57701440 0 103246231 0 -15293049 0 127983968 0 143277017 0 -15293049 STRIVING TO PROVIDE THE BEST HEALTH CARE TO EVERY PATIENT, EVERY DAY. 0 0 68116103 87186843 CAMC GREENBRIER VALLEY HOSPITAL, INC. (GVMC) IS A 122-BED GENERAL ACUTE CARE HOSPITAL FACILITY LOCATED IN RONCEVERTE, WEST VIRGINIA AND PROVIDES HEALTHCARE TO RONCEVERTE AND SURROUNDING COMMUNITIES. GVMC PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, SURGICAL AND DIAGNOSTIC SERVICES. IT ALSO OPERATES 17 AMBULATORY HEALTH CARE FACILITIES. IT HAS APPROXIMATELY 390 EMPLOYEES INCLUDING 31 EMPLOYED PHYSICIANS IN THE FOLLOWING SPECIALITIES: UROLOGY, ENT, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDIC SURGERY, PEDIATRICS, PULMONARY/CRITICAL CARE, AND SLEEP MEDICINE. THERE WERE 9,992 INPATIENT DAYS, 17,394 OUTPATIENT VISITS, 44,805 CLINIC VISITS, 14,995 ER VISITS AND 338 DELIVERIES IN 2023. 1456610 CAMC GVMC IS THE SITE OF POST-GRADUATE MEDICAL EDUCATION PROGRAMS IN FAMILY MEDICINE AND OSTEOPATHIC NEUROMUSCULOSKELETAL MEDICINE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND SPONSORED BY CAMC IN AFFILIATION WITH THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. 12167038 CAMC GVMC DOES MUCH MORE THAN JUST PROVIDE HEALTH CARE, BEING INVOLVED IN NEARLY EVERY ASPECT OF THE HEALTH AND WELL BEING OF THE COMMUNITY. CAMC GVMC PROVIDED ACUTE INPATIENT AND OUTPATIENT HOSPITAL SERVICES INCLUDING UNREIMBURSED CHARITY CARE AT COST OF $2,170,295 81739751 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 89 0 680 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X JEFF SANDENE 3043887603 501 MORRIS STREET CHARLESTON WV 25301 DAVID L RAMSEY CHAIRMAN 3.00 62.00 X X 0 1993785 166947 GLENN CROTTY JR MD TRUSTEE 1.00 57.50 X 0 1011030 57089 JEFF SANDENE TREASURER 1.00 66.00 X X 0 776511 254822 ANGELA FENTON HILL SECRETARY 1.00 56.00 X 0 550811 295138 TIMOTHY A BESS VP ADMINISTRATOR 50.00 0.00 X 327255 0 50542 DEBORAH L KONARSKI CHIEF FINANCIAL OFFICER 50.00 0.00 X 258880 0 93924 REBECCA J HARLESS VP ADMINISTRATOR 50.00 0.00 X 276146 0 60063 DEBRA PARSONS CHIEF NURSING OFFICER 50.00 0.00 X 226466 0 65061 DAVID WEBB PHYSICIAN 40.00 0.00 X 603120 0 66352 JOHN L LOSEE PHYSICIAN 40.00 0.00 X 610530 0 49738 CHRISTOPHER L WHITE PHYSICIAN 40.00 0.00 X 570932 0 69495 YOSEPH SHALEV PHYSICIAN 40.00 0.00 X 558952 0 14132 CHRISTI L HUGHART PHYSICIAN 40.00 0.00 X 499416 0 73588 3931697 4332137 1316891 48 0 1 0 QUALIVIS LLC PO BOX 123847 DALLAS TX 753123847 NURSING SERVICES 404543 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT SERVICES 341037 ALLIANCE HEALTHCARE SERVICES PO BOX 735714 DALLAS TX 753735714 BILLING SERVICES 260960 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 MANAGEMENT SERVICES 233031 ALLEGIANCE MEDICAL PARTNERS 21 LITTLE RIVER LANE ATKINSON NH 03811 HEALTHCARE SERVICES 174770 7 2545 2545 NET PATIENT REVENUE 621990 87096264 87096264 RENTAL (NON RESIDNTL) 531120 89555 89555 87185819 487487 487487 CAFETERIA/VENDING 722514 275854 275854 FEE HEALTH INFO REQ. 900099 1024 1024 EDUCATION SVCS SOLD 611600 453 453 277331 87953182 87186843 0 763794 X 1272369 1272369 37603294 30973207 6630087 873190 711266 161924 3419294 2740067 679227 2376644 1901315 475329 245272 245272 22548958 18994611 3554347 48668 48668 1038754 821018 217736 1196825 957460 239365 2744413 2122597 621816 461398 389609 71789 600 600 6207955 6207955 2909460 2327568 581892 2385767 2352632 33135 MEDICAL SUPPLIES 12699229 12699229 PROVIDER TAX 2609954 2609954 REPAIRS AND MAINTENANCE 1787231 1429785 357446 SALES USE TAX 53020 53020 763936 607745 156191 103246231 81739751 21506480 0 0 3820 0 6231 0 32161446 0 1594538 0 1615305 85658391 6152903 0 79505488 291667 0 12135306 0 670167 0 127983968 0 11735074 0 1177519 0 130364424 0 143277017 X 0 -15293049 0 -15293049 0 127983968 -15293049 0 X 0 1 X 1 0 X 2358000 2358000 72176674 1975433 70201241 86500 8078 78422 4053399 590650 3462749 6983818 3578742 3405076 79505488 AP MEDICARE 357551 AFFILIATE PAYABLE - CAMC 129998654 AFFILIATE PAYABLE- VANDALIA PROVIDER HLTH ORG 1600 AFFILIATE PAYABLE- CHERI 3969 AFFILIATE PAYABLE - CAMC PLATEAU MED CTR, INC. 2650 130364424 X PART X, LINE 2: CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE FINANCIAL STATEMENTS OF VANDALIA HEALTH, INC. AND SUBSIDIARIES (COLLECTIVELY, THE "SYSTEM"). LANGUAGE REGARDING ASC740 (FIN 48) INCLUDED IN THE CONSOLIDATED FOOTNOTES IS AS FOLLOWS: "THE IRS HAS DETERMINED THAT THE SYSTEM ENTITIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C) (3) OF THE CODE AND APPLICABLE STATE STATUTES, EXCEPT FOR MHC, FHE, MCM, AND HFI, WHICH ARE CORPORATIONS SUBJECT TO INCOME TAX. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2019, ARE OPEN FOR THE MHS ENTITIES AND TAX RETURNS FOR THE YEAR ENDED DECEMBER 31, 2020, ARE OPEN FOR THE CAMC ENTITIES. 1 1 X 1 X 1 X 1 1 1 0 0 2170295 0 2170295 0.02210 23079687 12863245 10216442 0.10420 10446 1789 8657 0.00010 25260428 12865034 12395394 0.12640 2324781 650236 1674545 0.01710 2324781 650236 1674545 0.01710 27585209 13515270 14069939 0.14350 0 5199190 3095598 28462193 38144320 -9682127 X 1 1 1 1 CAMC GREENBRIER VALLEY MEDICAL CENTER INC 1320 MAPLEWOOD AVENUE RONCEVERTE WV 249708016 WWW.CAMC.ORG 175 X X X X CAMC GREENBRIER VALLEY MEDICAL CENTER I 1 1 1 0 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X X X X X X 1 X 0 X X X X 1 X 0 0 CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. PART V, SECTION B, LINE 2: ON SEPTEMBER 14, 2022, CHARLESTON AREA MEDICAL CENTER, INC. (CAMC) FORMED A NEW SUBSIDIARY, CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. (GVMC), TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF GREENBRIER VALLEY MEDICAL CENTER AND RELATED HEALTHCARE AFFILIATES IN RONCEVERTE, WEST VIRGINIA AND SURROUNDING COMMUNITIES. THIS ACQUISITION CLOSED ON JANUARY 1, 2023. CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. PART V, SECTION B, LINE 13H: OTHER CRITERIA CONSIDERED FOR FINANCIAL ASSISTANCE ELIGIBILITY: A FINANCIAL ASSISTANCE ESTIMATION TOOL THAT UTILIZES PUBLIC RECORDS; AND WHETHER OR NOT A PATIENT RECEIVES ASSISTANCE FROM CERTAIN STATE AGENCIES. 16 1 - GVMC PLASTIC SURGERY 233 DAWKINS DRIVE LEWISBURG WV 24901 PLASTIC SURGERY 2 - GVMC PRIMARY CARE COVINGTON 801 GRAYSON AVENUE COVINGTON VA 24426 PRIMARY CARE 3 - GVMC PRIMARY CARE PETERSTOWN 3115 SENECA TRAIL SOUTH PETERSTOWN WV 24963 PRIMARY CARE 4 - GVMC GENERAL SURGERY LEWISBURG 157 SKYLAR DR LEWISBURG WV 24901 GENERAL SURGERY 5 - GVMC ENT SUMMERSVILLE 55 FRIENDS R FUN DR SUMMERSVILLE WV 26651 EAR, NOSE & THROAT 6 - GVMC ENT LEWISBURG 231 DAWKINS DR LEWISBURG WV 24901 EAR, NOSE & THROAT 7 - GVMC GENERAL SURGERY RAINELLE 176 MEDICAL CENTER DR RAINELLE WV 25962 GENERAL SURGERY 8 - GVMC UROLOGY SUMMERSVILLE 55 FRIENDS R FUN DR SUMMERSVILLE WV 26651 UROLOGY 9 - GVMC UROLOGY LOW MOOR 1 ARH LANE LOW MOOR VA 24457 UROLOGY 10 - GVMC UROLOGY RONCEVERTE 1521 MAPLEWOOD AVE RONCEVERTE WV 24970 UROLOGY 11 - GVMC CARDIOLOGY 3738 DAVIS STUART RD LEWISBURG WV 24901 CARDIOLOGY 12 - GVMC UROLOGY BECKLEY 302 CARRIAGE DR BECKLEY WV 25801 UROLOGY 13 - GVMC ORTHOPEDICS 176 DAWKINS DR LEWISBURG WV 24901 ORTHOPEDICS 14 - GVMC PULMONOLOGY 231 DAWKINS DR LEWISBURG WV 24901 PULMONOLOGY 15 - GVMC SLEEP CENTER BECKLEY 102 BROOKSHIRE LANE BECKLEY WV 25801 SLEEP CENTER 16 - GVMC PRIMARY CARE 203 DAWKINS DR LEWISBURG WV 24901 PRIMARY CARE PART I, LINE 3C: CAMC GVMC MAY SCREEN PRIVATE PAY BALANCES FOR PRE-QUALIFIED ELIGIBILITY BY USING FINANCIAL ASSISTANCE ESTIMATION TOOLS THAT ACCESS PUBLIC RECORDS. USING A PROPRIETARY ALGORITHM (LOOKING AT TAX RECORDS, BANKRUPTCIES, ETC), THE TOOL RETURNS WHETHER THE PATIENT IS LIKELY TO QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. IN CASES WHERE PRE-QUALIFIED ELIGIBILITY DOES NOT QUALIFY A PATIENT FOR FINANCIAL ASSISTANCE, THE PATIENT MAY COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHERE APPLICATION MATERIAL IS EVALUATED TO DETERMINE IF THE PATIENT CAN QUALIFY BASED ON INCOME AND ASSETS. IF THE PATIENT MEETS INCOME CRITERIA FOR ELIGIBILITY AN INVENTORY OF AVAILABLE ASSETS IS EVALUATED. IF THE PATIENTS AVAILABLE ASSETS FALL BELOW $50,000 EXCLUDING THE PATIENTS PRIMARY RESIDENCE AND PRIMARY VEHICLE, THE PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE. IF A PATIENT IS FOUND TO BE RECEIVING CERTAIN STATE AGENCY ASSISTANCE (I.E. WIC, SNAP, ETC.), SUCH PATIENT WILL BE PRESUMED ELIGIBLE FOR CAMC GVMC FINANCIAL ASSISTANCE, AND THEY WILL BE ASKED TO SUBMIT AN ABBREVIATED APPLICATION CONTAINING ONLY THE INFORMATION REGARDING THEIR STATE AGENCY ASSISTANCE. PART I, LINE 7: UTILIZED WORKSHEET 2 TO DETERMINE COST-TO-CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,199,190. PART III, LINE 2: THIS IS THE BAD DEBT EXPENSE FROM THE AUDITED FINANCIAL STATEMENTS. BAD DEBT IS THE NET OF DISCOUNTS, PAYMENTS AND RECOVERIES. PART III, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WOULD BE 3,095,598 FOR 2023. PART III, LINE 4: THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGE 13 OF VANDALIA HEALTH'S AUDITED FINANCIAL STATEMENTS. IN SUMMARY, PRIVATE PAY ACCOUNTS AND AMOUNTS FOR DEDUCTIBLES AND CO-INSURANCE THAT ARE DEEMED UNCOLLECTIBLE THAT DO NOT APPEAR TO MEET THE CHARITY CARE GUIDELINES ARE WRITTEN OFF AS BAD DEBT EXPENSE AND APPEAR AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: CAMC GVMC TREATS ANY GOVERNMENT REIMBURSEMENT THAT IS INSUFFICIENT TO COVER ALLOCATED COSTS AS BEING A COMMUNITY BENEFIT. CAMC GVMC CHOOSES TO SERVE THE COMMUNITY BY PARTICIPATING IN THE MEDICARE PROGRAM AND ACCEPTING MEDICARE REIMBURSEMENT.COST TO CHARGE RATIO FROM THE MEDICARE COSTS REPORT IS USED. PART III, LINE 9B: CAMC GVMC'S COLLECTION POLICY MAKES PROVISIONS FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS WHO RECEIVE FINANCIAL ASSISTANCE MUST HAVE INCOME AT 300% OR LESS OF FEDERAL POVERTY GUIDELINES, INSUFFICIENT ASSETS TO PAY FOR THE CARE, AND MAY NOT BE ELIGIBLE FOR ANY PUBLIC PROGRAMS. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WITH INCOME UNDER 200% FPG ARE GIVEN A 100% DISCOUNT. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WITH INCOME BETWEEN 201-300% FPG RECEIVE A 53% DISCOUNT. ALL PATIENT RESPONSIBILITY DEBT NOT APPROVED FOR FINANCIAL ASSISTANCE IS REVIEWED WITH A FINANCIAL ASSISTANCE ESTIMATOR. THIS FINANCIAL ASSISTANCE ESTIMATOR PROCESS IS ONLY USED TO APPROVE ASSISTANCE. IT IS NOT USED TO DENY ASSISTANCE. ACCOUNTS ARE ONLY REVIEWED FOR FINANCIAL ASSISTANCE AT THE 100% DISCOUNT CATEGORY. THIS PROCESS IS PERFORMED BEFORE EXTRAORDINARY COLLECTION EFFORTS. PATIENTS WITHOUT THIRD-PARTY COVERAGE WHO DO NOT QUALIFY FOR CHARITY ARE GIVEN A 53% DISCOUNT FROM CHARGES (WHICH IS GREATER THAN ANY COMMERCIAL DISCOUNT). IN ADDITION TO CHARITY AND UNINSURED DISCOUNTS, CAMC GVMC PROVIDES ASSISTANCE WITH PAYMENT PLANS, GOVERNMENT PROGRAMS, AND AN EMPLOYEE ASSISTANCE PROGRAM. PART VI, LINE 3: CAMC GVMC INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER CAMC GVMC'S FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS. INFORMATION IS AVAILABLE THROUGH SIGNAGE AND A PLAIN LANGUAGE SUMMARY OF THE POLICY IS GIVEN TO EACH PATIENT. IN ADDITION, FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE AT EACH REGISTRATION LOCATION. CAMC GVMC FINANCIAL COUNSELORS ARE LOCATED IN EACH ADMITTING AREA. DURING REGISTRATION, IF A PATIENT IS UNINSURED, THEY MAY BE REFERRED TO A FINANCIAL COUNSELOR WHO PROVIDES EDUCATION ABOUT CHARITY CARE, MEDICAID ELIGIBILITY AND FEDERAL DISABILITY. WV STATE EMPLOYEES FROM DEPARTMENT OF HEALTH AND HUMAN RESOURCES ARE ALSO ON SITE AT EACH HOSPITAL TO ACCEPT AND PROCESS MEDICAID APPLICATIONS AND NOTIFY PATIENTS IF THEY QUALIFY. 0 1 0 0 0 0 0 1 0 DAVID L RAMSEY CHAIRMAN 0 1014266 0 770782 0 208737 0 119238 0 47709 0 2160732 0 369417 GLENN CROTTY JR MD TRUSTEE 0 739746 0 171573 0 99711 0 13200 0 43889 0 1068119 0 0 JEFF SANDENE TREASURER 0 589727 0 139678 0 47106 0 215991 0 38831 0 1031333 0 0 ANGELA FENTON HILL SECRETARY 0 421541 0 69326 0 59944 0 253647 0 41491 0 845949 0 43749 DAVID WEBB PHYSICIAN 591359 0 0 0 11761 0 13200 0 53152 0 669472 0 0 0 JOHN L LOSEE PHYSICIAN 610530 0 0 0 0 0 13200 0 36538 0 660268 0 0 0 CHRISTOPHER L WHITE PHYSICIAN 570782 0 0 0 150 0 13200 0 56295 0 640427 0 0 0 YOSEPH SHALEV PHYSICIAN 558952 0 0 0 0 0 13200 0 932 0 573084 0 0 0 CHRISTI L HUGHART PHYSICIAN 499416 0 0 0 0 0 13200 0 60388 0 573004 0 0 0 TIMOTHY A BESS VP ADMINISTRATOR 323922 0 0 0 3333 0 18837 0 31705 0 377797 0 0 0 DEBORAH L KONARSKI CHIEF FINANCIAL OFFICER 216369 0 20000 0 22511 0 38739 0 55185 0 352804 0 0 0 REBECCA J HARLESS VP ADMINISTRATOR 188255 0 47195 0 40696 0 24126 0 35937 0 336209 0 0 0 DEBRA PARSONS CHIEF NURSING OFFICER 216466 0 0 0 10000 0 44472 0 20589 0 291527 0 0 0 PART I, LINE 3 THE VANDALIA BOARD OF DIRECTORS COMPENSATION COMMITTEE SELECTS AND SUPERVISES AN INDEPENDENT CONSULTANT WHO ADVISES THE COMMITTEE ON COMPENSATION ARRANGEMENTS AND TRANSACTIONS BETWEEN VANDALIA HEALTH , INC. SUBSIDIARIES (INCLUDING CAMC GREENBRIER VALLEY MEDICAL CENTER) AND EXECUTIVES (INCLUDING CAMC GREENBRIER VALLEY MEDICAL CENTER'S PRESIDENT). THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC GREENBRIER VALLEY MEDICAL CENTER'S PRESIDENT AND OTHER EXECUTIVE OFFICERS. THIS DATA IS REVIEWED EVERY TWO YEARS OR WHEN A NEW PERSON COMES INTO AN EXECUTIVE ROLE. PART I, LINE 4B TARGET BENEFIT SERP - A TARGET BENEFIT SERP IS OFFERED TO THREE EXECUTIVES, WITH AN ANNUAL EMPLOYER CONTRIBUTION THAT TARGETS PROVIDING 55% OF FINAL AVERAGE COMPENSATION AT AGE 60 FOR 30 YEARS OF SERVICE. THE TARGET BENEFIT IS OFFSET BY THE FROZEN DEFINED BENEFIT SERP ACCRUED BENEFIT, THE FROZEN RESTORATION PLAN BALANCE, EMPLOYER-PROVIDED QUALIFIED RETIREMENT BENEFITS, EMPLOYER-PROVIDED 457(B) PLAN BENEFITS, AND 50% OF AGE 62 SOCIAL SECURITY. EACH ANNUAL FUNDING CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 60. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. DEFINED CONTRIBUTION SERP - A DEFINED CONTRIBUTION SERP IS OFFERED TO SELECT EXECUTIVES, WITH AN ANNUAL 10% OF SALARY CONTRIBUTION. EACH ANNUAL CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 65. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. UNDER THE EXECU-FLEX BENEFIT PLAN (409A), EXECUTIVES RECEIVE 11% OF THEIR SALARY IN FLEX ALLOWANCE. THIS FLEX ALLOWANCE IS USED TO ELECT EXECUTIVE BENEFITS. ANY REMAINING FLEX ALLOWANCE IS CREDITED TO A TAX-DEFERRED CAPITAL ACCUMULATION ACCOUNT. THE MINIMUM VESTING PERIOD IS TWO YEARS, MAXIMUM AGE IS 68. A TWO YEAR NON-COMPETE AGREEMENT (SUBSTANTIAL RISK OF FORFEITURE AGREEMENT) APPLIES IF TERMINATION OF EMPLOYMENT OCCURS PRIOR TO THE VESTING DATE. CERTAIN PARTICIPANTS HAD AMOUNTS VESTED AND INCLUDED AS REPORTABLE COMPENSATION THIS YEAR, AS DETAILED BELOW: GLENN CROTTY, JR. M.D. - $66,114 ANGELA F. HILL - $44,997 DAVID L. RAMSEY - $135,173 PART I, LINE 7 THE ORGANIZATION PROVIDES INCENTIVE PAYMENTS TO CERTAIN EMPLOYEES AFTER OPERATING AND PERFORMANCE GOALS ARE ACHIEVED. INCENTIVE PAYMENT PLANS ARE REVIEWED AND APPROVED BY THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 CHARLESTON AREA MEDICAL CENTER, INC. (CAMC) IS CAMC GREENBRIER VALLEY MEDICAL CENTER'S SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A CHARLESTON AREA MEDICAL CENTER, INC. (CAMC), IS CAMC GREENBRIER VALLEY MEDICAL CENTER'S (CAMC GVMC) SOLE VOTING MEMBER AND HAS AUTHORITY TO ELECT ALL VOTING TRUSTEES OF CAMC GVMC OTHER THAN EX-OFFICIO TRUSTEES NAMED IN CAMC GVMC'S GOVERNING DOCUMENTS. THE SOLE VOTING MEMBER HAS THE SOLE AUTHORITY TO AMEND CAMC GVMC'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 7B CAMC IS CAMC GVMC'S SOLE VOTING MEMBER AND HAS RESERVED POWERS UNDER CAMC GVMC'S GOVERNING DOCUMENTS, WHICH PROVIDE THAT DECISIONS OF CAMC GVMC'S GOVERNING BODY SUCH AS ELECTION OF OFFICERS, APPROVAL OF ANNUAL BUDGETS AND BORROWINGS ARE SUBJECT TO APPROVAL BY THE SOLE VOTING MEMBER. THE SOLE VOTING MEMBER ALSO HAS ALL APPROVAL POWERS PROVIDED TO MEMBERS OF WEST VIRGINIA NONPROFIT CORPORATIONS UNDER STATE LAW. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION COMPILES NECESSARY INFORMATION FOR FORM 990 WITH VARIOUS OFFICERS AND DIRECTORS OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THE VANDALIA HEALTH INC. CHIEF FINANCIAL OFFICER REVIEWS THE COMPLETED FORM 990 WITH THE CAMC GVMC'S, INC. BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C CORPORATE OFFICERS, INCLUDING THE PRESIDENT AND SECRETARY, DEVELOP THE AGENDAS FOR BOARD MEETINGS AND IDENTIFY AND RESOLVE POTENTIAL CONFLICT OF INTEREST ISSUES RELATIVE TO ACTION ITEMS. ANNUAL DISCLOSURE PROCEDURES ARE IMPLEMENTED AND THE PRESIDENT AND THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS GOVERNANCE COMMITTEE PERIODICALLY REVIEW CONFLICT SITUATIONS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES ALL DISCLOSED CONFLICTS TO BE REPORTED BY THE CHIEF COMPLIANCE OFFICER TO THE VANDALIA HEALTH'S MANAGEMENT COMPLIANCE COMMITTEE. THE COMPLIANCE OFFICER WILL INFORM THE BOARD OF DIRECTORS AUDIT COMMITTEE AT THEIR NEXT SCHEDULED MEETING OF ALL SUCH ACTIVITIES APPROVED BY THE VANDALIA HEALTH MANAGEMENT COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE SELECTS AND SUPERVISES AN INDEPENDENT CONSULTANT WHO ADVISES THE COMMITTEE ON COMPENSATION ARRANGEMENTS AND TRANSACTIONS BETWEEN VANDALIA HEALTH COMPANIES AND EXECUTIVES. THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF PRESIDENT. THE DATA IS REVIEWED EVERY TWO YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDIT IS PART OF A CONSOLIDATED FINANCIAL AUDIT FOR VANDALIA HEALTH, INC. AND SUBSIDIARIES. CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ONLINE AT CAMC.ORG. THEY ARE ALSO FILED WITH THE WV HEALTH CARE AUTHORITY WHERE THEY ARE AVAILABLE ONLINE AND IN PERSON. THERE IS NO FORMAL METHOD OF MAKING THE ORGANIZATION'S BYLAWS AND CONFLICT OF INTEREST POLICY PUBLICLY AVAILABLE, BUT THEY ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE ON FILE AT AND PUBLICLY AVAILABLE THROUGH THE WEST VIRGINIA SECRETARY OF STATE'S OFFICE. FORM 990, PART IX, LINE 11G HEALTHCARE CONTRACTORS: PROGRAM SERVICE EXPENSES 18,994,611. MANAGEMENT AND GENERAL EXPENSES 3,554,347. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,548,958. VANDALIA HEALTH INC PO BOX 1547 CHARLESTON WV 253261547 550664138 PARENT COMPANY WV 501(C)(3) 12C, III-FI N/A 0 CAMC FOUNDATION INC PO BOX 1547 CHARLESTON WV 253261547 310887133 FUNDRAISING WV 501(C)(3) 12A, I CHARLESTON AREA MEDICAL CENTER INC 1 CHARLESTON AREA MEDICAL CENTER INC PO BOX 1547 CHARLESTON WV 253261547 550526150 HOSPITAL WV 501(C)(3) 3 VANDALIA HEALTH INC 0 MONONGALIA HEALTH SYSTEM INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550621551 PARENT COMPANY WV 501(C)(3) 12C, III-FI VANDALIA HEALTH INC 0 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 237441353 HOSPITAL WV 501(C)(3) 3 MONONGALIA HEALTH SYSTEM INC 1 MON ELDER SERVICES INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 311520863 CONTINUING CARE RETIREMENT CENTER WV 501(C)(3) 10 MONONGALIA HEALTH SYSTEM INC 1 THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550570338 RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL WV 501(C)(3) 7 MONONGALIA 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