VANDALIA HEALTH INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- VANDALIA HEALTH INC (EIN 55-0664138)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202423199349300212
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T00:11:05-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550664138 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VANDALIA HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VAND | BusinessNameControlTxt |
| Phone | 3043887603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1547 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253261547 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFF SANDENE | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3043887603 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M MOORE | PreparerPersonNm |
| PTIN | P00244342 | PTIN |
| Phone | 3174648600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFF SANDENE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 MORRIS STREET | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,927,017 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | VANDALIAHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SUPPORT TO CHARLESTON AREA MEDICAL CENTER, INC., A NOT-FOR-PROFIT CORPORATION AREA MEDICAL CENTER, INC. OR OTHERWISE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $463,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,156,211 | PYOtherRevenueAmt |
| CY Other Revenue | $3,464,017 | CYOtherRevenueAmt |
| PY Total Revenue | $5,156,211 | PYTotalRevenueAmt |
| CY Total Revenue | $3,927,017 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $455,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $790,977 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,160,885 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,603,741 | PYOtherExpensesAmt |
| CY Other Expenses | $3,439,476 | CYOtherExpensesAmt |
| PY Total Expenses | $5,394,718 | PYTotalExpensesAmt |
| CY Total Expenses | $7,055,361 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$238,507 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,128,344 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,067,391,154 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,182,599,061 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,361,615 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,075,109 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,050,029,539 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,164,523,952 | NetAssetsOrFundBalancesEOYAmt |
| Mission | STRIVING TO PROVIDE THE BEST HEALTH CARE TO EVERY PATIENT, EVERY DAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,609,104 | ExpenseAmt |
| Grant | $455,000 | GrantAmt |
| Revenue | $3,464,017 | RevenueAmt |
| Desc | VANDALIA HEALTH, INC. PROVIDES STRATEGIC DIRECTION, OVERSIGHT AND COORDINATION OF THE ACTIVITIES OF ITS SUBSIDIARIES - CHARLESTON AREA MEDICAL CENTER, INC. AND AFFILIATES - WHICH TOGETHER COMPRISE VANDALIA HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. ON SEPTEMBER 1, 2022, VANDALIA COMPLETED A CORPORATE REORGANIZATION WHEREBY CAMC AND MON HEALTH SYSTEMS COMBINED TO CREATE A SINGLE HEALTH CARE SYSTEM CALLED VANDALIA HEALTH. THE SYSTEM RECENTLY WELCOMED DAVIS HEALTH TO THE SYSTEM IN 2023. THREE HEALTH SYSTEMS THAT HAVE STRONG WEST VIRGINIA ROOTS. THE VANDALIA NETWORK IS COMPRISED OF 17 HOSPITALS, THREE HOSPITAL AFFILIATES AND MORE THAN 190 OUTPATIENT LOCATIONS. | Desc |
| Total Program Service Expenses | $3,609,104 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFF SANDENE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3043887603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 MORRIS STREET | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID L RAMSEY | ||||||||
| PRESIDENT & CEO | 5.00 | 60.00 | Yes (X) | Yes (X) | $0 | $1,993,785 | $166,947 | |
| RONALD G STOVASH | ||||||||
| VICE CHAIR | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM A RICE JR | ||||||||
| CHAIRMAN | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHARLES L CAPITO JR | ||||||||
| DIRECTOR | 2.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| ED BOYLE | ||||||||
| DIRECTOR | 2.50 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWIN H WELCH PH D | ||||||||
| DIRECTOR | 2.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC A HICKS | ||||||||
| DIRECTOR | 2.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| FONDA ELLIOT | ||||||||
| DIRECTOR | 2.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| GLENN ADRIAN | ||||||||
| DIRECTOR | 2.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN R HOBLITZELL ESQ | ||||||||
| DIRECTOR | 2.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN S PRICE | ||||||||
| DIRECTOR | 2.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| KATHY MCNEILL | ||||||||
| DIRECTOR | 2.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KENNETH L TACKETT | ||||||||
| DIRECTOR | 2.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| MARK A CHANDLER | ||||||||
| DIRECTOR | 2.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| MELVIN JONES | ||||||||
| DIRECTOR | 2.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| PAT MARTIN | ||||||||
| DIRECTOR | 2.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENN CROTTY JR MD | ||||||||
| EXECUTIVE VP VANDALIA SOUTH REGION | 5.00 | 53.50 | Yes (X) | $0 | $1,011,030 | $57,089 | ||
| JEFF SANDENE | ||||||||
| CFO | 5.00 | 62.00 | Yes (X) | $0 | $776,511 | $254,822 | ||
| ANGELA FENTON HILL | ||||||||
| SECRETARY & GENERAL COUNSEL | 5.00 | 52.00 | Yes (X) | $0 | $550,811 | $295,138 | ||
| DANIEL STROSS | ||||||||
| VP INFO SVCS & CIO | 5.00 | 50.00 | Yes (X) | $0 | $656,277 | $154,346 | ||
| KRISTI SNYDER | ||||||||
| VP HUMAN RESOURCES | 5.00 | 51.00 | Yes (X) | $0 | $519,922 | $215,477 | ||
| D MICHELLE COON | ||||||||
| VP MANAGED CARE CONTRACTING | 5.00 | 50.00 | Yes (X) | $0 | $378,734 | $117,006 | ||
| CHRISTINE STURTEVANT | ||||||||
| VP REVENUE CYCLE | 5.00 | 50.00 | Yes (X) | $0 | $350,488 | $58,562 | ||
| ELIZABETH PELLEGRIN | ||||||||
| VP & CHIEF MARKETING OFFICER | 5.00 | 50.00 | Yes (X) | $0 | $279,550 | $82,653 | ||
| MYRANDA PIKE | ||||||||
| VP & CCO | 5.00 | 50.00 | Yes (X) | $0 | $267,594 | $71,334 | ||
| STEVE PERRY | ||||||||
| VP SUPPLY CHAIN & CPO | 5.00 | 50.00 | Yes (X) | $0 | $251,809 | $60,264 | ||
| TAMARA FULLER | ||||||||
| VP & CHIEF STRATEGY OFFICER | 5.00 | 50.00 | Yes (X) | $0 | $217,588 | $75,498 | ||
| REBECCA STEVENSON | ||||||||
| CHIEF COMPLIANCE OFFICER (END 2022) | 5.00 | 50.00 | $0 | $174,592 | $63,590 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,428,691 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,672,726 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PREMIER HEALTHCARE SOLUTIONS | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5882 COLLECTIONS CENTER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60693 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ADVANCED COHORTS SERVICES | ServicesDesc |
| Compensation | $557,812 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,000 | RelatedOrganizationsAmt |
| All Other Contributions | $453,000 | AllOtherContributionsAmt |
| Total Contributions | $463,000 | TotalContributionsAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| VALUE BASED PAYMENTS | 900099 | $2,666,300 | $2,666,300 |
| AFFILIATE SUPPORT | 900099 | $797,717 | $797,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,464,017 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,927,017 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,464,017 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $455,000 | TotalAmt |
| Program Services | $455,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,164,232 | TotalAmt |
| Program Services | $2,164,232 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,856 | TotalAmt |
| Program Services | $63,856 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,536 | TotalAmt |
| Program Services | $10,627 | ProgramServicesAmt |
| Management And General | $753,909 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,261 | TotalAmt |
| Program Services | $168,261 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,469 | TotalAmt |
| Management And General | $1,047,469 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$26,297 | TotalAmt |
| Management And General | -$26,297 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,498 | TotalAmt |
| Management And General | $35,498 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,610 | TotalAmt |
| Management And General | $10,610 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,584,326 | TotalAmt |
| Management And General | $1,584,326 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,268 | TotalAmt |
| Program Services | $47,268 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,807 | TotalAmt |
| Program Services | $11,807 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,361 | TotalAmt |
| Program Services | $541,361 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,723 | TotalAmt |
| Program Services | $107,692 | ProgramServicesAmt |
| Management And General | $22,031 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,789 | TotalAmt |
| Management And General | $15,789 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,795 | TotalAmt |
| Program Services | $14,795 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,922 | TotalAmt |
| Management And General | $2,922 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MINOR DURABLES | $12,110 | $12,110 | $0 |
| DIETARY | $11,803 | $11,803 | $0 |
| DUES BOOKS | $292 | $292 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,055,361 | TotalAmt |
| Program Services | $3,609,104 | ProgramServicesAmt |
| Management And General | $3,446,257 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,876 | BOYAmt |
| EOY | $111,650 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $41,250 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,875 | BOYAmt |
| EOY | $108,875 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,871,241 | BOYAmt |
| EOY | $1,179,118,496 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,287,162 | BOYAmt |
| EOY | $3,218,790 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,067,391,154 | BOYAmt |
| EOY | $1,182,599,061 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,166,680 | BOYAmt |
| EOY | $1,683,270 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,250,000 | BOYAmt |
| EOY | $2,500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,944,935 | BOYAmt |
| EOY | $13,891,839 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,361,615 | BOYAmt |
| EOY | $18,075,109 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $946,769,889 | BOYAmt |
| EOY | $1,095,558,888 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,259,650 | BOYAmt |
| EOY | $68,965,064 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,050,029,539 | BOYAmt |
| EOY | $1,164,523,952 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,067,391,154 | BOYAmt |
| EOY | $1,182,599,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,128,344 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $117,622,757 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLESTON AREA MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550526150 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION D, LINE 3: | THE SUPPORTED ORGANIZATION, CHARLESTOWN AREA MEDICAL CENTER, INC. ("CAMC") MAKES RECOMMENDATIONS TO THE PARENT COMPANY VANDALIA HEALTH, INC. THAT IS ORGANIZED AND OPERATED EXCLUSIVELY TO PROVIDE SUPPORT TO CAMC AND IT'S SUBSIDIARIES. ALSO, 10 OF THE 15 BOARD MEMBERS OF THE FILING ORGANIZATION ARE RECOMMENDED BY THE SUPPORTED ORGANIZATION'S BOARD OF TRUSTEES. IN ADDITION, A MAJORITY OF THE BOARD MEMBERS OF THE SUPPORTED ORGANIZATION ARE ALSO BOARD MEMBERS OF THE FILING ORGANIZATION ALONG WITH A MAJORITY OF THE SAME KEY CORPORATE OFFICERS BETWEEN THE TWO ORGANIZATIONS. BECAUSE OF THE CLOSE, LONG-LASTING RELATIONSHIP, AS DESCRIBED ABOVE, THE SUPPORTED ORGANIZATION HAS A SIGNIFICANT VOICE IN THE FILING ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND/OR ASSETS, WHICH ARE MINIMAL COMPARED TO THAT OF THE SUPPORTED ORGANIZATION. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A: | THE SUPPORTING ORGANIZATION HAS THE POWER TO ELECT ALL OF THE MEMBERS OF THE SUPPORTED ORGANIZATION'S GOVERNING BODY AND TO APPROVE THE ELECTION OF THE KEY SUPPORTED ORGANIZATION OFFICERS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B: | THE SUPPORTING ORGANIZATION'S PRIMARY ROLE IS OVERSIGHT AND COORDINATION OF THE ACTIVITIES OF THE SUPPORTED ORGANIZATION AND ITS AFFILIATES, WHICH ALSO PROVIDE SUPPORT TO THE SUPPORTED ORGANIZATION. THIS BEGINS WITH RESERVED POWERS THE SUPPORTING ORGANIZATION/PARENT HAS WITH RESPECT TO ITS SUBSIDIARIES. THE PARENT COMPANY AND ITS SUBSIDIARIES ARE MANAGED IN A COORDINATED FASHION AS A SYSTEM WITH SIGNIFICANT GOVERNING BODY AND MANAGEMENT OVERLAP AND DEVELOPMENT OF SYSTEM-WIDE POLICIES AND PROCEDURES, AND BUDGETING PROCESSES. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $102,256,010 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$33,290,947 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $68,965,063 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $109,269,843 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$7,013,832 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $102,256,011 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $92,821,320 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $16,448,523 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $109,269,843 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $79,589,474 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $13,231,846 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $92,821,320 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,889,088 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,700,386 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $79,589,474 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.51000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.49000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| AFFILIATES - CAMC, INC. | $619,650,067 | C |
| AFFILIATES - CAMC FOUNDATION, INC. | $279,066,440 | C |
| AFFILIATES - CHERI, INC. | $2,984,266 | C |
| AFFILIATES- CAMC GVMC | -$15,293,049 | C |
| AFFILIATES - MON HEALTH | $293,375,457 | C |
| AFFILIATES - CAMC PMC | -$664,685 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,179,118,496 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| AFFILIATE PAYABLE, CAMC, INC. | $13,891,490 |
| AFFILIATE PAYABLE- CHERI, INC. | $349 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,891,839 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO FURTHER THE MISSION OF THE ORGANIZATION. |
| PART X, LINE 2: | VANDALIA HEALTH FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE FINANCIAL STATEMENTS OF VANDALIA HEALTH, INC. AND SUBSIDIARIES (COLLECTIVELY, THE "SYSTEM"). LANGUAGE REGARDING ASC 740 (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, CMC, 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 CAMC ENTITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST VIRGINIA DRUG INTERVENTION INSTITUTE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 118 CAPITAL STREET FIRST FLOOR | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 834703600 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $450,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ASSISTANCE IS PROVIDED TO VARIOUS COMMUNITY ORGANIZATIONS AND IS MONITORED AND APPROVED BY AN OFFICER OF THE COMPANY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID L RAMSEY | ||||||||||||||
| PRESIDENT & CEO | $0 | $1,014,266 | $0 | $770,782 | $0 | $208,737 | $0 | $119,238 | $0 | $47,709 | $0 | $2,160,732 | $0 | $369,417 |
| GLENN CROTTY JR MD | ||||||||||||||
| EXECUTIVE VP VANDALIA SOUTH REGION | $0 | $739,746 | $0 | $171,573 | $0 | $99,711 | $0 | $13,200 | $0 | $43,889 | $0 | $1,068,119 | $0 | $0 |
| JEFF SANDENE | ||||||||||||||
| CFO | $0 | $589,727 | $0 | $139,678 | $0 | $47,106 | $0 | $215,991 | $0 | $38,831 | $0 | $1,031,333 | $0 | $0 |
| ANGELA FENTON HILL | ||||||||||||||
| SECRETARY & GENERAL COUNSEL | $0 | $421,541 | $0 | $69,326 | $0 | $59,944 | $0 | $253,647 | $0 | $41,491 | $0 | $845,949 | $0 | $43,749 |
| DANIEL STROSS | ||||||||||||||
| VP INFO SVCS & CIO | $0 | $410,605 | $0 | $210,256 | $0 | $35,416 | $0 | $98,324 | $0 | $56,022 | $0 | $810,623 | $0 | $96,667 |
| KRISTI SNYDER | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $392,683 | $0 | $70,856 | $0 | $56,383 | $0 | $211,630 | $0 | $3,847 | $0 | $735,399 | $0 | $42,448 |
| D MICHELLE COON | ||||||||||||||
| VP MANAGED CARE CONTRACTING | $0 | $255,988 | $0 | $49,521 | $0 | $73,225 | $0 | $60,734 | $0 | $56,272 | $0 | $495,740 | $0 | $49,553 |
| CHRISTINE STURTEVANT | ||||||||||||||
| VP REVENUE CYCLE | $0 | $289,098 | $0 | $31,450 | $0 | $29,940 | $0 | $56,523 | $0 | $2,039 | $0 | $409,050 | $0 | $0 |
| ELIZABETH PELLEGRIN | ||||||||||||||
| VP & CHIEF MARKETING OFFICER | $0 | $206,295 | $0 | $20,459 | $0 | $52,796 | $0 | $47,230 | $0 | $35,423 | $0 | $362,203 | $0 | $0 |
| MYRANDA PIKE | ||||||||||||||
| VP & CCO | $0 | $256,864 | $0 | $0 | $0 | $10,730 | $0 | $70,303 | $0 | $1,031 | $0 | $338,928 | $0 | $0 |
| STEVE PERRY | ||||||||||||||
| VP SUPPLY CHAIN & CPO | $0 | $184,243 | $0 | $14,757 | $0 | $52,809 | $0 | $40,075 | $0 | $20,189 | $0 | $312,073 | $0 | $0 |
| TAMARA FULLER | ||||||||||||||
| VP & CHIEF STRATEGY OFFICER | $0 | $184,245 | $0 | $18,464 | $0 | $14,879 | $0 | $38,842 | $0 | $36,656 | $0 | $293,086 | $0 | $0 |
| REBECCA STEVENSON | ||||||||||||||
| CHIEF COMPLIANCE OFFICER (END 2022) | $0 | $158,014 | $0 | $16,578 | $0 | $0 | $0 | $7,371 | $0 | $56,219 | $0 | $238,182 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | 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 IS AGE 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: DAVID L. RAMSEY - $135,173 GLENN CROTTY JR., M.D. - $66,114 KRISTI SNYDER - $43,658 ANGELA FENTON HILL - $44,997 MICHELLE COON - $59,642 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DAVID L. RAMSEY, GLENN CROTTY, JR., M.D., DAVID GOLDBERG, JEFF SANDENE, ANGELA FENTON HILL, MYRANDA PYKE, KRISTI SNYDER, DANIEL STROSS, D. MICHELLE COON, ELIZABETH PELLEGRIN, TAMARA FULLER, CHRISTINE STURTEVANT, AND STEVE PERRY HAVE A BUSINESS RELATIONSHIP DUE TO JOINT EMPLOYMENT BY RELATED COMPANIES WITHIN THE SAME HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION B, LINE 11B | VANDALIA HEALTH, INC. COMPILES NECESSARY INFORMATION FOR FORM 990 THROUGH EFFORTS OF VARIOUS OFFICERS AND DIRECTORS OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THIS FIRM THEN REVIEWS THE COMPLETED FORM 990 WITH THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS AND ITS AUDIT COMMITTEE. |
| 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 BOARD CHAIR AND NOMINATING 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 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. THE MANAGER (THE DIRECT SUPERVISOR OF A COMPANY REPRESENTATIVE) MAY CONCUR WITH THE COMPLIANCE OFFICER'S DECISION OR MAY ASK THAT THE VANDALIA HEALTH MANAGEMENT COMPLIANCE COMMITTEE REVIEW THE CONFLICT OF INTEREST FORM IN QUESTION. THE VANDALIA HEALTH MANAGEMENT COMPLIANCE COMMITTEE WILL THEN REVIEW THE CONFLICT OF INTEREST IN QUESTION AT THE NEXT MEETING AND THEIR DECISION IS FINAL. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE VANDALIA HEALTH 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 AND EXECUTIVES (INCLUDING VANDALIA HEALTH'S CEO). THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF VANDALIA HEALTH CEO AND OTHER EXECUTIVE OFFICERS. THIS DATA IS REVIEWED EVERY TWO YEARS OR WHEN A NEW PERSON COMES INTO AN EXECUTIVE ROLE. |
| 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 | OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,584,326. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,584,326. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN AFFILIATES 161,168,030. CHANGE IN TEMP AND PERMANENT RESTRICTED ACTIVITIES OF SUBSIDIARIES -34,971,240. AFFILIATE TRANSFERS 1,375,503. INHERENT CONTRIBUTION -9,949,536. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CAMC HEALTH NETWORK LLC | |||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 831560412 | INTEGRATOR OF CARE | WV | $2,699,075 | $3,302,122 | VANDALIA HEALTH INC |
| VANDALIA PROVIDER & HOSPITAL ORGANIZATION LLC | |||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 873375669 | INTEGRATOR OF CARE | WV | $485,500 | $69,569 | VANDALIA HEALTH INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CAMC FOUNDATION INC | ||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 310887133 | FUNDRAISING | WV | 501(C)(3) | 12A, I | CHARLESTON AREA MEDICAL CENTER INC | Yes (1) |
| CHARLESTON AREA MEDICAL CENTER INC | ||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550526150 | HOSPITAL | WV | 501(C)(3) | 3 | VANDALIA HEALTH INC | Yes (1) |
| MONONGALIA HEALTH SYSTEM INC | ||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550621551 | PARENT COMPANY | WV | 501(C)(3) | 12C, III-FI | VANDALIA HEALTH INC | Yes (1) |
| MONONGALIA COUNTY GENERAL HOSPITAL COMPANY | ||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 237441353 | HOSPITAL | WV | 501(C)(3) | 3 | MONONGALIA HEALTH SYSTEM INC | Yes (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 | Yes (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 COUNTY GENERAL HOSPITAL CO | Yes (1) |
| PRESTON MEMORIAL HOSPITAL | ||||||||||
| 150 MEMORIAL DRIVE | KINGWOOD | WV | 26537 | 311097818 | HOSPITAL | WV | 501(C)(3) | 3 | MONONGALIA HEALTH SYSTEM INC | Yes (1) |
| PRESTON MEMORIAL MEDICAL GROUP | ||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550717988 | PRIMARY AND URGENT CARE | WV | 501(C)(3) | 3 | PRESTON MEMORIAL HOSPITAL | Yes (1) |
| PRESTON MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 300 SOUTH PRICE STREET | KINGWOOD | WV | 26537 | 550740121 | RAISE FUNDS FOR PRESTON HOSPITAL | WV | 501(C)(3) | 12B, II | PRESTON MEMORIAL HOSPITAL | Yes (1) |
| AUXILIARY OF MONONGALIA GENERAL HOSPITAL INC | ||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550362965 | RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL | WV | 501(C)(3) | 12A, I | MONONGALIA COUNTY GENERAL HOSPITAL CO | Yes (1) |
| LIABILITY INSURANCE TRUST FOR MONONGALIA HEALTH SYSTEM | ||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550689535 | LIABILITY INSURANCE TRUST | WV | 501(C)(3) | 12A, I | MONONGALIA HEALTH SYSTEM INC | Yes (1) |
| STONEWALL JACKSON MEMORIAL HOSPITAL | ||||||||||
| 230 HOSPITAL PLAZA | WESTON | WV | 26452 | 550422958 | HOSPITAL | WV | 501(C)(3) | 3 | MONONGALIA HEALTH SYSTEM INC | Yes (1) |
| MON HEALTH MARION NEIGHBORHOOD HOSPITAL INC | ||||||||||
| 140 MIDDLETOWN LOOP | WHITEHALL | WV | 26554 | 853994078 | HOSPITAL | WV | 501(C)(3) | 3 | MONONGALIA HEALTH SYSTEM INC | Yes (1) |
| CAMC GREENBRIER VALLEY MEDICAL CENTER INC | ||||||||||
| 1320 MAPLEWOOD AVENUE | RONCEVERTE | WV | 24970 | 884128022 | HOSPITAL | WV | 501(C)(3) | 3 | CHARLESTON AREA MEDICAL CENTER INC | Yes (1) |
| CAMC PLATEAU MEDICAL CENTER INC | ||||||||||
| 430 MAIN STREET | OAK HILL | WV | 25901 | 921715117 | HOSPITAL | WV | 501(C)(3) | 3 | CHARLESTON AREA MEDICAL CENTER INC | Yes (1) |
| CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC | ||||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550753754 | MEDICAL EDUCATIONAL RESEARCH | WV | 501(C)(3) | 12A, I | CHARLESTON AREA MEDICAL CENTER INC | Yes (1) |
| BROADDUS HOSPITAL ASSOCIATION INC | ||||||||||
| PO BOX 930 | PHILLIPI | WV | 26416 | 550379108 | HOSPITAL | WV | 501(C)(3) | 3 | DAVIS HEALTH SYSTEM INC | Yes (1) |
| DAVIS HEALTH SYSTEM INC | ||||||||||
| PO BOX 1484 | ELKINS | WV | 26241 | 550737655 | HEALTH SYSTEM | WV | 501(C)(3) | 12B, II | MONONGALIA HEALTH SYSTEM INC | Yes (1) |
| DAVIS MEMORIAL HOSPITAL INC | ||||||||||
| PO BOX 1484 | ELKINS | WV | 26241 | 550375433 | HOSPITAL | WV | 501(C)(3) | 3 | DAVIS HEALTH SYSTEM INC | Yes (1) |
| DAVIS HEALTH SYSTEM FOUNDATION INC | ||||||||||
| PO BOX 1188 | ELKINS | WV | 26241 | 320185772 | PROVIDES SUPPORT TO DAVIS HEALTH SYSTEM ENTITIES | WV | 501(C)(3) | 10 | DAVIS HEALTH SYSTEM INC | Yes (1) |
| WEBSTER MEMORIAL HOSPITAL | ||||||||||
| 812 GORMAN AVENUE | ELKINS | WV | 26241 | 871759588 | HOSPITAL | WV | 501(C)(3) | 3 | DAVIS HEALTH SYSTEM INC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC | |||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550669065 | MEDICAL OFFICE BUILDING | WV | N/A | 0 | 0 |
| GENERAL DIVISION MEDICAL OFFICE BUILDING LLC | |||||||||
| PO BOX 1547 | CHARLESTON | WV | 253261547 | 550623949 | MEDICAL OFFICE BUILDING | WV | N/A | 0 | 0 |
| DASCO-CAMC HOME MEDICAL EQUIPMENT LLC | |||||||||
| 501 MORRIS STREET | CHARLESTON | WV | 25301 | 844487189 | HOME MEDICAL EQUIPMENT | WV | N/A | 0 | 0 |
| MGH SURGERY LLC | |||||||||
| 2000 MON HEALTH MEDICAL PARK DRIVE | MORGANTOWN | WV | 26505 | 472736896 | SURGERY CENTER | WV | N/A | 0 | 0 |
| MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC | |||||||||
| 375 N WEST ST | WESTERVILLE | OH | 43082 | 871577276 | HOME MEDICAL EQUIPMENT | OH | N/A | 0 | 0 |
| CHARLESTON SURGICAL HOSPITAL LLC | |||||||||
| 1306 KANAWHA BLVD E | CHARLESTON | WV | 25301 | 550526191 | SURGERY CENTER | WV | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VANDALIA INSURANCE COMPANY | |||||||||||||||
| 76 ST PAUL STREET STE 500 | BURLINGTON | VT | 05401 | 030308754 | INSURANCE | VT | N/A | C | Yes (1) | ||||||
| MON HEALTH CARE INC | |||||||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550654973 | MEDICAL EQUIPMENT | WV | N/A | C | Yes (1) | ||||||
| STONEWALL HOME OXYGEN THERAPY INC | |||||||||||||||
| 100 MARKET PLACE MALL SUITE 8 | WESTON | WV | 26452 | 550754278 | OXYGEN THERAPY SERVICES | WV | N/A | C | Yes (1) | ||||||
| FAIRMONT HOME EQUIPMENT AND SUPPLY | |||||||||||||||
| 1200 JD ANDERSON DRIVE | MORGANTOWN | WV | 26505 | 550763259 | EQUIPMENT RENT & SVC | WV | N/A | C | Yes (1) | ||||||
| MORGANTOWN PHYSICAL THERAPY ASSOC INC | |||||||||||||||
| 943 MAPLE DRIVE | MORGANTOWN | WV | 26505 | 550614636 | REHABILITATION SERVICES | WV | N/A | C | Yes (1) | ||||||
| HEALTH FACILITIES INC | |||||||||||||||
| 909 GORMAN AVENUE | ELKINS | WV | 26241 | 550516937 | HEALTH CARE | WV | N/A | C | Yes (1) | ||||||
| CENTRAL WV MEDCORP INC | |||||||||||||||
| PO BOX 2630 | ELKINS | WV | 26241 | 550739314 | PHYSICIAN SERVICES | WV | N/A | C | Yes (1) | ||||||
| DAVIS REGIONAL HEALTH PARTNERS INC | |||||||||||||||
| PO BOX 2632 | ELKINS | WV | 26241 | 550746206 | CONTRACT NEGOTIATIONS | WV | N/A | C | Yes (1) | ||||||
| ZERCOR RE SEGREGATED PORTFOLIO #2 DAVIS | |||||||||||||||
| CAPTIVE INSURANCE | N/A | C | Yes (1) | 18 FORUM LANE 2ND FLOOR | GRAND CAYMAN | CAYMAN ISLANDS | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHARLESTON AREA MEDICAL CENTER INC | ||
| M | $1,047,469 | FAIR MARKET VALUE |
| CHARLESTON AREA MEDICAL CENTER INC | ||
| S | $2,173,216 | FAIR MARKET VALUE |
| CHARLESTON AREA MEDICAL CENTER INC | ||
| K | $105,480 | CONTRACT |
| CHARLESTON AREA MEDICAL CENTER INC | ||
| P | $4,333,353 | FAIR MARKET VALUE |
| CHARLESTON AREA MEDICAL CENTER INC | ||
| Q | $2,591,794 | FAIR MARKET VALUE |