STRATEGY STUDIO / PUBLIC DATA EXPLORER

CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION (EIN 31-1524546)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202243169349301934
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-11T02:56:32-00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311524546EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Camden-Clark Memorial Hospital CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAMDBusinessNameControlTxt
Phone3044242202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Garfield AvenueAddressLine1Txt
CityParkersburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKyle PiersonPersonNm
Person TitleVP FinancePersonTitleTxt
Phone3044242202PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKylePersonFirstNm
Person LastPiersonPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Camden Clark Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKyle PiersonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Garfield AvenueAddressLine1Txt
CityParkersburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$379,514,411GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://wvumedicine.org/camden-clark/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTo operate an acute care and emergency hospital facility.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2206TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$760,038TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$81,916NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$335,034,426PYProgramServiceRevenueAmt
CY Program Service Revenue$373,444,013CYProgramServiceRevenueAmt
PY Investment Income$342,939PYInvestmentIncomeAmt
CY Investment Income$1,751,981CYInvestmentIncomeAmt
PY Other Revenue$5,671,225PYOtherRevenueAmt
CY Other Revenue$4,267,842CYOtherRevenueAmt
PY Total Revenue$341,048,590PYTotalRevenueAmt
CY Total Revenue$379,463,836CYTotalRevenueAmt
PY Grants And Similar Paid$59,142PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$92,173CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$106,361,812PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$113,839,525CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$234,552,295PYOtherExpensesAmt
CY Other Expenses$252,687,467CYOtherExpensesAmt
PY Total Expenses$340,973,249PYTotalExpensesAmt
CY Total Expenses$366,619,165CYTotalExpensesAmt
PY Revenues Less Expenses$75,341PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,844,671CYRevenuesLessExpensesAmt
Total Assets BOY$285,852,885TotalAssetsBOYAmt
Total Assets EOY$276,143,723TotalAssetsEOYAmt
Total Liabilities BOY$341,146,077TotalLiabilitiesBOYAmt
Total Liabilities EOY$315,785,650TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$55,293,192NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$39,641,927NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Camden-Clark Memorial Hospital is to meet the health care needs of our community for a lifetime.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$146,805,374ExpenseAmt
Grant$92,173GrantAmt
Revenue$167,409,946RevenueAmt
DescCamden Clark Memorial Hospital strives to supply a comprehensive range of inpatient, outpatient, outreach clinics, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts as may be required to meet the health care needs of the community and as the hospitals resources will permit. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission is to serve the community by providing health care services and health care education. Therefore, in keeping with this commitment to service all members of the community, Camden-Clark Memorial Hospital will provide the following where the individuals need and/or an inability to pay coexist free care and/or subsidized care, and care provided to persons covered by governmental programs at or below cost.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,445,015ExpenseAmt
Revenue$31,977,071RevenueAmt
DescCamden Clark Memorial Hospital offers emergency room services as part of the hospitals mission of meeting the healthcare needs of the community for a lifetime. Due to the community that it serves, the majority of patients visiting the ER are either underinsured or uninsured. For the reporting period, there were approximately 39,964 ER visits, of this total, 8,104 were ultimately admitted to the hospital. A significant portion of the hospitals inpatient volume comes directly from the ER.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,839,995ExpenseAmt
Revenue$25,643,996RevenueAmt
DescCamden-Clark Memorial Hospital is a leader in cancer care for the mid-ohio valley, providing cancer care to patients in a 45 mile radius from the hospital. In addition to a wide range of treatment options provided, the hospital offers a number of related services to its patients. Through the hospitals collaboration with the American Cancer Society, the development of the organizations cancer resource center, a hair restoration salon, a patient navigator and an oncology social, the hospital has enhanced the education, navigation and social support of its cancer patients and families. The hospitals community and social services provide a holistic healing environment which includes support groups for patients/families.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$129,681,625TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$149,129,719TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$302,772,009TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document312IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2498EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Nondeductible Contri DisclfalseNondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKyle PiersonPersonNm
Phone3044242202PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Garfield AvenueAddressLine1Txt
CityParkersburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Steve Altmiller
President CEO038.00002.00Yes (X)$757,639$0$34,097
Walter Kerschl
Chief Medical Officer039.00001.00Yes (X)$382,379$0$82,380
Todd Kruger
General Legal Counsel039.00001.00Yes (X)$409,885$0$40,600
Sean Smith
CCMC VP Operations/WCH President020.00021.00Yes (X)$153,502$153,502$61,140
Kyle Pierson
VP, Finance039.00001.00Yes (X)$275,035$0$63,274
Christine Daniels
VP, Nursing039.00001.00Yes (X)$272,203$0$60,902
Cynthia Kern
Vice President, Quality039.00001.00Yes (X)$288,281$0$10,346
MarJean Kennedy
Director of Marketing039.00001.00$197,291$0$34,935Yes (X)
Rhonda Boso-Suggs
AVP Ancillary Services040.00$161,208$0$26,929Yes (X)
Gene Sexton
Pharmacy Manager040.00$151,748$0$33,231Yes (X)
Christopher Childress
Director of Pharmacy040.00$159,373$0$23,078Yes (X)
Jane Calendine
Service Line Coordinator RN040.00$159,238$0$18,835Yes (X)
Michael Trimble
Pharmacist040.00$150,564$0$26,135Yes (X)
Mary Jo Shahan
Former CCMC Interim CFO 2019040.00$0$122,335$0Yes (X)
Terry W Capel MD
Chairman001.00001.00Yes (X)$0$0$0Yes (X)
Kathy G Eddy
Vice Chairman001.00001.00Yes (X)$0$0$0Yes (X)
Randall E Snider
Board Member, Secretary001.00001.00Yes (X)$0$0$0Yes (X)
Michael A Morehead MD
Board Member, January - February001.00001.00$0$0$0Yes (X)
Orton C Armstrong MD
Board Member001.00001.00$0$0$0Yes (X)
Joe D Campbell
Board Member001.00001.00$0$0$0Yes (X)
Lynford C Lovell
Board Member001.00001.00$0$0$0Yes (X)
Sister Joan Kreyenbuhl
Board Member001.00001.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,518,346TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$275,837TotReportableCompRltdOrgAmt
Total Other Compensation$515,882TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K88IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
United Anesthesia Inc
601 Avery St Suite 501ParkersburgWV26101Anesthesia Services$5,411,155
Medical Solutions
1010 N 102nd Street Suite 300OmahaNE681142122Healthcare Staffing Services$3,042,196
Health Carousel LLC
3805 Edwards Road Suite 700CincinnatiOH45209Healthcare Staffing Services$1,401,713
Pars Neurosurgical Associates Inc
1212 Garfield Avenue Suite 300ParkersburgWV26101Neurologist Services$1,278,625
AYA Healthcare
5930 Cornerstone Ct W Suite 300San DiegoCA921213772Healthcare Staffing Services$945,264
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue, Net621110$348,673,037$347,920,693$752,344
Pharmacy Sales - Patients621110$15,910,384$15,910,384
COVID Relief Funding621990$7,972,653$7,972,653
Health and Wellness Center621990$607,559$607,559
Ambulance Services621110$280,380$280,380
FieldValueIRS element (for citing)
Total Program Service Revenue$373,444,013TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,667,942TotalRevenueColumnAmt
Unrelated Business Revenue$7,694UnrelatedBusinessRevenueAmt
Exclusion$1,660,248ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,596,567RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$50,575RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,545,992RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,545,992TotalRevenueColumnAmt
Exclusion$1,545,992ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$84,039OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$84,039OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,039TotalRevenueColumnAmt
Exclusion$84,039ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria Income624200$817,940$817,940
OVASC Revenue900099$631,959$631,959
Rebate Revenue900099$555,232$555,232

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$716,719TotalRevenueColumnAmt
Related Or Exempt Func Income$716,719RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,721,850OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$379,463,836TotalRevenueColumnAmt
Related Or Exempt Func Income$373,408,388RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$760,038UnrelatedBusinessRevenueAmt
Exclusion$5,295,410ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$92,173TotalAmt
Program Services$92,173ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,093,314TotalAmt
Program Services$1,096,491ProgramServicesAmt
Management And General$1,996,823ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$82,521,418TotalAmt
Program Services$73,459,785ProgramServicesAmt
Management And General$9,061,633ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,584,473TotalAmt
Program Services$3,158,776ProgramServicesAmt
Management And General$425,697ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,411,172TotalAmt
Program Services$14,411,473ProgramServicesAmt
Management And General$1,999,699ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,229,148TotalAmt
Program Services$7,166,227ProgramServicesAmt
Management And General$1,062,921ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$465,920TotalAmt
Program Services$5,800ProgramServicesAmt
Management And General$460,120ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,597TotalAmt
Program Services$7,442ProgramServicesAmt
Management And General$21,155ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$28,305TotalAmt
Program Services$28,305ProgramServicesAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,023,434TotalAmt
Program Services$33,646,877ProgramServicesAmt
Management And General$4,376,557ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$981,882TotalAmt
Program Services$22,291ProgramServicesAmt
Management And General$959,591ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,060,959TotalAmt
Program Services$6,862,290ProgramServicesAmt
Management And General$3,198,669ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,642TotalAmt
Program Services$1,675ProgramServicesAmt
Management And General$14,967ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,241,270TotalAmt
Program Services$3,559,669ProgramServicesAmt
Management And General$681,601ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$622,321TotalAmt
Program Services$595,504ProgramServicesAmt
Management And General$26,817ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,725TotalAmt
Program Services$68,286ProgramServicesAmt
Management And General$8,439ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,924,442TotalAmt
Program Services$7,490,223ProgramServicesAmt
Management And General$1,434,219ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$62,738,626TotalAmt
Program Services$33,995,821ProgramServicesAmt
Management And General$28,742,805ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,439,757TotalAmt
Program Services$14,679,515ProgramServicesAmt
Management And General$2,760,242ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$891,208TotalAmt
Program Services$793,146ProgramServicesAmt
Management And General$98,062ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies Patient Chargables$73,728,024$73,728,024
Provision for Doubtful Accounts$15,966,609$15,966,609
Taxes, Licenses Fees$13,102,207$10,803,554$2,298,653
Dues, Education Training Recruiting$4,476,666$1,058,254$3,418,412

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$873,873TotalAmt
Program Services$73,799ProgramServicesAmt
Management And General$800,074ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$366,619,165TotalAmt
Program Services$302,772,009ProgramServicesAmt
Management And General$63,847,156ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$233,392BOYAmt
EOY$240,426EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$47,897,435BOYAmt
EOY$38,411,024EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,235,517BOYAmt
EOY$50,294,120EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$84,426BOYAmt
EOY$57,979EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,984,437BOYAmt
EOY$7,311,412EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,563,046BOYAmt
EOY$4,522,310EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$382,952,332LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$247,725,309LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$142,217,308BOYAmt
EOY$135,227,023EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,396,192BOYAmt
EOY$32,049,080EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,144,629BOYAmt
EOY$6,065,551EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,096,503BOYAmt
EOY$1,964,798EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$285,852,885BOYAmt
EOY$276,143,723EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,776,770BOYAmt
EOY$50,958,958EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,084,472BOYAmt
EOY$22,632,784EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,239,276BOYAmt
EOY$70,694,039EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$163,988,111BOYAmt
EOY$141,604,708EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,057,448BOYAmt
EOY$29,895,161EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$341,146,077BOYAmt
EOY$315,785,650EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$55,293,192BOYAmt
EOY-$39,641,927EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$55,293,192BOYAmt
EOY-$39,641,927EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$285,852,885BOYAmt
EOY$276,143,723EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,844,671ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,287,553NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,480,959OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$28,305OtherActivitiesAmt
Total Lobbying Expenditures$28,305TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceII-B 1iFormAndLineReferenceDesc
ExplanationThe organization paid dues to the American Hospital Association AHA as well as the West Virginia Hospital Association WVHA. A portion of these dues, specifically 28,305, was related to lobbying activities of the AHA and WVHA.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,292,190OtherCostOrOtherBasisAmt
Book Value$3,292,190BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$171,454,631OtherCostOrOtherBasisAmt
Depreciation$86,990,435DepreciationAmt
Book Value$84,464,196BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,909,579OtherCostOrOtherBasisAmt
Depreciation$155,088,972DepreciationAmt
Book Value$33,820,607BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,295,932OtherCostOrOtherBasisAmt
Depreciation$5,645,902DepreciationAmt
Book Value$13,650,030BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$135,227,023TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Federal income taxes
Malpractice Liability$1,183,644
Due to third party payors$1,902,896
Interest rate swaps$11,630,492
Self insurance liability$6,512,990
Debt Issuance Costs-$1,012,184
Deferred Compensation$346,302
Long Term Lease Liability$5,353,397
Line of Credit - Current$3,977,624
FieldValueIRS element (for citing)
Total Liability$29,895,161TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$370,926,387TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$7,287,553NetUnrealizedGainsInvstAmt
Other Revenue-$15,875,577OtherRevenueAmt
Revenue Not Reported-$8,588,024RevenueNotReportedAmt
Revenue Subtotal$379,514,411RevenueSubtotalAmt
Other Revenues Not Included-$50,575OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$50,575RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$379,463,836TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$350,794,163TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$50,575OtherExpensesIncludedAmt
Expenses Not Reported$50,575ExpensesNotReportedAmt
Expenses Subtotal$350,743,588ExpensesSubtotalAmt
Other Expenses Not Included$15,875,577OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$15,875,577ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$366,619,165TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
X 2Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS and WVUIS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2021 and 2020.
XI 2dThis amount includes 15,875,577 provision for bad debts that was reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990.
XI 4bThis amount includes expenses associated with rental property of 50,575 that was reported in Part VIII line 6b as an offset to revenue revenue.
XII 4bThis amount includes provision for bad debts of 15,875,577 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990.
XII 2dThis amount includes rental expense of 50,575 that is an offset to revenue on Form 990 but an expense on the audited financial statements.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,632,558TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,632,558NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,576,679TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,456,418DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,120,261NetCommunityBenefitExpnsAmt
Total Expense0.12580TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$337,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$337,007DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,546,244TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,793,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,752,819NetCommunityBenefitExpnsAmt
Total Expense0.13330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$328,497TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$311,072NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,286,437TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,010,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,275,706NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$246,573TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$246,573NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,861,507TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,028,156DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,833,351NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,407,751TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,821,581DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,586,170NetCommunityBenefitExpnsAmt
Total Expense0.13850TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,910,316BadDebtExpenseAmt
Bad Debt Expense Attributable$517,242BadDebtExpenseAttributableAmt
Reimbursed By Medicare$131,134,978ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$186,402,944CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$55,267,966MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Camden-Clark Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Garfield AvenueAddressLine1Txt
CityParkersburgCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26101ZIPCd
FieldValueIRS element (for citing)
Website Addresswvumedicine.org/camden-clark/WebsiteAddressTxt
State License102StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherDisproportionate Share HospitalOtherDesc
Facility Reporting GroupAFacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-NeOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps//wvumedicine.org/wp-content/uploads/2022/05/2022-CCMC-Community-Health-Needs-Implementation-PlStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Form4720 FiledfalseForm4720FiledInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care0000000200.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pdFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps//wvumedicine.org/bill-pay/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 5Two primary sources of data were utilized to inform the CHNA 1 a public input survey and 2 a community meeting. The public input survey Appendix C was developed by WVU OHA with the CCMC CHNA leadership team following an iterative process. Survey topics included questions about specific health issues, thoughts on overall health of the community, quality of life, access to health care and medical needs including specialist care, risky behaviors and personal choices, some questions specific to experiences during the COVID-19 pandemic, and demographic information including geographic location and income. Data was collected anonymously from residents age 18 and older. The survey was disseminated via a web-based platform and as hard copies in the community. In addition to a MyChart email blast to patient zip codes in the service area, as well as some more targeted efforts to close demographic gaps, collection efforts included CCMC Pastoral Care Services, Parkersburg-Wood County Area Development Corporation, Social media accounts of local entities, United Way Alliance of the Mid-Ohio Valley, Wood County Development Authority, Wood County Health Department, and WTAP. A full list of Community Partners can be found in the CHNA posted online here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Needs-AssessmentAdopted-12-7-21.pdf
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11The existing secondary data, new survey data, community meeting input, and lessons learned from the last CHNA cycle all factored into CCMC leaderships prioritization decisions. The group considered the degree to which the hospital can realistically affect health outcomes for each topic projects or programs already underway for each, as well as level of importance placed on each by the community relative to the reach of CCMCs impact. Leadership paid particular attention to the demographics of respondents compared to the community, feedback gathered about access to health care, how single women responded to questions about health concerns, as well as other areas and demographics they know to be of particular concern in their community. Within this discussion of where and how the hospital can realistically affect community wellbeing and health outcomes, what they could accomplish with collaboration with partners, and what topics to monitor and revist at a later time, the list of top health concerns was organized into five that will be the focus moving forward with implementation planning.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11Obesity, Chronic Disease, Physical Activity, and Nutrition - During the previous CHNA cycle, obesity and chronic disease appeared among the communitys top health concerns and were prioritized by hospital leadership to address through programming. CCMC implemented strategies to address these health topics, and leadership was not surprised to see these prevalent issues rise once again to the top of the list. This cycle, building on experiences from the last and in response to community requests and ideas collected through the survey data, CCMCs team has also included physical activity and nutrition among the facets of what will be addressed via prioritizing this topic.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11Substance Use and Mental Health - CCMC leadership is well-aware of ongoing issues related to drug and alcohol use in their service area, as well as a continued need for attention and resources to be directed toward mental health. In response to existing knowledge, community input, and a recent local policy decision limiting access to treatment services in CCMCs home county, the leadership team sees it necessary to prioritize these topcis.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11Cancer - Cancer continues to remain in the top health concerns for this hospitals area, and CCMC has a track record of programming and partnerships that allow them to prioritize and address this issue through community benefit strategies. They will continue to do so through implementation planning this cycle.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11COVID-19 - Leadership discussed the many reasons that COVID-19 remains a concern in their hospital service area. Acknowledging that a large amount of educational information exists already, CCMC still feels that there are strategies they could offer to benefit the community at this point in the COVID-19 pandemic and have chosen to prioritize it as a topic to address through upcoming implementation planning.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11Poverty - Issues surrounding poverty are clearly prevalent concerns in this community cost of care, lack of employment opportunities and health insurance, or income for necessitites came up repeatedly in CCMCs survey data this cycle, as they did last cycle as well. Though the hospital cannot solve this large systemic problem, leadership is willing to look for creative ways to work to bridge the gap. Discussion included avenues to connect with people where they may already be receiving food assistance or treatment services. Leadership has chosen to prioritize this topic among the list of health and disease concerns above.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 13bCamden-Clark Medical Center offers discounted care only to individuals who qualify for free care. Camden Clark Medical Center offers a Prompt Pay Discount Program. Patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 15eA state Medicaid representative was on site to help determine eligibility and help patients through the eligibility process.
Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 24All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Patriot Point Diagnostic
2838 Pike StreetParkersburgWV26101Radiology/Lab
Garfield Diagnositc
2012 Garfield Ave Bdng 2 Ste 1ParkersburgWV26101Radiology/Lab
Sleep Lab
19th Street CampusParkersburgWV26101Diagnostic

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3cCamden-Clark Medical Center CCMC uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, CCMC does not offer discounted care to individuals who fail the 200 FPG test.
Part I Line 6aWVU Medicine prepared a System wide summary report of Community Benefits which can be found online - http//wvumedicine.org/about/community-benefit/.
Part I Line 7Total community benefit expense for 2021 is 102,407,751 and is 29.20 of total net expenses. To calculate net expense, bad debt - patient accounts of 15,875,577 was deducted from total expenses of 366,619,165 as shown in Part IX line 25 of the core Form 990, for a net expense of 350,743,588.
Part I Line 7Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost.
Part IICamden-Clark Medical Center CCMC started a leadership program in 2007. Employees who are selected to participate in this leadership program are required to volunteer in the community or at hospital activities which benefit the broader community as a whole. The activities these individuals participated in during the current year included various health fairs, church community events, Wood County Telethon, National Healthcare Decision Day, Try-Again Homes work project and various local school activities and events. These individuals also worked with and supported various community organizations such as United Way of America, The Salvation Army, Boys and Girls Club of America, and various community boards.
Part III Line 2Bad Debt Expense at cost was calculated by multiplying bad debt expense - patient accounts of 15,875,577 by our cost to charge ratio of 30.93 derived from Worksheet 2 in the IRS Schedule H instructions for a toal of 4,910,316.
Part III Line 3Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 1,672,300 which we then multipled by our cost to charge ratio of 30.93 for a total of 517,242.
Part III Line 3We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 517,242 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year.
Part III Line 4Uniontown Hospitals financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters.
Part III Line 4The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated price concessions and such amounts have historically been within managements expectations.
Part III Line 4The mix of accounts receivable at December 31, 2021 and 2020, from patients and third-party payors is as follows For the year-end December 31, 2021 Medicare - 31, Medicaid - 16, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 4, totaling 100. For the year-end December 31, 2020, Medicare - 29, Medicaid - 17, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 5, totaling 100.
Part III Line 8The amount reported in Part III Line 6 186,402,944 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME.
Part III Line 8CCMCs shortfall, 55,267,966 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients.
Part III Line 9bCCMC does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy.
Part VI Line 2Camden Clark Medical Center considers several components in assessing how the organization determines the need of the communities it serves. The CHNA utilized a robust community based process designed to engage a wide range of community members. CCMC conducted a Community Health Needs Assessment CHNA in 2021. The CHNA can be found here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Needs-AssessmentAdopted-12-7-21.pdf.
Part VI Line 3CCMC provides, in writing, all options for possible financial assistance. This information is also available on CCMCs website. CCMC also has representatives that are available to discuss options with inpatients and outpatients on a daily basis. WV State Medicaid workers are onsite to help determine patient eligibility and to assist patients through the eligibility process.
Part VI Line 4CCMCs leadership defined the community served as a 7 county area comprised of Calhoun, Pleasants, Ritchie, Roane, Tyler, Wirt, and Wood in WV. CCMC, located in Parkersburg, WV is a part of Wood County. Wood County has a population of 83,518, median household income of 48,711 and an employment rate of 3.8. 14.1 of Wood County residents are living in poverty and 9.0 of residents reported they are without health care coverage. The remaining 6 counties considered to be in CCMCs defined service area had a combined total population of 52,223 and approximately 11.08 of residents reported they are without health care coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/.
Part VI Line 5A majority of the organizations governing body is comprised of persons who reside in the primary service area and who are neither employees nor independent contractors of the hospital, not family members thereof. The organization extends medical staff privileges to all qualified physicians in the community to many of its departments.
Part VI Line 5Any surplus of funds is used primarily to enhance patient care. While no research is done in this facility, a residency program was started in 2009.
Part VI Line 6CCMC is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves.
Part VI Line 6System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital located in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Hospital, in Glen Dale, WV, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Wetzel County Hospital, Inc. in New Martinsville, WV, Uniontown Hospital in Uniontown, PA, Harrison Community Hospital in Cadiz, OH, Wheeling Hospital, Inc. in Wheeling, WV, and Barnesville Hospital Association in Barnesville, OH.
Part VI Line 6In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Harrison Community Hospital Foundation in Cadiz, OH, and Wheeling Foundation in Wheeling, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Greater Parkersburg Chamber of Commerce
501 Avery Street FL 9ParkersburgWV26101550249560501c6$13,500Support
Wood County Development Authority
409 1/2 Market StreetParkersburgWV26102550575873501c4$11,500Support
American Heart Association
PO Box 841390DallasTX752841390135613797501c3$5,000Support
Wood County Society
PO Box 1325ParkersburgWV261021325550458587501c3$5,000Support
United Way Alliance of the Mid-Ohio Valley Inc
935 Market StreetParkersburgWV261014791550403123501c3$5,000Sponsor
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I Line 2FormAndLineReferenceDesc
ExplanationContributions are discretionary and decisions on which organizations Camden-Clark Memorial Hospital supports are made by the President in conjunction with the Director of Marketing. Typically, local organizations are supported throughout the year and the donations are typically not specifically restricted, so there is no follow up process for monitoring the use of the funds.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Todd Kruger
General Legal Counsel$315,273$48,740$45,872$12,610$27,990$450,485
Cynthia Kern
Vice President, Quality$220,852$34,750$32,679$9,824$522$298,627
Christopher Childress
Director of Pharmacy$158,316$750$307$7,283$15,795$182,451
Michael Trimble
Pharmacist$134,454$2,250$13,860$6,385$19,750$176,699
Jane Calendine
Service Line Coordinator RN$149,602$9,332$305$2,675$16,159$178,073
Rhonda Boso-Suggs
AVP Ancillary Services$151,558$8,950$700$7,194$19,735$188,137
Sean Smith
CCMC VP Operations/WCH President$131,938$18,971$2,593$16,751$13,819$184,072$131,938$18,971$2,593$16,751$13,819$184,072
Christine Daniels
VP, Nursing$229,613$35,985$6,605$34,336$26,566$333,105
Steve Altmiller
President CEO$503,093$131,129$123,417$13,050$21,047$791,736
MarJean Kennedy
Director of Marketing$169,247$23,949$4,095$24,747$10,188$232,226
Gene Sexton
Pharmacy Manager$147,353$750$3,645$6,327$26,904$184,979
Kyle Pierson
VP, Finance$234,621$35,638$4,776$35,167$28,107$338,309
Mary Jo Shahan
Former CCMC Interim CFO 2019$122,335$122,335
Walter Kerschl
Chief Medical Officer$369,967$12,412$55,514$26,866$464,759

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 1aMemberships at the health and wellness center are offered to each member of the senior leadership team. These are covered in the applicable employment contracts and are included in taxable income.
Part I Line 3Compensation for the CEO is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsibile for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value.
Part I Line 4bThe following individuals received deferred compensation contributions in 2021 Sean Smith in the amount of 26,967 Kyle Pierson in the amount of 24,253 Christine Daniels in the amount of 23,680 MarJean Kennedy in the amount of 17,067, and Walter Kerschl in the amount of 44,333. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J.
Part I Line 6aPer the WVUHS Incentive Plan incentives are contingent on meeting a net earning target.
Part II Line 13Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2021 she was compensated for consulting work and interim CFO for related party, West Virginia University Hospitals - East.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
West Virginia Hospital Finance Authority
A621256910956622L852016-06-15$19,440,9242016 A - Refunding of 2007 A Bondsfalsefalsefalse
West Virginia Hospital Finance Authority
B621256910956622P402018-07-31$56,880,0002018C Series - Refund 2004 BC Bondsfalsefalsefalse
(no name)
Cfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,008,905$19,440,924$149,889$19,291,033$22016Yes (true)Yes (true)Yes (true)Yes (true)
B$6,390,000$56,880,000$422,708$56,457,2922018Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Cantor Fitzgerald
AfalsefalsefalseYes (true)falsefalseYes (true)Yes (true)falseYes (true)
(no name)
BfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line A2016 A Bond - The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger CCMC received 19,440,924 in proceeds to refund the 2007A bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for WVUH and UHC.
Part ISchedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc. CHI, The Charles Town General Hospital dba Jefferson Medical Center JMC, University Healthcare Foundation, Inc. UHF, and Potomac Valley Hospital is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to their tax return. United Hospital Center, Inc. UHC EIN 55-0525724 and Camden-Clark Memorial Hospital Corporation CCMH EIN 31-1524546 are reporting bond allocations issued to them on the return filed by such taxpayer.
Part ISeveral bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by UHC and CCMC to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner.
Part I Line 2Column B - The CUSIP shown on the Form 8038 956622P65 is for another bond in the 2018 issue - 2018 A D which are reported on the Schedule Ks for WVUH and UHC respectively.
Part II Line 12The amount reported in Line 12 Column A is a result of a balance that remained in the account that is used to fund principal and interest payments on this issuance. We are provided an amount to fund prior to the payment date, once funds that are sold/redeemed to make our payment there is occisaionally a residual amount. That amount is left in the account to apply to future payments.
Part IV Line 2cColumn A - Rebate calculation was prepared for the period June 15, 2016 to June 15, 2021, per the report and underlying assumptions, no IRS payment or filing is otherwise currently required. The next rebate calculation is due June 15, 2026. Column B - Rebate calculation for the 2018 Series C issuance is not due until 2023.
Part IV Line 5cColumn A - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dProgram Service Expenses 10,176,050, Grants and allocations 0, Revenue 19,639,224 Camden-Clark Memorial Hospital offers heart and vascular services for its immediate service area directly through the hospital. In addition, services are provided to underserved counties throughout the area via physicians that are employed by Camden Clark Physician Corporation, a related entity.
Form 990, Part III, Line 4dProgram Service Expenses 119,505,575, Grants and allocations 0, Revenue 129,490,495 Camden Clark offers a wide range of other medical services that include Nephrology, OBGYN services, Neurosurgery, Orthopedics, Pediatrics, General Surgery, Vascular Surgery and various other services that can be found on our website https//wvumedicine.org/camden-clark/.
Form 990, Part IV, Line 20bThe organization must attach a copy of its most recent audited financial statements. Attached are the consolidated financial statements of West Virginia United Health System, Inc. WVUHS and controlled entities. WVUHS became the sole member of Camden Clark Health Services, Inc., the parent corporation of Camden-Clark Memorial Hospital on March 1, 2011. The financial position, results of operations, and cash flows of Camden-Clark Memorial Hospital are included in the aforementioned consolidated audited financial statements.
Form 990, Part VI, Section A, Line 6Camden-Clark Health Services, Inc., a non-profit, tax-exempt corporation, is the sole member of the organization.
Form 990, Part VI, Section A, Line 7aCamden-Clark Health Services, Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia United Health System WVUHS from the CCHS nominations. WVUHS elects all CCHS, CCMC, CCPC, and CCF board members from a slate of Director Nominees submitted to them by CCHS. CCHS will consider the underlying nominations of CCMC, CCPC, and CCF before they submit their nominations.
Form 990, Part VI, Section A, Line 7bAs the sole member of Camden Clark Health Services, Inc., WVUHS through its affiliation agreement, holds power to approve certain decisions such as annual budget, capital expenditures over 1 million, new debt over 1 million, new programs, and extraordinary filings.
Form 990, Part VI, Section B, Line 11The Form 990 is prepared by the WVUHS Tax Team and is provided for review to the VP of Finance, General Counsel, and Accounting Director. It is also reviewed by the non-profit tax manager of our independent auditing firm. It is then reviewed by the Finance Committee. After being presented to the committee, it is provided to all board members for comments prior to filing with the IRS.
Form 990, Part VI, Section B, Line 12cTo identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy, bylaws for addressing the conflict of interest. For key individuals employees, a specific conflict of interest standard in the organizations code of ethics and business conduct also exists.
Form 990, Part VI, Section B, Line 15 a bThe compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2020 for 2021 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.
Form 990, Part VI, Section C, Line 19The organizations financial statements are made available on request and are also available on the West Virginia Healthcare Authority website. The organizations governing documents and conflict of interest policy are made available upon request.
Form 990, Part XI, Line 9Changes in Net Assets Transfers to related organizations of 4,480,959.
Form 990, Part IX, Line 11gOther service expenses consist of the following items Consulting Professional fees, Contracted Labor, Contract Labor - Patient Care, Contracted Physician Expense, Non-Hospital Lab Fees, and Collection Agency Fees. Consulting and Professional fees of 608,190, 40,334 is considered program service and 567,856 is considered management and general expense. Contracted Labor fees of 12,086,872 of which 9,184,589 is considered program service and 2,902,283 is considered management and general. Contract Labor - Patient Care of 10,835,534 of which all is considered program service. Contracted Physician Expense of 14,217,224 of which 13,485,674 is considered program service and 731,550 management and general expense. Lab Fees of 40 of which all is considered program service expense. Lastly, Collection Agency Fees of 275,574 of which 100,706 is considered program service and 174,868 is considered management and general expense.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Camden-Clark Health Services Inc
800 Garfield AvenueParkersburgWV26101550769602Healthcare AccessWV501c312 Type IWest Virginia United Health Systemfalse
Camden-Clark Foundation
800 Garfield AvenueParkersburgWV26101550667789Hospital SupportWV501c3Line 7Camden-Clark Health Servicesfalse
Auxiliary of Camden-Clark Memorial Hospital
800 Garfield AvenueParkersburgWV26101550386283Patient CareWV501c3Line 3falseN/A
Camden-Clark Physician Corporation
604 Ann StreetParkersburgWV26101264058719Patient CareWV501c3Line 3Camden-Clark Health Servicesfalse
West Virginia United Health System
PO Box 8034MorgantownWV26506550754713Healthcare AccessWV501c312 Type IfalseN/A
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304Patient CareWV501c3Line 3West Virginia United Health Systemfalse
West Virginia University Hospitals East
121 Administrative DriveMartinsburgWV25401202337985Healthcare AccessWV501c312 Type IWest Virginia University Hospitals Incfalse
City Hospital Inc
2500 Foundation WayMartinsburgWV25401550383321Patient CareWV501c3Line 3West Virginia University Hospitals Eastfalse
Jefferson Memorial Hospital
300 S Preston StRansonWV25438550359755Patient CareWV501c3Line 3West Virginia University Hospitals Eastfalse
University Healthcare Foundation
121 Administrative DriveMartinsburgWV25401311118075Hospital SupportWV501c312 Type IWest Virginia University Hospitals Incfalse
United Hospital Center Inc
327 Medical Park DriveBridgeportWV26330550525724Patient CareWV501c3Line 3West Virginia United Health Systemfalse
United Physicians Care Inc
686 South Pike StreetShinnstonWV26431550638563Patient CareWV501c3Line 3United Hospital Center Incfalse
United Health Foundation
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501c312 Type IUnited Hospital Center Incfalse
West Virginia Health Care Cooperative Inc
400 Fairview Heights RdSummersvilleWV26651550650441Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
United Summit Center
6 Hospital PlazaClarksburgWV26301550752788Behavioral HealthWV501c3Line 3West Virginia University Hospitals Incfalse
Potomac Valley Hospital Inc
100 Pin Oak LaneKeyserWV26726550420956Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
St Joseph's Hospital of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550356996Patient CareWV501c3Line 3West Virginia United Health Systemfalse
Reynolds Memorial Hospital Inc
800 Wheeling AveGlen DaleWV26038550357045Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501c312 Type IReynolds Memorial Hospital Incfalse
St Joseph's Foundation of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501c312 Type IISt Joseph's Hospital of Buckhannonfalse
Braxton County Memorial Hospital
100 Hoylman DriveGassawayWV26624550611919Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
Community Health Association
122 Pinnell StreetRipleyWV25271550462730Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
Wetzel County Hospital Inc
3 East Benjamin DriveNew MartinsvilleWV26155843480493Patient CareWV501c3Line 3West Virginia University Hospitals Incfalse
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and HospiceWV509a2WV United Health Systemfalse
Uniontown Hospital
500 West Berkeley StreetUniontownPA15401250965588Patient CarePA501c3Line 3West Virginia University Hospitals Incfalse
Fayette Physician Network
500 West Berkeley StreetUniontownPA15401455440305Patient CarePA501c3Line 3Wheeling Hospital Incfalse
Fayette Regional Health System
500 West Berkeley StreetUniontownPA15401251451183Healthcare AccessPA501c312 Type IIfalseN/A
Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550357057Patient CareWV501c3Line 3WV United Health Systemfalse
Harrison Community Hospital
951 E Market StreetCadizOH43907341571750Patient CareOH501c3Line 3Wheeling Hospital Incfalse
Harrison Community Hospital Foundation
951 E Market StreetCadizOH43907341571749Hospital SupportOH509a212 Type IIWheeling Hospital Incfalse
Barnesville Hospital Association
639 W Main StreetBarnesvilleOH43713340719172Patient CareOH501c3Line 3WV United Health Systemfalse
Belmont Community Hospital
4697 Harrison StreetBellaireOH43906340714643Patient CareOH501c3Line 3Wheeling Hospital Incfalse
Medical Park Foundation
1 Medical ParkWheelingWV26003550744690ChurchWV501c3Line 1Wheeling Hospital Incfalse
Self Insurance Trust Agreement of Wheeling Hospital Inc
1 Medical ParkWheelingWV26003550676674InsuranceWV501c312 Type IfalseN/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Ohio Valley Ambulatory Surgery Center
608 Washington BlvdBelpreOH45714208671724Outpatient Surgical ServicesOHCamden-Clark Memorial Hospital IncRelated$631,959falseYes (true)0.67500
Allied Health Sourcing Solutions
PO Box 8034MorgantownWV26506842403526Supply Chain ManagementWVAHS LLCfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Allied Health Services Inc
PO Box 782MorgantownWV26507550652017Medical LabWVWV United Health SystemC Corpfalse
West Virginia United Insurance Services
3040 University Avenue Suite 3200MorgantownWV26505550756055Provider NetworkWVWV United Health SystemC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd