CHARLESTON AREA MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CHARLESTON AREA MEDICAL CENTER INC (EIN 55-0526150)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-14
IRS object ID: 202133189349300018
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-14T01:16:09-06:00	ReturnTs
Tax Period End	2020-12-31	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 S Wacker Drive	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550526150	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Charleston Area Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHAR	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	2021-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Jeff	PersonFirstNm
Person Last	Sandene	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Henderson-Pennington	PreparerPersonNm
PTIN	P01499421	PTIN
Phone	3124861000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$1,524,532,275	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.camc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	Striving to provide the best healthcare to every patient, every day.CAMC owns and operates four separately-licensed hospitals as a tertiary-care teaching hospital designed to provide care for community residents through every stage of life. CAMC patients depend on CAMC to provide convenient and compassionate care delivered regardless of a patient's ability to pay.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	9375	TotalEmployeeCnt
Total Volunteers	90	TotalVolunteersCnt
Total Gross UBI	$7,715,976	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$716,269	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,793,440	PYContributionsGrantsAmt
CY Contributions Grants	$78,853,569	CYContributionsGrantsAmt
PY Program Service Revenue	$1,258,240,744	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,179,232,336	CYProgramServiceRevenueAmt
PY Investment Income	$8,777,604	PYInvestmentIncomeAmt
CY Investment Income	$14,735,804	CYInvestmentIncomeAmt
PY Other Revenue	$1,585,901	PYOtherRevenueAmt
CY Other Revenue	$2,128,987	CYOtherRevenueAmt
PY Total Revenue	$1,273,397,689	PYTotalRevenueAmt
CY Total Revenue	$1,274,950,696	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,086,666	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,748,410	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$608,649,790	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$599,292,273	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$363,564	CYTotalFundraisingExpenseAmt
PY Other Expenses	$621,857,724	PYOtherExpensesAmt
CY Other Expenses	$635,802,718	CYOtherExpensesAmt
PY Total Expenses	$1,232,594,180	PYTotalExpensesAmt
CY Total Expenses	$1,237,843,401	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,803,509	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,107,295	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,075,285,610	TotalAssetsBOYAmt
Total Assets EOY	$1,233,588,928	TotalAssetsEOYAmt
Total Liabilities BOY	$611,867,356	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$717,060,969	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$463,418,254	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$516,527,959	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Charleston Area Medical Center, Inc.'s ("CAMC") primary charitable exempt purpose is to provide hospital care, without distinction, for all the inhabitants of the City of Charleston, State of West Virginia and elsewhere, to promote legitimate methods for the prevention of disease and positive promotion of health (both personal and public), and to foster and conduct education in medicine in all its branches and adjunct arts and sciences, such as nursing and technical occupations, which contribute to the diagnosis, treatment and prevention of disease.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$775,808,310	ExpenseAmt
Grant	$144,126	GrantAmt
Revenue	$1,181,298,306	RevenueAmt
Desc	CAMC is one of West Virginia's largest medical centers with over 9,375 employees and 757 medical staff. CAMC is licensed for 956 beds at four campuses and our health care services delivery focuses on providing a full range of inpatient and outpatient services as a tertiary regional referral center, teaching and safety net hospital. As a regional referral center, CAMC has one of only two state Level 1 Trauma Centers, a Level III Neonatal ICU, a Pediatric ICU, a DNV-Certified Primary Stroke Center, and a Bariatric Center of Excellence. CAMC is the primary medical safety net provider of women and children's and trauma services in central and southern West Virginia and provides a portion of charity care in the state. There were inpatient days of 201,978, outpatient visits of 586,223, emergency department visits of 99,610 and deliveries of 2,672 in 2020. CAMC gives back to the community because we understand the impact that high quality medical care, charity care, education, corporate contributions and community partnerships have on the lives of real people.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$42,580,868	ExpenseAmt
Grant	$2,428,768	GrantAmt
Desc	CAMC has established medical and allied health education excellence as a core competency. Provision and support for education include training for interns and residents, nurses, anesthetists and other personnel. 161 WVU/WVSOM medical students trained at CAMC hospitals and 194 medical residents were employed by CAMC. CAMC provided faculty support to the University of Charleston helping educate pharmacy students, nursing students and physician assistants. CAMC assisted 8 employees through student loan forgiveness, and provided educational assistance to 334 individuals who intend to pursue a career in healthcare.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$115,249,641	ExpenseAmt
Grant	$175,516	GrantAmt
Revenue	$206,176	RevenueAmt
Desc	CAMC does much more than just provide health care, being involved in nearly every aspect of the health and well being of the community. CAMC offered 36 outreach programs which served an estimated 45,273 people. CAMC provided acute inpatient and outpatient hospital services including unreimbursed charity care at cost of $19,840,276. Creative, state-of-the-art programs and services are provided to our community to serve our community - particularly the needs of the low income, elderly and other vulnerable persons. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of the following community benefit criteria: 1) Improves access to health care services; 2) Enhances health of the community; 3) Advances medical or health care knowledge; 4) Relieves or reduces the burden of government or other community efforts.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$933,638,819	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	Yes (1)	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	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	675	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	9375	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	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	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 (40 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
William Rice Jr
Trustee	2.50	4.00	Yes (X)	$0	$0	$0
Wanda Hightower
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
John R Hoblitzell Esq
Chairman	2.50	2.50	Yes (X)	$0	$0	$0	Yes (X)
Charles L Capito Jr
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
Edwin H Welch Ph D
Trustee	2.50	3.50	Yes (X)	$0	$0	$0
Fonda Elliot
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
Karen S Price
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
Kenneth L Tackett
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
Gina R Busch MD
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
S Shawn Groves MD
Trustee	2.50	2.50	Yes (X)	$65,594	$0	$0
Steven L Smith
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
Melvin Jones
Trustee	2.50	2.50	Yes (X)	$0	$0	$0
Mark A Chandler
Vice Chairman	3.00	5.00	Yes (X)	$0	$0	$0	Yes (X)
E Michael Robie DO
Trustee	50.00	0.50	Yes (X)	$362,432	$0	$19,338
Elie G Gharib MD
Trustee/Chief of Staff	50.00	3.50	Yes (X)	$1,649,586	$0	$50,380
David L Ramsey
President, CEO & Trustee	50.00	7.00	Yes (X)	$1,694,435	$0	$144,805	Yes (X)
Daniel Stross
VP Info Services & CIO (start 7/20)	50.00	5.00		$209,140	$0	$46,348	Yes (X)
Eileen Clark
VP Info Service & CIO (end 1/20)	50.00	5.00		$28,751	$0	$1,119	Yes (X)
Robert D Whitler
VP Gov't & Comm Affairs	50.00	1.00		$302,326	$0	$35,017	Yes (X)
Glenn Crotty Jr MD
Executive VP & COO	50.00	6.00		$1,098,783	$0	$52,383	Yes (X)
Jeff Sandene
Executive VP & CFO	50.00	10.00		$791,344	$0	$237,394	Yes (X)
Jeffrey L Oskin
VP Administrator	50.00	0.00		$588,703	$0	$277,100	Yes (X)
Jeffrey H Goode
VP Ambulatory Services	50.00	0.00		$488,405	$0	$330,136	Yes (X)
Thomas P McIlwain MD
VP Medical Affairs and CMO	50.00	5.00		$753,508	$0	$40,230	Yes (X)
Robert B Danielson
VP Corporate Compliance	50.00	5.00		$261,899	$0	$32,424	Yes (X)
Angela Fenton Hill
Secretary & Gen Counsel	50.00	5.00		$451,404	$0	$208,899	Yes (X)
S Andrew Weber
VP Administrator	50.00	0.00		$414,024	$0	$183,190	Yes (X)
Michael D Williams
VP Administrator	50.00	0.00		$456,725	$0	$77,635	Yes (X)
Heidi Edwards
VP Prof Prac & CNO	50.00	1.00		$336,802	$0	$183,132	Yes (X)
Stephen Z Bell
VP Finance	50.00	0.00		$372,476	$0	$87,768	Yes (X)
Randall H Hodges
VP Administrator	50.00	0.00		$363,664	$0	$38,446	Yes (X)
Dawn Coon
President CHN	50.00	0.00		$281,593	$0	$118,385	Yes (X)
Kristi Snyder
VP Human Resources	50.00	6.00		$436,543	$0	$176,485	Yes (X)
Mitchell N Rashid
Physician	40.00	0.00		$1,311,157	$0	$60,380		Yes (X)
Sangeeta Mandapaka MD
Physician	40.00	0.00		$1,390,627	$0	$25,319		Yes (X)
Nathan Kister MD
Physician	40.00	0.00		$1,456,943	$0	$49,457		Yes (X)
Samuel Rossi MD
Physician	40.00	0.00		$1,591,041	$0	$34,810		Yes (X)
Robert Shin MD
Physician	40.00	0.00		$1,613,736	$0	$41,573		Yes (X)
Lillian Morris
Former Interm CNO	40.00	0.00		$205,270	$0	$7,478			Yes (X)
Rocky Blake
Former Interim VP Info Services	50.00	0.00		$223,166	$0	$34,117			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$19,200,077	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,593,748	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	707	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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WVU Physicians of Charleston
3110 MacCorkle Ave SE	Charleston	WV	25304	GME/Physician Services	$24,514,970
Qualivis LLC
PO Box 123847	Dallas	TX	753123847	Nursing Services	$19,320,849
Cerner Corporation
PO Box 959156	St Louis	MO	631959156	IT Services	$13,183,764
Charleston Area Radiation Therapy Center
PO Box 19532	Irvine	CA	92623	Radiation Services	$11,655,419
BBL Carlton LLC
600 Kanawha Blvd Suite 200	Charleston	WV	25301	Construction	$11,333,370

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	139	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,310,215	RelatedOrganizationsAmt
Government Grants	$75,027,778	GovernmentGrantsAmt
All Other Contributions	$515,576	AllOtherContributionsAmt
Noncash Contributions	$153,613	NoncashContributionsAmt
Total Contributions	$78,853,569	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Revenue	621990	$1,103,209,107	$1,103,209,107
Pharmacy	446110	$51,883,126		$572,908	$51,310,218
Lab Services	621500	$7,124,322		$7,124,322
Cafeteria/Vending	721000	$5,023,101			$5,023,101
Rental (Non Residentia	531120	$3,348,730	$771,577		$2,577,153

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,643,950	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,847,890	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,746	UnrelatedBusinessRevenueAmt
Exclusion	$3,777,314	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,179,232,336	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,093,885	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,159	RelatedOrExemptFuncIncomeAmt
Exclusion	$7,950,726	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$256,196,600	SecuritiesAmt
Other	$26,898	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$249,555,400	SecuritiesAmt
Other	$26,179	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,641,200	SecuritiesAmt
Other	$719	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,641,919	TotalRevenueColumnAmt
Exclusion	$6,641,919	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management Fees	541610	$1,148,577	$1,148,577
Laundry	812300	$942,380	$942,380
Hospitality House	721110	$8,030	$8,030

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$30,000	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,128,987	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,274,950,696	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,111,100,720	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,715,976	UnrelatedBusinessRevenueAmt
Exclusion	$77,280,431	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$509,638	TotalAmt
Program Services	$509,638	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,238,772	TotalAmt
Program Services	$2,238,772	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,775,052	TotalAmt
Management And General	$13,775,052	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$2,446,169	TotalAmt
Program Services	$1,725,830	ProgramServicesAmt
Management And General	$720,339	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$466,029,508	TotalAmt
Program Services	$364,892,809	ProgramServicesAmt
Management And General	$100,807,503	ManagementAndGeneralAmt
Fundraising	$329,196	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,862,454	TotalAmt
Program Services	$5,299,770	ProgramServicesAmt
Management And General	$557,688	ManagementAndGeneralAmt
Fundraising	$4,996	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,720,320	TotalAmt
Program Services	$60,968,228	ProgramServicesAmt
Management And General	$18,722,720	ManagementAndGeneralAmt
Fundraising	$29,372	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,458,770	TotalAmt
Program Services	$21,980,206	ProgramServicesAmt
Management And General	$9,478,564	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$16,871,761	TotalAmt
Program Services	$13,553,970	ProgramServicesAmt
Management And General	$3,317,791	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,161,130	TotalAmt
Management And General	$3,161,130	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$640,784	TotalAmt
Management And General	$640,784	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$200,039	TotalAmt
Management And General	$200,039	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,480,961	TotalAmt
Management And General	$1,480,961	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$113,689,882	TotalAmt
Program Services	$88,420,854	ProgramServicesAmt
Management And General	$25,269,028	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,318,108	TotalAmt
Program Services	$66,665	ProgramServicesAmt
Management And General	$2,251,443	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,228,196	TotalAmt
Program Services	$5,347,670	ProgramServicesAmt
Management And General	$5,880,526	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,972,674	TotalAmt
Management And General	$20,972,674	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,164,399	TotalAmt
Program Services	$11,132,777	ProgramServicesAmt
Management And General	$6,031,622	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,465,684	TotalAmt
Program Services	$670,289	ProgramServicesAmt
Management And General	$795,395	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$35,166	TotalAmt
Program Services	$125	ProgramServicesAmt
Management And General	$35,041	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,618,891	TotalAmt
Management And General	$13,618,891	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$6,454,247	TotalAmt
Program Services	$6,454,247	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,554,059	TotalAmt
Program Services	$17,506,651	ProgramServicesAmt
Management And General	$26,047,408	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,035,373	TotalAmt
Program Services	$14,917	ProgramServicesAmt
Management And General	$14,020,456	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$260,439,274	$260,439,274
Provision for Uncollect	$40,048,233	$40,048,233
Provider Tax	$30,680,094	$30,680,094
Sales & Use Tax	$12,793,142		$12,793,142

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,950,621	TotalAmt
Program Services	$1,687,800	ProgramServicesAmt
Management And General	$23,262,821	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,237,843,401	TotalAmt
Program Services	$933,638,819	ProgramServicesAmt
Management And General	$303,841,018	ManagementAndGeneralAmt
Fundraising	$363,564	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$39,860	BOYAmt
EOY	$38,189	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$113,703,895	BOYAmt
EOY	$299,004,132	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$291,090,863	BOYAmt
EOY	$256,765,441	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$2,855,712	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$740	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$21,206,600	BOYAmt
EOY	$24,782,711	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,180,474	BOYAmt
EOY	$8,810,198	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,155,386,777	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$765,119,367	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$380,539,396	BOYAmt
EOY	$390,267,410	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,504,972	BOYAmt
EOY	$10,058,512	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$87,063,454	BOYAmt
EOY	$95,474,632	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,493,454	BOYAmt
EOY	$14,207,151	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$144,461,902	BOYAmt
EOY	$131,324,840	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,075,285,610	BOYAmt
EOY	$1,233,588,928	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$165,165,253	BOYAmt
EOY	$175,469,123	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$5,565,366	BOYAmt
EOY	$5,150,920	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$279,739,245	BOYAmt
EOY	$275,444,743	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$48,278	BOYAmt
EOY	$22,041	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$83,866,574	BOYAmt
EOY	$87,118,197	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,667,027	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,815,613	BOYAmt
EOY	$173,855,945	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$611,867,356	BOYAmt
EOY	$717,060,969	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	$410,582,588	BOYAmt
EOY	$448,599,589	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$52,835,666	BOYAmt
EOY	$67,928,370	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$463,418,254	BOYAmt
EOY	$516,527,959	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,075,285,610	BOYAmt
EOY	$1,233,588,928	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,107,295	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$612,831	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,389,579	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)
Hospital	Yes (X)	HospitalInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$4,099	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$93,642	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$172,551	OtherActivitiesAmt
Total Lobbying Expenditures	$270,292	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Occasionally, individuals are asked by legislators at both the state and national levels for opinions on certain issues and the process of health-related legislation. At such time, CAMC representatives may hold discussions with legislative officials to present their information and perspectives regarding various health care issues. Such interactions do not typically involve CAMC expressing whether or not they support a particular bill, but rather consist of general discussions related to the pertinent health issues. CAMC is a member of the West Virginia Hospital Association, Association of American Medical Colleges, and 340B Health for Pharmaceutical Access. A percentage of the membership dues paid are related to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$52,835,664	BeginningYearBalanceAmt
Contributions	$8,393,645	ContributionsAmt
Investment Earnings Or Losses	$6,721,179	InvestmentEarningsOrLossesAmt
Other Expenditures	$781,632	OtherExpendituresAmt
End Year Balance	$67,168,860	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$44,399,161	BeginningYearBalanceAmt
Contributions	$1,203,066	ContributionsAmt
Investment Earnings Or Losses	$8,290,644	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,057,207	OtherExpendituresAmt
End Year Balance	$52,835,664	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,735,117	BeginningYearBalanceAmt
Contributions	$1,198,091	ContributionsAmt
Investment Earnings Or Losses	-$1,872,517	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,661,530	OtherExpendituresAmt
End Year Balance	$44,399,161	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$41,042,263	BeginningYearBalanceAmt
Contributions	$1,557,388	ContributionsAmt
Investment Earnings Or Losses	$5,953,945	InvestmentEarningsOrLossesAmt
Other Expenditures	$818,479	OtherExpendituresAmt
End Year Balance	$47,735,117	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,936,483	BeginningYearBalanceAmt
Contributions	$664,817	ContributionsAmt
Investment Earnings Or Losses	$3,046,608	InvestmentEarningsOrLossesAmt
Other Expenditures	$605,645	OtherExpendituresAmt
End Year Balance	$41,042,263	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.28000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.72000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,416,168	OtherCostOrOtherBasisAmt
Book Value	$31,416,168	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$535,387,020	OtherCostOrOtherBasisAmt
Depreciation	$301,074,780	DepreciationAmt
Book Value	$234,312,240	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,262,679	OtherCostOrOtherBasisAmt
Depreciation	$10,449,592	DepreciationAmt
Book Value	$1,813,087	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$523,684,435	OtherCostOrOtherBasisAmt
Depreciation	$438,123,027	DepreciationAmt
Book Value	$85,561,408	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,636,475	OtherCostOrOtherBasisAmt
Depreciation	$15,471,968	DepreciationAmt
Book Value	$37,164,507	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$390,267,410	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Malpractice Fund	$50,227,221	F
Malpractice Fund	$4,247,830	C
Recruitment/Student Loan	$2,138,935	C
Investments Other	$6,329,915	C
2013 Note Project Fund	$32,530,731	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$95,474,632	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets - CAMC Foundation, Inc.	$67,168,860
Bond Project Funds	$21,779,243
Bond Collateral	$27,500,000
Derivative Asset Value	$5,497,082
Affiliate Receivable - CAMC Foundation, Inc.	$1,218,601
Affiliate Receivable - CHERI	$1,227,559
Trustee Funds	$6,933,495

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$131,324,840	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$159,487	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Estimated Malpractice Claims	$22,556,171
CMS Advance	$117,072,149
Estimated Workers Compensation Claims	$1,411,802
Settlements due to 3rd Parties	$16,623,454
Affiliate Payable - CAMC Foundation, Inc.	$49,287
Affiliate Payable - CHERI	$1,358,572
Estimated Retiree Health	$1,894,438
Umbrella Trust and SERP	$12,730,585

Field	Value	IRS element (for citing)
Total Liability	$173,855,945	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	CAMC operates HealthCare Financial Services, which provides collections services to outside clients. Payments that are not recovered by the collection department include both the commission portion and the amount due to the outside client. The amount listed in Part X Line 21 reflects the amount payable by CAMC to the clients.
Part V, Line 4:	To further the mission of the organization.
Part X, Line 2:	CAMC's financial statements are audited as part of the financial statements of CAMC Health System, 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 CAMC, the Foundation, the Institute and the Health Network are exempt from income taxes under Section 501 (c)(3) of the Code and applicable state statutes. The System does not have any material uncertain tax positions as of December 31, 2020."

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,840,276	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,840,276	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$275,181,549	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$165,118,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,063,549	NetCommunityBenefitExpnsAmt
Total Expense	0.09180	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,450,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,262,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,187,885	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$297,472,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$166,380,532	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$131,091,710	NetCommunityBenefitExpnsAmt
Total Expense	0.10940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,699,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$206,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,493,729	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,798,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,750,863	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,047,719	NetCommunityBenefitExpnsAmt
Total Expense	0.03340	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$833,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$398,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$435,096	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$221,516	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$221,516	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,553,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,355,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,198,060	NetCommunityBenefitExpnsAmt
Total Expense	0.03520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$348,026,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$174,736,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$173,289,770	NetCommunityBenefitExpnsAmt
Total Expense	0.14460	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,241	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$332,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$366	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$333,807	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$333,807	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$39,095,434	BadDebtExpenseAmt
Bad Debt Expense Attributable	$14,477,039	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$299,711,132	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$534,567,487	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$234,856,355	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 General Division Medical Office Building LLC
Medical Office Space Rental	0.79930	0.20070
2 Charleston Area Radiation Therapy Centers LLC
Radiation Therapy	0.20000	0.30000

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CAMC Memorial Hospital
1	3200 MacCorkle Avenue	Charleston	WV	25304	www.camc.org	20	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CAMC General Hospital
2	501 Morris Street	Charleston	WV	25301	www.camc.org	20	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CAMC Women and Children's Hospital
3	800 Pennsylvania Avenue	Charleston	WV	253025302	www.camc.org	20	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CAMC Teays Valley Hospital
4	1400 Hospital Drive	Hurricane	WV	25526	www.camc.org	20	Yes (X)	Yes (X)	Yes (X)	Yes (X)	B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
Facility Reporting Group - A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	See Part V, Section C.	Yes (X)	http://www.kcchi.info/	Yes (X)	Yes (1)	20	Yes (1)	See Part V, Section C.	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
Facility Reporting Group - B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	See Part V, Section C.			Yes (X)	Yes (1)	18	Yes (1)	See Part V, Section C.	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B. Facility Reporting Group A	Part V, Section B, line 7a: https://www.camc.org/sites/default/files/communitybenefit/2020-2022%20Community%20Health%20Needs%20Assessment%20and%202020-2022%20Implementation%20Strategy%20Final.pdfSchedule H, Part V, Section B. Facility Reporting Group APart V, Section B, Line 10a:https://www.camc.org/sites/default/files/communitybenefit/2020-2022%20Community%20Health%20Needs%20Assessment%20and%202020-2022%20Implementation%20Strategy%20Final.pdf
Part VI:	Part V, Section B, line 7a: https://www.camc.org/documents/Community/2018%20CAMC%20Teays%20Community%20Benefit%20Needs%20Assessment%20and%20Implementation%20Strategies.pdfSchedule H, Part V, Section B. Facility Reporting Group BPart V, Section B, line 10a: https://www.camc.org/documents/Community/2018%20CAMC%20Teays%20Community%20Benefit%20Needs%20Assessment%20and%20Implementation%20Strategies.pdf
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: CAMC Memorial Hospital, - Facility 2: CAMC General Hospital, - Facility 3: CAMC Women and Children's Hospital
Facility Reporting Group - A Part V, Section B, line 5:	Steering Committee:Steering Committee Members are from CAMC, Thomas Health System,Charleston Area Alliance, Kanawha County Schools, WVBureau for Public Health, Partnership of African American Churches and theKanawha Coalition for Community Health Improvement and they serve in anadvisory capacity for the Coalition. The Steering Committee follows a setof Guiding Principles as it promotes and safeguards the integrity of thecollaborative process as each assumes the role of an equal partner in theprocess. They make tangible commitments of resources to the Coalition andbelieve that the process is the product and serves as the vehicle to putpeople together to explore and address challenges and opportunities toimprove the health of the people of Kanawha County. The Steering Committeeis committed to including all members of the community in the communityhealth needs assessment process as it cultivates a community-wide sense ofownership, not organizational ownership. It provides encouragement andsupport to keep Coalition volunteers engaged and motivated while remainingflexible in its approach to meeting community needs. It believes incontinuous quality improvement and supports an ongoing process to evaluateand improve outcomes and it celebrates successes along the way.Members of the Kanawha Coalition Steering Committee actively participatein the survey planning process to provide public health insight and ensuredata integrity. Additionally, epidemiologists from the West VirginiaDepartment of Health and Human Services work with the Coalition forquestion design for consistency with other surveys to allow benchmarks andcomparisons. In addition, experts, or key informants, provide in-depthinformation on the community across all areas of social determinants of health. The Steering Committee also provides contact information for subject experts (key informants) in the community.Expert (key informant) Surveying Process:The Kanawha Coalition for Community Health Improvement's leadership team identified 283 individual subject experts across the social determinants of heath and invited them to participate in an Expert Opinion Survey process. Two hundred and eighteen experts participated in this process. This process included three-steps. Seventy experts participated in step one by taking an online survey that asked their opinions across a broad list of topics that affect health. These topics were categorized under LIVE: Health and Social; LIVE: Safety and Infrastructure; LEARN; WORK; and PLAY. Twenty-five experts attended a convening to further discuss and decide which top challenges under each category should move forward to the final ranking. During this convening experts were provided the results of the first online expert survey, held round table discussions and ranked the top 5 challenges under LIVE: Health and Social; LIVE: Safety and Infrastructure; LEARN; WORK; and PLAY. In step-three, experts were invited to participate in the final ranking of the top challenges from the challenges defined in step-two. The final ranking criteria considered whether challenges appeared to be: A. Greater in certain parts of the county or specific populations; B. Had baseline data that would help us measure our impact C. Other communities had been able to overcome this challenge D. Could be resolved in 3-5 years or less E. Had no one currently working to address them F. Would create a major improvement in the quality of lifeG. Reduce long-term cost to the community. Experts ranked the following as top priorities:LIVE: Health and SocialAccess to Health Promotion and Chronic Disease Prevention EducationLIVE: Safety and InfrastructureSafe roads LEARN: Access to childcare (early childhood education)WORK: Barriers to employmentPLAY: Lack of safe and adequate recreational space in neighborhoods Community Survey Process (Residents and Employees in Kanawha County)The top priority areas ranked by experts were shared with people who live and/or work in Kanawha County. The feedback collected through this survey validated the priorities ranked through the Expert Survey. This feedback resulted in "safe roads" being expanded to include "access to transportation", and "access to childcare" being expanded to "access to early childhood development". Employees at 18 worksites participated in our community-based survey. KCCHI conducted 15 listening sessions that drew a low attendance. Therefore, KCCHI expanded its outreach to include paper and online surveying. Below is the breakdown for number of participants in the community survey process. 15 Listening sessions (30 attendees) 91 clip board surveys 165 paper surveys (642 responses) 1235 online survey responses: o LIVE Health & Social = 330 o LIVE Safety & Infrastructure = 242 o LEARN = 207 o WORK = 234 o PLAY = 222 Inclusion of Vulnerable Populations: o Homeless o People with Substance Use Disorder o Low Income o Single parents o Domestic violence survivors o Senior citizens Employee Surveys: o Cabin Creek Health Center o Charleston Area Alliance o Charleston Area Medical Center o Covenant House o DOW Chemical o FamilyCare o First Choice/ 211 o Highland Hospital o Kanawha County Commission o Kanawha County Schools o Kanawha County Sheriff's Department o Manna Meal o Region 3 Workforce Investment Board o Thomas Memorial Hospital o University of Charleston o WV Attorney General's Office o WV Health Right o YWCA
Facility Reporting Group - A Part V, Section B, line 6a:	Thomas Health System (Thomas Memorial Hospital and St. Francis Hospital)
Facility Reporting Group - A Part V, Section B, line 6b:	Charleston Area Alliance, Kanawha County Schools, WV Bureau for Public Health, Partnership of African American Churches and the Kanawha Coalition for Community Health Improvement.
Facility Reporting Group - A Part V, Section B, line 11:	Under LIVE: Health and Social CAMC identified the following as community priorities and funded as part of operational planning by the CAMC Board of Trustees: Diabetes, Obesity, Limited Access to Food, Heart Disease, COPD, Cancer, Substance Use Disorder, HIV/AIDS, Hepatitis A/B/C, Mental Health and Wellness Promotion.Diabetes was addressed via the Keys 4 HealthyKids Reduce Childhood Obesity, Prevent Diabetes program and Gestational diabetes classes at the Family Resource Center.Obesity was addressed via Keys for HealthyKids- Improve Access and Consumption of Local Produce, the CAMC Get Physical program, CAMC Mall Walkers, Healthy Wage Challenges (Weight Loss/Healthy Steps), and Play Patch at the Charleston Town Center Mall.Limited Access to Food was addressed with our Build the Base of Local Growers and Artisans program.Heart Disease was address via our Advanced Life Support Training provided to local health care providers. CAMC addresses the problem through its Heart Failure Readmission reduction efforts and CMS Indicator compliance. We sponsor the American Heart Association and provide information at their events. Our Women Heart Support Group and Charleston WV Heart Walk event also expands heart disease education in the community.COPD is addressed through CMS Indicator Compliance and the reduction in COPD readmission rates. We also participate in the Tobacco Free day and have smoke free campuses.Cancer is addressed via opportunities to educate at events such as the Relay for Life, Run for Your Life, Bike Trek, the Great American Smokeout. Our many Cancer Center support groups, the healthy steps program, the provision of mental health services for children with Cancer are all resources the community relies on. We also provide free mammograms to uninsured/underinsured women.Substance Use Disorder, HIV AIDS, Hepatitis A/B/C are addressed through our Ryan White Program, WECARE, Baby First Program Addiction Services Peer Recovery Support Specialists, and donations to REA of Hope Fellowship Home through Civic Affairs.Mental Health is addressed via outpatient mental health services for uninsured and underinsured residents, treatment of dementia, and mental health services for children with cancer.Wellness Promotion is provided through the Health Information Center, Discounted Lab Work, Flu Vaccines and COVID19 Vaccines with the Health Department. Under LIVE: Safety and Infrastructure Safe Roads and Transportation CAMC targeted Homelessness, Safe/Distracted Driving, and Access to Transportation.Homelessness was addressed via our support and the provision of pharmacy services at WV HealthRight and cash donations to Covenant House through Civic Affairs.Safe/Distracted Driving was addressed via donations to Project Graduation however the normal distracted driving outreach program could not be performed due to COVID19.Access to Transportation was addressed via Transportation resources for adults with cancer, CAMC Uber and donations to Faith in Action via Civic Affairs.Under LEARN: Access to Affordable and Adequate Early Childhood Education CAMC provides donations to the Grandfamilies Program, the Childhood Language Center, and the Children's Therapy Clinic via Civic Affairs. The Improve Access and Consumption of Local Produce Program also targeted this group.Under WORK: Barriers to Work CAMC addressed Low Wages with its Medical Explorers Program, the Healthcare Career Showcase, CAMC Career Road Map, and participates on the Workforce Innovation and Opportunities Act board. For Lack of Job Opportunities CAMC provides Imagine U, Junior Nurse Academy and the Build the Base Local Growers and Artisans program. Some of these were limited in 2020 due to COVID19.Under PLAY: Access to safe and adequate recreation, exercise, and play opportunities CAMC provides the Play Patch at the Charleston Town Center Mall, works on various projects during the United Way Day of Caring, and the Think First for Kids program.
Facility Reporting Group - A Part V, Section B, line 13h:	Other criteria considered for financial assistance eligibility: A financial assistance estimation tool that utilizes public records; and whether or not a patient receives assistance from certain state agencies.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 4: CAMC Teays Valley Hospital
Facility Reporting Group - B Part V, Section B, line 5:	Putnam County Health Improvement Advisory Committee completed a community survey in May 2018 to identify top issues in Putnam County in the following categories: quality of life, health behaviors, issues affecting quality of life, existing health conditions, and access to care. There were 150 responses collected with 144 of those responses from Putnam County (76% female, 23% male). Towns represented include Bancroft, Buffalo, Culloden, Eleanor, Frazier's Bottom, Hometown, Hurricane, Liberty, Poca, Red House, Scott Depot, Teays and Winfield.Putnam County Health Improvement Key Informant/Partner Survey (May 2018). 47 respondents from a variety of professional sectors including Governmental (21.3%), Health care provider (10.6%), Health care organization (8.5%), Law enforcement (8.5%), Business (6.4%), Mental/Behavioral health (6.4%) and Public safety (6.4%). The findings follow: o Target Populations with Greatest Unmet Need: addictions, mental health, and low income. o Youth Health Risks/Risky Behaviors: drug use (illicit drugs & prescription medications), child abuse/neglect, and unsafe driving habits. o Adult Health Risks/Risky Behaviors: drug use (illicit drugs), obesity, and affordable health care. o Older Adult Health Risks/Risky Behaviors: social isolation, affordable prescriptions, and affordable health care.o Community and Environmental Factors: lack of access to community recreation, lack of access to health foods, and public safety (unsafe neighborhoods). o Clinical Care Barriers to Healthcare. At least 50% of respondents identified the following health care services as having a significant or highly significant barrier to access- Addiction, Mental Health, Dental, Long Term Care, Healthcare Specialists, Primary Care, Vision, and Prescription Drug services.EnAct Community Needs Assessment Putnam County. In May 2018, EnAct Community Action Agency conducted a needs assessment in Boone, Clay, Fayette, Kanawha and Putnam Counties. The project included planning sessions with an interagency team, surveys of key community stakeholders and clients, community discussions with stakeholder groups, researching and compiling various available secondary data sets that inform the assessment and development of the community needs assessment report with key findings. 49 key informants familiar with local services and community conditions 16 completed the community survey in Putnam County. The information presented was prepared and presented by EnAct and EPIC Mission and Collective Impact, LLC. The top issues identified in the following priority areas of need for low income people in Putnam county include:o Healthcare: access to affordable health insurance, assistance with dental procedures, more affordable prescription drugs, and additional substance abuse treatment services.o Nutrition: transporation to grocery store, food pantry, or other food resources; increased availability of food programs such as senior center meals, Meals on Wheels or food pantries, and additional outlets (grocery store) for purchase of healthy food or Education about healthy food choiceso Children's Needs: safe, drug free recreation programs for teens; summer activities including day camps for kids; safe homes and neighborhoods.o Senior Needs: meal delivery services, home modifications to accomodate handicaps or limited mobility, and information about internet or phone fraud targeted at Seniors.Key leaders from these groups in Putnam County identified and prioritized community health needs. Through CAMC Teays Valley Hospital's strategic planning process, the community health needs assessment and prioritized community health needs are used to set community health implementation strategies for CAMC Teays Valley Hospital. The Putnam County needs assessment was coordinated using input from the following individuals: Bill O'Dell, Program Director, Putnam County Wellness Coalition Cindy Farley, Chairwoman of the Putnam County Board of Health, John D. Law, Putnam County Health Department Information Officer, Randy Hodges, Vice President/Administrator, CAMC Teays Valley Hospital, Wanda Marks, CAMC Teays Valley Hospital Representative, E. Michael Robie, D.O., CAMC Teays Valley Hospital Representative.
Facility Reporting Group - B Part V, Section B, line 6b:	Putnam County Health Improvement Advisory Committee, Putnam County Health Improvement Key Informant Partner Survey, Putnam Wellness Coalition Survey, EnAct Community Needs Assessment
Facility Reporting Group - B Part V, Section B, line 11:	The following health issues are identified as community priorities in 2018 for 2018-2020: Overweight/Obesity, Access to Specialty Health Care, Substance Abuse (Prevention, Treatment, and Recovery Resources), High Blood Pressure/High Cholesterol, Access to Affordable Health Care, Managing Weight/Exercising/Physical Fitness, Low Income/Poverty, Abuse/Neglect in Children, Access to Affordable Healthy Foods, Adequate Health and Wellness Activities/Adequate Sidewalks, Sufficient Public Transportation, Depression/Anxiety, and Parenting Skills. Implementation strategies for 2018-2020 with 2020 progress updates include:1.) One community need priority addressed is Overweight/Obesity and it is normally addressed via the provision of free sports physicals, orthopedic coverage for area sporting events, donations for sporting equipment, transportation, and sponsorships for area schools and the support of community activities such as Heart Walks and Go Red as well as support for Camp Kno Koma. Due to COVID19 only donations to the American Heart Association Heart Walk Fund was performed in 2020.2.) Another community need priority addressed is Access to Specialty Health Care. We are providing surgery, neurology, urology, orthopedics, oncology, vascular, Level III Cardiac Rehab and Pain Management to the community.3.) Another community need priority addressed is Substance Abuse (Prevention, Treatment and Recovery resources) We provide sponsorship and board direction for the Putnam County Juvenile Drug Court, the 911 Advisory Committee, and the Putnam county Health Improvement Advisory Committee.4.) Another community need priority addressed is High Blood Pressure/High Cholesterol. We normally provide screenings during the Putnam County Homecoming Health Fair, Winfield Fair, sports physicals, and through our Level III Cardiac Rehab Services. We also provide education materials via the Backpack Buddy program and at various community fairs and festivals. Due to COVID19 only Cardiac Rehab Services and the Backpack Buddy program were addressed.5.) Another community need priority addressed is Access to Affordable Health Care. We provide reduced cost lab work, free sports physicals, charity care, and enrollment assistance for patients and families for health coverage.6.) Another community need priority addressed is Managing Weight/Exercising/Physical Fitness. We supported Camp Kno Koma, provided sports physicals, orthopedic coverage for sporting events and donations for sporting equipment and transportation. We also supported Heart Walks and Go Red. Due to COVID19 none of these activities were undertaken.7.) Another community need priority addressed is Low Income/Poverty. We provide charity care and enrollment assistance for patients and families for health coverage. We also provide support for the Putnam County Schools Health Services Cluster Career Conference, the Health Occupations Students Association, the Backpack Buddy Program, and the Putnam Wellness Coalition.8.) Another community need priority addressed is Abuse/Neglect in Children. We provide support for the Putnam Wellness Coalition, the Officer Phil Program, Mandatory reports to the Department of Health and Human Services for Child Abuse and provide trained nurses for the Sexual Assault Nurse Examiner (SANE) program.9.) Another community need priority addressed is Access to Affordable Healthy Foods. We provide support for the Backpack Buddy Program and Putnam Aging Agency.10.) Another community need priority addressed is Adequate Health and Wellness Activities/Adequate Sidewalks. We support the Putnam Wellness Coalition, the Medical Response Team at Bible Center Church, Stop the Bleed Program, Sports Physicals, Orthopedic Coverage for area sporting events, donations of sporting equipment, transportation and sponsorships for area schools. We also support area Heart Walks, Fairs and Festivals.CAMC is unable to address certain community health needs:1.) Sufficient Public Transportation: CAMC Teays does not have the capability or funding to address this issue.2.) Depression/Anxiety: This issue is addressed by CAMC General Hospital in Charleston.3.) Parenting Skills: This issue is supported through the Family Resource Center at Women and Children's Hospital in Charleston.4.) Adequate Sidewalks: CAMC Teays does not have the capability or funding to address this issue.
Facility Reporting Group - B Part V, Section B, line 13h:	Other criteria considered for financial assistance eligibility: A financial assistance estimation tool that utilizes public records; and whether or not a patient receives assistance from certain state agencies.

Field	Value	IRS element (for citing)
Facility	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CAMC Imaging Center
60 RHL Boulevard	South Charleston	WV	25309	Outpatient Imaging Center
2 - CAMC Urgent Care Center
314 Goff Mountain Road Suite 3	Cross Lanes	WV	25313	Urgent Care Facility
3 - CAMC Physical Therapy and Sports Med
200 Tracy Way	Charleston	WV	253111258	Rehabilitation Facility
4 - CAMC Solutions
2568 Pennsylvania Avenue	Charleston	WV	253024907	Pharmacy Compounding Center
5 - CAMC Rheumatology
4610 Kanawha Ave SW	South Charleston	WV	25309	Rheumatology
6 - St Mary's Laboratory Services
2900 First Ave Suite 607	Huntington	WV	25702	Laboratory Services
7 - CAMC Weight Loss Center
600 Tracy Way Suite 2	Charleston	WV	25311	Weight Loss Center
8 - CAMC Primary Care-Nitro
4111 First Avenue 3	Nitro	WV	25143	Family Practice
9 - CAMC Primary Care-Winfield
3456 Winfield Road	Winfield	WV	25526	Family Practice
10 - Plastic Surgery Center
210 Brooks Street Suite 200	Charleston	WV	25301	Plastic Surgery
11 - Teays Valley Orthopedics
3703 Teays Valley Road	Hurricane	WV	25526	Orthopedic Center
12 - Urologic Surgical Center
11 Courtney Drive	Charleston	WV	25304	Urological Center
13 - Cardiology-South Charleston
4610 Kanawha Ave SW	South Charleston	WV	25309	Cardiology
14 - Cardiology-Summersville
400 Fairview Heights Road	Summersville	WV	26651	Cardiology
15 - Orthopedics - Madison
467 Main Street Suite 1	Madison	WV	25310	Orthopedic Center
16 - CAMC EP Cardiology
3100 MacCorkle Avenue SE Suite 205	Charleston	WV	25304	Cardiology
17 - CAMC Primary Care-Teays Valley
1204 Hospital Drive	Hurricane	WV	25526	Family Practice
18 - CAMC Employee Wellness Center
3418 Staunton Avenue	Charleston	WV	25304	Employee Wellness
19 - CAMC Gastroenterology
2930 Chesterfield Avenue	Charleston	WV	25304	Gastroenterology
20 - CAMC Cardiology Beckley
1836 Harper Road	Beckley	WV	258013366	Cardiology
21 - CAMC GVMC
1320 Maplewood Avenue	Ronceverte	WV	249708016	Medical Center
22 - Ryan White Clinic Beckley
1838 Harper Road	Beckley	WV	258013366	Clinic
23 - CAMC CardiologyUrology
50 Veres Drive	Chapmanville	WV	25508	Cardiology and Urology
24 - CAMC Ryan White Program-Beckley
1838 Harper Road	Beckley	WV	25801	HIV/AIDS Clinic
25 - CAMC Gynecology Oncology #13
Courtney Dr Sedgely Office Park	Charleston	WV	25304	Gynecology/Oncology
26 - CAMC HeartFit (Cardiopulmonary Rehab)
130 57th Street SE	Charleston	WV	25304	Cardio Rehab

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	CAMC may screen private pay balances for pre-qualified eligibility by using financial assistance estimation tools that access public records. Using a proprietary algorithm (looking at tax records, bankruptcies, etc), the tool returns whether the patient is likely to qualify for the Financial Assistance Policy. In cases where pre-qualified eligibility does not qualify a patient for financial assistance, the patient may complete a financial assistance application where application material is evaluated to determine if the patient can qualify based on income and assets. If the patient meets income criteria for eligibility an inventory of available assets is evaluated. If the patients available assets fall below $50,000 excluding the patients primary residence and primary vehicle, the patient will qualify for financial assistance.If a patient is found to be receiving certain State agency assistance (i.e. WIC, SNAP, etc.), such patient will be presumed eligible for CAMCfinancial assistance, and they will be asked to submit an abbreviated application containing only the information regarding their state agency assistance.
Part I, Line 7:	Utilized worksheet 2 to determine cost-to-charge ratio.
Part I, Ln 7 Col(f):	The bad debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $39,095,434
Part II, Community Building Activities:	CAMC Memorial, General and Women and Children's Hospitals community building activities improve the community's health and safety by addressing the root causes of health problems. CAMC is a member of the Partner's in Health Network, Inc. ("Partners"), which is comprised of a network of mostly small and rural hospitals, clinics and health departments who work together to address quality and educational needs for improving the care management, assistance with NCQA accreditation for patient centered medical homes and improved quality through addressing sepsis and other health issues. Access to health care for 5,000 working uninsured individuals in central and southern West Virginia is provided through Partner's Community Access Program. Additionally, CAMC provides students enrolled in post-secondary education with related on-the-job training that is required for their graduation. Health Fairs for the community focusing on adults and children provide screening and health information to identify and address health issues. CAMC also partners with the Greater Kanawha Valley Foundation to create a value chain food system to support wealth creation for local growers.Kanawha Coalition for Community Health Improvement (KCCHI) Drugs:o Secured additional funding for the purchase of updated Too Good For Drugs curriculum for all grades K-8.o Provided Too Good For Drugs instructor training for elementary and middle school personnel.o Too Good For Drugs implemented in grades K-8, School Year 2018-2019 (Pre/Post Survey completed and submitted by schools)o Partnered with Kanawha County Schools on Generation Rx program delivered by University of Charleston School of Pharmacy students for all third grade class rooms in Kanawha County, funded by Cardinal Health.o KCCHI facilitated a Substainability Retreat for the Kanawha Communities That Care Board of Directors.o KCCHI and the Kanawha Communities That Care Board partnered with United Way of Central West Virginia to transfer Kanawha Communities That Care as a new program of the United Way as a means of sustaining it's work (October 2019). Diabetes:o Established first ever Kanawha Diabetes Coalition (KDC). It has met monthly since May 2017.o KDC has 140 individual members, representing 60 organizations.o Completed inventory of Kanawha County diabetes and pre-diabetes programs.o The Kanawha Diabetes Coalition continually works with WVU School of Public Health on Health Connect to regularly update.o Kanawha County resources for WV Health Connect website. https://www..healthconnection.com/kanwha-diabetes-coalitionresource.o Surveyed Kanawha County clinics regarding their usage of the CDC Prediabetes Screening Test.o Convened major payer to discuss return on investment for Prediabetes programs.o Conducted community assessment, including an environmental scan, of pre-diabetes resources, access to healthy foods, and physical activity opportunities for residents in of the flood ravaged Clendenin, WV area. Presented findings and recommendations to Mayor of Clendenin and members of Clendenin City Council.o Developed Internship opportunities for KCCHI KCD work.o Developed written goals and objectives for KDC 2019-2020.o Developed Committee and Leadership structure for the KDC.o Partnered with Quality Insights to develop a Toolkit on How to Start a Diabetes Coalition.o Presented on the Diabetes Coalition Toolkit at the 2019 Try This WV Conference.Obesity:o Included Kanawha County physical activity opportunities in the Health Connection database.o Recruited community-based (non-profit and for profit) physical activity services to the Kanawha Diabetes Coalition. Fitness instructors at local businesses have become certified in the National Pre-Diabetes Prevention Program. o KCCHI continues to serve as a member of the KEYS 4 Healthy Kids Steering Committee to address childhood obesity.Communities of Excellence Update:o The Kanawha Coalition is a Cohort One Community for the Communities of Excellence Program, made possible through support of CAMC. This cohort of communities from throughout the nation is working to apply the Baldrige principles for Performance Excellence at the community level.o As a result of our Communities of Excellence work, KCCHI has changed its community assessment model to include Community Health and Social Factors, Community Safety and Infrastructure, Education, Employment, and Local Attractions (arts, entertainment, sports, recreation).CAMC Teays Valley Hospital's community building activities improve the community's health and safety by addressing the root causes of health problems. CAMC Teays Valley supports Medical Explorers, a program designed to introduce youth in Putnam County who have designated health care as their health cluster to the health care environment. This helps to address a lack of parental oversight. Teays also supports the Putnam County Career Fair, Health Services Career Conference, and Portfolio Expositions where area high school students and adults are provided information on the educational requirement for health care careers.
Part III, Line 2:	This is the bad debt expense from the audited financial statements. Bad Debt is the net of discounts, payments and recoveries.
Part III, Line 3:	The estimated amount of bad debt expense attributable to patients eligible under the organization's financial assistance policy would be 14,477,039 for 2020.
Part III, Line 4:	The footnote for Allowance for Uncollectible Accounts is on page 12 of CAMC Health System's audited financial statements. In summary, private pay accounts and amounts for deductibles and co-insurance that are deemed uncollectible that do not appear to meet the charity care guidelines are written off as bad debt expense and appear as a deduction from patient service revenue in the audited financial statements.
Part III, Line 8:	CAMC treats any government reimbursement that is insufficient to cover allocated costs as being a community benefit. CAMC chooses to serve the community by participating in the Medicare program and accepting Medicare reimbursement.Part III, Line 8:Cost to charge ratio from the Medicare costs report is used.
Part III, Line 9b:	CAMC's collection policy makes provisions for patients who qualify for financial assistance. Patients who receive financial assistance must have income at 300% or less of Federal Poverty Guidelines, insufficient assets to pay for the care, and may not be eligible for any public programs. Patients who qualify for financial assistance with income under 200% FPG are given a 100% discount. Patients who qualify for financial assistance with income between 201-300% FPG receive a 50% discount. All patient responsibility debt not approved for financial assistance is reviewed with a financial assistance estimator. This financial assistance estimator process is only used to approve assistance. It is not used to deny assistance. Accounts are only reviewed for Financial Assistance at the 100% discount category. This process is performed before extraordinary collection efforts. Patients without third-party coverage who do not qualify for charity are given a 55% discount from charges (which is greater than any commercial discount). In addition to charity and uninsured discounts, CAMC provides assistance with payment plans, government programs, and an Employee Assistance Program.
Part VI, Line 2:	CAMC supports and strengthens its key communities through a systematic approach that begins with our mission, vision and values. Annually during our strategic planning process we review the community health needs assessment findings and priorities to develop our community strategy. This strategy is based on issues identified through the needs assessment process and supplemented with findings from our internal Environmental Analysis. Communities are identified, strategies are identified and plans are funded, implemented, tracked and measured. Our Board approves the plan and reviews plan progress annually. Because of the size and scope of our services, the approach we use to identify our key communities is based on the strategy, key stakeholders needs, and our capacity. Our community for the KCCHI work groups is Kanawha County as determined by the KCCHI mission. For our CAMC community strategy, community is based on the need identified and population to be addressed. We develop Health Indicator Data Sheets for each of our service area counties and identify key issues to address for all or part of our service area. For example, our Perinatal Telemedicine Project includes 14 rural counties and our Child Advocacy Center and HIV program serve our entire service area. Each strategy is deployed through a planning process that addresses key stakeholder needs and is evaluated based on predetermined criteria for outcomes expected. Cycles of learning have ensured the Civic Affairs Council monetary contributions support community organizations in the service area that are clearly aligned with our community strategy. In addition to addressing community needs and contributing financially, our leadership team serves in key leadership roles for community activities, programs and organizations as well as supports the workforce in participating in many community benefit activities such as Day of Caring and HealthFest. CAMC Teays Valley Hospital supports and strengthens the Putnam County community through its annual planning process where the needs assessmentfindings and priorities are reviewed to develop its community strategy and the community(ies) within Putnam County that are impacted. This strategy is based on issues identified through the needs assessment process and supplemented with findings from review of internal data. Strategies areidentified and plans are funded, implemented, tracked and measured. The CAMC Board Planning and Public Policy Committee and the CAMC Board of Trustees approve the plan and review plan progress annually. In additionto addressing community needs and contributing financially, CAMC Teays' Vice President and Associate Administrator serve in key leadership roles for community activities, programs and organizations as well as supportthe workforce in participating in many community benefit activities. As part of the strategic planning process, CAMC Teays determines if there are additional areas of support that can be provided to address the identified community health needs assessment issues.
Part VI, Line 3:	CAMC informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under CAMC's Financial Assistance Policy during the registration process. Information is available through signage and a plain language summary of the policy is given to each patient. In addition, Financial Assistance applications are available at each registration location. CAMC Financial Counselors are located in each Emergency Department and Admitting area. During registration, if a patient is uninsured, they may be referred to a Financial Counselor who provides education about Charity Care, Medicaid Eligibility and Federal Disability. WV State employees are working remotely but CAMC financial counselors are on site and complete the Medicaid applications and send to the WV State Medicaid workers to process and notify the patients if they quality.
Part VI, Line 4:	CAMC's community area of focus includes our Primary and Secondary Service area. Our primary service area (PSA) includes: Kanawha, Putnam, Fayette, Boone, and Logan Counties. Our secondary service area (SSA) is Clay, Jackson, Lincoln, Mercer, Nicholas, Raleigh, and Roane Counties. Kanawha County constitutes a population of 178,939 with a median age of 43.6 and a Household Income of $47,519. The PSA/SSA population is 554,356 with a median age of 43.6 and a household income of $45,122. Putnam County has a population of 52,786 with a median age of 42.8 and a household income of $68,123. Demographic, health and socioeconomic information is provided in detail in the 2019 Community Benefit Reports found on www.camc.org.
Part VI, Line 5:	CAMC's governing board is its Board of Trustees, a 16 member volunteer community board that meets WV State law requirements for nonprofit board membership including community representation. Admission to the medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. Each CAMC hospital operates a full-time emergency room open to everyone, regardless of ability to pay. CAMC serves a broad cross-section of the community through research and charity care. CAMC applies any surplus funds toward improving facilities, equipment, patient care, medical training, research and education. CAMC's Community Health Improvement Services, Health Professions Education, Financial and In-kind Contributions, Community and Building Activities are detailed in the Community Benefit Report on our website at www.camc.org.In addition to public service messaging on COVID19 CAMC reconfigured the hospital facilities both internally and externally to limit exposure and prevent the spread of the disease within the walls of our facilities. Outpatient drive thru COVID19 testing locations were set up at multiple locations to decompress our four emergency departments. CAMC sought and received permission from the state to set up an outpatient site to provide infusion pharmaceuticals for the treatment of COVID patients who did not require inpatient admission. CAMC also developed an outpatient site to provide follow-up care to COVID19 patients recovering from the disease. The cost of these activities was covered by CARES Act funding but they are worth mentioning as community benefit as a great deal of work was undertaken to minimize the chance that our facilities would be overwhelmed by patients seeking care for the disease. Setting up these off campus care points limited the exposure of the disease to our patients and contained its spread.
Part VI, Line 6:	CAMC Health Education and Research Institute serves as the education and research arm of the CAMC Health System. The Institute promotes the health of the community by sponsoring health professional training programs training the region's health professionals in the community, region and state sponsoring management and leadership development programs, sponsoring community health education and prevention education programs for the community, conducting clinical and health services research targeted to improve health and health services delivery of our patients and community, pursuing special program funding and grants to support education and research programs, promoting economic development through its employment of approximately 80 full-time education, research and support staff and through its extramural and externally funded sponsored programs, promoting telehealth opportunities that link providers for health consultation and that improves access to health services to patients, creating linkages to education affiliates allowing approximately 800 learners to receive clinical training experiences at CAMC, sponsoring simulation training experiences for regional education affiliates, and promoting and sustaining networks and partnerships that improve access to clinical trials and research funding opportunities. The CAMC Foundations' mission is to support and promote CAMC's delivery of excellent and compassionate health services and CAMC's contribution to the quality of life and economic vitality of the region. This is accomplished through support of many services to CAMC patients and employees. Each year, the Foundation supports the Prevention First Program at CAMC Women and Children's Hospital. The Prevention First Program seeks to reduce medical costs, facilitate all aspects of health care, including support of the medical plan established by the primary care physician, while meeting the special needs of low-income children and families in the home environment. Specifically, the Prevention First Program promotes healthy outcomes that will decrease pre-term labor, infant mortality, unplanned C-Section rate, NICU/PICU length of stay and increase infant birth weight while promoting well-child care and immunizations. The Foundation also helps keep physicians and allied health care employees up-to-date by providing funding for many continuing education programs.
Part VI, Line 7, Reports Filed With States	WV
Part VI:	The following disclosure is in accordance with Rev. Proc 2015-21 Section 7 in regards to Schedule H, Part V, Section B, Line 3:During the tax year, CAMC conducted a new Community Health Needs Assessment (CHNA) for CAMC General Hospital, CAMC Memorial Hospital, and CAMC Women and Children's Hospital as required. In 2020 the CHNA report was drafted to include thorough information regarding the CHNA process and community health needs, however the CHNA report was not formally approved by an authorized body and made available to the public by the year end December 31, 2020. This delay was in large part due to constraints caused by the COVID-19 pandemic, and the new CHNA was approved by an authorized body of the hospital facility shortly after year-end on January 27, 2021. While a paper copy of the CHNA report was available to the public in January upon approval, it was discovered in March 2021 as CAMC worked with tax consultants that the new CHNA was not made widely available to the public on CAMC's website. This was corrected on March 25, 2021. CAMC has also implemented procedures to ensure compliance with this CHNA requirement going forward.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
University of Charleston
2300 MacCorkle Ave SE	Charleston	WV	253041099	550357039	501(c)(3)	$189,996	Nursing, Pharmacy and General Program Support
WV Health Right Inc
1520 Washington Street	Charleston	WV	25311	311066881	501(c)(3)	$148,830	General Program Support
WV Medical Professionals Health Program
4013 Buckhannon Pike	Mount Clare	WV	26408	743226821	501(c)(3)	$50,000	General Program Support
Ronald McDonald House of Charities of Southern West Virginia Inc
910 Pennsylvania Avenue	Charleston	WV	25302	550631080	501(c)(3)	$26,685	General Program Support
March of Dimes
PO Box 18819	Atlanta	GA	31126	131846366	501(c)(3)	$22,500	General Program Support
The Baldrige Foundation
1717 Pennsylvania Ave NW Suite 102	Washington	DC	20006	592891462	501(c)(3)	$10,000	General Program Support
American Heart Association
7272 Greenville Avenue	Dallas	TX	31126	131846366	501(c)(3)	$5,500	General Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Nursing Educational Assistance	124	$1,893,262
Employee Educational Assistance	163	$257,710
Medical Education Assistance	18	$35,675
Employee Dependent Educational Assistance	17	$37,500
Allied Health Educational Assistance	12	$14,625

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	CAMC provides nursing, allied health and medical student educational assistance funded by the CAMC Foundation. An application portfolio is submitted by the candidate and reviewed and scored anonymously by the Foundation's Nursing Allied Health and Medical Student educational assistance committee co-chairs for subsequent educational assistance award by the committee. CAMC provides employee and employee dependent educational assistance. Candidates submit an application and required materials and a committee reviews applications based on educational assistance guidelines and criteria and awards educational assistance. Educational assistance payments are submitted directly to the college or university on behalf of the recipient. CAMC provides support to the University of Charleston ("UC") nursing program and pharmacy school program. UC is a nonprofit, tax exempt organization. UC provided CAMC with an acknowledgement letter along with a giving history report. CAMC provides assistance to various community programs which are reviewed by the Civic Affairs Council for award or at the discretion of the Chief Executive Officer.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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 & Trustee	$852,596	$0	$577,218	$0	$264,621	$0	$94,817	$0	$49,988	$0	$1,839,240	$0	$95,333	$0
Elie G Gharib MD
Trustee/Chief of Staff	$1,648,586	$0	$1,000	$0	$0	$0	$11,400	$0	$38,980	$0	$1,699,966	$0	$0	$0
Robert Shin MD
Physician	$1,612,560	$0	$1,000	$0	$176	$0	$11,400	$0	$30,173	$0	$1,655,309	$0	$0	$0
Samuel Rossi MD
Physician	$1,590,041	$0	$1,000	$0	$0	$0	$9,797	$0	$25,013	$0	$1,625,851	$0	$0	$0
Nathan Kister MD
Physician	$1,405,543	$0	$1,000	$0	$50,400	$0	$11,400	$0	$38,057	$0	$1,506,400	$0	$0	$0
Sangeeta Mandapaka MD
Physician	$1,389,627	$0	$1,000	$0	$0	$0	$11,400	$0	$13,919	$0	$1,415,946	$0	$0	$0
Mitchell N Rashid
Physician	$1,310,157	$0	$1,000	$0	$0	$0	$11,400	$0	$48,980	$0	$1,371,537	$0	$0	$0
Glenn Crotty Jr MD
Executive VP & COO	$591,335	$0	$416,774	$0	$90,674	$0	$11,400	$0	$40,983	$0	$1,151,166	$0	$104,537	$0
Jeff Sandene
Executive VP & CFO	$505,550	$0	$175,529	$0	$110,265	$0	$196,737	$0	$40,657	$0	$1,028,738	$0	$51,790	$0
Jeffrey L Oskin
VP Administrator	$412,655	$0	$86,138	$0	$89,910	$0	$253,914	$0	$23,186	$0	$865,803	$0	$75,391	$0
Jeffrey H Goode
VP Ambulatory Services	$342,039	$0	$84,147	$0	$62,219	$0	$283,708	$0	$46,428	$0	$818,541	$0	$38,432	$0
Thomas P McIlwain MD
VP Medical Affairs and CMO	$409,638	$0	$263,473	$0	$80,397	$0	$10,901	$0	$29,329	$0	$793,738	$0	$169,608	$0
Angela Fenton Hill
Secretary & Gen Counsel	$326,861	$0	$76,100	$0	$48,443	$0	$178,314	$0	$30,585	$0	$660,303	$0	$34,054	$0
Kristi Snyder
VP Human Resources	$321,563	$0	$77,718	$0	$37,262	$0	$165,091	$0	$11,394	$0	$613,028	$0	$25,584	$0
S Andrew Weber
VP Administrator	$296,107	$0	$71,876	$0	$46,041	$0	$139,831	$0	$43,359	$0	$597,214	$0	$34,279	$0
Michael D Williams
VP Administrator	$344,693	$0	$68,022	$0	$44,010	$0	$38,041	$0	$39,594	$0	$534,360	$0	$28,124	$0
Heidi Edwards
VP Prof Prac & CNO	$235,594	$0	$51,231	$0	$49,977	$0	$138,288	$0	$44,844	$0	$519,934	$0	$34,182	$0
Stephen Z Bell
VP Finance	$235,928	$0	$58,228	$0	$78,320	$0	$71,162	$0	$16,606	$0	$460,244	$0	$37,589	$0
Randall H Hodges
VP Administrator	$232,573	$0	$63,047	$0	$68,044	$0	$6,709	$0	$31,737	$0	$402,110	$0	$0	$0
Dawn Coon
President CHN	$196,908	$0	$49,400	$0	$35,285	$0	$75,021	$0	$43,364	$0	$399,978	$0	$24,017	$0
E Michael Robie DO
Trustee	$351,782	$0	$1,000	$0	$9,650	$0	$4,967	$0	$14,371	$0	$381,770	$0	$0	$0
Robert D Whitler
VP Gov't & Comm Affairs	$215,077	$0	$53,203	$0	$34,046	$0	$5,652	$0	$29,365	$0	$337,343	$0	$0	$0
Robert B Danielson
VP Corporate Compliance	$195,588	$0	$34,819	$0	$31,492	$0	$4,050	$0	$28,374	$0	$294,323	$0	$0	$0
Rocky Blake
Former Interim VP Info Services	$207,356	$0	$15,810	$0	$0	$0	$4,105	$0	$30,012	$0	$257,283	$0	$0	$0
Daniel Stross
VP Info Services & CIO (start 7/20)	$167,632	$0	$30,000	$0	$11,508	$0	$36,833	$0	$9,515	$0	$255,488	$0	$0	$0
Lillian Morris
Former Interm CNO	$159,035	$0	$23,626	$0	$22,609	$0	$3,519	$0	$3,959	$0	$212,748	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including CAMC) and executives (including CAMC's CEO). The Committee uses the data to determine the total compensation of CAMC's CEO and other executive officers. This data is reviewed every two years or when a new person comes into an executive role.
Part I, Line 4b	Supplemental Executive Retirement Plan ("SERP"). Participants are key officers of CAMCHSI and subsidiaries. Terms and Conditions of SERP plan: Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected, if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less 30 and 0.5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. Under the Execu-Flex Benefit Plan (409A), executives receive 11% of their salary in flex allowance. This flex allowance is used to elect executive benefits. Any remaining flex allowance is credited to a tax-deferred Capital Accumulation Account. The minimum vesting period is two years, maximum age is 68. A two year non-compete agreement (Substantial Risk of Forfeiture Agreement) applies if termination of employment occurs prior to the vesting date. Certain participants had amounts vested and included as reportable compensation this year, as detailed below: Stephen Z. Bell - $50,408 Michelle Coon - $24,017 Glenn Crotty Jr., M.D. - $57,077 Robert B. Danielson - $21,492 Heidi Edwards - $34,431 Jeffrey H. Goode - $38,751 Angela Fenton Hill - $34,337 Randall H. Hodges - $24,036 Thomas P. McIlwain - $50,102 Jeffrey Oskin - $76,146 David L. Ramsey - $94,832 Jeff Sandene - $66,973 Kristi Snyder - $25,796 S. Andrew Weber - $34,564 Robert D. Whitler - $20,968 Michael Williams - $28,357
Part I, Line 7	The organization provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the CAMC Health System, Inc. Board of Directors Compensation Committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
West Virginia Hospital Finance Authority
A	621256910	956624AQ3	2008-06-19	$127,355,000	See Part VI	0	0	0
West Virginia Hospital Finance Authority
B	621256910	956622F74	2014-07-24	$50,641,160	See Part VI	0	0	0
West Virginia Hospital Finance Authority
C	621256910	956622T95	2019-06-04	$103,903,458	See Part VI	0	0	0
West Virginia Hospital Finance Authority
D	621256910	000000000	2019-06-04	$16,031,818	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$14,625,000	$130,398,907	$2,071,347	$773,024	$94,470,515	$33,084,021	2015	Yes (1)	Yes (1)	Yes (1)
B		$50,641,160	$640,714			$50,000,446		Yes (1)	Yes (1)	Yes (1)
C		$104,619,628	$1,328,174		$8,941,798	$72,570,413		Yes (1)	0	Yes (1)	$21,779,243
D	$2,236,998	$16,031,818				$16,031,818		Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
Merrill Lynch
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	Capital	29.200000000000	0	0	0	Yes (1)	Yes (1)
Wachovia
B	0	0	Yes (1)	0	0	0					Yes (1)	0	Yes (1)	10.000000000000	Yes (1)
PNC Capital Markets
C	0	Yes (1)	0	0	0	0					Yes (1)	0	Yes (1)	0.200000000000	Yes (1)
(no name)
D	0	Yes (1)	0	0	Yes (1)	0					0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 06/30/2013
Part I Line A (F) Description of purpose:	The proceeds for the 2008A Bonds were used to (i) currently refund the Series 1995A Bonds originally issued on 9/26/95, (ii) pay the costs of certain capital expenditures made, or to be made, by CAMC, refinance a bank loan, and (iii) pay the costs of issuing the Series 2008A Bonds, including certain fees of the bank. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Part I Line B (F) Description of purpose:	Description of purpose: The proceeds for the 2014A Bonds were used to (i) currently refund and extinguish a portion of the Series 2009A Bonds issued 9/10/2009 and (ii) pay the costs of issuing the 2014A Bonds.
Part I Line C (F) Description of purpose:	Description of purpose: The proceeds for the 2019A Bonds were used to (i) To fund certain capital projects at various CAMC facilities (ii) refund on a current basis a portion of the Issuer's outstanding $179,925,000 Hospital Revenue Refunding and Improvement Bonds (Charleston Area Medical Center, Inc.) 2009 Series A (issued 9/10/2009); and (iii) pay the Costs of Issuance of the Bonds.
Part I Line D (F) Description of purpose:	The proceeds of the 2019B Bonds were used to provide money which was used to refund on a current basis the Issuer's outstanding Hospital Revenue Bonds (CAMC Teays Valley Hospital Project) issued 6/29/2017
Part IV, Line 6, column A, B, and D:	Such amounts were appropriately yield restricted.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	David L Ramsey	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	Officer	RelationshipWithOrgTxt
Loan Purpose	Split Dollar Life Insurance	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$2,848,591	OriginalPrincipalAmt
Balance Due	$2,855,712	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$2,855,712	TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Audrey Goode	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	Family member of Jeffrey H. Goode, Officer	RelationshipWithOrgTxt
Cash Grant	$10,000	CashGrantAmt
Type Of Assistance	Scholarship	TypeOfAssistanceTxt
Assistance Purpose	Nursing Scholarship	AssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (18 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Rick Crotty
Family member of Glenn Crotty, Jr. MD, Officer	$52,420	Employed by Organization	0
Donna Bell
Family member of Stephen Z. Bell, Officer	$169,459	Employed by Organization	0
John Snyder
Family member of Kristi Snyder, Officer	$100,324	Employed by Organization	0
Christine Oskin
Family member of Jeffrey L. Oskin, Officer	$144,194	Employed by Organization	0
Erik Reeder
Family member of Glenn Crotty, Jr., MD, Officer	$44,101	Employed by Organization	0
Kim Goode
Family member of Jeffrey H. Goode, Officer	$28,480	Employed by Organization	0
Audrey Goode
Family member of Jeffrey H. Goode, Officer	$21,321	Employed by Organization	0
Alexis McCormick Whitler
Family member of Robert D. Whitler, Officer	$15,109	Employed by Organization	0
Kellie Teel
Family member of S. Andrew Weber, Officer	$116,749	Employed by Organization	0
Janet Morris
Family member of Lillian Morris, Former Officer	$67,562	Employed by Organization	0
Haley Smith
Family member of Heidi Edwards, Officer	$57,953	Employed by Organization	0
Barbara Covelli
Family member of Glenn Crotty, Jr. MD, Officer	$17,250	Employed by Organization	0
Matthew Griffith
Family member of James P. Griffith, Former Trustee	$29,525	Employed by Organization	0
Suzanne Gharib
Family member of Elie G. Gharib, M.D, Director	$213,808	Employed by Organization	0
Madison Anderson
Family member of Eric D. Shouldis, MD, Former Trustee	$54,353	Employed by Organization	0
Charles Sovine
Family member of Rocky Blake, Former Officer	$55,612	Employed by Organization	0
Heather Pennington
Family member of Heidi Edwards, Director	$87,287	Employed by Organization	0
DGR LLC
Controlled entity of Elie G. Gharib, M.D, Director	$305,089	Services rendered in the ordinary course of business	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Medical Analyzer	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$153,613	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	Column (b) refers to numbers of items contributed.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member.
Form 990, Part VI, Section A, line 7a	CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member and has authority to elect all voting trustees of CAMC other than ex-officio trustees named in CAMC's governing documents. The sole voting member has the sole authority to amend CAMC's governing documents.
Form 990, Part VI, Section A, line 7b	CAMCHSI is CAMC's sole voting member and has reserved powers under CAMC's governing documents, which provide that decisions of CAMC's governing body, such as election of officers, approval of annual budgets and borrowings, are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law.
Form 990, Part VI, Section B, line 11b	CAMC compiles necessary information for Form 990 through the efforts of various officers and trustees 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 CAMC Board of Trustees 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 President and the CAMC Health System, Inc. Board of Directors Governance Committee periodically review conflict situations. The organization's conflict of interest policy requires all disclosed conflicts to be reported by the Chief Compliance Officer to the CAMC Health System Management Compliance Committee. The Compliance Officer will inform the CAMC Health System Board of Directors Audit Committee at their next scheduled meeting of all such activities approved by the CAMC Health System Management Compliance Committee.
Form 990, Part VI, Section B, line 15	The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of CAMC's CEO and the other executives. The 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 CAMC Health System, Inc. and Subsidiaries. Consolidated audited financial statements are available on-line 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 XI, line 9:	Increase/Decrease in beneficial interest in CAMC Foundation 14,333,195. Change in Affiliate Receivable 1,047,471. Affiliate Transfers: CAMC Health System, Inc. and Subsidiaries -1,050,025. Change in Retirement Obligation 1,134,626. Change in Non-Controlling Interest -75,688.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CAMC Health Network	BusinessNameLine1Txt

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

Field	Value	IRS element (for citing)
EIN	831560412	EIN
Primary Activities	Integrator of Care	PrimaryActivitiesTxt
Legal Domicile State	WV	LegalDomicileStateCd
Total Income	$2,236,000	TotalIncomeAmt
End Of Year Assets	$219,000	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Charleston Area Medical Center Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CAMC Health System Inc
PO Box 1547	Charleston	WV	253261547	550664138	Parent Company	WV	501(c)(3)	Line 12C	N/A	0
CAMC Health Education and Research Institute Inc
PO Box 1547	Charleston	WV	253261547	550753754	Medical Educational Research	WV	501(c)(3)	Line 12B		Yes (1)	CAMC Health System Inc
CAMC Foundation Inc
PO Box 1547	Charleston	WV	253261547	310887133	Fundraising	WV	501(c)(3)	Line 12C		Yes (1)	CAMC Health System Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
Women and Children's Medical Office Building LLC
PO Box 1547	Charleston	WV	253261547	550669065	Medical Office Building	WV	Charleston Area Medical Center Inc	Related	$274,878	$3,136,040	0	Yes (1)	0.96130
General Division Medical Office Building LLC
PO Box 1547	Charleston	WV	253261547	550623949	Medical Office Building	WV	Charleston Area Medical Center Inc	Related	$388,464	$861,689	0	Yes (1)	0.79930
DASCO-CAMC Home Medical Equipment LLC
501 Morris Street	Charleston	WV	25301	844487189	Home Medical Equipment	WV	Charleston Area Medical Center Inc	Related	-$190,787	$205,133	0	Yes (1)	0.50000	-$190,787

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Vandalia Insurance Company	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	76 St Paul St Ste 500	AddressLine1Txt
City	Burlington	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05401	ZIPCd

Field	Value	IRS element (for citing)
EIN	030308754	EIN
Primary Activities	Insurance	PrimaryActivitiesTxt
Legal Domicile State	VT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Charleston Area Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$1,317	ShareOfTotalIncomeAmt
Share Of EOY Assets	$675,090	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAMC Foundation Inc
C	$3,310,215	Fair Market Value
Women and Children's Medical Office Building LLC
C	$384,518	Fair Market Value
General Division Medical Office Building LLC
C	$239,794	Fair Market Value
CAMC Health Education and Research Institute Inc
J	$223,238	Contract
CAMC Foundation Inc
K	$591,447	Contract
Women and Children's Medical Office Building LLC
K	$1,290,101	Contract
General Division Medical Office Building LLC
K	$1,014,119	Contract
CAMC Foundation Inc
L	$236,890	Fair Market Value
CAMC Health Education and Research Institute Inc
L	$538,338	Fair Market Value
Women and Children's Medical Office Building LLC
L	$326,396	Fair Market Value
General Division Medical Office Building LLC
L	$235,954	Fair Market Value
CAMC Health Education and Research Institute Inc
M	$18,866,631	Fair Market Value
CAMC Foundation Inc
P	$78,840	Fair Market Value
CAMC Health Education and Research Institute Inc
P	$333,959	Fair Market Value
CAMC Foundation Inc
Q	$841,779	Fair Market Value
CAMC Health Education and Research Institute Inc
Q	$10,099,209	Fair Market Value
Women and Children's Medical Office Building LLC
Q	$125,021	Fair Market Value
General Division Medical Office Building LLC
Q	$65,601	Fair Market Value
CAMC Health Education and Research Institute Inc
R	$5,865,615	Fair Market Value
Vandalia Insurance Company
B	$116,000	Fair Market Value
DASCO-CAMC Home Medical Equipment LLC
B	$263,000	Fair Market Value