CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION (EIN 31-1524546)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202143169349304144
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T11:52:53-00:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311524546 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Camden-Clark Memorial Hospital Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAMD | BusinessNameControlTxt |
| Phone | 3044242202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Garfield Avenue | AddressLine1Txt |
| City | Parkersburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kyle Pierson | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Signature | 2021-05-07 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Kyle | PersonFirstNm |
| Person Last | Pierson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Camden Clark Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steve Altmiller | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Garfield Avenue | AddressLine1Txt |
| City | Parkersburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $341,076,373 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wvumedicine.org/camden-clark/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | To operate an acute care and emergency hospital facility. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1979 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $3,059,088 | TotalGrossUBIAmt |
| PY Contributions Grants | $82,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $314,368,070 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $335,034,426 | CYProgramServiceRevenueAmt |
| PY Investment Income | $210,248 | PYInvestmentIncomeAmt |
| CY Investment Income | $342,939 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,277,135 | PYOtherRevenueAmt |
| CY Other Revenue | $5,671,225 | CYOtherRevenueAmt |
| PY Total Revenue | $319,937,453 | PYTotalRevenueAmt |
| CY Total Revenue | $341,048,590 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $52,980 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $59,142 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $101,029,447 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $106,361,812 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $206,000,351 | PYOtherExpensesAmt |
| CY Other Expenses | $234,552,295 | CYOtherExpensesAmt |
| PY Total Expenses | $307,082,778 | PYTotalExpensesAmt |
| CY Total Expenses | $340,973,249 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,854,675 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $75,341 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $236,758,740 | TotalAssetsBOYAmt |
| Total Assets EOY | $285,852,885 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $280,582,276 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $341,146,077 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$43,823,536 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$55,293,192 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Camden-Clark Memorial Hospital is to meet the health care needs of our community for a lifetime. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $126,025,235 | ExpenseAmt |
| Grant | $59,142 | GrantAmt |
| Revenue | $149,902,084 | RevenueAmt |
| Desc | Camden Clark Memorial Hospital strives to supply a comprehensive range of inpatient, outpatient, outreach clinics, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts as may be required to meet the health care needs of the community and as the hospitals resources will permit. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission is to serve the community by providing health care services and health care education. Therefore, in keeping with this commitment to service all members of the community, Camden-Clark Memorial Hospital will provide the following where the individuals need and/or an inability to pay coexist free care and/or subsidized care, and care provided to persons covered by governmental programs at or below cost. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,550,964 | ExpenseAmt |
| Revenue | $30,649,235 | RevenueAmt |
| Desc | Camden Clark Memorial Hospital offers emergency room services as part of the hospitals mission of meeting the healthcare needs of the community for a lifetime. Due to the community that it serves, the majority of patients visiting the ER are either underinsured or uninsured. For the reporting period, there were approximately 41,553 ER visits, of this total, 8,311 were ultimately admitted to the hospital. A significant portion of the hospitals inpatient volume comes directly from the ER. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,179,083 | ExpenseAmt |
| Revenue | $22,723,075 | RevenueAmt |
| Desc | Camden-Clark Memorial Hospital is a leader in cancer care for the mid-ohio valley, providing cancer care to patients in a 45 mile radius from the hospital. In addition to a wide range of treatment options provided, the hospital offers a number of related services to its patients. Through the hospitals collaboration with the American Cancer Society, the development of the organizations cancer resource center, a hair restoration salon, a patient navigator and an oncology social, the hospital has enhanced the education, navigation and social support of its cancer patients and families. The hospitals community and social services provide a holistic healing environment which includes support groups for patients/families. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $124,564,749 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $130,215,800 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $283,320,031 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 294 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2335 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kyle Pierson | PersonNm |
| Phone | 3044242202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Garfield Avenue | AddressLine1Txt |
| City | Parkersburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Steve Altmiller | ||||||||||
| President | 038.00 | 002.00 | Yes (X) | $804,711 | $0 | $29,098 | ||||
| Todd Kruger | ||||||||||
| General Legal Counsel | 039.00 | 001.00 | Yes (X) | $451,972 | $0 | $31,519 | ||||
| Sean Smith | ||||||||||
| VP, Operations | 039.00 | 001.00 | Yes (X) | $306,021 | $0 | $51,752 | ||||
| Christine Daniels | ||||||||||
| VP, Nursing | 039.00 | 001.00 | Yes (X) | $299,195 | $0 | $55,372 | ||||
| Kyle Pierson | ||||||||||
| VP, Finance | 038.00 | 002.00 | Yes (X) | $296,075 | $0 | $49,306 | ||||
| Cynthia Kern | ||||||||||
| Vice President, Quality | 040.00 | Yes (X) | $315,014 | $0 | $5,470 | |||||
| MarJean Kennedy | ||||||||||
| Director of Marketing | 040.00 | $169,218 | $0 | $28,158 | Yes (X) | |||||
| Gene Sexton | ||||||||||
| Pharmacy Manager | 040.00 | $152,872 | $0 | $28,574 | Yes (X) | |||||
| Christopher Childress | ||||||||||
| Director of Pharmacy | 040.00 | $162,506 | $0 | $18,915 | Yes (X) | |||||
| Matthew West | ||||||||||
| Pharmacy Specialist | 040.00 | $148,929 | $0 | $29,801 | Yes (X) | |||||
| Jennifer Stauch | ||||||||||
| Pharmacy Operations Manager | 040.00 | $150,150 | $0 | $28,543 | Yes (X) | |||||
| Michael Trimble | ||||||||||
| Pharmacist | 040.00 | $161,497 | $0 | $12,170 | Yes (X) | |||||
| Mary Jo Shahan | ||||||||||
| Former CCMC Interim CFO 2019 | 040.00 | $0 | $103,655 | $0 | Yes (X) | |||||
| Terry W Capel MD | ||||||||||
| Chairman | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Kathy G Eddy | ||||||||||
| Vice Chairman | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Randall E Snider | ||||||||||
| Board Member, Secretary | 001.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Michael A Morehead MD | ||||||||||
| Board Member | 001.00 | $0 | $0 | $0 | Yes (X) | |||||
| Orton C Armstrong MD | ||||||||||
| Board Member | 001.00 | $0 | $0 | $0 | Yes (X) | |||||
| Joe D Campbell | ||||||||||
| Board Member | 001.00 | $0 | $0 | $0 | Yes (X) | |||||
| Lynford C Lovell | ||||||||||
| Board Member | 001.00 | $0 | $0 | $0 | Yes (X) | |||||
| Sister Joan Kreyenbuhl | ||||||||||
| Board Member | 001.00 | $0 | $0 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,418,160 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $103,655 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $368,678 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| United Anesthesia Inc | |||||
| 3211 Dudley Avenue | Parkersburg | WV | 26101 | Anesthesia Services | $3,965,479 |
| Health Carousel LLC | |||||
| 3805 Edwards Road Suite 700 | Cincinnati | OH | 45209 | Healthcare Staffing Services | $1,753,098 |
| Pars Neurosurgical Associates Inc | |||||
| 1212 Garfield Avenue Suite 300 | Parkersburg | WV | 26101 | Healthcare Staffing Services | $1,305,624 |
| Restorix Health Inc | |||||
| 455 Hamilton Ave Suite 800 | White Plains | NY | 106011829 | Wound Care Services | $986,021 |
| Jackson Nurse Professionals LLC | |||||
| 3452 Lake Lynda Drive Suite 200 | Orlando | FL | 328171481 | Travel Nursing Services | $980,390 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Service Revenue, Net | 621110 | $314,383,772 | $311,323,978 | $3,059,794 |
| Pharmacy Sales - Patients | 621110 | $10,738,842 | $10,709,463 | $29,379 |
| COVID Relief Funding | 621990 | $9,081,098 | $9,081,098 | |
| Health and Wellness Center | 621990 | $551,682 | $551,682 | |
| Ambulance Services | 621110 | $279,032 | $279,032 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $335,034,426 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $328,659 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$30,085 | UnrelatedBusinessRevenueAmt |
| Exclusion | $358,744 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,574,860 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $27,783 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,547,077 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,547,077 | TotalRevenueColumnAmt |
| Exclusion | $1,547,077 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,280 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,280 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,280 | TotalRevenueColumnAmt |
| Exclusion | $14,280 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Rebate Revenue | 900099 | $969,278 | $969,278 |
| Sales Tax Refund | 900099 | $827,491 | $827,491 |
| Cafeteria Income | 624200 | $782,438 | $782,438 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,544,941 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,544,941 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,124,148 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $341,048,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $333,490,194 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,059,088 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,499,308 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,183 | TotalAmt |
| Program Services | $57,183 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,959 | TotalAmt |
| Program Services | $1,959 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,892,884 | TotalAmt |
| Program Services | $675,052 | ProgramServicesAmt |
| Management And General | $2,217,832 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,659,619 | TotalAmt |
| Program Services | $69,904,047 | ProgramServicesAmt |
| Management And General | $7,755,572 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,514 | TotalAmt |
| Program Services | $217,077 | ProgramServicesAmt |
| Management And General | $6,437 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,629,952 | TotalAmt |
| Program Services | $15,584,704 | ProgramServicesAmt |
| Management And General | $2,045,248 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,955,843 | TotalAmt |
| Program Services | $6,970,810 | ProgramServicesAmt |
| Management And General | $985,033 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,731 | TotalAmt |
| Program Services | $1,392 | ProgramServicesAmt |
| Management And General | $259,339 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,294 | TotalAmt |
| Management And General | $10,294 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,875 | TotalAmt |
| Program Services | $23,875 | ProgramServicesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,590,640 | TotalAmt |
| Program Services | $25,548,306 | ProgramServicesAmt |
| Management And General | $2,042,334 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $881,289 | TotalAmt |
| Program Services | $32,252 | ProgramServicesAmt |
| Management And General | $849,037 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,030,358 | TotalAmt |
| Program Services | $5,574,520 | ProgramServicesAmt |
| Management And General | $3,455,838 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,251 | TotalAmt |
| Program Services | $3,340 | ProgramServicesAmt |
| Management And General | $5,911 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,311,274 | TotalAmt |
| Program Services | $3,618,423 | ProgramServicesAmt |
| Management And General | $692,851 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,590 | TotalAmt |
| Program Services | $493,073 | ProgramServicesAmt |
| Management And General | $40,517 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,290 | TotalAmt |
| Program Services | $63,586 | ProgramServicesAmt |
| Management And General | $12,704 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,700,496 | TotalAmt |
| Program Services | $8,141,559 | ProgramServicesAmt |
| Management And General | $1,558,937 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,568,958 | TotalAmt |
| Program Services | $36,770,442 | ProgramServicesAmt |
| Management And General | $29,798,516 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,525,150 | TotalAmt |
| Program Services | $13,892,763 | ProgramServicesAmt |
| Management And General | $2,632,387 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,981,085 | TotalAmt |
| Program Services | $5,592,387 | ProgramServicesAmt |
| Management And General | $388,698 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies Patient Chargables | $65,068,496 | $65,068,496 | |
| Provision for Doubtful Accounts | $14,103,538 | $14,103,538 | |
| Taxes, Licenses Fees | $11,803,634 | $9,825,376 | $1,978,258 |
| Dues, Education Training Recruiting | $1,492,778 | $1,046,754 | $446,024 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,568 | TotalAmt |
| Program Services | $109,117 | ProgramServicesAmt |
| Management And General | $471,451 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,973,249 | TotalAmt |
| Program Services | $283,320,031 | ProgramServicesAmt |
| Management And General | $57,653,218 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,275,475 | BOYAmt |
| EOY | $233,392 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,275,691 | BOYAmt |
| EOY | $47,897,435 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,305,451 | BOYAmt |
| EOY | $49,235,517 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $84,426 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,852,592 | BOYAmt |
| EOY | $6,984,437 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,812,938 | BOYAmt |
| EOY | $5,563,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $372,907,272 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $230,689,964 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,509,957 | BOYAmt |
| EOY | $142,217,308 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,217,177 | BOYAmt |
| EOY | $26,396,192 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,907,726 | BOYAmt |
| EOY | $5,144,629 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,601,733 | BOYAmt |
| EOY | $2,096,503 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,758,740 | BOYAmt |
| EOY | $285,852,885 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,791,341 | BOYAmt |
| EOY | $36,776,770 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $37,084,472 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,162,202 | BOYAmt |
| EOY | $192,597,043 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,627,113 | BOYAmt |
| EOY | $44,630,344 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,001,620 | BOYAmt |
| EOY | $30,057,448 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,582,276 | BOYAmt |
| EOY | $341,146,077 | 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 | -$43,823,536 | BOYAmt |
| EOY | -$55,293,192 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$43,823,536 | BOYAmt |
| EOY | -$55,293,192 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,758,740 | BOYAmt |
| EOY | $285,852,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $75,341 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,861,110 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,683,887 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $23,875 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $23,875 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | II-B 1 | FormAndLineReferenceDesc |
| Explanation | The organization paid dues to the American Hospital Association AHA as well as the West Virginia Hospital Association WVHA. A portion of these dues, specifically 23,875, was related to lobbying activities of the AHA and WVHA. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,107,095 | OtherCostOrOtherBasisAmt |
| Book Value | $2,107,095 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $168,049,049 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,546,173 | DepreciationAmt |
| Book Value | $88,502,876 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $182,826,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,927,078 | DepreciationAmt |
| Book Value | $36,899,605 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,924,445 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,216,713 | DepreciationAmt |
| Book Value | $14,707,732 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $142,217,308 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued wages, benefits and payroll taxes | |
| Malpractice Liability | $1,183,644 |
| Accrued bond interest | |
| Due to third party payors | $1,982,560 |
| Interest rate swaps | $15,613,005 |
| Self insurance liability | $7,092,153 |
| Debt Issuance Costs | -$1,232,139 |
| Deferred Compensation | $217,745 |
| Minimum Pension Liability Adjustment | |
| Finance Lease Liability - Long Term | |
| Long Term Lease Liability | $5,200,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,057,448 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $322,109,840 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$4,861,110 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$14,105,423 | OtherRevenueAmt |
| Revenue Not Reported | -$18,966,533 | RevenueNotReportedAmt |
| Revenue Subtotal | $341,076,373 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$27,783 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$27,783 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $341,048,590 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $326,895,609 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $27,783 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $27,783 | ExpensesNotReportedAmt |
| Expenses Subtotal | $326,867,826 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,105,423 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,105,423 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $340,973,249 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| X 2 | Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS and WVUIS are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2020 and 2019. |
| XI 2d | This amount includes 14,103,538 provision for bad debts and a scholarship payment of 1,885 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990. |
| XI 4b | This amount includes expenses associated with rental property of 27,783 that was reported in Part VIII line 6b as an offset to revenue revenue. |
| XII 4b | This amount includes provision for bad debts of 14,103,538 and a scholarship payment of 1,885 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990. |
| XII 2d | This amount includes rental expense of 27,783 that is an offset to revenue on Form 990 but an expense on the audited financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,141,901 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,141,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,344,072 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,007,706 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,336,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11420 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $358,634 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $358,634 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,844,607 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,366,340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,478,267 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12380 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,966 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,271,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,234,710 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,037,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,383 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $134,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,474,838 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,254,676 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,220,162 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,319,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,621,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,698,429 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12750 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $1,087 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,087 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $1,087 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,087 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,538,519 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $232,582 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $122,014,566 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $177,930,835 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$55,916,269 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Camden-Clark Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Garfield Avenue | AddressLine1Txt |
| City | Parkersburg | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | wvumedicine.org/camden-clark/ | WebsiteAddressTxt |
| State License | 102 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Disproportionate Share Hospital | OtherDesc |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| Organization Incur Excise Tax | Yes (true) | OrganizationIncurExciseTaxInd |
| Form4720 Filed | false | Form4720FiledInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 0000000200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | wvumedicine.org/bill-pay/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | wvumedicine.org/bill-pay/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 5 | In 2017, the WV United Health System entered into a contract with the WVU School of Public Health to organize CHNAs for all System hospitals. In July 2017, CCMC leadership began meeting with WVU School of Public Health faculty and staff to begin the process of preparing the next CHNA for CCMC. To prepare the 2017 CHNA, the organization compiled demographics and analysis of health indicators taking into account input from the community, including public health professionals identifying resources and prioritizing community health needs. The CHNA was prepared by Thomas Bias, Christiaan Abildso, and Emily Sarkees. The CHNA can be found here https//wvumedicine.org/wp-content/uploads/2020/11/CCMC-CHNA-Report-August-2018-Revision.pdf and the Implementation Plan can be found here https//wvumedicine.org/wp-content/uploads/2020/11/CCMC-Community-Health-Implementation-Plan.pdf. |
| Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 | The 2017 CHNA results identified several prevalent community risk factors and strategies for each for reducing risk and improving health outcomes. The top three health concerns of Wood County and other primary service area residents were Drug/Substance Abuse, Cancer, and Obesity/Chronic Disease respectively. In order to address these concerns, the leadership team utilized a prioritization matrix to help aid in the discussion of the degree to which the hospital can realistically affect health outcomes for each factor identified, as well as level of importance relative to the reach of their impact. Regarding the area of drug and substance abuse, the CCMC leadership sees an ability to have high impact for this community risk factor by possibly integrating tobacco cessation with substance abuse/addiction care. The leadership team agreed that cancer was a risk factor that needs to be prioritized. While CCMC already houses a cancer center and provides community benefits through free screenings, this topic will be addressed more going into the implementation phase. Finally, the leadership team has decided to combine obesity and chronic disease in the initial implementation planning stage because they see several ways in which providing a particular community benefit can positively influence both obesity and chronic disease outcomes simultaneously. |
| Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 13b | Camden-Clark Medical Center offers discounted care only to individuals who qualify for free care. Camden Clark Medical Center offers a Prompt Pay Discount Program. Patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. |
| Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 15e | A state Medicaid representative was on site to help determine eligibility and help patients through the eligibility process. |
| Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 24 | All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. |
| Group Camden-Clark Memorial Hospital | Part V Line 12b - On March 25, 2020, the IRS unveiled The People First Initiative Initiative, which was the IRSs effort to help taxpayers during the COVID-19 Pandemic. IRS Commissioner Chuck Rettig described the Initiative as follows The IRS is pursuing unprecedented actions to ease the burden on people facing tax issues. During this difficult time, we want people working together, focused on their well-being, helping each other and others less fortunate. The Initiative contained some specific measures. For instance, the IRS allowed taxpayers to suspend installment agreements, stopped the issuance of liens and levies, and suspended all face-to-face meetings with field revenue agents. The IRS has made clear that the initiative was and is broader than these types of specific measures. In other words, the purpose of the Initiative was to accommodate and provide leniency to taxpayers, in particular taxpayers who were hit hardest by the pandemic. |
| Group Camden-Clark Memorial Hospital | Part V line 12b - Moreover, Treas. Reg. section 1.501r-2b establishes that the excise tax under I.R.C. section 4959 will not be assessed if a taxpayer has reasonable cause for failure to meet the CHNA. The fact that a hospital has established procedures to comply with the CHNA is a factor supporting reasonable cause. Treas. Reg. section 1.501r-2b4. All tax law support that reasonable cause requires only ordinary care and prudence. |
| Group Camden-Clark Memorial Hospital | Part V line 12 - In short, the Taxpayer is a hospital that could not reasonably be expected to timely complete its 2020 CHNA because of the pandemic. The assessment of a 50,000 excise tax runs contrary to both reasonable cause and the IRSs own Initiative. |
| Group Camden-Clark Memorial Hospital | Part V line 12b - The Taxpayer serves a rural community that continues to be severely impacted by the COVID-10 emergency. The Taxpayer partners with local entities representing the broad interests of a rural community to collect survey data, hold focus group sessions, and gain input from community members. These efforts, which began on August 6, 2020, were adversely impacted due to the ongoing pandemic as healthcare and outreach organizations were required to shift focus to emergency efforts. Events and activities were canceled prohibiting the collection of survey data and community response. To gain input from all representative groups, including families with young children, the Taxpayer changed collection methods and extended the survey period to ensure appropriate needed input. Some planning team members and the director of the largest community partner collecting surveys suffered from COVID-19 infection and quarantine during this period. Additionally, the Taxpayer led community vaccination efforts throughout the region, which required significant resources that would have otherwise been allocated to the CHNA effort. The Taxpayer continues to be further challenged by capacity constraints in its ER, ICU, and COVID units as well as staffing and equipment shortages. All of these challenges, compounded by periodic infrastructure failures, including loss of oxygen pressure due to increased demand, required constant reprioritization of focus for the leadership and staff. Prevention and mitigation efforts continue to strain the organizations resources. |
| Group Camden-Clark Memorial Hospital | Part V 12b - In spite of all this, the Taxpayer has completed all aspects of its assessment and prioritization phase. The assessment report will be presented to the Board of Directors for adoption on December 7, 2021, and posted to its website and made widely available to the public on December 8, 2021. The Implementation Plan process will begin immediately following adoption of the assessment and will be completed and approved by May 15, 2022. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Patriot Point Diagnostic | ||||
| 2838 Pike Street | Parkersburg | WV | 26101 | Radiology/Lab |
| Garfield Diagnositc | ||||
| 2012 Garfield Ave Bdng 2 Ste 1 | Parkersburg | WV | 26101 | Radiology/Lab |
| Sleep Lab | ||||
| 19th Street Campus | Parkersburg | WV | 26101 | Diagnostic |
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | Camden-Clark Medical Center CCMC uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, CCMC does not offer discounted care to individuals who fail the 200 FPG test. |
| Part I Line 6a | WVU Medicine prepared a System wide summary report of 2019 Community Benefits which can be found online - http//wvumedicine.org/about/community-benefit/. |
| Part I Line 7 | Total community benefit expense for 2020 is 84,319,445 and is 25.80 of total net expenses. To calculate net expense, bad debt of 14,103,538 was deducted from total expenses of 340,973,249 as shown in Part IX line 25 of the core Form 990, for a net expense of 326,869,711. |
| Part I Line 7 | Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. |
| Part II | Camden-Clark Medical Center CCMC started a leadership program in 2007. Employees who are selected to participate in this leadership program are required to volunteer in the community or at hospital activities which benefit the broader community as a whole. The activities these individuals participated in during the current year included various health fairs, church community events, Wood County Telethon, National Healthcare Decision Day, Try-Again Homes work project and various local school activities and events. These individuals also worked with and supported various community organizations such as United Way of America, The Salvation Army, Boys and Girls Club of America, and various community boards. |
| Part III Line 2 | Bad Debt Expense at cost was calculated by multiplying bad debt expense of 14,103,538 by our cost to charge ratio of 32.18 derived from Worksheet 2 in the IRS Schedule H instructions for a toal of 4,538,519. |
| Part III Line 3 | Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 722,754 which we then multipled by our cost to charge ratio of 32.18 for a total of 232,582. |
| Part III Line 3 | We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 232,582 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. |
| Part III Line 4 | Camden-Clark Memorial Hospitals financial statements are prepared on a consolidated basis as a member of the WV United Health System. WVUHS consolidated footnote for Patient Accounts Receivable states Patient accounts receivables are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated price concessions and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2020 from patients and third-party payors is as follows Medicare - 29, Medicaid - 17, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 5, totaling 100. |
| Part III Line 4 | For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| Part III Line 8 | The amount reported in Part III Line 6 177,930,835 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME. |
| Part III Line 8 | CCMCs shortfall, 55,916,269 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. |
| Part III Line 9b | CCMC does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. |
| Part VI Line 2 | Camden Clark Medical Center considers several components in assessing how the organization determines the need of the communities it serves. The CHNA utilized a robust community based process designed to engage a wide range of community members. CCMC conducted a Community Health Needs Assessment CHNA in 2017 that was adopted by the Board of Directors in 2018. The CHNA can be found here https//wvumedicine.org/wp-content/uploads/2020/11/CCMC-CHNA-Report-August-2018-Revision.pdf. |
| Part VI Line 3 | CCMC provides, in writing, all options for possible financial assistance. This information is also available on CCMCs website. CCMC also has representatives that are available to discuss options with inpatients and outpatients on a daily basis. WV State Medicaid workers are onsite to help determine patient eligibility and to assist patients through the eligibility process. |
| Part VI Line 4 | CCMCs leadership defined the community served as a 10 county area comprised of Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, and Wood in WV, as well as Washington and Meigs counties in OH. This geographic area is considerably larger than the last CHNA, and fully captures the service area of CCMC. CCMC also sees a large number of patients from Athens County, OH. CCMC, located in Parkersburg, WV is a part of Wood County. Wood County has a population of 84,296, median household income of 47,944 and an employment rate of 50.7. 14.1 of Wood County residents are living in poverty and 5.4 of residents reported they are without health care coverage. The remaining 9 counties considered to be in CCMCs defined service area had a combined total population of 159,633 and approximately 6.4 of residents reported they are without health care coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/. |
| Part VI Line 5 | A majority of the organizations governing body is comprised of persons who reside in the primary service area and who are neither employees nor independent contractors of the hospital, not family members thereof. The organization extends medical staff privileges to all qualified physicians in the community to many of its departments. |
| Part VI Line 5 | Any surplus of funds is used primarily to enhance patient care. While no research is done in this facility, a residency program was started in 2009. |
| Part VI Line 6 | CCMC is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. |
| Part VI Line 6 | System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital located in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Hospital, in Glen Dale, WV, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, and Wetzel County Hospital, Inc. in New Martinsville, WV. |
| Part VI Line 6 | In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation, Inc. in Glen Dale, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| The Hope Recovery Manor Inc | |||||||
| 1016 Market Street | Parkersburg | WV | 26101 | 832268028 | 501c3 | $7,500 | Sponsorship |
| Wood County Development Authority | |||||||
| 409 1/2 Market Street | Parkersburg | WV | 26102 | 550575873 | 501c4 | $5,500 | Support |
| Greater Parkersburg Chamber of Commerce | |||||||
| 501 Avery St FL 9 | Parkersburg | WV | 26101 | 550249560 | 501c6 | $5,000 | Support |
| Boys & Girls Club of Parkersburg Inc | |||||||
| 1200 Mary Street | Parkersburg | WV | 26101 | 550476226 | 501c3 | $5,000 | Sponsorship |
| Parkersburg Art Center Inc | |||||||
| 725 Market Street | Parkersburg | WV | 26101 | 550526227 | 501c3 | $5,000 | Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I Line 2 | FormAndLineReferenceDesc |
| Explanation | Contributions are discretionary and decisions on which organizations Camden-Clark Memorial Hospital supports are made by the President in conjunction with the Director of Marketing. Typically, local organizations are supported throughout the year and the donations are typically not specifically restricted, so there is no follow up process for monitoring the use of the funds. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|
| Todd Kruger | ||||||||
| General Legal Counsel | $319,434 | $86,750 | $45,788 | $4,810 | $26,709 | $483,491 | ||
| Cynthia Kern | ||||||||
| Vice President, Quality | $228,501 | $61,837 | $24,675 | $4,239 | $1,232 | $320,484 | ||
| Christopher Childress | ||||||||
| Director of Pharmacy | $161,753 | $500 | $253 | $3,838 | $15,077 | $181,421 | ||
| Michael Trimble | ||||||||
| Pharmacist | $139,761 | $500 | $21,236 | $3,363 | $8,807 | $173,667 | ||
| Matthew West | ||||||||
| Pharmacy Specialist | $134,368 | $500 | $14,061 | $3,340 | $26,461 | $178,730 | ||
| Jennifer Stauch | ||||||||
| Pharmacy Operations Manager | $144,000 | $500 | $5,650 | $2,737 | $25,806 | $178,693 | ||
| Sean Smith | ||||||||
| VP, Operations | $241,356 | $59,988 | $4,677 | $25,482 | $26,270 | $357,773 | ||
| Christine Daniels | ||||||||
| VP, Nursing | $231,495 | $62,585 | $5,115 | $28,664 | $26,708 | $354,567 | ||
| Steve Altmiller | ||||||||
| President | $502,928 | $179,100 | $122,683 | $9,033 | $20,065 | $833,809 | ||
| MarJean Kennedy | ||||||||
| Director of Marketing | $158,169 | $10,500 | $549 | $18,539 | $9,619 | $197,376 | ||
| Gene Sexton | ||||||||
| Pharmacy Manager | $150,322 | $500 | $2,050 | $2,919 | $25,655 | $181,446 | ||
| Kyle Pierson | ||||||||
| VP, Finance | $229,360 | $61,984 | $4,731 | $28,388 | $20,918 | $345,381 | ||
| Mary Jo Shahan | ||||||||
| Former CCMC Interim CFO 2019 | $103,655 | $103,655 | ||||||
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 1a | Memberships at the health and wellness center are offered to each member of the senior leadership team. These are covered in the applicable employment contracts and are included in taxable income. |
| Part I Line 3 | Compensation for the CEO is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsibile for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value. |
| Part I Line 4b | The following individuals received deferred compensation contributions in 2020 Sean Smith in the amount of 22,375 Kyle Pierson in the amount of 22,880 Douglas Frary in the amount of 8,046 Christine Daniels in the amount of 23,103 and MarJean Kennedy in the amount of 15,375. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J. |
| Part I Line 6a | Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. |
| Part II Line 14 | Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2020 she was compensated for consulting work and interim CFO for related party, United Summit Center, Inc.. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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 | 956622L85 | 2016-06-15 | $19,440,924 | 2016 A - Refunding of 2007 A Bonds | false | false | false |
| West Virginia Hospital Finance Authority | ||||||||
| B | 621256910 | 956622P40 | 2018-07-31 | $56,880,000 | 2018C Series - Refund 2004 BC Bonds | false | false | false |
| (no name) | ||||||||
| C | false | false | false | |||||
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,568,763 | $19,440,924 | $149,889 | $19,291,023 | $12 | 2016 | Yes (true) | Yes (true) | Yes (true) | Yes (true) |
| B | $3,230,000 | $56,880,000 | $422,708 | $56,457,292 | 2018 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Cantor Fitzgerald | ||||||||||
| A | false | Yes (true) | false | false | false | false | Yes (true) | Yes (true) | false | Yes (true) |
| (no name) | ||||||||||
| B | false | Yes (true) | false | false | Yes (true) | false | false | false | Yes (true) | |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line A | 2016 A Bond - The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger CCMC received 19,440,924 in proceeds to refund the 2007A bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for WVUH and UHC. |
| Part I | Schedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc. CHI, The Charles Town General Hospital dba Jefferson Medical Center JMC, University Healthcare Foundation, Inc. UHF, and Potomac Valley Hospital is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to their tax return. United Hospital Center, Inc. UHC EIN 55-0525724 and Camden-Clark Memorial Hospital Corporation CCMH EIN 31-1524546 are reporting bond allocations issued to them on the return filed by such taxpayer. |
| Part I | Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by UHC and CCMC to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner. |
| Part I Line 2 | Column B - The CUSIP shown on the Form 8038 956622P65 is for another bond in the 2018 issue - 2018 A D which are reported on the Schedule Ks for WVUH and UHC respectively. |
| Part II Line 12 | The amount reported in Line 12 Column A is a result of a balance that remained in the account that is used to fund principal and interest payments on this issuance. We are provided an amount to fund prior to the payment date, once funds that are sold/redeemed to make our payment there is occisaionally a residual amount. That amount is left in the account to apply to future payments. |
| Part IV Line 2c | Column A - Rebate calculation for the 2016 Series A issuance is not due until 2021. Column B - Rebate calculation for the 2018 Series C issuance is not due until 2023. |
| Part IV Line 5c | Column A - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 9,047,353, Grants and allocations 0, Revenue 17,510,512 Camden-Clark Memorial Hospital offers heart and vascular services for its immediate service area directly through the hospital. In addition, services are provided to underserved counties throughout the area via physicians that are employed by Camden Clark Physician Corporation, a related entity. |
| Form 990, Part III, Line 4d | Program Service Expenses 115,517,396, Grants and allocations 0, Revenue 112,705,288 Camden Clark offers a wide range of other medical services that include Nephrology, OBGYN services, Neurosurgery, Orthopedics, Pediatrics, General Surgery, Vascular Surgery and various other services that can be found on our website https//wvumedicine.org/camden-clark/. |
| Form 990, Part IV, Line 20b | The organization must attach a copy of its most recent audited financial statements. Attached are the consolidated financial statements of West Virginia United Health System, Inc. WVUHS and controlled entities. WVUHS became the sole member of Camden Clark Health Services, Inc., the parent corporation of Camden-Clark Memorial Hospital on March 1, 2011. The financial position, results of operations, and cash flows of Camden-Clark Memorial Hospital are included in the aforementioned consolidated audited financial statements. |
| Form 990, Part VI, Section A, Line 6 | Camden-Clark Health Services, Inc., a non-profit, tax-exempt corporation, is the sole member of the organization. |
| Form 990, Part VI, Section A, Line 7a | Camden-Clark Health Services, Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia United Health System WVUHS from the CCHS nominations. WVUHS elects all CCHS, CCMC, CCPC, and CCF board members from a slate of Director Nominees submitted to them by CCHS. CCHS will consider the underlying nominations of CCMC, CCPC, and CCF before they submit their nominations. |
| Form 990, Part VI, Section A, Line 7b | As the sole member of Camden Clark Health Services, Inc., WVUHS through its affiliation agreement, holds power to approve certain decisions such as annual budget, capital expenditures over 1 million, new debt over 1 million, new programs, and extraordinary filings. |
| Form 990, Part VI, Section B, Line 11 | The Form 990 is prepared by the WVUHS Tax Team and is provided for review to the VP of Finance, General Counsel, and Accounting Director. It is also reviewed by the non-profit tax manager of our independent auditing firm. It is then reviewed by the Finance Committee. After being presented to the committee, it is provided to all board members for comments prior to filing with the IRS. |
| Form 990, Part VI, Section B, Line 12c | To identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy, bylaws for addressing the conflict of interest. For key individuals employees, a specific conflict of interest standard in the organizations code of ethics and business conduct also exists. |
| Form 990, Part VI, Section B, Line 15 a b | The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2019 for 2020 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. |
| Form 990, Part VI, Section C, Line 19 | The organizations financial statements are made available on request and are also available on the West Virginia Healthcare Authority website. The organizations governing documents and conflict of interest policy are made available upon request. |
| Form 990, Part XI, Line 9 | Changes in Net Assets Transfers to related organizations 3,772,264 and an audit adjustment of 2,911,623 for OVASC goodwill. |
| Form 990, Part IX, Line 11g | Other service expenses consist of the following items Consulting Professional fees, Contracted Labor, Contract Labor - Patient Care, Contracted Physician Expense, Resident Expense, and Collection Agency Fees. Consulting and Professional fees of 546,726, 230,624 is considered program service and 316,102 is considered management and general expense. Contracted Labor fees of 9,417,522 of which 7,830,519 is considered program service and 1,587,003 is considered management and general. Contract Labor - Patient Care of 5,854,444 of which all is considered program service. Contracted Physician Expense of 11,546,807 of which 11,497,974 is considered program service and 48,833 management and general expense. Resident Expense of 2,397 of which all is considered program service expense. Lastly, Collection Agency Fees of 222,744 of which 132,349 is considered program service and 90,395 is considered management and general expense. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Camden-Clark Health Services Inc | |||||||||||
| 800 Garfield Avenue | Parkersburg | WV | 26101 | 550769602 | Healthcare Access | WV | 501c3 | Line 12A | West Virginia United Health System | false | |
| Camden-Clark Foundation | |||||||||||
| 800 Garfield Avenue | Parkersburg | WV | 26101 | 550667789 | Hospital Support | WV | 501c3 | Line 7 | Camden-Clark Health Services | false | |
| Auxiliary of Camden-Clark Memorial Hospital | |||||||||||
| 800 Garfield Avenue | Parkersburg | WV | 26101 | 550386283 | Patient Care | WV | 501c3 | Line 3 | false | N/A | |
| Camden-Clark Physician Corporation | |||||||||||
| 604 Ann Street | Parkersburg | WV | 26101 | 264058719 | Patient Care | WV | 501c3 | Line 3 | Camden-Clark Health Services | false | |
| West Virginia United Health System | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550754713 | Healthcare Access | WV | 501c3 | Line 12A | false | N/A | |
| West Virginia University Hospitals Inc | |||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 550643304 | Patient Care | WV | 501c3 | Line 3 | West Virginia United Health System | false | |
| West Virginia University Hospitals East | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 202337985 | Healthcare Access | WV | 501c3 | Line 12A | West Virginia University Hospitals Inc | false | |
| City Hospital Inc | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 550383321 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals East | false | |
| Jefferson Memorial Hospital | |||||||||||
| 300 S Preston St | Ranson | WV | 25438 | 550359755 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals East | false | |
| University Healthcare Foundation | |||||||||||
| 2500 Foundation Way | Martinsburg | WV | 25401 | 311118075 | Hospital Support | WV | 501c3 | Line 12A | West Virginia University Hospitals Inc | false | |
| United Hospital Center Inc | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550525724 | Patient Care | WV | 501c3 | Line 3 | West Virginia United Health System | false | |
| United Physicians Care Inc | |||||||||||
| 686 South Pike Street | Shinnston | WV | 26431 | 550638563 | Patient Care | WV | 501c3 | Line 3 | United Hospital Center Inc | false | |
| United Health Foundation | |||||||||||
| 327 Medical Park Drive | Bridgeport | WV | 26330 | 550621706 | Hospital Support | WV | 501c3 | Line 12A | United Hospital Center Inc | false | |
| West Virginia Health Care Cooperative Inc | |||||||||||
| 400 Fairview Heights Rd | Summersville | WV | 26651 | 550650441 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| United Summit Center | |||||||||||
| 6 Hospital Plaza | Clarksburg | WV | 26301 | 550752788 | Behavioral Health | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Potomac Valley Hospital Inc | |||||||||||
| 100 Pin Oak Lane | Keyser | WV | 26726 | 550420956 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| St Joseph's Hospital of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550356996 | Patient Care | WV | 501c3 | Line 3 | West Virginia United Health System | false | |
| Reynolds Memorial Hospital Inc | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550357045 | Patient Care | WV | 501c3 | Line 3 | West Virginia University Hospitals Inc | false | |
| Reynolds Memorial Foundation | |||||||||||
| 800 Wheeling Ave | Glen Dale | WV | 26038 | 550710402 | Hospital Support | WV | 501c3 | Line 12A | Reynolds Memorial Hospital Inc | false | |
| St Joseph's Foundation of Buckhannon Inc | |||||||||||
| 1 Amalia Drive | Buckhannon | WV | 26201 | 550727650 | Hospital Support | WV | 501c3 | Line 12b | St Joseph's Hospital of Buckhannon | false | |
| Braxton County Memorial Hospital | |||||||||||
| 100 Hoylman Drive | Gassaway | WV | 26624 | 550611919 | Patient Care | WV | 501c3 | 3 | West Virginia University Hospitals Inc | false | |
| Community Health Association | |||||||||||
| 122 Pinnell Street | Ripley | WV | 25271 | 550462730 | Patient Care | WV | 501c3 | 3 | West Virginia University Hospitals Inc | false | |
| Wetzel County Hospital Inc | |||||||||||
| 3 East Benjamin Drive | New Martinsville | WV | 26155 | 843480493 | Patient Care | WV | 501c3 | 3 | West Virginia University Hospitals Inc | false | |
| WVUHS Home Care LLC | |||||||||||
| PO Box 8059 | Morgantown | WV | 26506 | 852915642 | Home Health and Hospice | WV | 509a2 | WV United Health System | false | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ohio Valley Ambulatory Surgery Center | ||||||||||||
| 608 Washington Blvd | Belpre | OH | 45714 | 208671724 | Outpatient Surgical Services | OH | Camden-Clark Memorial Hospital Inc | Related | $743,106 | false | Yes (true) | 0.67500 |
| Allied Health Sourcing Solutions | ||||||||||||
| PO Box 8034 | Morgantown | WV | 26506 | 842403526 | Supply Chain Management | WV | AHS LLC | false | false | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Allied Health Services Inc | |||||||||
| PO Box 782 | Morgantown | WV | 26507 | 550652017 | Medical Lab | WV | WV United Health System | C Corp | false |
| West Virginia United Insurance Services | |||||||||
| 3040 University Avenue Suite 3200 | Morgantown | WV | 26505 | 550756055 | Provider Network | WV | WV United Health System | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |