CHARLESTON AREA MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CHARLESTON AREA MEDICAL CENTER INC (EIN 55-0526150)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201923169349300502
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-12T02:55:51-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 S Wacker Drive	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550526150	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CHAR	BusinessNameControlTxt
Phone	3043887603	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1547	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	253261547	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jeff Sandene	PersonNm
Person Title	Executive VP and CFO	PersonTitleTxt
Phone	3043887603	PhoneNum
Signature	2019-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.219.0.212	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-07	IPDt
IP Tm	14:09:31	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7E530C01EC0DBF1FFF79A5BAD1379F9D370DED1E	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4869E5F49B9973F149F13A18DEB0F85868CD0247	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	Jeff Sandene	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	501 Morris Street	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,291,866,920	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.camc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	Striving to provide the best healthcare to every patient, every day.CAMC owns and operates four separately-licensed hospitals as a tertiary-care academic medical center designed to provide care for community residents through every stage of life. CAMC patients depend on CAMC to provide convenient and compassionate care delivered regardless of a patient's ability to pay.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	8973	TotalEmployeeCnt
Total Volunteers	322	TotalVolunteersCnt
Total Gross UBI	$11,050,269	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,480,411	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,809,964	PYContributionsGrantsAmt
CY Contributions Grants	$4,076,490	CYContributionsGrantsAmt
PY Program Service Revenue	$1,095,188,793	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,164,983,303	CYProgramServiceRevenueAmt
PY Investment Income	$4,612,561	PYInvestmentIncomeAmt
CY Investment Income	$13,963,443	CYInvestmentIncomeAmt
PY Other Revenue	$1,816,522	PYOtherRevenueAmt
CY Other Revenue	$1,860,179	CYOtherRevenueAmt
PY Total Revenue	$1,104,427,840	PYTotalRevenueAmt
CY Total Revenue	$1,184,883,415	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,714,748	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,125,582	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$546,521,430	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$569,211,300	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$413,354	CYTotalFundraisingExpenseAmt
PY Other Expenses	$574,434,785	PYOtherExpensesAmt
CY Other Expenses	$582,147,053	CYOtherExpensesAmt
PY Total Expenses	$1,122,670,963	PYTotalExpensesAmt
CY Total Expenses	$1,152,483,935	CYTotalExpensesAmt
PY Revenues Less Expenses	-$18,243,123	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$32,399,480	CYRevenuesLessExpensesAmt
Total Assets BOY	$972,952,668	TotalAssetsBOYAmt
Total Assets EOY	$970,849,506	TotalAssetsEOYAmt
Total Liabilities BOY	$592,753,399	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$575,311,355	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$380,199,269	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$395,538,151	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Charleston Area Medical Center, Inc.'s ("CAMC") primary charitable exempt purpose is to provide hospital care, without distinction, for all the inhabitants of the City of Charleston, State of West Virginia and elsewhere, to promote legitimate methods for the prevention of disease and positive promotion of health (both personal and public), and to foster and conduct education in medicine in all its branches and adjunct arts and sciences, such as nursing and technical occupations, which contribute to the diagnosis, treatment and prevention of disease.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$714,988,336	ExpenseAmt
Grant	$160,407	GrantAmt
Revenue	$1,166,737,450	RevenueAmt
Desc	CAMC is one of West Virginia's largest medical centers with over 8,973 employees and 710 medical staff. CAMC is licensed for 956 beds at four campuses and our health care services delivery focuses on providing a full range of inpatient and outpatient services as a tertiary regional referral center, teaching and safety net hospital. As a regional referral center, CAMC has one of only two state Level 1 Trauma Centers, a Level III Neonatal ICU, a Pediatric ICU, a DNV-Certified Primary Stroke Center, and a Bariatric Center of Excellence. CAMC is the primary medical safety net provider of women and children's and trauma services in central and southern West Virginia and provides 20% of the charity care in the state. There were inpatient days of 218,601, outpatient visits of 616,948, emergency department visits of 102,357 and deliveries of 2,670 in 2018. CAMC gives back to the community because we understand the impact that high quality medical care, charity care, education, corporate contributions and community partnerships have on the lives of real people.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$38,472,304	ExpenseAmt
Grant	$771,875	GrantAmt
Desc	CAMC has established medical and allied health education excellence as a core competency. Provision and support for education include training for interns and residents, nurses, anesthetists and other personnel. 150 WVU/WVSOM medical students trained at CAMC hospitals and 179 medical residents were employed by CAMC. CAMC provided faculty support to the University of Charleston and BridgeValley Community and Technical College helping educate pharmacy students, nursing students and physician assistance program. CAMC assisted 19 employees through student loan forgiveness, and provided educational assistance to 328 individuals who intend to pursue a career in healthcare.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$111,503,627	ExpenseAmt
Grant	$193,300	GrantAmt
Revenue	$351,985	RevenueAmt
Desc	CAMC does much more than just provide health care, being involved in nearly every aspect of the health and well being of the community. CAMC offered 67 outreach programs which served an estimated 86,066 people. CAMC provided acute inpatient and outpatient hospital services including unreimbursed charity care at cost of $18,289,254. Creative, state-of-the-art programs and services are provided to our community to serve our community - particularly the needs of the low income, elderly and other vulnerable persons. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of the following community benefit criteria: 1) Improves access to health care services; 2) Enhances health of the community; 3) Advances medical or health care knowledge; 4) Relieves or reduces the burden of government or other community efforts.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$864,964,267	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	Yes (1)	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	598	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8973	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jeff Sandene	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3043887603	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	501 Morris Street	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David L Ramsey
President, CEO & Trustee	50.00	7.00	Yes (X)	Yes (X)	$1,118,814	$0	$220,873
John R Hoblitzell Esq
Chairman	2.50	5.00	Yes (X)	Yes (X)	$0	$0	$0
William Rice Jr
Vice Chairman	3.00	3.50	Yes (X)	Yes (X)	$0	$0	$0
Gina R Busch MD
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Charles L Capito Jr
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Mark A Chandler
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Fonda Elliot
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
James P Griffith MD
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Wanda Hightower
Trustee	2.50	5.00	Yes (X)		$0	$0	$0
Melvin Jones
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Linda J Powers
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Karen S Price
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
E Michael Robie DO
Director (start 11/18)	50.00	3.00	Yes (X)		$319,863	$0	$23,629
Seyed A Shams MD
Trustee (end 10/18)	50.00	3.00	Yes (X)		$308,257	$0	$40,043
Eric D Shouldis MD
Trustee	50.00	0.50	Yes (X)		$365,221	$0	$46,304
Steven L Smith
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Kenneth L Tackett
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Edwin H Welch Ph D
Trustee	2.50	3.50	Yes (X)		$0	$0	$0
Robert D Whitler
VP Gov't & Comm Affairs	50.00	1.00		Yes (X)	$225,686	$0	$34,124
Kristi Snyder
VP Human Resources	50.00	1.00		Yes (X)	$308,790	$0	$177,930
Angela Fenton Hill
Secretary & General Counsel	50.00	5.00		Yes (X)	$332,461	$0	$190,775
Thomas P Mcllwain MD
VP Medical Affairs & CMO	50.00	5.00		Yes (X)	$577,274	$0	$120,961
Jeffrey L Oskin
VP Administrator	50.00	0.00		Yes (X)	$415,495	$0	$248,468
Jeffrey H Goode
VP Ambulatory Services	50.00	0.00		Yes (X)	$370,759	$0	$282,098
S Andrew Weber
VP Administrator	50.00	0.00		Yes (X)	$293,880	$0	$165,653
Eileen Clark
VP Info Services & CIO	50.00	5.00		Yes (X)	$422,179	$0	$235,193
Stephen Z Bell
VP Finance	50.00	0.00		Yes (X)	$280,616	$0	$110,861
Robert B Danielson
VP Corporate Compliance	50.00	5.00		Yes (X)	$737,600	$0	$43,872
Glenn Crotty Jr MD
Executive VP & COO	50.00	6.00		Yes (X)	$602,531	$0	$152,139
Micheal D Williams
VP Administrator	50.00	0.00		Yes (X)	$989,106	$0	$298,377
Randall H Hodges
VP Administrator	50.00	0.00		Yes (X)	$333,742	$0	$38,002
Jeff Sandene
Executive VP & CFO	50.00	10.00		Yes (X)	$613,479	$0	$225,898
Heidi Edwards
VP Prof Prac & CNO	50.00	1.00		Yes (X)	$219,403	$0	$58,305
Dawn Coon
President CHN	50.00	0.00		Yes (X)	$113,161	$0	$27,826
Elie Gharib
Physician	40.00	0.00			$1,155,056	$0	$45,104	Yes (X)
Mitchell Rashid MD
Physician	40.00	0.00			$1,149,617	$0	$44,014	Yes (X)
Robert B Shin MD
Physician	40.00	0.00			$1,110,880	$0	$32,421	Yes (X)
Sangeeta Mandapaka
Physician	40.00	0.00			$1,040,500	$0	$17,890	Yes (X)
Nathan Kister MD
Physician	40.00	0.00			$1,037,779	$0	$45,104	Yes (X)
Ronald E Moore
Former VP Prof Prac & CNO	50.00	0.00			$312,589	$0	$8,515		Yes (X)
Lillian Morris
Former Interim CNO	40.00	0.00			$168,202	$0	$9,519		Yes (X)
Rocky Blake
Former VP Info Services	50.00	0.00			$220,365	$0	$35,327		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,143,305	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,979,225	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	558	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WVU Physicians of Charleston
3110 MacCorkle Ave SE	Charleston	WV	25304	GME/Physician Services	$20,118,894
MedAssets Supply Chain Systems
PO Box 742081	Atlanta	GA	303742081	Nursing Services	$19,541,861
Charleston Area Radiation Therapy Center
PO Box 19532	Irvine	CA	92623	Radiation Services	$10,126,123
Universal Physician Services
1414 Lancaster Drive	Marietta	OH	45750	Physician Services	$6,260,961
Liberty Solutions Inc
3763 Abbott Road	Orchard Park	NY	14125	IT Consulting Services	$4,177,424

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	140	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,721,427	RelatedOrganizationsAmt
All Other Contributions	$355,063	AllOtherContributionsAmt
Noncash Contributions	$307,225	NoncashContributionsAmt
Total Contributions	$4,076,490	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Revenue	621990	$1,106,629,384	$1,106,629,384
Pharmacy	446110	$29,497,703		$686,192	$28,811,511
Lab Services	621500	$10,304,374		$10,304,374
Cafeteria/Vending	721000	$7,291,041			$7,291,041
Rental (Non Residentia	531120	$5,720,576	$890,477		$4,830,099

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,540,225	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,457,933	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$59,703	UnrelatedBusinessRevenueAmt
Exclusion	$2,022,589	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,164,983,303	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,219,006	TotalRevenueColumnAmt
Related Or Exempt Func Income	$245,953	RelatedOrExemptFuncIncomeAmt
Exclusion	$5,973,053	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,208	TotalRevenueColumnAmt
Exclusion	$206,208	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$114,521,734	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$106,983,505	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,538,229	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,538,229	TotalRevenueColumnAmt
Exclusion	$7,538,229	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Laundry	812300	$1,195,758	$1,195,758
Management Fees	541610	$581,204	$581,204
Medical Center Inn	721110	$56,959	$56,959

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,258	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,258	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,860,179	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,184,883,415	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,113,083,926	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,050,269	UnrelatedBusinessRevenueAmt
Exclusion	$56,672,730	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$638,707	TotalAmt
Program Services	$638,707	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$486,875	TotalAmt
Program Services	$486,875	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,748,826	TotalAmt
Management And General	$11,748,826	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,650,896	TotalAmt
Program Services	$1,297,044	ProgramServicesAmt
Management And General	$353,852	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$438,756,447	TotalAmt
Program Services	$346,488,801	ProgramServicesAmt
Management And General	$91,968,627	ManagementAndGeneralAmt
Fundraising	$299,019	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,217,470	TotalAmt
Program Services	$10,169,464	ProgramServicesAmt
Management And General	$2,959,718	ManagementAndGeneralAmt
Fundraising	$88,288	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$74,071,601	TotalAmt
Program Services	$57,353,427	ProgramServicesAmt
Management And General	$16,692,127	ManagementAndGeneralAmt
Fundraising	$26,047	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,766,060	TotalAmt
Program Services	$21,437,665	ProgramServicesAmt
Management And General	$8,328,395	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$13,591,665	TotalAmt
Program Services	$11,186,292	ProgramServicesAmt
Management And General	$2,405,373	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,624,519	TotalAmt
Management And General	$4,624,519	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$740,718	TotalAmt
Management And General	$740,718	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$107,136	TotalAmt
Management And General	$107,136	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,267,642	TotalAmt
Management And General	$1,267,642	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$104,500,162	TotalAmt
Program Services	$73,385,397	ProgramServicesAmt
Management And General	$31,114,765	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,971,162	TotalAmt
Program Services	$101,167	ProgramServicesAmt
Management And General	$1,869,995	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,715,365	TotalAmt
Program Services	$3,141,886	ProgramServicesAmt
Management And General	$6,573,479	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$20,997,902	TotalAmt
Program Services	$381,413	ProgramServicesAmt
Management And General	$20,616,489	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,889,314	TotalAmt
Program Services	$11,838,113	ProgramServicesAmt
Management And General	$8,051,201	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,349,171	TotalAmt
Program Services	$848,402	ProgramServicesAmt
Management And General	$1,500,769	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$60,665	TotalAmt
Program Services	$83	ProgramServicesAmt
Management And General	$60,582	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,158,601	TotalAmt
Management And General	$16,158,601	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$6,507,272	TotalAmt
Program Services	$6,507,272	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,916,790	TotalAmt
Program Services	$17,200,528	ProgramServicesAmt
Management And General	$25,716,262	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,893,420	TotalAmt
Program Services	$68,730	ProgramServicesAmt
Management And General	$12,824,690	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$222,091,501	$221,831,158	$260,343
Provision for Uncollect	$43,255,735	$43,255,735
Provider Tax	$30,323,687	$30,323,687
Sales & Use Tax	$11,767,883		$11,767,883

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,416,743	TotalAmt
Program Services	$7,022,421	ProgramServicesAmt
Management And General	$9,394,322	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,152,483,935	TotalAmt
Program Services	$864,964,267	ProgramServicesAmt
Management And General	$287,106,314	ManagementAndGeneralAmt
Fundraising	$413,354	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$40,220	BOYAmt
EOY	$77,250	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$96,191,021	BOYAmt
EOY	$149,372,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$248,297,908	BOYAmt
EOY	$220,305,399	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$680,627	BOYAmt
EOY	$740	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,438,245	BOYAmt
EOY	$20,889,187	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,753,299	BOYAmt
EOY	$8,129,335	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,106,849,595	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$738,828,148	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$372,058,362	BOYAmt
EOY	$368,021,447	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,948,379	BOYAmt
EOY	$8,991,442	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$97,873,873	BOYAmt
EOY	$88,274,474	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,422,709	BOYAmt
EOY	$25,513,813	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$90,248,025	BOYAmt
EOY	$81,274,419	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$972,952,668	BOYAmt
EOY	$970,849,506	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$153,620,119	BOYAmt
EOY	$152,827,230	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$13,240,028	BOYAmt
EOY	$6,019,642	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$279,670,233	BOYAmt
EOY	$269,999,232	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$59,885	BOYAmt
EOY	$69,107	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$82,075,544	BOYAmt
EOY	$78,803,365	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,836,194	BOYAmt
EOY	$4,278,199	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,251,396	BOYAmt
EOY	$63,314,580	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$592,753,399	BOYAmt
EOY	$575,311,355	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$332,464,151	BOYAmt
EOY	$351,138,989	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,505,258	BOYAmt
EOY	$30,583,893	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,229,860	BOYAmt
EOY	$13,815,269	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$380,199,269	BOYAmt
EOY	$395,538,151	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$972,952,668	BOYAmt
EOY	$970,849,506	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$32,399,480	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,040,737	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,019,861	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$3,582	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$93,603	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$78,510	OtherActivitiesAmt
Total Lobbying Expenditures	$175,695	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,907,460	BeginningYearBalanceAmt
Contributions	$15,881,552	ContributionsAmt
Investment Earnings Or Losses	-$1,263,368	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,972,453	OtherExpendituresAmt
Administrative Expenses	$616,708	AdministrativeExpensesAmt
End Year Balance	$37,936,483	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,316,561	BeginningYearBalanceAmt
Contributions	$817,450	ContributionsAmt
Investment Earnings Or Losses	$1,272,837	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,496,226	OtherExpendituresAmt
Administrative Expenses	$3,162	AdministrativeExpensesAmt
End Year Balance	$36,907,460	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.31000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.69000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,409,557	OtherCostOrOtherBasisAmt
Book Value	$30,409,557	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$512,075,535	OtherCostOrOtherBasisAmt
Depreciation	$272,532,260	DepreciationAmt
Book Value	$239,543,275	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,762,533	OtherCostOrOtherBasisAmt
Depreciation	$9,361,956	DepreciationAmt
Book Value	$2,400,577	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$528,526,835	OtherCostOrOtherBasisAmt
Depreciation	$445,922,691	DepreciationAmt
Book Value	$82,604,144	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,075,135	OtherCostOrOtherBasisAmt
Depreciation	$11,011,241	DepreciationAmt
Book Value	$13,063,894	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$368,021,447	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Malpractice Fund	$46,964,315	F
Malpractice Fund	$1,347,830	C
Recruitment/Student Loan	$1,858,432	C
Investments Other	$6,732,457	C
2013 Note Project Fund	$31,371,440	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$88,274,474	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets - CAMC Foundation	$44,399,162
Bond Debt Reserve Fund	$12,818,191
Bond Collateral	$11,460,000
Trustee Funds	$6,910,053
Affiliate Receivable- CAMC Foundation	$235,060
Affiliate Receivable- CHERI	$358,103
Derivative Asset Value	$5,093,850

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$81,274,419	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$42,409	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Estimated Malpractice Claims	$30,612,000
Estimated Workers Compensation Claims	$1,455,158
Affiliate Payable- CAMC Foundation	$49,287
Affiliate Payable- CHERI	$2,972,228
Settlements due to 3rd Parties	$13,736,014
Estimated Retiree Health	$1,822,182
Umbrella Trust & SERP	$12,625,302

Field	Value	IRS element (for citing)
Total Liability	$63,314,580	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	CAMC operates HealthCare Financial Services, which provides collections services to outside clients. Payments that are not recovered by the collection department include both the commission portion and the amount due to the outside client. The amount listed in Part X Line 21 reflects the amount CAMC needs transmitted to the client.
Part V, Line 4:	To further the mission of the organization.
Part X, Line 2:	CAMC's financial statements are audited as part of the financial statements of CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the consolidated footnotes is as follows: "The IRS has determined that CAMC, the Foundation, the Institute and the Health Network are exempt from income taxes under Section 501 (c)(3) of the Code and applicable state statutes. The System does not have any material uncertain tax positions as of December 31, 2018."

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,289,254	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,289,254	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$263,226,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$185,621,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,605,393	NetCommunityBenefitExpnsAmt
Total Expense	0.07000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,808,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,827,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$980,765	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$284,324,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$187,448,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,875,412	NetCommunityBenefitExpnsAmt
Total Expense	0.08740	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,562,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,562,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,585,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,854,704	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,730,418	NetCommunityBenefitExpnsAmt
Total Expense	0.03220	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$842,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$719,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$122,999	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,833	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319,833	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,309,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,573,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,736,012	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$329,633,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$195,022,492	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$134,611,424	NetCommunityBenefitExpnsAmt
Total Expense	0.12140	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$662	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$662	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$202,962	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$202,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,703	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$114,051	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$394,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$360,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$44,326,663	BadDebtExpenseAmt
Bad Debt Expense Attributable	$14,361,839	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$330,388,829	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$502,599,701	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$172,210,872	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

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

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
Facility Reporting Group - A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	See Part V, Section C.	Yes (X)	www.healthykanawha.org	Yes (X)	Yes (1)	17	Yes (1)	See Part V, Section C.	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
Facility Reporting Group - B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		18	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	See Part V, Section C.			Yes (X)	Yes (1)	18	Yes (1)	See Part V, Section C.	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	http://www.camc.org/charity-uninsured-plan	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B. Facility Reporting Group A	Part V, Section B, line 7a: https://www.camc.org/documents/Community/2017-2019%20Community%20Health%20Needs%20Assessment%20and%202017%20-%202019%20Implementation% 20Strategy.pdfSchedule H, Part V, Section B. Facility Reporting Group APart V, Section B, Line 10a:https://www.camc.org/documents/Community/2017-2019%20Community%20Health%20Needs%20Assessment%20and%202017%20-%202019%20Implementation%20Strategy.pdf
Part VI:	Part V, Section B, line 7a: https://www.camc.org/documents/Community/2018%20CAMC%20Teays%20Community%20Benefit%20Needs%20Assessment%20and%20Implementation%20Strategies.pdfSchedule H, Part V, Section B. Facility Reporting Group BPart V, Section B, line 10a: https://www.camc.org/documents/Community/2018%20CAMC%20Teays%20Community%20Benefit%20Needs%20Assessment%20and%20Implementation%20Strategies.pdf
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: CAMC Memorial Hospital, - Facility 2: CAMC General Hospital, - Facility 3: CAMC Women and Children's Hospital
Facility Reporting Group - A Part V, Section B, line 5:	Household Telephone Survey: The household surveys were conducted using appropriate quality controls which included involving research experts in the design of the survey instrument, thorough and consistent training of interviewers, and the use of reputable survey-analysis software. The principal investigator provided oversight to the surveying process including data collection and entry. Data was collected and entered using a web-based survey. This report was compiled and verified for accuracy by members of the Kanawha Coalition for Community Health Improvement. This survey sample size results in a statistically significant 95% confidence interval with an error margin of plus or minus 5.73%. Not all respondents answered every question; therefore the margin of error was adjusted and reported for each question, based on the number of respondents. Numbers too small to be statistically significant were noted as such. An independent sampling firm randomly selected landline telephone numbers for Kanawha County households. The random landline sample consisted of 8,600 numbers which was screened for disconnects and businesses, resulting in a list of 4,568 numbers. A total of 26 nursing students received training and administered the phone survey. After learning that the number of American homes with only wireless telephones continues to grow and 47.4% of American homes had only wireless telephones (January - June 2015 National Center for Health Statistics Survey), the Kanawha Coalition attempted to increase the number of responses among younger residents and lower income residents, by doubling the acquired address based sample of households with only wireless phones. The wireless sample of 5,600 households received postcards in the mail directing them to the online survey or to call the Kanawha Coalition to arrange a convenient time to take the survey by telephone. The Kanawha Coalition process works to ensure that the survey sample size is valid, and that the sample is randomly selected. It also ensured that the fourth-year nursing students with the University of Charleston's School of Nursing were adequately trained in how to administer the phone survey. As with any telephone survey, there are certain limitations. The result of the survey depends on the accuracy of the responses given by the persons interviewed. Self-reported behavior must be interpreted with caution. To assure proper sampling distribution, the demographics of the survey respondents were compared to county demographics based on 2010-2015 U.S. Census Quickfacts data. This comparison reveals an over-representation of respondents who were female, over 55 years of age, widowed, had no children in the home and were Caucasian. There was an under-representation of African Americans, people with lower-educational attainment (high school or less), those with children in the home, and those who had never been married. Focus Groups:To understand community needs, focus groups were held throughout Kanawha County in November 2016. As one component of the Coalition's five-part assessment, focus groups offer insight into the needs, concerns and experiences of people whose voice is not often heard. Typically, focus groups are comprised of a small group of individuals, usually a vulnerable or target population. In this case focus groups were organized in communities located in different geographical locations in the county. It is important to note that the results reflect the perceptions of some community members, but may not necessarily represent all community members in Kanawha County. A series of six focus groups were convened. Participants received gift cards for their completion of the focus group. The purpose of the discussion was to obtain input on issues that could impact the health of the residents of their communities. A total of 51 community members participated in focus groups in the following communities: Cross Lanes, Elkview, Kanawha City, Marmet, Miami and London. The Kanawha Coalition provided training to fourth year University of Charleston-School of Health Science's nursing students with the University of Charleston-School of Health Sciences to enable them to facilitate the groups. The students also compiled the results and prepared reports of the findings for the Kanawha Coalition.Steering Committee: Steering Committee Members are from the CAMC, Thomas Health System,Highland Hospital, Charleston Area Alliance, Kanawha County Schools, WV Bureau for Public Health, Partnership of African American Churches and the Kanawha Coalition for Community Health Improvement and they serve in an advisory capacity for the Coalition. The Steering Committee follows a set of Guiding Principles as it promotes and safeguards the integrity of the collaborative process as each assumes the role of an equal partner in the process. They make tangible commitments of resources to the Coalition and believe that the process is the product and serves as the vehicle to putpeople together to explore and address challenges and opportunities toimprove the health of the people of Kanawha County. The SteeringCommittee is committed to including all members of the community in thecommunity health needs assessment process as it cultivates acommunity-wide sense of ownership, not organizational ownership. Itprovides encouragement and support to keep Coalition volunteers engagedand motivated while remaining flexible in its approach to meetingcommunity needs. It believes in continuous quality improvement andsupports an ongoing process to evaluate and improve outcomes and itcelebrates successes along the way.Members of the Kanawha Coalition Steering Committee actively participatein the survey planning process to provide public health insight and ensuredata integrity. Additionally, epidemiologists from the West VirginiaDepartment of Health and Human Services work with the Coalition for question design for consistency with other surveys to allow benchmarks andcomparisons. In addition, Key Informant Interviews provide in-depthinformation on the community. The Steering Committee also providescontact information for key informants in the community.Key Informant Interviews:The 87 key informants representing 20 different sectors or areas ofexpertise in the community were given both standardized questions and openended questions designed to elicit a full range of responses. They wereasked to identify the top three populations in Kanawha County with unmetneeds and to share their biggest concerns in terms of health riskbehaviors, clinical care, social and economic factors and the physicalenvironment. They were also asked to share the challenges and barriersthey believed exist and how best to overcome them. Finally, they wereasked to identify the top three overall issues in Kanawha County and whatthey believed to be the top three health related strengths and assets forthe community.
Facility Reporting Group - A Part V, Section B, line 6a:	Thomas Health System (Thomas Memorial Hospital and St. Francis Hospital); Highland Hospital
Facility Reporting Group - A Part V, Section B, line 6b:	United Way of Central West Virginia; FamilyCare Health Center; Kanawha-Charleston Health Department; Kanawha County Schools; Spilman Thomas & Battle, PLLC; Kanawha Coalition for Community Health Improvement; Charleston Area Alliance, Partnership of African American Churches, WV Department of Health and Human Services.
Facility Reporting Group - A Part V, Section B, line 11:	The following community health need issues were identified as community priorities and funded as part of operational planning by the CAMC Board of Trustees: Drugs, Diabetes, Obesity, Heart Disease/Hypertension/Heart Attack/Stroke, Limited Access to Healthy Foods, Tobacco Use, Lack of Access to Mental Health and Addiction Services, and Cancer.1.) One of the community need issues identified is Drugs (all typesillicit and prescription, does not include alcohol). We addressed thiscommunity need issue through the CAMC Ryan White Program. In 2018, therewere 366 participants and we provided $71,795 in unreimbursed care. Wealso addressed this issue with the Drug Addicted Mother Baby Program. In2018, 627 mothers were identified and participated in the program at CAMCWomen and Children's Hospital.2.) Another community need issue identified is Diabetes. We addressed thiscommunity need issue with our Outpatient Diabetes Education Program andInformation available through our Health Information Center. We alsoprovided community screenings via our annual Healthfest and Teddy Bear health fairs.3.) Obesity was addressed via our continued provision of Play Patch, a 940square feet children's play area that includes fruit and vegetable themedplay equipment along with a family restroom at the local shopping mall.4.) Heart Disease/Hypertension/Heart Attack/Stroke was addressed viacommunity education provided via the CAMC Mall Walkers, BLS Training forthe Community, CAMC Healthfest, and Physician Guest Lecture Programs.Health Screenings for heart disease were also provided at the CAMCHealthfest. In all, over 2,000 residents of the community were impactedby CAMC's outreach efforts.5.) Limited Access to Healthy Foods is addressed through our Local WealthCreation "Value Chain program and our continued efforts to work with TheGreater Kanawha Foundation to create and sustain a wealth creation valuechain. This approach bridges conventional approaches to community andeconomic development by using a systems framework, working with wealthcreation value chains. CAMC's 5 county primary service area is comprisedof 356,000 people with a small increases in the size of the workingpopulation since 1990. 18% of people and 25% of children live in povertywith little improvement over the past 10 years. The health connection isthat improvements in health care are associated with higher productivityin the workforce and for the economy overall. The value chain premisesare that we need to be intentionally inclusive of local people and placesas economic contributors to have a positive impact on wealth in ourcommunities. This program's focus is on working with local growers to develop their capability to sell their produce to CAMC at a guaranteedquantity and price and once the process is established to roll it out toother "buyers" . In 2018, we worked with over 140 individuals tocoordinate the number of growers providing fresh produce purchased by CAMCand to maintain and expand GAP certification.6.) Tobacco Use was addressed through "Tobacco Free for Baby and Me",the Tobacco Free Day at the West Virginia Legislature, the ALA Bike Trekand Great Smoke Out. The Tobacco Free for Baby and Me program identifiedover 200 women who were tobacco users through the CAMC Women's MedicineCenter in 2018.7.) Lack of Access to Mental Health and Addiction Services was addressed through the Outpatient Mental Health Program offered through the CAMC Family Resource Center. The program is for low income residents and served 122 individuals in 2018.8.) Cancer was addressed through Breast Cancer Awareness Activities, Community Cancer Screenings, and our Healthy Steps Program, Look Good/Feel Better Program, Breast Cancer Survivorship Group, Lung Bridge Program and participation in various community events such as Relay for Life and Run for Your Life.
Facility Reporting Group - A Part V, Section B, line 13h:	Other criteria considered for financial assistance eligibility: A financial assistance estimation tool that utilizes public records; and whether or not a patient receives assistance from certain state agencies.
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 4: CAMC Teays Valley Hospital
Facility Reporting Group - B Part V, Section B, line 5:	Putnam County Health Improvement Advisory Committee completed a community survey in May 2018 to identify top issues in Putnam County in the following categories: quality of life, health behaviors, issues affecting quality of life, existing health conditions, and access to care. There were 150 responses collected with 144 of those responses from Putnam County (76% female, 23% male). Towns represented include Bancroft, Buffalo, Culloden, Eleanor, Frazier's Bottom, Hometown, Hurricane, Liberty, Poca, Red House, Scott Depot, Teays and Winfield. Putnam County Health Improvement Key Informant/Partner Survey (May 2018). 47 respondents from a variety of professional sectors including Governmental (21.3%), Health care provider (10.6%), Health care organization (8.5%), Law enforcement (8.5%), Business (6.4%), Mental/Behavioral health (6.4%) and Public safety (6.4%). The findings follow: o Target Populations with Greatest Unmet Need: addictions, mental health, and low income. o Youth Health Risks/Risky Behaviors: drug use (illicit drugs & prescription medications), child abuse/neglect, and unsafe driving habits.o Adult Health Risks/Risky Behaviors: drug use (illicit drugs), obesity, and affordable health care. o Older Adult Health Risks/Risky Behaviors: social isolation, affordable prescriptions, and affordable health care. o Community and Environmental Factors: lack of access to community recreation, lack of access to health foods, and public safety (unsafe neighborhoods).o Clinical Care Barriers to Healthcare. At least 50% of respondents identified the following health care services as having a significant or highly significant barrier to access- Addiction, Mental Health, Dental, Long Term Care, Healthcare Specialists, Primary Care, Vision, and Prescription Drug services.EnAct Community Needs Assessment Putnam County. In May 2018, EnAct Community Action Agency conducted a needs assessment in Boone, Clay, Fayette, Kanawha and Putnam Counties. The project included planning sessions with an interagency team, surveys of key community stakeholders and clients, community discussions with stakeholder groups, researching and compiling various available secondary data sets that inform the assessment and development of the community needs assessment report with key findings. 49 key informants familiar with local services and community conditions 16 completed the community survey in Putnam County. The information presented was prepared and presented by EnAct and EPIC Mission and Collective Impact, LLC. The top issues identified in the following priority areas of need for low income people in Putnam county include: o Healthcare: access to affordable health insurance, assistance with dental procedures, more affordable prescription drugs, and additional substance abuse treatment services.o Nutrition: transporation to grocery store, food pantry, or other food resources; increased availability of food programs such as senior center meals, Meals on Wheels or food pantries, and additional outlets (grocery store) for purchase of healthy food or Education about healthy food choices o Children's Needs: safe, drug free recreation programs for teens; summer activities including day camps for kids; safe homes and neighborhoods.o Senior Needs: meal delivery services, home modifications to accomodate handicaps or limited mobility, and information about internet or phone fraud targeted at Seniors. Key leaders from these groups in Putnam County identified and prioritized community health needs. Through CAMC Teays Valley Hospital's strategic planning process, the community health needs assessment and prioritized community health needs are used to set community health implementation strategies for CAMC Teays Valley Hospital. The Putnam County needs assessment was coordinated using input from the following individuals: Bill O'Dell, Program Director, Putnam County Wellness Coalition Cindy Farley, Chairwoman of the Putnam County Board of Health, John D. Law, Putnam County Health Department Information Officer, Randy Hodges, Vice President/Administrator, CAMC Teays Valley Hospital, Wanda Marks, CAMC Teays Valley Hospital Representative, E. Michael Robie, D.O., CAMC Teays Valley Hospital Representative.
Facility Reporting Group - B Part V, Section B, line 6b:	Putnam County Health Improvement Advisory Committee, Putnam County Health Improvement Key Informant Partner Survey, Putnam Wellness Coalition Survey, EnAct Community Needs Assessment
Facility Reporting Group - B Part V, Section B, line 11:	The following health issues are identified as community priorities in 2018 for 2018-2020: Overweight/Obesity, Access to Specialty Health Care, Substance Abuse (Prevention, Treatment, and Recovery Resources), High Blood Pressure/High Cholesterol, Access to Affordable Health Care, Managing Weight/Exercising/Physical Fitness, Low Income/Poverty, Abuse/Neglect in Children, Access to Affordable Healthy Foods, Adequate Health and Wellness Activities/Adequate Sidewalks, Sufficient Public Transportation, Depression/Anxiety, and Parenting Skills. Implementation strategies for 2018-2020 with 2018 progress updates include:1.) One community need priority addressed is Overweight/Obesity and we addressed it via the provision of free sports physicals, orthopedic coverage for area sporting events, donations for sporting equipment, transportation, and sponsorships for area schools. We supported community activities such as Heart Walk and Go Red. We also provided support for Camp Kno Koma.2.) Another community need priority addressed is Access to Specialty Health Care. We are providing surgery, neurology, urology, orthopedics, oncology, vascular, Level III Cardiac Rehab and Pain Management to the community.3.) Another community need priority addressed is Substance Abuse (Prevention, Treatment and Recovery resources). We provide sponsorship and board direction for the Putnam County Juvenile Drug Court, the 911 Advisory Committee, and the Putnam County Health Improvement Advisory Committee.4.) Another community need priority addressed is High Blood Pressure/High Cholesterol. We provide screenings during the Putnam County Homecoming Health Fair, Winfield Fair, sports physicals, and through our Level III Cardiac Rehab Services. We also provide education materials via the Backpack Buddy program and at various community fairs and festivals.5.) Another community need priority addressed is Access to Affordable Health Care. We provide reduced cost lab work, free sports physicals, charity care, and enrollment assistance for patients and families for health coverage.6.) Another community need priority addressed is Managing Weight/Exercising/Physical Fitness. We supported Camp Kno Koma, provided sports physicals, orthopedic coverage for sporting events and donations for sporting equipment and transportation. We also supported Heart Walk and Go Red.7.) Another community need priority addressed is Low Income/Poverty. We provide charity care and enrollment assistance for patients and families for health coverage. We also provide support for the Putnam County Schools Health Services Cluster Career Conference, the Health Occupations Students Association, the Backpack Buddy Program, and the Putnam Wellness Coalition.8.) Another community need priority addressed is Abuse/Neglect in Children. We provide support for the Putnam Wellness Coalition, the Officer Phil Program, Mandatory reports to the Department of Health and Human Services for Child Abuse and provide trained nurses for the Sexual Assault Nurse Examiner (SANE) program.9.) Another community need priority addressed is Access to Affordable Healthy Foods. We provide support for the Backpack Buddy Program and Putnam Aging Agency.10.) Another community need priority addressed is Adequate Health and Wellness Activities/Adequate Sidewalks. We support the Putnam Wellness Coalition, the Medical Response Team at Bible Center Church, Stop the Bleed Program, Sports Physicals, Orthopedic Coverage for area sporting events, donations of sporting equipment, transportation and sponsorships for area schools. We also support area Heart Walk, Fairs and Festivals.CAMC is unable to address certain community health needs:1.) Sufficient Public Transportation: CAMC Teays does not have the capability or funding to address this issue. 2.) Depression/Anxiety: This issue is addressed by CAMC General Hospital in Charleston. 3.) Parenting Skills: This issue is supported through the Family Resource Center at Women and Children's Hospital in Charleston. 4.) Adequate Sidewalks: CAMC Teays does not have the capability or funding to address this issue.
Facility Reporting Group - B Part V, Section B, line 13h:	Other criteria considered for financial assistance eligibility: A financial assistance estimation tool that utilizes public records; and whether or not a patient receives assistance from certain state agencies.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CAMC Imaging Center
60 RHL Boulevard	South Charleston	WV	25309	Outpatient Imaging Center
2 - CAMC Urgent Care Center
314 Goff Mountain Road Suite 3	Cross Lanes	WV	25313	Urgent Care Facility
3 - CAMC Physical Therapy and Sports Med
200 Tracy Way	Charleston	WV	253111258	Rehabilitation Facility
4 - CAMC Solutions
2568 Pennsylvania Avenue	Charleston	WV	253024907	Pharmacy Compounding Center
5 - CAMC Rheumatology
4610 Kanawha Ave SW	South Charleston	WV	25309	Rheumatology
6 - St Mary's Laboratory Services
2900 First Ave Suite 607	Huntington	WV	25702	Laboratory Services
7 - CAMC Weight Loss Center
600 Tracy Way Suite 2	Charleston	WV	25311	Weight Loss Center
8 - CAMC Primary Care-Nitro
4111 First Avenue 3	Nitro	WV	25143	Family Practice
9 - CAMC Primary Care-Winfield
3456 Winfield Road	Winfield	WV	25526	Family Practice
10 - Plastic Surgery Center
210 Brooks Street Suite 200	Charleston	WV	25301	Plastic Surgery
11 - Teays Valley Orthopedics
3703 Teays Valley Road	Hurricane	WV	25526	Orthopedic Center
12 - Urologic Surgical Center
11 Courtney Drive	Charleston	WV	25304	Urological Center
13 - Cardiology-South Charleston
4610 Kanawha Ave SW	South Charleston	WV	25309	Cardiology
14 - Cardiology-Summersville
400 Fairview Heights Road	Summersville	WV	26651	Cardiology
15 - Orthopedics - Madison
467 Main Street Suite 1	Madison	WV	25310	Orthopedic Center
16 - CAMC EP Cardiology
3100 MacCorkle Avenue SE Suite 205	Charleston	WV	25304	Cardiology
17 - CAMC Primary Care-Teays Valley
1204 Hospital Drive	Hurricane	WV	25526	Family Practice

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	CAMC may screen private pay balances for pre-qualified eligibility byusing financial assistance estimation tools that access public records.Using a proprietary algorithm (looking at tax records, bankruptcies,etc), the tool returns whether the patient is likely to qualify for theFinancial Assistance Policy. In cases where pre-qualified eligibilitydoes not qualify a patient for financial assistance, the patient maycomplete a financial assistance application where application materialis evaluated to determine if the patient can qualify based on incomeand assets. If the patient meets income criteria for eligibility an inventory of available assets is evaluated. If the patients availableassets fall below $50,000 excluding the patients primary residence andprimary vehicle, the patient will qualify for financial assistance.If a patient is found to be receiving certain State agency assistance(i.e. WIC, SNAP, etc), such patient will be presumed eligible for CAMCfinancial assistance, and an application for assistance needed todetermine income and asset eligibility criteria will be unnecessary.
Part I, Line 7:	Utilized worksheet 2 to determine cost-to-charge ratio.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 44,326,663.
Part II, Community Building Activities:	CAMC Memorial, General and Women and Children's Hospitals community building activities improve the community's health and safety by addressing the root causes of health problems. CAMC is a member of the Partners in Health Network, Inc. (Partners), which is comprised of a network of mostly small and rural hospitals, clinics and health departments who work together to address quality and educational needs for improving care management, assistance with NCQA accreditation for patient centered medical homes and improved quality through addressing sepsis and other health issues. Access to health care for 5,000 working uninsured individuals in central and southern West Virginia is provided through Partners Community Access Program. Additionally, CAMC provides students enrolled in post-secondary education with related on-the-job training that is required for their graduation. Health Fairs for the community focusing on adults and children provide screening and health information to identify and address health issues. CAMC also partners with the Greater Kanawha Valley to create a value chain food system to support wealth creation for local growers.Kanawha Coalition for Community Health Improvement (KCCHI) Drugs:o Funding secured for Too Good For Drugs curriculum for all grades K-8. o Provided Too Good For Drugs instructor training for elementary and middle school personnel. o Too Good For Drugs implemented in grades K-8, School Year 2018-2019 (Pre/Post Survey Results pending)o Partnered with Kanawha County Schools on Generation Rx program delivered by University of Charleston School of Pharmacy students for all third grade class rooms in Kanawha County, funded by Cardinal Health.o KCCHI serves on the Board of the Kanawha Communities That Care Substance Abuse Prevention Partnership.Diabetes:o Established first ever Kanawha Diabetes Coalition (KDC). It has met monthly since May 2017.o KDC has 140 individual members, representing 60 organizations.o Completed inventory of Kanawha County diabetes and pre-diabetes programs.o Worked with WVU School of Public Health on Health Connect to populate Kanawha County resources based on our inventory. This searchable, mappable online inventory is available at https://www.healthconnection.com/kanwha-diabetes-coalitionresource.o Surveyed Kanawha County clinics regarding their usage of the CDC Prediabetes Screening Test.o Convened major payer to discuss return on investment for Prediabetes programs.o Conducted community assessment, including an environmental scan, of pre-diabetes resources, access to healthy foods, and physical activity opportunities for residents in the flood ravaged Clendenin, WV area. Presented findings and recommendations to Mayor of Clendenin and members of Clendenin City Council.o Developed Internship opportunities for KCCHI KCD work.o Developed written goals and objectives for KDC 2019-2020.o Developed Committee and Leadership structure for the KDC.o Partnered with Quality Insights to develop a Toolkit on How to Start a Diabetes Coalition.o Presented on the Diabetes Coalition Toolkit at the 2019 Try This WV Conference.Obesity:o Included Kanawha County physical activity opportunities in the Health Connection database.o Recruited community-based (non-profit and for profit) physical activity services to the Kanawha Diabetes Coalition. Fitness instructors at local businesses have become certified in the National Pre-Diabetes Prevention Program. o KCCHI continues to serve as a member of the KEYS 4 HealthyKids Steering Committee to address childhood obesity.Communities of Excellence Update:o The Kanawha Coalition is a Cohort One Community for the Communities of Excellence Program, made possible through support of CAMC. This cohort of communities from throughout the nation is working to apply the Baldrige principles for Performance Excellence at the community level.o As a result of our Communities of Excellence work, KCCHI has changed its community assessment model to include Community Health and Social Factors, Community Safety and Infrastructure, Education, Employment, and Local Attractions (arts, entertainment, sports, recreation).CAMC Teays Valley Hospital's community building activities improve the community's health and safety by addressing the root causes of health problems. CAMC Teays Valley supports Medical Explorers, a program designed to introduce youth in Putnam County who have designated health care as their health cluster to the health care environment. This helps to address a lack of parental oversight. Teays also supports the Putnam County Career Fair, Health Services Career Conference, and Portfolio Expositions where area high school students and adults are provided information on the educational requirement for health care careers.
Part III, Line 2:	This is the bad debt expense from the audited financial statements. Bad Debt is the net of discounts, payments and recoveries.
Part III, Line 3:	The estimated amount of bad debt expense attributable to patients eligible under the organization's financial assistance policy would be 14,361,839 for 2018.
Part III, Line 4:	The footnote for Allowance for Uncollectible Accounts is on page 12 of CAMC Health System's audited financial statements. In summary, private pay accounts and amounts for deductibles and co-insurance that are deemed uncollectible that do not appear to meet the charity care guidelines are written off as bad debt expense and appear as a deduction from patient service revenue in the audited financial statements.
Part III, Line 8:	CAMC treats any government reimbursement that is insufficient to cover allocated costs as being a community benefit. CAMC chooses to serve the community by participating in the Medicare program and accepting Medicare reimbursement.
Part III, Line 8:	Cost to charge ratio from the Medicare costs report is used.
Part III, Line 9b:	CAMC's collection policy makes provisions for patients who qualify for financial assistance. Patients who receive financial assistance must have income at 300% or less of Federal Poverty Guidelines, insufficient assets to pay for the care, and may not be eligible for any public programs. Patients who qualify for financial assistance with income under 200% FPG are given a 100% discount. Patients who qualify for financial assistance with income between 201-300% FPG receive a 50% discount. All uninsured patient responsibility debt not approved for financial assistance is reviewed with a financial assistance calculator. This financial assistance estimator process is only used to approve assistance. It is not used to deny assistance. Accounts are only reviewed for Financial Assistance at the 100% discount category. This process is performed before extraordinary collection efforts. Patients without third-party coverage who do not qualify for charity are given a 55% discount from charges (which is greater than any commercial discount). In addition to charity and uninsured discounts, CAMC provides assistance with payment plans, government programs, and an Employee Assistance Program.
Part VI, Line 2:	CAMC supports and strengthens its key communities through a systematic approach that begins with our mission, vision and values. Annually during our strategic planning process we review the community health needs assessment findings and priorities to develop our community strategy. This strategy is based on issues identified through the needs assessment process and supplemented with findings from our internal Environmental Analysis. Communities are identified, strategies are identified and plans are funded, implemented, tracked and measure. Our Board approves the plan and reviews plan progress annually. Because of the size and scope of our services, the approach we use to identify our key communities is based on the strategy, key stakeholders needs, and our capacity. Our community for the KCCHI work groups is Kanawha County as determined by the KCCHI mission. For our CAMC community strategy, community is based on the need identified and population to be addressed. We develop Health Indicator Data Sheets for each of our service area counties and identify key issues to address for all or part of our service area. For example, our Perinatal Telemedicine Project includes 14 rural counties and our Child Advocacy Center and HIV program serve our entire service area. Each strategy is deployed through a planning process that addresses key stakeholder needs and is evaluated based on predetermined criteria for outcomes expected. Cycles of learning have ensured the Civic Affairs Council monetary contributions support community organizations in the service area that are clearly aligned with our community strategy. In addition to addressing community needs and contributing financially, our leadership team serves in key leadership roles for community activities, programs and organizations as well as supports the workforce in participating in many community benefit activities such as Day of Caring and HealthFest. CAMC Teays Valley Hospital supports and strengthens the Putnam County community through its annual planning process where the needs assessmentfindings and priorities are reviewed to develop its community strategy and the community(ies) within Putnam County that are impacted. This strategy is based on issues identified through the needs assessment process and supplemented with findings from review of internal data. Strategies areidentified and plans are funded, implemented, tracked and measured. The CAMC Board Planning and Public Policy Committee and the CAMC Board of Trustees approve the plan and review plan progress annually. In additionto addressing community needs and contributing financially, CAMC Teays' Vice President and Associate Administrator serve in key leadership roles for community activities, programs and organizations as well as supportthe workforce in participating in many community benefit activities. As part of the strategic planning process, CAMC Teays determines if there are additional areas of support that can be provided to address the identified community health needs assessment issues.
Part VI, Line 3:	CAMC informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under CAMC's Financial Assistance Policy during the registration process. Information is available through signage and a plain language summary of the policy is given to each patient. In addition, Financial Assistance applications are available at each registration location. CAMC Financial Counselors are located in each Emergency Department and Admitting area. During registration, if a patient is uninsured, they may be referred to a Financial Counselor who provides education about Charity Care, Medicaid Eligibility and Federal Disability. WV State employees are also on site at each hospital to accept and process Medicaid applications and notify patients if they qualify.
Part VI, Line 4:	CAMC's community area of focus includes our Primary and Secondary Service area. Our primary service area (PSA) includes: Kanawha, Putnam, Fayette, Boone, and Logan Counties. Our secondary service area (SSA) is Clay, Jackson, Lincoln, Mercer, Nicholas, Raleigh, and Roane Counties. Kanawha County constitutes a population of 180,258 with a median age of 43.3 and a household income of $46,865. The PSA/SSA population is 562,808 with a median age of 43.4 and a household income of $44,594. Teays community and primary area of focus is Putnam County. Putnam County has a population of 56,924 with a median age of 42.6 and a household income of $59,732. Demographic, health and socioeconomic information is provided in detail in the 2018 Community Benefit Reports found on www.camc.org.
Part VI, Line 5:	CAMC's governing board is its Board of Trustees, a 17 member community board that meets WV State law requirements for nonprofit boardmembership including community representation. Admission to the medicalstaff is open to all qualified physicians in the area, consistent with thesize and nature of the facility. Each CAMC hospital operates a full-timeemergency room open to everyone, regardless of ability to pay. CAMCserves a broad cross-section of the community through research and charitycare. CAMC applies any surplus funds toward improving facilities, equipment, patient care, medical training, research and education. CAMC'sCommunity Health Improvement Services, Health Professions Education,Financial and In-kind Contributions, Community and Building Activities aredetailed in the Community Benefit Report on our website at www.camc.org.
Part VI, Line 6:	CAMC Health Education and Research Institute serves as the education and research arm of the CAMC Health System. The Institute promotes the health of the community by sponsoring health professional training programs training the region's health professionals in the community, region and state sponsoring management and leadership development programs, sponsoring community health education and prevention education programs for the community, conducting clinical and health services research targeted to improve health and health services delivery of our patients and community, pursuing special program funding and grants to support education and research programs, promoting economic development through its employment of approximately 80 full-time education, research and support staff and through its extramural and externally funded sponsored programs, promoting telehealth opportunities that link providers for health consultation and that improves access to health services to patients, creating linkages to education affiliates allowing approximately 800 learners to receive clinical training experiences at CAMC, sponsoring simulation training experiences for regional education affiliates, and promoting and sustaining networks and partnerships that improve access to clinical trials and research funding opportunities. The CAMC Foundations' mission is to support and promote CAMC's delivery of excellent and compassionate health services and CAMC's contribution to the quality of life and economic vitality of the region. This is accomplished through support of many services to CAMC patients and employees. Each year, the Foundation supports the Prevention First Program at CAMC Women and Children's Hospital. The Prevention First Program seeks to reduce medical costs, facilitate all aspects of health care, including support of the medical plan established by the primary care physician, while meeting the special needs of low-income children and families in the home environment. Specifically, the Prevention First Program promotes healthy outcomes that will decrease pre-term labor, infant mortality, unplanned C-Section rate, NICU/PICU length of stay and increase infant birth weight while promoting well-child care and immunizations. The Foundation also helps keep physicians and allied health care employees up-to-date by providing funding for many continuing education programs.
Part VI, Line 7, Reports Filed With States	WV
Part VI:	The following disclosure is in accordance with Rev. Proc 2015-21 Section 7 in regards to Schedule H, Part V, Section B, Line 13:During part of the tax year, CAMC's financial assistance policy did not reflect a complete list of the providers delivering emergency or other medically necessary care in the hospital facilities. CAMC's financial assistance policy did include a provider list, however the provider list had not been updated since January 2016. This was discovered in April 2018 as CAMC worked with tax consultants on Schedule H for the 2017 Form 990. CAMC updated the provider list on June 29, 2018 and posted the updated provider list on the CAMC website. CAMC has also implemented procedures to ensure compliance with this requirement in the future. CAMC will utilize a 501(r) compliance checklist to ensure compliance with the provider list requirement. CAMC plans to update the provider list and post the updated list to the CAMC website quarterly.
Part VI:	The following disclosure is in accordance with Rev. Proc 2015-21 Section 7 in regards to Schedule H, Part V, Section B, Line 22:During 2017, CAMC did not timely update the calculation of Amounts Generally Billed ("AGB" ). CAMC's financial assistance policy describes that CAMC intended to calculate AGB using the look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period. However, CAMC had not been correctly calculating AGB using the method described in their financial assistance policy ("FAP"). CAMC did complete an analysis in which they believed they were complying with the 501(r) regulations and asserted at that time that no individual that qualified for financial assistance under the FAP was charged more than AGB. CAMC also did not list the percentage for AGB or provide a link to where the AGB percentage can be found on its website. This was discovered in April 2018 as CAMC worked with tax consultants on Schedule H for the 2017 Form 990. In April of 2018, CAMC calculated the AGB percentage based on calendar year 2017 data and implemented the new AGB% and discount offered for those who qualify for financial assistance in their systems within the 120-day period allotted in the regulations. However, during part of the tax year the AGB % was not made available for people to view on CAMC's website, nor within the FAP. CAMC updated the financial assistance policy for the new AGB % and made the FAP widely available on its website and in paper format in September 2018. CAMC has also implemented procedures to ensure compliance with this requirement in the future. CAMC will utilize a 501(r) compliance checklist to ensure compliance with the AGB requirement. CAMC plans to complete the AGB calculation and update the FAP as required annually.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
University of Charleston
2300 MacCorkle	Charleston	WV	253041099	550357039	501(c)(3)	$285,000	Nursing, Pharmacy and General Program support
WV Health Right Inc
1520 Washington Street	Charleston	WV	25311	311066881	501(c)(3)	$167,300	General Program Support
Braxton County Memorial Hospital
100 Hoylman Drive	Gassaway	WV	26624	550611919	501(c)(3)	$75,915	General Program Support
WV Medical Professionals-Health Program
4013 Buckhannon Pike	Mount Clare	WV	26408	743226821	501(c)(3)	$30,000	General Program Support
Ronald McDonald House Charities of Southern West Virginia Inc
910 Pennsylvania Avenue	Charleston	WV	25302	550631080	501(c)(3)	$26,000	General Program Support
WomenHeart-The National Coalition for Women with Heart Disease
1100 17th Street Suite 500	Washington	DC	20036	522148006	501(c)(3)	$15,000	General Program Support
American Heart Association
7272 Greenville Ave	Dallas	TX	752314596	135613797	501(c)(3)	$7,500	General Program Support

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

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Nursing Scholarships	47	$66,575
Allied Health Scholarships	35	$32,500
Medical Scholarships	49	$100,150
Employee Dependent Scholarships	22	$43,750
Employee Scholarships	175	$243,900

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David L Ramsey
President, CEO & Trustee	$829,721	$0	$100	$0	$288,993	$0	$188,500	$0	$32,373	$0	$1,339,687	$0	$85,785	$0
E Michael Robie DO
Director (start 11/18)	$305,750	$0	$0	$0	$14,113	$0	$11,000	$0	$12,629	$0	$343,492	$0	$0	$0
Seyed A Shams MD
Trustee (end 10/18)	$271,903	$0	$0	$0	$36,354	$0	$11,000	$0	$29,043	$0	$348,300	$0	$0	$0
Eric D Shouldis MD
Trustee	$362,579	$0	$100	$0	$2,542	$0	$11,000	$0	$35,304	$0	$411,525	$0	$0	$0
Robert D Whitler
VP Gov't & Comm Affairs	$194,428	$0	$100	$0	$31,158	$0	$8,091	$0	$26,033	$0	$259,810	$0	$0	$0
Kristi Snyder
VP Human Resources	$274,251	$0	$100	$0	$34,439	$0	$166,735	$0	$11,195	$0	$486,720	$0	$23,042	$0
Angela Fenton Hill
Secretary & General Counsel	$284,656	$0	$100	$0	$47,705	$0	$161,530	$0	$29,245	$0	$523,236	$0	$34,955	$0
Thomas P Mcllwain MD
VP Medical Affairs & CMO	$398,476	$0	$100	$0	$178,698	$0	$94,964	$0	$25,997	$0	$698,235	$0	$40,000	$0
Jeffrey L Oskin
VP Administrator	$369,307	$0	$100	$0	$46,088	$0	$229,716	$0	$18,752	$0	$663,963	$0	$33,533	$0
Jeffrey H Goode
VP Ambulatory Services	$312,865	$0	$100	$0	$57,794	$0	$241,986	$0	$40,112	$0	$652,857	$0	$36,665	$0
S Andrew Weber
VP Administrator	$251,730	$0	$100	$0	$42,050	$0	$128,109	$0	$37,544	$0	$459,533	$0	$31,178	$0
Eileen Clark
VP Info Services & CIO	$315,810	$0	$45,000	$0	$61,369	$0	$211,696	$0	$23,497	$0	$657,372	$0	$32,675	$0
Stephen Z Bell
VP Finance	$212,976	$0	$100	$0	$67,540	$0	$96,338	$0	$14,523	$0	$391,477	$0	$35,723	$0
Robert B Danielson
VP Corporate Compliance	$183,589	$0	$100	$0	$553,911	$0	$19,282	$0	$24,590	$0	$781,472	$0	$279,270	$0
Glenn Crotty Jr MD
Executive VP & COO	$521,028	$0	$100	$0	$81,403	$0	$115,537	$0	$36,602	$0	$754,670	$0	$25,440	$0
Micheal D Williams
VP Administrator	$314,045	$0	$100	$0	$674,961	$0	$263,286	$0	$35,091	$0	$1,287,483	$0	$660,007	$0
Randall H Hodges
VP Administrator	$218,739	$0	$100	$0	$114,903	$0	$9,799	$0	$28,203	$0	$371,744	$0	$0	$0
Jeff Sandene
Executive VP & CFO	$473,618	$0	$100,000	$0	$39,861	$0	$190,117	$0	$35,781	$0	$839,377	$0	$0	$0
Heidi Edwards
VP Prof Prac & CNO	$205,053	$0	$100	$0	$14,250	$0	$32,324	$0	$25,981	$0	$277,708	$0	$0	$0
Elie Gharib
Physician	$1,126,832	$0	$0	$0	$28,224	$0	$11,000	$0	$34,104	$0	$1,200,160	$0	$0	$0
Mitchell Rashid MD
Physician	$1,096,381	$0	$0	$0	$53,236	$0	$11,000	$0	$33,014	$0	$1,193,631	$0	$0	$0
Robert B Shin MD
Physician	$1,110,855	$0	$0	$0	$25	$0	$11,000	$0	$21,421	$0	$1,143,301	$0	$0	$0
Sangeeta Mandapaka
Physician	$1,022,000	$0	$0	$0	$18,500	$0	$11,000	$0	$6,890	$0	$1,058,390	$0	$0	$0
Nathan Kister MD
Physician	$961,956	$0	$0	$0	$75,823	$0	$11,000	$0	$34,104	$0	$1,082,883	$0	$0	$0
Ronald E Moore
Former VP Prof Prac & CNO	$0	$0	$100	$0	$312,489	$0	$0	$0	$8,515	$0	$321,104	$0	$0	$0
Lillian Morris
Former Interim CNO	$147,493	$0	$100	$0	$20,609	$0	$6,013	$0	$3,506	$0	$177,721	$0	$0	$0
Rocky Blake
Former VP Info Services	$199,773	$0	$100	$0	$20,492	$0	$8,307	$0	$27,020	$0	$255,692	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including CAMC) and executives (including CAMC's CEO). The Committee uses the data to determine the total compensation of CAMC's CEO and other executive officers. This data is reviewed every two years or when a new person comes into an executive role.
Part I, Lines 4a-b	Ronald Moore received $312,489 severance in 2018. Supplemental Executive Retirement Plan ("SERP"). Participants are key officers of CAMCHSI and subsidiaries. Participant Michael Williams was paid $635,000 in 2018 and participant Robert Danielson was paid $509,117 in 2018. Terms and Conditions of SERP plan: Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected, if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less 30 and 0.5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): Participant-CEO Terms and Conditions of CEO SERP Plan: Defined Contribution. Vest at age 65. Benefit at age 65 projected as the difference between 60% of Final 5 Year Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan and 50% of projected age 65 Primary Social Security Benefit. Actual benefits will depend upon simulated investment results based on investment options selected by participant. Eligible to receive SERP benefits upon earliest of: deferred vesting date; death; disability; involuntary termination without cause. Taxes due upon vesting. Subject to the Substantial Risk of Forfeiture. Under the Execu-Flex Benefit Plan (409A), executives receive 11% of their salary in flex allowance. This flex allowance is used to elect executive benefits. Any remaining flex allowance is credited to a tax-deferred Capital Accumulation Account. The minimum vesting period is two years, maximum age is 68. A two year non-compete agreement (Substantial Risk of Forfeiture Agreement) applies if termination of employment occurs prior to the vesting date. Certain participants had amounts vested and included as reportable compensation this year, as detailed below: Stephen Z. Bell - $35,770 Eileen Clark - $46,782 Glenn Crotty Jr., M.D. - $53,825 Robert B. Danielson - $34,794 Jeffrey H. Goode - $36,713 Angela Fenton Hill - $34,999 Randall H. Hodges - $75,071 Thomas P. McIlwain - $50,147 Jeffrey L. Oskin - $33,577 David L. Ramsey - $228,835 Kristi Snyder - $23,072 S. Andrew Weber - $31,219 Robert D. Whitler - $18,080 Michael Williams - $25,039
Part I, Line 7	The organization provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the CAMC Health System, Inc. Board of Directors Compensation Committee.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
West Virginia Hospital Finance Authority
A	621256910	956624AQ3	2008-06-19	$127,355,000	See Part VI	0	0	0
West Virginia Hospital Finance Authority
B	621256910	956622ZV9	2009-09-10	$177,519,271	See Part VI	0	0	0
West Virginia Hospital Finance Authority
C	621256910	956622F74	2014-07-24	$50,641,160	See Part VI	0	0	0
West Virginia Hospital Finance Authority
D	621256910	000000000	2008-09-30	$26,000,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt
A	$10,290,000	$130,398,907	$2,071,347	$773,024	$94,470,515	$33,084,021	2015	Yes (1)	Yes (1)	Yes (1)
B	$88,880,000	$178,397,572	$2,455,533		$2,926,790	$146,196,700	2013	Yes (1)	Yes (1)	Yes (1)	$9,161,405	$17,301,803
C		$50,641,160	$640,714			$50,000,446		Yes (1)	Yes (1)	Yes (1)	$3,656,786
D	$9,468,458	$26,105,219	$146,457		$4,214,557	$21,744,205	2013	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
Merrill Lynch
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	Capital	29.200000000000	0	0	0	Yes (1)	Yes (1)
Wachovia
B	0	0	0	Yes (1)	0	0					Yes (1)	Yes (1)	Yes (1)	23.000000000000	Yes (1)
Wachovia
C	0	Yes (1)	0	0	0	0					Yes (1)	0	Yes (1)	23.000000000000	Yes (1)
(no name)
D	0	0	0	Yes (1)	Yes (1)	0					0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Date Rebate Computation Performed

Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 06/30/2013 Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 06/30/2014 Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 06/30/2013

Schedule K Supplental Information

Part I, Line A (F) Description of purpose: The proceeds for the 2008A Bonds were used to (i) currently refund the Series 1995A Bonds originally issued on 9/26/95, (ii) pay the costs of certain capital expenditures made, or to be made, by CAMC, refinance a bank loan, and (iii) pay the costs of issuing the Series 2008A Bonds, including certain fees of the bank. Part I Line B (F) Description of purpose: The proceeds for the 2009A Bonds were used to (i) currently refund the outstanding principal amount of the 2002 Series A and B Bonds originally issued on 9/24/02, (ii) pay a portion of a termination payment as a result of termination of hedge agreement in connection with the 2002 Bonds (an extraordinary working capital expenditure), (iii) fund a debt service reserve fund, and (iv) pay the costs of issuing the 2009 Bonds. Part I Line C (F) Description of purpose: The proceeds for the 2014A Bonds were used to (i) currently refund and extinguish a portion of the Series 2009A Bonds issued 9/10/2009 and (ii) pay the costs of issuing the 2014A Bonds. Part I Line D (F) Description of purpose: The proceeds of the 2008A Bonds were to refund a portion of a $30,000,000 temporary note used to finance the acquisition, construction and improvement of facility and to finance a project acquisition fund. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. Working capital expenditures reported in Part II, Line 9, Column B consist of a swap termination payment. Part II, line 11, column B: Form 8038 reported that $148,894,025 of proceeds was to be used to retire the prior debt. The actual amount required for that purpose was $146,196,700. The remainder was deposited to a project fund and spent on capital expenditures eligible for tax-exempt financing. Part III has been completed for the column B bonds only with respect to the new money portion of the issue, as the refunding portion refunded pre-2003 debt. Part III has been completed for the column C bonds exactly the same as for the column B bonds, since the column C bonds current refunded a portion of the column B bonds. Part IV, Line 6, column A, B, and D: Such amounts were appropriately yield restricted.

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Cash GrantCashGrantAmt	Type Of AssistanceTypeOfAssistanceTxt	Assistance PurposeAssistancePurposeTxt
Haley Edwards
Family member of Heidi Edwards, Officer	$5,000	Scholarship	Nursing Scholarship
Audrey Goode
Family member of Jeffrey H. Goode, Officer	$7,692	Scholarship	Nursing Scholarship

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Rick Crotty
Family Member of Glenn Crotty Jr., MD, Officer	$66,869	Employed by Organization	0
Barbara Covelli
Family member of Glenn Crotty Jr., MD, Officer	$94,790	Employed by Organization	0
Donna Bell
Family member of Stephen Z. Bell, Officer	$177,260	Employed by Organization	0
Matthew Griffith
Family member of James P. Griffith, MD, Trustee	$25,591	Employed by Organization	0
John Snyder
Family member of Kristi Snyder, Officer	$105,234	Employed by Organization	0
Christine Oskin
Family member of Jeffrey L. Oskin, Officer	$122,408	Employed by Organization	0
Erik Reeder
Family member of Glenn Crotty Jr., MD, Officer	$46,439	Employed by Organization	0
Kim Goode
Family member of Jeffrey H. Goode, Officer	$42,405	Employed by Organization	0
Alexis McCormick Whitler
Family member of Robert D. Whitler, Officer	$51,767	Employed by Organization	0
Kellie Teel
Family member of S. Andrew Weber, Officer	$109,073	Employed by Organization	0
Alan Summers
Family member of Wanda Hightower, Trustee	$15,240	Employed by organization	0
Janet Morris
Family member of Lilian Morris, Former Officer	$69,135	Employed by organization	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Med. Analyzer	Desc
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$307,225	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 4	CAMC's Articles of Incorporation and Bylaws were amended in November 2018, primarily to reflect CAMC's objectives and purposes as a clinical and scientific research and teaching institution and as an organization that promotes the physical and mental health and well-being of the community and discourages the use and/or abuse of addictive substances, including alcohol, drugs and tobacco products.
Form 990, Part VI, Section A, line 6	CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member.
Form 990, Part VI, Section A, line 7a	CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member and has authority to elect all voting trustees of CAMC other than ex-officio trustees named in CAMC's governing documents. The sole voting member has the sole authority to amend CAMC's governing documents.
Form 990, Part VI, Section A, line 7b	CAMCHSI is CAMC's sole voting member and has reserved powers under CAMC's governing documents, which provide that decisions of CAMC's governing body, such as election of officers, approval of annual budgets and borrowings, are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law.
Form 990, Part VI, Section B, line 11b	CAMC compiles necessary information for Form 990 through the efforts of various officers and trustees of the organization and its affiliates. The return is then prepared and reviewed by an external consultant firm. This firm then reviews the completed Form 990 with the CAMC Board of Trustees and its Audit Committee.
Form 990, Part VI, Section B, line 12c	Corporate officers, including the President and Secretary, develop the agendas for board meetings and identify and resolve potential conflict of interest issues relative to action items. Annual disclosure procedures are implemented and the board chair and Nominating Committee periodically review conflict situations. The organization's conflict of interest policy requires all disclosed conflicts to be reported by the Chief Compliance Officer to the CAMC Health System Management Compliance Committee. The Compliance Officer will inform the Board of Trustees Audit Committee at their next scheduled meeting of all such activities approved by the CAMC Health System Management Compliance Committee. The Manager (the direct supervisor of a company representative) may concur with the Compliance Officer's decision or may ask that the Management Compliance Committee review the Conflict of Interest Form in question. The CAMC Health System Management Compliance Committee will then review the conflict of interest in question at the next meeting and their decision is final.
Form 990, Part VI, Section B, line 15	The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of CAMC's CEO and the other executives. The data is reviewed every two years or when a new person comes into an executive role.
Form 990, Part VI, Section C, line 19	The organization's audit is part of a consolidated financial audit for CAMC Health System, Inc. and Subsidiaries. Consolidated audited financial statements are available on-line at CAMC.org. They are also filed with the WV Health Care Authority where they are available online and in person. There is no formal method of making the organization's Bylaws and Conflict of Interest Policy publicly available, but they are available upon request. The organization's Articles of Incorporation are on file at and publicly available through the West Virginia Secretary of State's Office.
Form 990, Part XI, line 9:	Increase/Decrease in beneficial interest in CAMC Foundation -3,335,956. Change in Affiliate Receivable 945,536. Affiliate Transfers: CAMC Health System, Inc. and Subsidiaries 1,974,459. Change in Retirement Obligation -435,700. Change in Non-Controlling Interest -168,200.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1547	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	253261547	ZIPCd

Field	Value	IRS element (for citing)
EIN	831560412	EIN
Primary Activities	Integrator of Care	PrimaryActivitiesTxt
Legal Domicile State	WV	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (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	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Women and Children's Medical Office Building LLC
PO Box 1547	Charleston	WV	253261547	550669065	Medical Office Building	WV	Charleston Area Medical Center Inc	Related	$268,938	$3,043,392	0	Yes (1)	0.90440
General Division Medical Office Building LLC
PO Box 1547	Charleston	WV	253261547	550623949	Medical Office Building	WV	Charleston Area Medical Center Inc	Related	$335,146	$584,318	0	Yes (1)	0.79930

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAMC Foundation Inc
C	$3,721,427	Fair Market Value
Women and Children's Medical Office Building LLC
C	$452,212	Fair Market Value
General Division Medical Office Building LLC
C	$479,588	Fair Market Value
CAMC Health Education and Research Institute Inc
J	$209,994	Contract
CAMC Foundation Inc
K	$591,447	Contract
Women and Children's Medical Office Building LLC
K	$1,198,171	Contract
General Division Medical Office Building LLC
K	$1,007,735	Contract
CAMC Foundation Inc
L	$254,912	Fair Market Value
CAMC Health Education and Research Institute Inc
L	$513,492	Fair Market Value
Women and Children's Medical Office Building LLC
L	$263,608	Fair Market Value
General Division Medical Office Building LLC
L	$202,154	Fair Market Value
CAMC Health Education and Research Institute Inc
M	$16,974,395	Fair Market Value
CAMC Health Education and Research Institute Inc
P	$462,794	Fair Market Value
CAMC Foundation Inc
Q	$193,650	Fair Market Value
CAMC Health Education and Research Institute Inc
Q	$3,551,178	Fair Market Value
Women and Children's Medical Office Building LLC
Q	$293,050	Fair Market Value
General Division Medical Office Building LLC
Q	$146,683	Fair Market Value
CAMC Health Education and Research Institute Inc
R	$6,022,177	Fair Market Value