2019-11-14T12:41:42-00:00 2018-12-31 990 2018-01-01 311524546 Camden-Clark Memorial Hospital Corporation CAMD 3044242202 800 Garfield Avenue Parkersburg WV 26101 Kyle Pierson CFO 2019-11-14 false 157.182.216.2 2019-11-14 16:54:08 ES P 5D18E0CDD66F5C2C6782695A054BAE6AB9A943F9 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2018 2020-03-31 21:24:44Z Camden Clark Medical Center Steve Altmiller 800 Garfield Avenue Parkersburg WV 26101 276811721 false X https://wvumedicine.org/camden-clark/ X 1997 WV To operate an acute care and emergency hospital facility. 7 7 1926 255 1835291 417120 34698 43205 254696486 272149611 2925974 1153496 3865121 3450095 261522279 276796407 20750 184739 0 94258427 99309457 0 0 172417385 184754412 266696562 284248608 -5174283 -7452201 239473063 217386406 272370648 265566322 -32897585 -48179916 X The mission of Camden-Clark Memorial Hospital is to meet the health care needs of our community for a lifetime. false false 86184898 111967005 Camden Clark Memorial Hospital strives to supply a comprehensive range of inpatient, outpatient, outreach clinics, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts as may be required to meet the health care need of the community and as the hospitals resources will permit. Although reimbursement for services rendered is critical to the operation and stability of the hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission is to serve the community by providing health care services and health care education. Therefore, in keeping with this commitment to service all members of the community, Camden-Clark Memorial Hospital will provide the following where the individuals need and/or an inability to pay coexist free care and/or subsidized care, and care provided to persons covered by governmental programs at or below cost. 18870582 29034402 Camden Clark Memorial Hospital offers emergency room services as part of the hospitals mission of meeting the healthcare needs of the community for a lifetime. Due to the community that it serves, the majority of patients visiting the ER are either underinsured or uninsured. For the reporting period, there were approximately 50,715 ER visits, of this total, 7,555 were ultimately admitted to the hospital. A significant portion of the hospitals inpatient volume comes directly from the ER. 17538924 11153194 Camden-Clark Memorial Hospital offers heart and vascular services for its immediate service area directly through the hospital. In addition, services are provided to underserved counties throughout the area via physicians that are employed by Camden Clark Physician Corporation, a related entity. 103174352 119255677 225768756 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false false true 225 0 1926 true true true false false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true true true true true X Kyle Pierson 3044242202 800 Garfield Avenue Parkersburg WV 26101 Terry W Capel MD Chairman 001.00 X X 0 0 0 Kathy G Eddy Vice Chairman 001.00 X X 0 0 0 Randall E Snider Board Member, Secretary 001.00 X X 0 0 0 Michael A Morehead MD Board Member 001.00 X 0 0 0 Orton C Armstrong MD Board Member 001.00 X 0 0 0 Joe D Campbell Board Member 001.00 X 0 0 0 Lynford C Lovell Board Member 001.00 X 0 0 0 David McClure President / CEO 002.00 038.00 X 41048 492573 24410 Thomas Heller Vice President, Human Resources 030.00 010.00 X 339027 0 16748 Todd Kruger General Legal Counsel 040.00 X 396338 0 31667 Cynthia Kern Vice President, Quality 040.00 X 262330 0 7580 Carolyn Allen Vice President, Finance 033.00 007.00 X 381947 0 17072 Tommy Mars Chief Nursing Officer 040.00 X X 183314 0 21512 Sean Smith VP, Operations 040.00 X 186305 0 35323 Janice Midcap Chief Experience Officer 040.00 X 127246 0 14254 David Gnegy MD VP, Medical Affairs 040.00 X 85500 0 0 Mary Jo Shahan Interim CFO 038.00 002.00 X 193217 0 0 Douglas Frary Chief Operating Officer 038.00 002.00 X 243414 0 36684 Christine Daniels VP, Nursing 040.00 X 313850 0 36836 Steve Altmiller President 038.00 002.00 X 524426 0 95638 Gene Allen Sexton Pharmacist 040.00 X 132951 0 28902 Christopher Childress Director of Pharmacy 040.00 X 133503 0 19626 Michael Trimble Pharmacist 040.00 X 133962 0 6390 Pamela Mincks Pharmacist 040.00 X 130741 0 13854 Tracey Hood OVASC Administrator 040.00 X 134054 0 14332 3943173 492573 420828 38 true true false United Anesthesia Inc 3211 Dudley Avenue Parkersburg WV 26101 Anesthesia Services 3139399 Health Carousel LLC 3805 Edwards Road Suite 700 Cincinnati OH 45209 Medical Staffing Services 2126064 Restorix Health Inc 455 Hamilton Ave Suite 800 White Plains NY 106011829 Wound Care Services 1829652 Jackson Nurse Professionals LLC 3452 Lake Lynda Dr Suite 200 Orlando FL 328171481 Nursing Services 1633463 Interiors Plus LLC 71 Liberty Lane Sandyville WV 25275 Interior Renovation Services 1564672 37 43205 43205 Patient Service Revenue, Net 621110 268202369 266358935 1843434 Pharmacy Sales - Patients 621110 2814453 2798101 16352 Health and Wellness Center 621990 811178 811178 Ambulance Services 621110 321611 321611 272149611 1113309 -24495 1137804 39777 39777 1180158 15314 1164844 1164844 1164844 410 410 410 410 Cafeteria Income 624200 1164798 1164798 Employee Benefit - Expense Reimbursements 900099 636279 636279 Cash Discounts 900099 38772 38772 445402 445402 2285251 276796407 271410278 1835291 3507633 X 184739 184739 0 0 0 3593156 1052423 2540733 0 70861959 58515189 12346770 2225730 1805201 420529 15382363 12454093 2928270 7246249 5797342 1448907 0 145368 400 144968 0 23668 23668 0 33540510 31380172 2160338 580255 938 579317 7633116 4991921 2641195 37433 10650 26783 0 4095439 3393899 701540 249669 152728 96941 0 23170 16836 6334 9206389 7629353 1577036 42230547 16751874 25478673 15264709 12662585 2602124 106049 36236 69813 Provision for Doubtful Accounts 13623377 13623377 Medical Supplies Patient Chargables 46547336 46547336 Taxes, Licenses Fees 9985566 8072948 1912618 Dues, Education Training Recruiting 1060051 680384 379667 401760 8132 393628 284248608 225768756 58479852 0 185921 281663 2320215 15291013 44116479 26679516 54564 5068013 5086928 1492373 3713946 339492804 199032269 139294950 140460535 37960841 17715187 730083 730073 8249624 7427545 239473063 217386406 27913470 18151411 121884392 199521276 89428524 19550138 33144262 28343497 272370648 265566322 X -32897585 -48179820 -96 -32897585 -48179916 239473063 217386406 X -7452201 1543563 -9373693 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 23668 23668 false II-B 1 The organization paid dues to the American Hospital Association AHA as well as the West Virginia Hospital Association WVHA. A portion of these dues, specifically 23,668, was related to lobbying activities of the AHA and WVHA. false 2107095 2107095 151691266 66099060 85592206 171481705 128319558 43162147 14212738 4613651 9599087 140460535 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits and payroll taxes 9728258 Malpractice Liability 1183644 Accrued pension benefits Accrued bond interest -1652552 Due to third party payors 531881 Interest rate swaps 10570330 Self insurance liability 4197500 Debt Issuance Costs -1069084 Deferred Compensation 1194131 Minimum Pension Liability Adjustment 3659389 28343497 X 261550166 -1592805 -13625545 -15218350 276768516 27891 27891 276796407 270491877 15314 15314 270476563 13772045 13772045 284248608 X 2 WVUHS, WVUH, PVH, CCHS, CCMC, CCF, CCPC, University Healthcare, BMC, JMC, UHCF, UHC, USC, UHF, UPC, SJH, SJF, RMH and RMH are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes.The System accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. The Systems policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. The System does not have any material uncertain tax positions as of December 31, 2018 and 2017. XI 2d Line 2d includes 13,623,377 provision for bad debts and a scholarship payment of 2,168 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990. XI 4b Line 4b includes expenses associated with rental property of 15,314 that was reported in Part VIII line 6b as an offset to revenue revenue as well as and contribution revenue of 43,205. XII 4b Line 4b includes provision for bad debts of 13,623,377 and a scholarship payment of 2,168 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990 as well as 146,500 contribution expense that was recorded as a balance sheet item. XII 2d Line 2d includes rental expense of 15,314 that is an offset to revenue on Form 990 but an expense on the audited financial statements. true true X true X false true true true false true true 1554559 1554559 0.00570 66903687 42658239 24245448 0.08960 332095 332095 68790341 42990334 25800007 0.09530 191415 85545 105870 0.00040 1747717 1144626 603091 0.00220 176536 176536 0.00070 2115668 1230171 885497 0.00330 70906009 44220505 26685504 0.09860 true 4532684 342609 103887662 143889739 -40002077 X true true Ohio Valley Ambulatory Surgery Center LLC Ambulatory Services 0.62500 1 1 Camden-Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26101 http//wvumedicine.org/camden-clark/ 102 X X X X Disproportionate Share Hospital A A 1 false false true X X X X X X X X 17 true false false true X https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2018/10/CCMC-CHNA-Report-August-2018- X true 18 true https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2018/10/CCMC-CHNA-Report-August-2018- false true X 0000000200.000000000000 X X X X X true true X X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/wp-content/uploads/2015/11/Plain-Language-Summary-102015.pdf X X X X X X true X false X X X X true X false true Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 5 In 2017, the WV United Health System entered into a contract with the WVU School of Public Health to organize CHNAs for all System hospitals. In July 2017, CCMC leadership began meeting with WVU School of Public Health faculty and staff to begin the process of preparing the next CHNA for CCMC. To prepare the 2017 CHNA, the organization compiled demographics and analysis of health indicators taking into account input from the community, including public health professionals identifying resources and prioritizing community health needs. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 The 2017 CHNA results identified several prevalent community risk factors and strategies for each for reducing risk and improving health outcomes. The top three health concerns of Wood County and other primary service area residents were Drug/Substance Abuse, Cancer and Obesity/ Chronic Disease respectively. In order to address these concerns, the leadership team utilized a prioritization matrix to help aid in the discussion of the degree to which the hospital can realistically affect health outcomes for each factor identified, as well as level of importance relative to the reach of their impact. Regarding the area of drug and substance abuse, the CCMC leadership sees an ability to have high impact for this community risk factor by possibly integrating tobacco cessation with substance abuse/addiction care. The leadership team agreed that cancer was a risk factor that needs to be prioritized. While CCMC already houses a cancer center and provides community benefits through free screenings, this topic will be addressed more going into the implementation phase. Finally, the leadership team has decided to combine obesity and chronic disease in the initial implementation planning stage because they see several ways in which providing a particular community benefit can positively influence both obesity and chronic disease outcomes simultaneously. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 15e A state Medicaid representative was on site to help determine eligibility and help patients through the eligibility process. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 24 All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. 3 Patriot Point Diagnostic 2838 Pike Street Parkersburg WV 26101 Radiology/Lab Garfield Diagnositc 2012 Garfield Ave Bdng 2 Ste 1 Parkersburg WV 26101 Radiology/Lab Sleep Lab 19th Street Campus Parkersburg WV 26101 Diagnostic Part I Line 3c Camden-Clark Medical Center CCMC uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, CCMC does not offer discounted care to individuals who fail the 200 FPG test. Part I Line 6a WVU Medicine prepared a System wide summary report of 2018 Community Benefits which can be found online http//wvumedicine.org/about/community-benefit/. Part I Line 7 Total community benefit expense for 2018 is 70,906,009 and is 26.20 of total net expenses. To calculate net expense, bad debt of 13,623,377 was deducted from total expenses of 284,248,608 as shown in Part IX line 25 of the core Form 990, for a net expense of 270,625,231. Part I Line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. Part II Camden-Clark Medical Center CCMC started a leadership program in 2007. Employees who are selected to participate in this leadership program are required to volunteer in the community or at hospital activities which benefit the broader community as a whole. The activities these individuals participated in during the current year included various health fairs, church community events, Wood County Telethon, National Healthcare Decision Day, Try-Again Homes work project and various local school activities and events. These individuals also worked with and supported various community organizations such as United Way of America, The Salvation Army, Boys and Girls Club of America, and various community boards. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense of 13,623,377 by our cost to charge ratio of 33.27 derived from Worksheet 2 in the IRS Schedule H instructions for a total of 4,532,498. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 975,680 which we then multiplied by our cost to charge ratio of 33.27 for a total of 324,609. Part III Line 3 The estimated bad debt attributable to patients eligible for charity care of 324,609 should be considered community benefit due to the fact that anyone with outstanding balances of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. Part III Line 3 In our charity care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Regardless, that bad debt should be considered community benefit as we provide services to those in need regardless of their ability to pay. Part III Line 4 WVUHS consolidated footnote for Patient Accounts Receivable states Patient accounts receivable are reported at net realizable value. For receivables associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversion of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions in 2018 or the provision for bad debts in 2017. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party agreements, primarily with Medicare, Medicaid, and various commercial insurance companies. The System records accounts receivable net of estimated price concessions in 2018 and allowances for bad debts in 2017 and such amounts have historically been within managements expectations. The mix of accounts receivable at December 31, 2018 and 2017, from patients and third-party payors is as follows 2018 Medicare 29, Medicaid 18, Blue Cross 24, Commercial/Managed Care/Other 26, Patients 3, Total 100. 2017 is as follows Medicare 29, Medicaid 14, Blue Cross 21, Commercial/Managed Care/Other 32, Patients 4, Total 100. Part III Line 4 For receivables associated with self-pay patients, which includes both patients without insurance and insured patients with deductible and copayment balances, the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Part III Line 8 The amount reported in Part III Line 6 143,889,739 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME. Part III Line 8 CCMCs shortfall, 40,002,077 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. Part III Line 9b CCMC does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 CCMC conducted a Community Health Needs Assessment CHNA in 2017 that was adopted by the Board of Directors in 2018. The CHNA can be found here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2018/10/CCMC-CHNA-Report-August-2018-Revision.pdf. Part VI Line 3 CCMC provides, in writing, all options for possible financial assistance. This information is also available on CCMCs website. CCMC also has representatives that are available to discuss options with inpatients and outpatients on a daily basis. WV State Medicaid workers are onsite to help determine patient eligibility and to assist patients through the eligibility process. Part VI Line 4 In the 2017 CHNA, CCMCs leadership defined the community served as a 10 county area comprised of Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, and Wood in WV, as well as Washington and Meigs counties in OH. This geographic area is considerably larger than the last CHNA, and fully captures the service area of CCMC. CCMC also sees a large number of patients from Athens County, OH and includes them in overall consideration of populations served by CCMC. CCMC, located in Parkersburg, WV is a part of Wood County. According to estimates, Wood County has a population of 84,203, median household income of 45,537 and approximately 17 of the Countys residents are below the poverty level. The defined 10 county service area has a total estimated population of 249,000 and a median household income of 41,609. Part VI Line 5 A majority of the organizations governing body is comprised of persons who reside in the primary service area and who are neither employees nor independent contractors of the hospital, not family members thereof. The organization extends medical staff privileges to all qualified physicians in the community to many of its departments. Part VI Line 5 Any surplus of funds is used primarily to enhance patient care. While no research is done in this facility, a residency program was started in 2009. Part VI Line 6 CCMC is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital located in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Hospital, in Glen Dale, WV, which joined the System in October 2016. Part VI Line 6 The System also includes the physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, a behavioral health center located in Clarksburg, WV. In addition to these practices, the System also includes WVUH-East, Inc. and Camden-Clark Health Services which operate as management companies for their respective hospitals. The System also includes University Healthcare Foundation in Martinsburg, WV, United Health Foundation in Clarksburg, WV, Camden-Clark Foundation in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, and Reynolds Memorial Foundation in Glen Dale, WV which perform various fundraising activities for their respective hospitals. true Chamber of Commerce of the Mid Ohio Valley 501 Avery Street 9th Floor Parkersburg WV 26101 550249560 501c6 15500 FMV Support Ohio University PO Box 960 Athens OH 45701 316402113 501c3 8203 FMV Scholarships Marietta Area Chamber of Commerce 100 Front Street No 200 Marietta OH 45750 314242580 501c6 5536 FMV Support American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501c3 5000 FMV Support Summersville Regional Medical Center 400 Fairview Heights Road Summersville WV 26651 550491651 501c3 146500 FMV Support 3 2 Part I Line 2 Contributions are discretionary and decisions on which organizations Camden-Clark Memorial Hospital supports are made by the CEO in conjunction with the Director of Marketing. Typically, local organizations are supported throughout the year and the donations are typically not specifically restricted, so there is no follow up process for monitoring the use of the funds. X true true true false false false false false false false false David McClure President / CEO 29731 356778 8211 98536 3105 37260 617 7402 1261 15130 42925 515106 Thomas Heller Vice President, Human Resources 276846 53664 8517 7957 8791 355775 Todd Kruger General Legal Counsel 316801 72190 7347 7936 23731 428005 Cynthia Kern Vice President, Quality 220530 38724 3076 6203 1377 269910 Carolyn Allen Vice President, Finance 150883 57269 173795 8250 8822 399019 Tommy Mars Chief Nursing Officer -4132 187446 5515 15997 204826 Gene Allen Sexton Pharmacist 121657 11294 4089 24813 161853 Christopher Childress Director of Pharmacy 133256 248 4078 15547 153129 Sean Smith VP, Operations 155164 27848 3292 19961 15363 221628 Mary Jo Shahan Interim CFO 192888 329 193217 Douglas Frary Chief Operating Officer 187327 30000 26087 25848 10836 280098 Christine Daniels VP, Nursing 200783 26517 86550 14625 22211 350686 Steve Altmiller President 453023 71403 80208 15430 620064 Part I Line 1a Memberships at the health and wellness center are offered to each member of the senior leadership team. These are covered in the applicable employment contracts. Part I Line 3 Compensation for the CEO of CCMC is established by West Virginia United Health System, Inc. WVUHS. WVUHS utilizes compensation consultants, who review 990s of related organizations, review employment contracts for similar positions, and compensation surveys. The results of the mentioned research are provided to the System Compensation Committee for review and approval. Part I Line 4a Both, Carolyn Allen and Tommy Mars, received severance pay in 2018. Carolyn Allen received 139,229 in severance pay and Tommy Mars received 183,824 in severance pay. These amounts were properly recorded in W-2 wages as well as in other compensation on the Form 990. Part II The following individuals received deferred compensation contributions in 2018 Sean Smith in the amount of 15,941 Douglas Frary in the amount of 20,133 Christine Daniels in the amount of 14,625 and Steve Altmiller in the amount of 80,208. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J. A West Virginia Hospital Finance Authority 621256910 956622VY7 2013-10-03 47037860 2013 A Series - Refund 2004 A bonds and fund improvements false false false B West Virginia Hospital Finance Authority 621256910 956622L85 2016-06-15 19440924 2016 A - Refunding of 2007 A Bonds false false false C West Virginia Hospital Finance Authority 621256910 2018-07-31 56880000 2018C Series - Refund 2004 BC Bonds false false false A 9370000 47037860 411600 35410635 12146948 false true true true B 775633 19440924 149889 19287978 3057 2016 true true true true C 56880000 422708 56457292 true false true true A false false false false false false true B false false false false false false true C false false false false false false true A false false false true false false true Cantor Fitzgerald true true true B false true false false false false true Cantor Fitzgerald 0000000000.960000000000 true false true C false true false false true false false false true A true B true C true Part I Line A 2013 A Bond - The total issue price reported on Line 3 varies from the total of Lines 4 through 12 by 931,322, this variance is due to the 2004 Series A bonds that were defeased via the 2013A issuance. These funds were sitting in debt service, interest, and the project fund accounts at the time of the 2013 issuance and were rolled into the 2013 A funds. Part I Line B 2016 A Bond - The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger CCMC received 19,440,924 in proceeds to refund the 2007A bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for WVUH and UHC. Part I Schedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc. CHI, The Charles Town General Hospital dba Jefferson Medical Center JMC, University Healthcare Foundation, Inc. UHF, and Potomac Valley Hospital is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to their tax return. United Hospital Center, Inc. UHC EIN 55-0525724 and Camden-Clark Memorial Hospital Corporation CCMH EIN 31-1524546 are reporting bond allocations issued to them on the return filed by such taxpayer. Part I Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by UHC and CCMC to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner. Form 990, Part III, Line 4d Program Service Expenses 15,150,488, Grants and allocations 0, Revenue 15,245,083 Camden-Clark Memorial Hospital is a leader in cancer care for the mid-ohio valley, providing cancer care to patients in a 45 mile radius from the hospital. In addition to a wide range of treatment options provided, the hospital offers a number of related services to its patients. Through the hospitals collaboration with the American Cancer Society, the development of the organizations cancer resource center, a hair restoration salon, a patient navigator and an oncology social, the hospital has enhanced the education, navigation and social support of its cancer patients and families. The hospitals community and social services provide a holistic healing environment which includes support groups for patients/families and aesthetic services to enhance the patients physical and emotional well-being. Form 990, Part III, Line 4d Program Service Expenses 88,023,864, Grants and allocations 0, Revenue 104,010,594 Camden Clark offers a wide range of other medical services that include Nephrology, OBGYN services, Neurosurgery, Orthopedics, Pediatrics, General Surgery, Vascular Surgery and various other services that can be found on our website https//wvumedicine.org/camden-clark/ Form 990, Part IV, Line 20b The organization must attach a copy of its most recent audited financial statements. Attached are the consolidated financial statements of West Virginia United Health System, Inc. WVUHS and controlled entities. WVUHS became the sole member of Camden Clark Health Services, Inc., the parent corporation of Camden-Clark Memorial Hospital on March 1, 2011. The financial position, results of operations, and cash flows of Camden-Clark Memorial Hospital are included in the aforementioned consolidated audited financial statements. Form 990, Part VI, Section A, Line 6 Camden-Clark Health Services, Inc., a non-profit, tax-exempt corporation, is the sole member of the organization. Form 990, Part VI, Section A, Line 7a Camden-Clark Health Services, Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia United Health System WVUHS from the CCHS nominations. WVUHS elects all CCHS, CCMC, CCPC, and CCF board members from a slate of Director Nominees submitted to them by CCHS. CCHS will consider the underlying nominations of CCMC, CCPC, and CCF before they submit their nominations. Form 990, Part VI, Section A, Line 7b As the sole member of Camden Clark Health Services, Inc., WVUHS through its affiliation agreement, holds power to approve certain decisions such as annual budget, capital expenditures over 1 million, new debt over 1 million, new programs, and extraordinary filings. Form 990, Part VI, Section B, Line 11 The Form 990 is prepared by the WVUHS Tax Team and is provided for review to the CFO, VP General Counsel, and Accounting Manager. It is also reviewed by the non-profit tax manager of our independent auditing firm. It is then reviewed by the Finance Committee. After being presented to the committee, it is provided to all board members for comments prior to filing with the IRS. Form 990, Part VI, Section B, Line 12c To identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy, bylaws for addressing the conflict of interest. For key individuals employees, a specific conflict of interest standard in the organizations code of ethics and business conduct also exists. Form 990, Part VI, Section B, Line 15 The organization utilizes an excutive compensation consultant to survey data and make recommendations. The compensation of the CEO is determined by using an independent compensation consultant, as well as a compensation survey or study. It is supported by a written employment contract which is then reviewed and approved by a compensation committee and the WVUHS board of directors. Compensation of other officers and key employees is reviewed and approved by the board of directors. Minutes from meetings of the compensation committee and board of directors are documented and kept on file. Form 990, Part VI, Section C, Line 19 The organizations financial statements are made available on request and are also available on the West Virginia Healthcare Authority website. The organizations governing documents and conflict of interest policy are made available upon request. Form 990, Part XI, Line 9 Changes in Net Assets Transfers to related organizations 4,094,329,Prior Year Pension Liability Adjustment of 5,381,907 related to GAAP reclassifications and pension plan valuations of frzoen plans, 43,205 contributions from Camden-Clark Foundation and 146,500 contribution to Summersville Regional Medical Center, and 725 of rounding/error suspense amounts all posted to Net Assets. Form 990, Part IX, Line 11g Other service expenses consist of the following items Consulting Professional fees, Contracted Labor, Lab Fees, Contract Labor - Patient Care, Contracted Physician Expense, Consulting and Professional Fees - Bone Marrow, and Collection Agency Fees. Consulting and Professional fees of 553,084, 244,828 is considered program service and 308,256 is considered management and general expense. Contracted Labor fees of 12,120,149 of which 10,332,573 is considered program service and 1,787,576 is considered management and general. Lab Fees of 100 which is all considered management and general expense. Contract Labor - Patient Care of 6,805,938 of which 6,805,438 is considered program service and 500 is considered mangement and general. Contracted Physician Expense of 13,768,842 which 13,736,142 is considered program service and 32,700 management and general expense. Consulting Professional Fees - Bone Marrow of 20 which is all considered management and general expense. Lastly, Collection Agency Fees of 292,377 of which 261,191 is considered program service and 31,186 is considered management and general expense. Camden-Clark Health Services Inc 800 Garfield Avenue Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 Line 12A, I West Virginia United Health System false Camden-Clark Foundation 800 Garfield Avenue Parkersburg WV 26101 550667789 Hospital Support WV 501c3 Line 12A Camden-Clark Health Services false Auxiliary of Camden-Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26101 550386283 Patient Care WV 501c3 Line 3 N/A false Camden-Clark Physician Corporation 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501c3 Line 12A, I Camden-Clark Health Services false West Virginia United Health System 3040 University Avenue Morgantown WV 26505 550175471 Healthcare Access WV 501c3 Line 12A N/A false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501c3 Line 3 West Virginia United Health System false West Virginia University Hospitals East 2000 Foundation Way Martinsburg WV 25401 202337985 Healthcare Access WV 501c3 Line 12A West Virginia University Hospitals Inc false City Hospital Inc 2000 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501c3 Line 3 West Virginia University Hospitals East false Jefferson Memorial Hospital 2000 Foundation Way Martinsburg WV 25401 550359755 Patient Care WV 501c3 Line 3 West Virginia University Hospitals East false University Healthcare Foundation 2000 Foundation Way Martinsburg WV 25401 311118075 Hospital Support WV 501c3 Line 12A N/A false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501c3 Line 3 West Virginia United Health System false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501c3 Line 3 N/A false United Hospital Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501c3 Line 12A N/A false WV Healthcare Co-Op PO Box 8059 Morgantown WV 26506 550650441 Support WV 501c3 Line 12A West Virginia United Health System false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501c3 Line 3 N/A false Potomac Valley Hospital Inc 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false St Joseph's Hospital of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501c3 Line 3 West Virginia United Health System false Reynolds Memorial Hospital Inc 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false Reynolds Memorial Foundation 800 Wheeling Ave Glen Dale WV 26038 550710402 Hospital Support WV 501c3 Line 12A N/A false St Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 Line 12b, II St Joseph's Hospital of Buckhannon false Ohio Valley Ambulatory Surgery Center 608 Washington Blvd Belpre OH 45714 208671724 Outpatient Surgical Services OH Camden-Clark Memorial Hospital Corporation Related 693851 false true 0.62500 Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV WV United Health System C Corp false West Virginia United Insurance Services 3040 University Avenue Suite 3200 Morgantown WV 26505 550756055 Provider Network WV WV United Health System C Corp false false true true false false false false false true true true false false true true true true true true