2025-11-17T16:53:43-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2024-01-01 884128022 CAMC GREENBRIER VALLEY MEDICAL CENTER INC CAMC 3043887603 501 MORRIS ST CHARLESTON WV 25301 JEFF SANDENE CHIEF FINANCIAL OFFICER 3043887603 2025-11-17 1 0 ANGELA M MOORE P00244342 3174648600 2024 2025-03-06 01:10:19Z JEFF SANDENE 501 MORRIS ST CHARLESTON WV 25301 111074410 0 X WWW.CAMC.ORG/GVMC X 2022 WV CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. (CAMC GVMC) OWNS AND OPERATES THE LICENSED GENERAL ACUTE CARE HOSPITAL FACILITY DESIGNED TO PROVIDE CARE FOR COMMUNITY RESIDENTS THROUGH EVERY STAGE OF LIFE. CAMC GVMC PATIENTS DEPEND ON CAMC GVMC TO PROVIDE CONVENIENT AND COMPASSIONATE CARE DELIVERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. 5 2 9 31 0 0 2545 7500000 87185819 103377658 487487 4739 277331 192013 87953182 111074410 0 0 0 0 45544791 68170636 0 0 0 57701440 57922809 103246231 126093445 -15293049 -15019035 127983968 140083305 143277017 170395389 -15293049 -30312084 STRIVING TO PROVIDE THE BEST HEALTH CARE TO EVERY PATIENT, EVERY DAY. 0 0 96634795 103378130 CAMC GREENBRIER VALLEY HOSPITAL, INC. (GVMC) IS A 122-BED GENERAL ACUTE CARE HOSPITAL FACILITY LOCATED IN RONCEVERTE, WEST VIRGINIA AND PROVIDES HEALTHCARE TO RONCEVERTE AND SURROUNDING COMMUNITIES. GVMC PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, SURGICAL AND DIAGNOSTIC SERVICES. IT ALSO OPERATES 17 AMBULATORY HEALTH CARE FACILITIES. IT HAS APPROXIMATELY 400 EMPLOYEES INCLUDING 31 EMPLOYED PHYSICIANS IN THE FOLLOWING SPECIALITIES: UROLOGY, ENT, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDIC SURGERY, PEDIATRICS, PULMONARY/CRITICAL CARE, AND SLEEP MEDICINE. THERE WERE 12,933 INPATIENT DAYS, 36,558 OUTPATIENT VISITS, 96,858 CLINIC VISITS, 18,767 ER VISITS AND 284 DELIVERIES IN 2024. 2144120 CAMC GVMC IS THE SITE OF POST-GRADUATE MEDICAL EDUCATION PROGRAMS IN FAMILY MEDICINE AND OSTEOPATHIC NEUROMUSCULOSKELETAL MEDICINE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND SPONSORED BY CAMC IN AFFILIATION WITH THE WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE. 10929475 CAMC GVMC DOES MUCH MORE THAN JUST PROVIDE HEALTH CARE, BEING INVOLVED IN NEARLY EVERY ASPECT OF THE HEALTH AND WELL BEING OF THE COMMUNITY. CAMC GVMC PROVIDED ACUTE INPATIENT AND OUTPATIENT HOSPITAL SERVICES INCLUDING UNREIMBURSED CHARITY CARE AT COST OF $1,657,995 109708390 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 111 0 1 9 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X JEFF SANDENE 3043887603 501 MORRIS STREET CHARLESTON WV 25301 DAVID L RAMSEY CHAIRMAN 3.00 64.00 X X 0 1926954 131607 GLENN CROTTY JR MD TRUSTEE 1.00 57.50 X 0 1156127 58825 JEFF SANDENE TRUSTEE 1.00 66.00 X 0 960798 250403 JAMES W NEMITZ PHD TRUSTEE 1.00 0.00 X 0 0 0 KELLY T COLLINS TRUSTEE 1.00 0.00 X 0 0 0 CHAD HOVIS TREASURER 3.00 60.00 X 0 360988 130760 REBECCA STEVENSON SECRETARY 3.00 61.00 X 0 191854 66073 REBECCA HARLESS VP ADMINISTRATOR 50.00 0.00 X 0 285261 106185 DEBRA PARSONS CHIEF NURSING OFFICER 50.00 0.00 X 0 338989 45449 TIMOTHY BESS VP ADMINISTRATOR 50.00 0.00 X 0 213290 19337 DEBORAH KONARSKI CHIEF FINANCIAL OFFICER 50.00 0.00 X 0 169237 17570 CONNIE PERKINS OB/GYN 40.00 0.00 X 0 1056674 49867 ERIK STAPLETON ORTHOPEDICS 40.00 0.00 X 0 1010220 14831 ZAINAB SHAMMA PULMONOLOGIST 40.00 0.00 X 0 743235 5156 DAVID WEBB PATHOLOGIST 40.00 0.00 X 0 656028 68871 STEVEN VESS ORTHOPEDICS 40.00 0.00 X 0 624428 50328 ANGELA HILL FORMER SECRETARY 0.00 55.00 X 0 1000360 307203 0 10694443 1322465 100 1 1 0 HEATHTRUST WORKFORCE SOLUTION PO BOX 742697 ATLANTA GA 303742697 AGENCY SERVICES 5974653 NORTHERN LIGHT MEDICAL MANAGEMENT LLC 221 WEST HALLANDALE BLVD HALLANDALE BEACH FL 33009 MANAGEMENT SERVICES 1610816 ALLIANCE RECRUITING RESOURCES 15311 WEST VANTAGE PKWY HOUSTON TX 77032 PROFESSIONAL SERVICES 1371431 WEST VIRGINIA RADIOLOGY ASSOCIATES LLC 1895 TYLER ST HOLLYWOOD FL 33020 MEDICAL SERVICES 695537 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 MEDICAL SERVICES 685469 23 7500000 7500000 NET PATIENT REVENUE 621990 103238871 103238871 RENTAL (NON RESIDNTL) 531120 138787 138787 103377658 4739 4739 CAFETERIA/VENDING 722514 191455 191455 FEE HEALTH INFO REQ. 900099 472 472 EDUCATION SVCS SOLD 611600 86 86 192013 111074410 103378130 0 196280 X 1122714 1122714 55353240 52453577 2899663 1379794 1307656 72138 6999541 6508171 491370 3315347 2652278 663069 201215 201215 18533679 16079858 2453821 89506 89506 3812028 3048072 763956 33084 26467 6617 2905420 2234732 670688 366150 323099 43051 4871 3897 974 5691858 5691858 3057831 2446265 611566 2318597 2318597 MEDICAL SUPPLIES 14588886 14446975 141911 PROVIDER TAX 3338628 3338628 REPAIRS AND MAINTENANCE 2222031 1777625 444406 ALL OTHER EXPENSES 755567 652987 102580 3458 3458 126093445 109708390 16385055 0 3820 4020 6231 5000 32161446 46730398 1594538 1790478 1615305 439945 87435824 9077005 79505488 78358819 291667 156057 12135306 11892729 670167 705859 127983968 140083305 11735074 8883210 1177519 951743 130364424 160560436 143277017 170395389 X -15293049 -37812084 0 7500000 -15293049 -30312084 127983968 140083305 -15019035 0 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 5028 5028 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP FEES TO THE WEST VIRGINIA HOSPITAL ASSOCIATION, OF WHICH A PERCENTAGE OF THE DUES IS ALLOCATED TO LOBBYING ACTIVITIES. 2358000 2358000 72949352 3649170 69300182 86500 16157 70343 5174772 1443125 3731647 6867200 3968553 2898647 78358819 AP MEDICARE 2257715 AFFILIATE PAYABLE - CAMC 151046794 AFFILIATE PAYABLE- VANDALIA PROVIDER HLTH ORG 2675 AFFILIATE PAYABLE- CHERI 4639 AFFILIATE PAYABLE - CAMC PLATEAU MED CTR, INC. 11352 AFFILIATE PAYABLE - VANDALIA, INC. 7237261 160560436 X PART X, LINE 2: CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE FINANCIAL STATEMENTS OF VANDALIA HEALTH, INC. AND SUBSIDIARIES (COLLECTIVELY, THE "SYSTEM"). LANGUAGE REGARDING ASC740 (FIN 48) INCLUDED IN THE CONSOLIDATED FOOTNOTES IS AS FOLLOWS: "THE IRS HAS DETERMINED THAT THE SYSTEM ENTITIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C) (3) OF THE CODE AND APPLICABLE STATE STATUTES, EXCEPT FOR MHC, FHE, MCM, AND HFI, WHICH ARE CORPORATIONS SUBJECT TO INCOME TAX. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2020, ARE OPEN FOR THE MHS ENTITIES AND TAX RETURNS FOR THE YEAR ENDED DECEMBER 31, 2021, ARE OPEN FOR THE CAMC ENTITIES. 1 1 X 1 X 1 X 1 1 1 0 1 1 1657995 1657995 0.01370 27369950 12863245 14506705 0.11980 547958 213573 334385 0.00280 29575903 13076818 16499085 0.13630 2908545 768764 2139781 0.01770 2908545 768764 2139781 0.01770 32484448 13845582 18638866 0.15400 0 4967306 0 37726222 52322626 -14596404 X 1 1 1 1 CAMC GREENBRIER VALLEY MEDICAL CENTER INC 1320 MAPLEWOOD AVENUE RONCEVERTE WV 249708016 WWW.CAMC.ORG 175 X X X X CAMC GREENBRIER VALLEY MEDICAL CENTER I 1 1 1 1 X X X X X X X X 24 1 0 1 1 X HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS X 1 24 1 HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X X X X X X 1 X 0 X X X X 1 X 0 0 CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. PART V, SECTION B, LINE 2: ON SEPTEMBER 14, 2022, CHARLESTON AREA MEDICAL CENTER, INC. (CAMC) FORMED A NEW SUBSIDIARY, CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. (GVMC), TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF GREENBRIER VALLEY MEDICAL CENTER AND RELATED HEALTHCARE AFFILIATES IN RONCEVERTE, WEST VIRGINIA AND SURROUNDING COMMUNITIES. THIS ACQUISITION CLOSED ON JANUARY 1, 2023. CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: KEY LEADERS, FROM THE ORGANIZATION LISTED BELOW, IN GREENBRIER COUNTY IDENTIFIED AND PRIORITIZED COMMUNITY HEALTH NEEDS. THROUGH CAMC GREENBRIER VALLEY MEDICAL CENTER'S STRATEGIC PLANNING PROCESS, THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZED HEALTH NEEDS ARE USED TO SET COMMUNITY HEALTH IMPLEMENTATION STRATEGIES FOR CAMC GREENBRIER VALLEY MEDICAL CENTER. INPUT WAS GIVEN FROM THE FOLLOWING ORGANIZATIONS: THE UNITED WAY OF GREENBRIER COUNTY; GREENBRIER COUNTY HEALTH DEPARTMENT; CAMC GREENBRIER VALLEY MEDICAL CENTER; ROBERT C. BYRD CLINIC; NORTH CENTRAL WEST VIRGINIA COMMUNITY ACTION ASSOCIATION; UNITED FOR ALICE RESEARCH CENTER; WHITE SULPHUR SPRINGS EMERGENCY SERVICES; GREENBRIER COUNTY HOMELAND SECURITY; GREENBRIER COUNTY LAW ENFORCEMENT CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: INPUT WAS GIVEN FROM THE FOLLOWING ORGANIZATIONS: THE UNITED WAY OF GREENBRIER COUNTY; GREENBRIER COUNTY HEALTH DEPARTMENT; CAMC GREENBRIER VALLEY MEDICAL CENTER; ROBERT C. BYRD CLINIC; NORTH CENTRAL WEST VIRGINIA COMMUNITY ACTION ASSOCIATION; UNITED FOR ALICE RESEARCH CENTER; WHITE SULPHUR SPRINGS EMERGENCY SERVICES; GREENBRIER COUNTY HOMELAND SECURITY; GREENBRIER COUNTY LAW ENFORCEMENT CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE FOLLOWING IMPLEMENTATION STRATEGIES WERE ADOPTED: 1.) REDUCE PATIENT WAIT TIMES TO IMPROVE ACCESS TO EMERGENCY CARE. THE GOALS FOR THIS WOULD BE - PROVIDERS AND NURSING TO REMAIN FULLY STAFFED- SHIFT PROVIDERS START TIMES AND EXTEND HOURS FROM 10-12 HOURS - MODIFIED VERSION OF PIT TO PROVIDER IN TRIAGE DURING PEAK HOURS-DISCHARGE FROM TRIAGE KEEPING PATIENTS VIRTUAL BASED ON PRESENTING COMPLAINT-IMPROVE DOOR TO DISCHARGE TIMES2.) PROVIDE THE COMMUNITY THE SPECIALIST THEY WANT CLOSE TO HOME BY-PROVIDE THE COMMUNITY CARE NEEDED CLOSE TO HOME-PROVIDE GROWTH IN THE MEDICAL COMMUNITY-IMPROVE ACCESS BY CENTRALIZING ALL SPECIALISTS IN ONE LOCATION3.) IMPROVE ACCESS, TESTING, AND TREATMENT FOR SPECIALIZED CARE SURROUNDING PROSTATE AND LUNG CANCER BY-ADOPT PET PSMA TESTING FOR EARLY DETECTION OF PROSTATE CANCER-ADOPT LOW DOSE LUNG CANCER SCREENINGS VIA CT FOR EARLY DETECTION OF LUNG CANCER-EXPAND INFUSION SERVICES TO INCLUDE IV MEDICATIONS TO TREAT UROLOGIC CANCER-INCREASE ACCESS TO SPECIALIZED UROLOGICAL CARE-OBTAIN STROKE READY CERTIFICATION4.) JOB OPPORTUNITIES FOR YOUNG ADULTS BY-IMPROVE STAFFING ACROSS ALL DISCIPLINES -ELIMINATE AGENCY TRAVELING RESOURCES ACROSS ALL DISCIPLINES-HOST ANNUAL HIGH SCHOOL CAREER SHOWCASE5.)IDENTIFY AND PROVIDE RESOURCES TO SUPPORT BABIES BORN WITH ADDICTION BY- EARLY INTERVENTION-CONTINUED MONITORING AND EDUCATION THROUGH INFANCY.-OFFERING MENTAL HEALTH AND EMOTIONAL SUPPORT TO THE MOTHERS WHILE PROVIDING SAFE HAVEN FOR THE BABIES. CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. 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. 25 1 - GVMC PLASTIC SURGERY 233 DAWKINS DRIVE LEWISBURG WV 24901 PLASTIC SURGERY 2 - GVMC PRIMARY CARE COVINGTON 801 GRAYSON AVENUE COVINGTON VA 24426 PRIMARY CARE 3 - GVMC PRIMARY CARE PETERSTOWN 3115 SENECA TRAIL SOUTH PETERSTOWN WV 24963 PRIMARY CARE 4 - GVMC GENERAL SURGERY LEWISBURG 157 SKYLAR DR LEWISBURG WV 24901 GENERAL SURGERY 5 - GVMC ENT SUMMERSVILLE 55 FRIENDS R FUN DR SUMMERSVILLE WV 26651 EAR, NOSE & THROAT 6 - GVMC ENT LEWISBURG 231 DAWKINS DR LEWISBURG WV 24901 EAR, NOSE & THROAT 7 - GVMC GENERAL SURGERY RAINELLE 176 MEDICAL CENTER DR RAINELLE WV 25962 GENERAL SURGERY 8 - GVMC UROLOGY SUMMERSVILLE 55 FRIENDS R FUN DR SUMMERSVILLE WV 26651 UROLOGY 9 - GVMC UROLOGY LOW MOOR 1 ARH LANE LOW MOOR VA 24457 UROLOGY 10 - GVMC UROLOGY RONCEVERTE 1521 MAPLEWOOD AVE RONCEVERTE WV 24970 UROLOGY 11 - GVMC CARDIOLOGY 3738 DAVIS STUART RD LEWISBURG WV 24901 CARDIOLOGY 12 - GVMC UROLOGY BECKLEY 302 CARRIAGE DR BECKLEY WV 25801 UROLOGY 13 - GVMC ORTHOPEDICS 176 DAWKINS DR LEWISBURG WV 24901 ORTHOPEDICS 14 - GVMC PULMONOLOGY 231 DAWKINS DR LEWISBURG WV 24901 PULMONOLOGY 15 - GVMC SLEEP CENTER BECKLEY 102 BROOKSHIRE LANE BECKLEY WV 25801 SLEEP CENTER 16 - GVMC PRIMARY CARE 203 DAWKINS DR LEWISBURG WV 24901 PRIMARY CARE 17 - GVMC ENT 230 GEORGE ST BECKLEY WV 25801 EAR, NOSE & THROAT 18 - GVMC SLEEP MEDICINE 1322 MAPLEWOOD AVE RONCEVERTE WV 24970 SLEEP CENTER 19 - GVMC SLEEP MEDICINE 119 MAIN STREET WEST OAK HILL WV 25901 SLEEP CENTER 20 - GVMC NEPHROLOGY 289 DAWKINS DRIVE LEWISBURG WV 24901 NEPHROLOGY 21 - GVMC PRIMARY CARE PRINCETON 150 COURTHOUSE RD SUITE 301-B PRINCETON WV 24740 PRIMARY CARE 22 - GVMC PLASTIC SURGERY COVINGTON 810 GRAYSON AVE COVINGTON VA 24426 PLASTIC SURGERY 23 - GVMC NEPHROLOGY 289 DAWKINS DR LEWISBURG WV 24901 NEPHROLOGY 24 - GVMC PLASTIC SURGERY SUMMERSVILLE 55 FRIENDS R FUN DR SUMMERSVILLE WV 26651 PLASTIC SURGERY 25 - GVMC ENT COVINGTON 810 GRAYSON AVE COVINGTON VA 24426 ENT PART I, LINE 3C: CAMC GVMC MAY SCREEN PRIVATE PAY BALANCES FOR PRE-QUALIFIED ELIGIBILITY BY USING FINANCIAL ASSISTANCE ESTIMATION TOOLS THAT ACCESS PUBLIC RECORDS. USING A PROPRIETARY ALGORITHM (LOOKING AT TAX RECORDS, BANKRUPTCIES, ETC), THE TOOL RETURNS WHETHER THE PATIENT IS LIKELY TO QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. IN CASES WHERE PRE-QUALIFIED ELIGIBILITY DOES NOT QUALIFY A PATIENT FOR FINANCIAL ASSISTANCE, THE PATIENT MAY COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHERE APPLICATION MATERIAL IS EVALUATED TO DETERMINE IF THE PATIENT CAN QUALIFY BASED ON INCOME AND ASSETS. IF THE PATIENT MEETS INCOME CRITERIA FOR ELIGIBILITY AN INVENTORY OF AVAILABLE ASSETS IS EVALUATED. IF THE PATIENTS AVAILABLE ASSETS FALL BELOW $50,000 EXCLUDING THE PATIENTS PRIMARY RESIDENCE AND PRIMARY VEHICLE, THE PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE. IF A PATIENT IS FOUND TO BE RECEIVING CERTAIN STATE AGENCY ASSISTANCE (I.E. WIC, SNAP, ETC.), SUCH PATIENT WILL BE PRESUMED ELIGIBLE FOR CAMC GVMC FINANCIAL ASSISTANCE, AND THEY WILL BE ASKED TO SUBMIT AN ABBREVIATED APPLICATION CONTAINING ONLY THE INFORMATION REGARDING THEIR STATE AGENCY ASSISTANCE. PART I, LINE 7: UTILIZED WORKSHEET 2 TO DETERMINE COST-TO-CHARGE RATIO. PART I, 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 $ 4,967,306. 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 4: THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGE 13 OF VANDALIA HEALTH'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 GVMC TREATS ANY GOVERNMENT REIMBURSEMENT THAT IS INSUFFICIENT TO COVER ALLOCATED COSTS AS BEING A COMMUNITY BENEFIT. CAMC GVMC CHOOSES TO SERVE THE COMMUNITY BY PARTICIPATING IN THE MEDICARE PROGRAM AND ACCEPTING MEDICARE REIMBURSEMENT. COST TO CHARGE RATIO FROM THE MEDICARE COSTS REPORT IS USED. PART III, LINE 9B: CAMC GVMC'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 53% DISCOUNT. ALL PATIENT RESPONSIBILITY DEBT NOT APPROVED FOR FINANCIAL ASSISTANCE IS REVIEWED WITH A FINANCIAL ASSISTANCE ESTIMATOR. THIS FINANCIAL ASSISTANCE ESTIMATOR PROCESS IS ONLY USED TO APPROVE ASSISTANCE. IT IS NOT USED TO DENY ASSISTANCE. ACCOUNTS ARE ONLY REVIEWED FOR FINANCIAL ASSISTANCE AT THE 100% DISCOUNT CATEGORY. THIS PROCESS IS PERFORMED BEFORE EXTRAORDINARY COLLECTION EFFORTS. PATIENTS WITHOUT THIRD-PARTY COVERAGE WHO DO NOT QUALIFY FOR CHARITY ARE GIVEN A 53% DISCOUNT FROM CHARGES (WHICH IS GREATER THAN ANY COMMERCIAL DISCOUNT). IN ADDITION TO CHARITY AND UNINSURED DISCOUNTS, CAMC GVMC PROVIDES ASSISTANCE WITH PAYMENT PLANS, GOVERNMENT PROGRAMS, AND AN EMPLOYEE ASSISTANCE PROGRAM. PART VI, LINE 2: CAMC GREENBRIER VALLEY MEDICAL CENTER SUPPORTS AND STRENGTHENS THE GREENBRIER COUNTY COMMUNITY THROUGH OUR ANNUAL PLANNING PROCESS WHERE WE REVIEW THE NEEDS ASSESSMENT FINDINGS AND PRIORITIES TO DEVELOP OUR COMMUNITY STRATEGY AND THE COMMUNITY(IES) WITHIN GREENBRIER COUNTY THAT ARE IMPACTED. THIS STRATEGY IS BASED ON ISSUES IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS AND SUPPLEMENTED WITH FINDINGS FROM REVIEW OF OUR INTERNAL DATA. STRATEGIES ARE IDENTIFIED AND PLANS ARE FUNDED, IMPLEMENTED, TRACKED AND MEASURED. THE CAMC GREENBRIER VALLEY MEDICAL CENTER BOARD OF TRUSTEES APPROVES THE PLAN AND REVIEWS PLAN PROGRESS ANNUALLY. IN ADDITION TO ADDRESSING COMMUNITY NEEDS AND CONTRIBUTING FINANCIALLY, CAMC GREENBRIER VALLEY MEDICAL CENTER'S VICE PRESIDENT, CHIEF NURSING OFFICER, AND ASSOCIATE ADMINISTRATOR SERVE IN KEY LEADERSHIP ROLES FOR COMMUNITY ACTIVITIES, PROGRAMS AND ORGANIZATIONS AS WELL AS SUPPORT THE WORKFORCE IN PARTICIPATING IN MANY COMMUNITY BENEFIT ACTIVITIES. AS PART OF THE STRATEGIC PLANNING PROCESS, CAMC GREENBRIER VALLEY MEDICAL CENTER DETERMINES IF THERE ARE ADDITIONAL AREAS OF SUPPORT THAT CAN BE PROVIDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS ASSESSMENT ISSUES. THE FOLLOWING TABLE LISTS PROGRAMS AND SUPPORT ALREADY IN PLACE PROVIDED BY CAMC GREENBRIER VALLEY MEDICAL CENTER THAT ADDRESS THESE COMMUNITY PRIORITIES, AND ARE IDENTIFIED AND FUNDED AS PART OF OPERATIONAL AND COMMUNITY BENEFIT PLANNING BY THE CAMC GREENBRIER VALLEY MEDICAL CENTER BOARD OF TRUSTEES. PART VI, LINE 3: CAMC GVMC 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 GVMC'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 GVMC FINANCIAL COUNSELORS ARE LOCATED IN EACH 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 FROM DEPARTMENT OF HEALTH AND HUMAN RESOURCES ARE ALSO ON SITE AT EACH HOSPITAL TO ACCEPT AND PROCESS MEDICAID APPLICATIONS AND NOTIFY PATIENTS IF THEY QUALIFY. PART VI, LINE 4: CAMC GREENBRIER VALLEY MEDICAL CENTER SERVES THE COMMUNITY OF GREENBRIER COUNTY, WEST VIRGINIA WITH A POPULATION OF 32,995, A MEDIAN AGE OF 46.6 AND MEDIAN INCOME OF $45,519. PART VI, LINE 7, REPORTS FILED WITH STATES WV 0 1 0 0 0 0 0 1 0 DAVID L RAMSEY CHAIRMAN 0 1051150 0 619074 0 256730 0 79545 0 52062 0 2058561 0 106038 ANGELA HILL FORMER SECRETARY 0 441508 0 88839 0 470013 0 268155 0 39048 0 1307563 0 449309 GLENN CROTTY JR MD TRUSTEE 0 779502 0 262109 0 114516 0 13800 0 45025 0 1214952 0 0 JEFF SANDENE TRUSTEE 0 621095 0 217144 0 122559 0 240058 0 10345 0 1211201 0 57462 CONNIE PERKINS OB/GYN 0 1056249 0 0 0 425 0 13800 0 36067 0 1106541 0 0 ERIK STAPLETON ORTHOPEDICS 0 989331 0 0 0 20889 0 13800 0 1031 0 1025051 0 0 ZAINAB SHAMMA PULMONOLOGIST 0 743235 0 0 0 0 0 5156 0 0 0 748391 0 0 DAVID WEBB PATHOLOGIST 0 654362 0 0 0 1666 0 13800 0 55071 0 724899 0 0 STEVEN VESS ORTHOPEDICS 0 624428 0 0 0 0 0 13800 0 36528 0 674756 0 0 CHAD HOVIS TREASURER 0 266813 0 52797 0 41378 0 68629 0 62131 0 491748 0 25838 REBECCA HARLESS VP ADMINISTRATOR 0 244147 0 17849 0 23265 0 66588 0 39597 0 391446 0 0 DEBRA PARSONS CHIEF NURSING OFFICER 0 214917 0 77793 0 46279 0 22086 0 23363 0 384438 0 46000 REBECCA STEVENSON SECRETARY 0 172346 0 15547 0 3961 0 7921 0 58152 0 257927 0 0 TIMOTHY BESS VP ADMINISTRATOR 0 133290 0 80000 0 0 0 4738 0 14599 0 232627 0 0 DEBORAH KONARSKI CHIEF FINANCIAL OFFICER 0 169237 0 0 0 0 0 8582 0 8988 0 186807 0 0 PART I, LINE 3 THE VANDALIA BOARD OF DIRECTORS COMPENSATION COMMITTEE SELECTS AND SUPERVISES AN INDEPENDENT CONSULTANT WHO ADVISES THE COMMITTEE ON COMPENSATION ARRANGEMENTS AND TRANSACTIONS BETWEEN VANDALIA HEALTH , INC. SUBSIDIARIES (INCLUDING CAMC GREENBRIER VALLEY MEDICAL CENTER) AND EXECUTIVES (INCLUDING CAMC GREENBRIER VALLEY MEDICAL CENTER'S PRESIDENT). THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC GREENBRIER VALLEY MEDICAL CENTER'S PRESIDENT AND OTHER EXECUTIVE OFFICERS. THIS DATA IS REVIEWED EVERY TWO YEARS OR WHEN A NEW PERSON COMES INTO AN EXECUTIVE ROLE. PART I, LINE 4B TARGET BENEFIT SERP - A TARGET BENEFIT SERP IS OFFERED TO THREE EXECUTIVES, WITH AN ANNUAL EMPLOYER CONTRIBUTION THAT TARGETS PROVIDING 55% OF FINAL AVERAGE COMPENSATION AT AGE 60 FOR 30 YEARS OF SERVICE. THE TARGET BENEFIT IS OFFSET BY THE FROZEN DEFINED BENEFIT SERP ACCRUED BENEFIT, THE FROZEN RESTORATION PLAN BALANCE, EMPLOYER-PROVIDED QUALIFIED RETIREMENT BENEFITS, EMPLOYER-PROVIDED 457(B) PLAN BENEFITS, AND 50% OF AGE 62 SOCIAL SECURITY. EACH ANNUAL FUNDING CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 60. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. DEFINED CONTRIBUTION SERP - A DEFINED CONTRIBUTION SERP IS OFFERED TO SELECT EXECUTIVES, WITH AN ANNUAL 10% OF SALARY CONTRIBUTION. EACH ANNUAL CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 65. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. 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: GLENN CROTTY, JR. M.D. - $80,919 ANGELA F. HILL - $452,281 DAVID L. RAMSEY - $154,224 JEFF SANDENE - $72,258 CHAD HOVIS - $29,414 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 VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 DAVID RAMSEY, GLENN CROTTY JR, M.D., JEFFREY SANDENE, REBECCA STEVENSON AND CHAD HOVIS HAVE A BUSINESS RELATIONSHIP DUE TO EMPLOYMENT BY A RELATED COMPANY WITHIN THE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CHARLESTON AREA MEDICAL CENTER, INC. (CAMC) IS CAMC GREENBRIER VALLEY MEDICAL CENTER'S SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A CHARLESTON AREA MEDICAL CENTER, INC. (CAMC), IS CAMC GREENBRIER VALLEY MEDICAL CENTER'S (CAMC GVMC) SOLE VOTING MEMBER AND HAS AUTHORITY TO ELECT ALL VOTING TRUSTEES OF CAMC GVMC OTHER THAN EX-OFFICIO TRUSTEES NAMED IN CAMC GVMC'S GOVERNING DOCUMENTS. THE SOLE VOTING MEMBER HAS THE SOLE AUTHORITY TO AMEND CAMC GVMC'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 7B CAMC IS CAMC GVMC'S SOLE VOTING MEMBER AND HAS RESERVED POWERS UNDER CAMC GVMC'S GOVERNING DOCUMENTS, WHICH PROVIDE THAT DECISIONS OF CAMC GVMC'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 THE ORGANIZATION COMPILES NECESSARY INFORMATION FOR FORM 990 WITH VARIOUS OFFICERS AND DIRECTORS OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THE VANDALIA HEALTH INC. CHIEF FINANCIAL OFFICER REVIEWS THE COMPLETED FORM 990 WITH THE CAMC GVMC'S, INC. BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C CORPORATE OFFICERS, INCLUDING THE PRESIDENT AND SECRETARY, DEVELOP THE AGENDAS FOR BOARD MEETINGS AND IDENTIFY AND RESOLVE POTENTIAL CONFLICT OF INTEREST ISSUES RELATIVE TO ACTION ITEMS. ANNUAL DISCLOSURE PROCEDURES ARE IMPLEMENTED AND THE PRESIDENT AND THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS GOVERNANCE COMMITTEE PERIODICALLY REVIEW CONFLICT SITUATIONS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES ALL DISCLOSED CONFLICTS TO BE REPORTED BY THE CHIEF COMPLIANCE OFFICER TO THE VANDALIA HEALTH'S MANAGEMENT COMPLIANCE COMMITTEE. THE COMPLIANCE OFFICER WILL INFORM THE BOARD OF DIRECTORS AUDIT COMMITTEE AT THEIR NEXT SCHEDULED MEETING OF ALL SUCH ACTIVITIES APPROVED BY THE VANDALIA HEALTH MANAGEMENT COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE SELECTS AND SUPERVISES AN INDEPENDENT CONSULTANT WHO ADVISES THE COMMITTEE ON COMPENSATION ARRANGEMENTS AND TRANSACTIONS BETWEEN VANDALIA HEALTH COMPANIES AND EXECUTIVES. THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF PRESIDENT. THE DATA IS REVIEWED EVERY TWO YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDIT IS PART OF A CONSOLIDATED FINANCIAL AUDIT FOR VANDALIA HEALTH, INC. AND SUBSIDIARIES. CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ONLINE 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 IX, LINE 11G HEALTHCARE CONTRACTORS: PROGRAM SERVICE EXPENSES 16,079,858. MANAGEMENT AND GENERAL EXPENSES 2,453,821. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,533,679. 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