2025-11-17T16:07:36-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2024-01-01 550526150 CHARLESTON AREA MEDICAL CENTER INC CHAR 3043887603 PO BOX 1547 CHARLESTON WV 253261547 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 STREET CHARLESTON WV 25301 2198172585 0 X WWW.CAMC.ORG X 1971 WV STRIVING TO PROVIDE THE BEST HEALTHCARE TO EVERY PATIENT, EVERY DAY. CAMC OWNS AND OPERATES FOUR SEPARATELY-LICENSED HOSPITALS AS A TERTIARY-CARE TEACHING HOSPITAL DESIGNED TO PROVIDE CARE FOR COMMUNITY RESIDENTS THROUGH EVERY STAGE OF LIFE. CAMC PATIENTS DEPEND ON CAMC TO PROVIDE CONVENIENT AND COMPASSIONATE CARE DELIVERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. 15 11 11905 174 20747550 1597231 23920254 15093794 1639358899 1936872550 6648184 25544308 8792606 10160465 1678719943 1987671117 3527347 4612725 0 0 780134318 959181878 0 0 207666 860164193 957775341 1643825858 1921569944 34894085 66101173 1693276542 1802844679 1083683707 1148557568 609592835 654287111 X STRIVING TO PROVIDE THE BEST HEALTH CARE TO EVERY PATIENT, EVERY DAY. 0 0 1435774735 72499 1938299157 CAMC IS ONE OF WEST VIRGINIA'S LARGEST MEDICAL CENTERS WITH OVER 10,500 EMPLOYEES AND 776 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 APPROXIMATELY 20% OF THE CHARITY CARE IN THE STATE. THERE WERE INPATIENT DAYS OF 208,641 OUTPATIENT VISITS OF 370,630 CLINIC VISITS OF 682,736 EMERGENCY DEPARTMENT VISITS OF 155,350 AND DELIVERIES OF 2,658 IN 2024. 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. 32923344 4308202 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. APPROXIMATELY 200 WVU/WVSOM MEDICAL STUDENTS TRAINED AT CAMC HOSPITALS AND 230 MEDICAL RESIDENTS WERE EMPLOYED BY CAMC. CAMC PROVIDED FACULTY SUPPORT TO THE UNIVERSITY OF CHARLESTON HELPING EDUCATE PHARMACY STUDENTS, NURSING STUDENTS AND PHYSICIAN ASSISTANTS. CAMC ASSISTED 22 EMPLOYEES THROUGH STUDENT LOAN FORGIVENESS, AND PROVIDED EDUCATIONAL ASSISTANCE TO 381 INDIVIDUALS WHO INTEND TO PURSUE A CAREER IN HEALTHCARE. 150843935 232024 241034 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 58 OUTREACH PROGRAMS WHICH SERVED AN ESTIMATED 41,523 PEOPLE. CAMC PROVIDED ACUTE INPATIENT AND OUTPATIENT HOSPITAL SERVICES INCLUDING UNREIMBURSED CHARITY CARE AT COST OF $18,344,647. 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. 1619542014 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 630 0 1 11905 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WV X JEFF SANDENE 3043887603 501 MORRIS STREET CHARLESTON WV 25301 DAVID L RAMSEY PRESIDENT AND CEO VANDALIA HEALTH 5.00 62.00 X 0 1926954 131607 GLENN CROTTY JR MD PRESIDENT AND CEO CAMC 50.00 8.50 X X 0 1156127 58825 BARRY MITCHELL MD TRUSTEE 42.50 0.00 X 699360 0 15754 JOHN HOBLITZELL CHAIRMAN 3.00 3.00 X X 0 0 0 MARK A CHANDLER VICE CHAIR 3.00 2.50 X X 0 0 0 CHARLES L CAPITO JR TRUSTEE 2.50 2.50 X 0 0 0 EDWIN H WELCH PHD TRUSTEE 2.50 3.50 X 0 0 0 ERIC A HICKS TRUSTEE 2.50 2.50 X 0 0 0 FONDA ELLIOT TRUSTEE 2.50 2.50 X 0 0 0 JAMES CAMPBELL MD TRUSTEE/CHIEF OF STAFF 3.00 0.00 X 0 0 0 KAREN S PRICE TRUSTEE 2.50 2.50 X 0 0 0 KENNETH L TACKETT TRUSTEE 2.50 2.50 X 0 0 0 MELVIN JONES TRUSTEE 2.50 2.50 X 0 0 0 STEFAN MAXWELL MD TRUSTEE 2.50 0.50 X 0 0 0 WILLIAM A RICE JR TRUSTEE 2.50 3.00 X 0 0 0 ANGELA HILL VP & GENERAL COUNSEL 5.00 50.00 X 0 1000360 307203 JEFF SANDENE EVP & CFO 5.00 62.00 X 0 960798 250403 JEFFREY OSKIN SENIOR VP AND COO 50.00 0.00 X 684990 0 282516 JEFFREY GOODE SENIOR VP AMBULATORY SERVICES 50.00 0.00 X 587794 0 349405 KRISTI SNYDER VP HR 5.00 51.00 X 0 554332 238109 GEORGE FARRIS VP ADMINISTRATOR 50.00 0.00 X 651879 0 59168 HEIDI EDWARDS VP ADMINISTRATOR & CNO 50.00 0.00 X 463188 0 242496 STEPHEN WEBER VP ADMINISTRATOR 50.00 0.00 X 466671 0 232140 DANIEL STROSS VP CHIEF INFORMATION OFFICER 5.00 50.00 X 0 554867 143533 E MICHAEL ROBIE VP AMBULATORY SERVICES 50.00 1.00 X 413410 0 130722 CHAD HOVIS VP FINANCE & TREASURER 5.00 58.00 X 0 360988 130760 RANDALL HODGES VP ADMINISTRATOR 50.00 0.00 X 425111 0 55309 D MICHELLE COON VP MANAGED CARE 50.00 5.00 X 353693 0 126220 CHRISTINE STURTEVANT VP REVENUE CYCLE 5.00 50.00 X 0 387679 81400 MYRANDA PIKE VP CHIEF COMPLIANCE OFFICER 5.00 50.00 X 0 341864 71591 ELIZABETH PELLEGRIN VP AND CHIEF MARKETING OFFICER 5.00 50.00 X 0 283208 96716 TAMARA FULLER VP & CHIEF STRATEGY OFFICER 5.00 51.00 X 0 261259 86094 STEVEN PERRY VP SUPPLY CHAIN & CHIEF PURCHASING OFFICER 5.00 50.00 X 0 250377 74990 HEATHER LEWIS VP CHIEF QUALITY & SAFETY OFFICER 50.00 0.00 X 249548 0 50451 REBECCA STEVENSON SECRETARY 5.00 59.00 X 0 191854 66073 ANTHONY UY VP CHIEF QUALITY OFFICER 50.00 0.00 X 526675 0 48155 SHELDA MARTIN VP CHIEF MEDICAL OFFICER 50.00 1.00 X 475382 0 32334 SANGEETA MANDAPAKA CARDIOLOGIST 40.00 0.00 X 2301094 0 32494 JAMES HARMAN ENDOVASCULAR SURGEON 40.00 0.00 X 2009551 0 69456 ROBERT SHIN BARIATRIC SURGEON 40.00 0.00 X 1905952 0 68763 ELIE GHARIB INTERVENTIONAL CARDIOLOGY 40.00 0.00 X 1814363 0 69686 HAZAIM ALWAIR CARDIOVASCULAR SURGEON 40.00 0.00 X 1791028 0 69686 THOMAS MCILWAIN FORMER VP CHIEF MEDICAL OFFICER 0.00 0.00 X 594545 0 48983 MICHAEL WILLIAMS FORMER VP ADMINISTRATOR 0.00 0.00 X 472835 0 0 16887069 8230667 3721042 1550 1 1 0 WVU PHYSICIANS OF CHARLESTON 3110 MACCORKLE AVENUE CHARLESTON WV 25304 GME/PHYSICIAN SERVICES 50237948 QUALIVIS LLC PO BOX 674913 DALLAS TX 752674913 AGENCY SERVICES 39769792 CHARLESTON AREA RADIATION THERAPY PO BOX 19532 IRVINE CA 92623 RADIATION SERVICES 17972284 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 MEDICAL SERVICES 12200870 MERRILL LYNCH PIERCE FENNER PO BOX 417535 BOSTON MA 022417535 INVESTMENT SERVICES 12037994 103 5797844 8389535 906415 301260 15093794 NET PATIENT REVENUE 621990 1790877672 1790877672 PHARMACY 456110 112288883 110907870 1381013 LAB SERVICES 621500 19331973 19331973 RENTAL (NON RSDNTL) 531120 6777766 1954464 4823302 7596256 3165068 14780 4416408 1936872550 10561411 342353 19784 10199274 225474815 9550 210497193 4275 14977622 5275 14982897 14982897 CAFETERIA/VENDING 722514 8835177 8835177 MANAGEMENT FEES 541610 490274 490274 LAUNDRY 812300 436227 436227 398787 398787 10160465 1987671117 1908572715 20747550 43257058 X 304522 304522 4308203 4308203 5940032 5760636 179396 1913799 1913799 745971121 622651238 123319883 23188959 18765342 4415587 8030 135256835 111947435 23289160 20240 46911132 37526343 9384789 24526953 19621562 4905391 6644478 6644478 22867 22867 2707255 2707255 203956106 184773151 19182955 386489 309191 77298 75369154 60664600 14704554 39292 31434 7858 29472437 20669795 8802642 2539566 2031653 507913 122116 97693 24423 22642210 22642210 8806178 8806178 35768367 18174263 17594104 23053452 19203711 3849741 MEDICAL SUPPLIES 399885616 399885616 PROVIDER TAX 59226045 59226045 REPAIRS AND MAINTENANCE 25714911 13802001 11912910 SALES/USE TAX 23735696 16403540 7332156 13156153 338498 12817655 1921569944 1619542014 301820264 207666 39129 39343 212818203 103841257 0 3739232 401972267 564216794 2942224 2971646 20476 11404 28547329 35006340 13652516 10915947 1145124088 681209450 444096266 463914638 9465043 9786752 75642292 53320458 102012489 112623024 402068308 442457844 1693276542 1802844679 211015592 235532824 4050726 3663744 658845945 647107791 44976 127663 130026340 168137008 79700128 93988538 1083683707 1148557568 X 572301364 615703336 37291471 38583775 609592835 654287111 1693276542 1802844679 X 66101173 2503449 -23910346 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3604 3604 0 PART II-B, LINE 1: CAMC IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION, ASSOCIATION. A PERCENTAGE OF THE MEMBERSHIP DUES PAID ARE RELATED TO LOBBYING ACTIVITIES. 0 1 X 34559003 1585400 2154031 322487 37975947 69039568 855371 2676937 38012873 34559003 78542252 570268 -9301194 771758 69039568 67168856 3841086 8301863 769553 78542252 52835664 8393645 6721179 781632 67168856 0.54000 0.46000 0 1 1 38724856 38724856 570741596 303848385 266893211 7969092 7207745 761347 441100682 346528562 94572120 86587862 23624758 62963104 463914638 INTEREST IN NET ASSETS - CAMC FOUNDATION, INC. 37975946 BOND PROJECT FUNDS 104047614 BOND COLLATERAL 1970000 DERIVATIVE ASSET VALUE 1163037 TRUSTEE FUNDS 27888451 AFFILIATE RECEIVABLE - VANDALIA HEALTH SUBSIDIARIES 269412796 442457844 32850 ESTIMATED MALPRACTICE CLAIMS 40621604 ESTIMATED WORKERS COMPENSATION CLAIMS 1714270 SETTLEMENTS DUE TO 3RD PARTIES 6430279 ESTIMATED RETIREE HEALTH 2022063 UMBRELLA TRUST AND SERP 29786224 AFFILIATE PAYABLE- VANDALIA HEALTH SUBSIDIARIES' 13381248 93988538 X PART IV, LINE 2B: CAMC OPERATES HEALTHCARE FINANCIAL SERVICES, WHICH PROVIDES COLLECTIONS SERVICES TO OUTSIDE CLIENTS. PAYMENTS THAT ARE NOT RECOVERED BY THE COLLECTION DEPARTMENT INCLUDE BOTH THE COMMISSION PORTION AND THE AMOUNT DUE TO THE OUTSIDE CLIENT. THE AMOUNT LISTED IN PART X LINE 21 REFLECTS THE AMOUNT PAYABLE BY CAMC TO THE CLIENTS. PART V, LINE 4: TO FURTHER THE MISSION OF THE ORGANIZATION. PART X, LINE 2: CAMC'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE FINANCIAL STATEMENTS OF VANDALIA HEALTH, 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 THE SYSTEM ENTITIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C)(3) OF THE CODE AND APPLICABLE STATE STATUTES, EXCEPT FOR MHC, FHE, CMC, 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 CAMC ENTITIES. 1 1 X 1 X 1 X 1 1 1 0 1 1 18344647 18344647 0.00990 401192748 248003122 153189626 0.08290 563691 203640 360051 0.00020 420101086 248206762 171894324 0.09300 2090252 241034 1849218 0.00100 36556274 9645083 26911191 0.01460 928764 675891 252873 0.00010 108714 108714 0.00010 39684004 10562008 29121996 0.01580 459785090 258768770 201016320 0.10880 376999 376999 0.00020 3865 3865 0.00000 1920 1920 0.00000 15714 15714 0.00000 398498 398498 0.00020 0 74341276 0 349706352 754639441 -404933089 X 1 1 1 GENERAL DIVISION MEDICAL OFFICE BUILDING LLC MEDICAL OFFICE SPACE RENTAL 0.95000 0.05000 2 CHARLESTON AREA RADIATION THERAPY CENTERS LLC RADIATION THERAPY 0.20000 0.30000 3 CHARLESTON SURGICAL HOSPITAL SURGICAL HOSPITAL 0.69000 0.31000 5 1 CAMC MEMORIAL HOSPITAL 3200 MACCORKLE AVENUE CHARLESTON WV 25304 WWW.CAMC.ORG 20 X X X X A 2 CAMC GENERAL HOSPITAL 501 MORRIS STREET CHARLESTON WV 25301 WWW.CAMC.ORG 20 X X X X A 3 CAMC WOMEN AND CHILDREN'S HOSPITAL 800 PENNSYLVANIA AVENUE CHARLESTON WV 253025302 WWW.CAMC.ORG 20 X X X X A 4 CAMC TEAYS VALLEY HOSPITAL 1400 HOSPITAL DRIVE HURRICANE WV 25526 WWW.CAMC.ORG 20 X X X X B 5 CAMC CHARLESTON SURGICAL HOSPITAL LLC 1306 KANAWHA BOULEVARD EAST CHARLESTON WV 25301 WWW.CAMC.ORG 20 X X X X C FACILITY REPORTING GROUP - A 0 1 1 X X X X X X X X X 23 1 1 1 1 X HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS X 1 23 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 FACILITY REPORTING GROUP - B 0 0 1 X 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 FACILITY REPORTING GROUP - C 0 1 0 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.CAMC.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-FINANCIAL- X HTTPS://WWW.CAMC.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-FINANCIAL- X HTTPS://WWW.CAMC.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE-AND-FINANCIAL- X X X X X X 1 X 0 X X X X 1 X 0 0 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 GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA-CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, SPILMAN THOMAS & BATTLE, PLCC, 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 PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. THE PROCESS WAS DESIGNED TO ENGAGE THE LOCAL GOVERNMENTS AND MAJOR EMPLOYERS IN THE AREA AND THE RESIDENTS OF KANAWHA. THE FOLLOWING ARE THOSE WHO AIDED IN THE DISSEMINATION OF THE SURVEY: - KANAWHA COUNTY COMMISSIONERS OFFICE - CITY OF CHARLESTON MAYORS OFFICE - CITY OF SAINT ALBANS MAYORS OFFICE - CITY OF DUNBAR MAYORS OFFICE - CITY OF SOUTH CHARLESTON MAYORS OFFICE - CITY OF ELKVIEW MAYORS OFFICE - CITY OF MONTGOMERY MAYORS OFFICE - CITY OF SMITHERS MAYORS OFFICE - CHARLESTON PARKS & RECREATION - CHARLESTON AREA MEDICAL CENTER - THOMAS HEALTH SYSTEMS - KANAWHA COUNTY BOARD OF EDUCATION FROM JULY 1, 2022 THROUGH OCTOBER 31, 2022, THE KCCHI LEADERSHIP ASSESSED THE HEALTH NEEDS OF THE COMMUNITY. KANAWHA COUNTY RESIDENTS WHO WERE 18 AND OLDER WERE THE INTENDED AUDIENCE. TO ALLOW ALL KANAWHA COUNTY RESIDENTS TO PARTICIPATE, THE SURVEY WAS WIDELY DISSEMINATED. EMAIL, SOCIAL MEDIA AND PUBLICATIONS FROM LOCAL COMMUNITIES WERE USED TO PUBLICIZE THE SURVEY. SOCIAL MEDIA GROUPS, CHURCH GROUPS, AND OTHER PUBLIC SPACES WERE USED TO DISSEMINATE SOCIAL MEDIA FLYERS THROUGHOUT THE COUNTY. THROUGH AN ONLINE LINK, THE MAIN SURVEY WAS CARRIED OUT. THE SURVEY ASKED 69 QUESTIONS COVERING THE FOLLOWING TOPICS: LIVE, LEARN, WORK AND PLAY. IN TOTAL, 1,191 REPLIED WERE OBTAINED. FOLLOWING THE COMPLETION OF THE SURVEY, THE INFORMATION WAS GATHERED BY THE KCCHI EXECUTIVE DIRECTORY AND SHARED WITH THE CAMC STRATEGIC PLANNING DEPARTMENT TO ASSESS THE RESULTS AND ESTABLISH THE INITIAL OBJECTIVES THAT WOULD BE PRESENTED AND DISCUSSED AT THE KCCHI STEERING COMMITTEE IN THE COMING MONTHS. THE KANAWHA COALITION INVESTIGATED MANY AVENUES FOR INVOLVING IMPORTANT STAKEHOLDERS AND SECTOR SPECIALISTS IN OUR EFFORTS TO ENHANCE THE HEALTH OF KANAWHA COUNTY. THE MEMBERS OF OUR LEADERSHIP TEAM INVITED PROFESSIONALS IN THE FIELDS OF LIVE, LEARN, WORK, AND PLAY TO TAKE PART IN OUR EXPERT OPINION SURVEY. THERE WERE 52 PARTICIPANTS. STEP 1:EXPERT OPINION SURVEY: THE KANAWHA COALITION'S STEERING COMMITTEE DESIGNATED KEY EXPERTS, AND 52 OF THE 60 IDENTIFIED COMPLETED THE ONLINE POLL. TO ELICIT A WIDE RANGE OF RELIES, THE SURVEY CONTAINED BOTH STANDARDIZED AND OPEN-ENDED QUESTIONS. STEP 2: CONVENING OF EXPERTS THE KANAWHA COALITION IMPROVED THE WAY INTERESTED PARTIES AND PROFESSIONALS FROM IMPORTANT SECTORS CAN PARTICIPATE IN OUR EFFORTS TO IMPROVE THE HEALTH IN KANAWHA COUNTY. IN ADDITION TO THE KEY EXPERTS ONLINE POLL, PARTICIPANTS WERE ASKED TO DISCUSS THE MAIN ISSUES THAT THEY BELIEVED TO EXIST IN KANAWHA COUNTY WITH REFERENCE TO RISKY BEHAVIORS FOR HEALTH, MEDICAL TREATMENT, SOCIAL AND ECONOMIC ASPECTS AND THE PHYSICAL ENVIRONMENT. THEY WERE REQUESTED TO DISCUSS THE DIFFICULTIES AND IMPEDIMENTS THEY SEE, AS WELL AS THEIR IDEAS FOR HOW TO GET THROUGH THEM. WE QUESTIONED THESE PROFESSIONALS ABOUT THE MAJOR ISSUES THEY SAW IN KANAWHA COUNTY. STEP 3 AND 4: TOP CHALLENGE RANKING SURVEY AND CUSTOMER FEEDBACK (COMMUNITY INPUT) FOCUS GROUPS: IN OCTOBER 2022, FOCUS GROUPS WERE HELD IN KANAWHA COUNTY TO BETTER UNDERSTAND LOCAL NEEDS. FOCUS GROUPS PROVIDE INSIGHT INTO THE NEEDS, CONCERNS AND EXPERIENCES OF PEOPLE WHOSE VOICES ARE NOT FREQUENTLY HEARD AS PART OF THE COALITION'S ASSESSMENT. FOCUS GROUPS TYPICALLY CONSIST OF SMALL NUMBER OF PEOPLE FROM A TARGET OR VULNERABLE COMMUNITY. RESIDENTS FROM TOWNS SPREAD ACROSS THE COUNTY'S MANY GEOGRAPHIC REGIONS PARTICIPATED IN THE FOCUS GROUPS THAT WERE CREATED IN THIS INSTANCE. IT IS CRUCIAL TO REMEMBER THAT WHILE THE FINDINGS MAY REFLECT THE OPINIONS OF CERTAIN COMMUNITY MEMBERS IN KANAWHA COUNTY, THEY MAY NOT NECESSARILY BE REPRESENTATIVE OF ALL OF THEM. THREE FOCUS GROUPS WERE ORGANIZED IN SUCCESSION. DISCUSSION TOPICS THAT MIGHT INFLUENCE COMMUNITY MEMBERS' HEALTH WERE THE FOCUS OF THE GATHERING. FOCUS GROUP IN THE COMMUNITY INCLUDED A TOTAL OF 30 PARTICIPANTS. IN THESE THREE GROUPS RESIDENTS FROM THE FOLLOWING AREAS ATTENDED: ELKVIEW, CLENDENIN, DUNBAR, WESTSIDE OF CHARLESTON, MALDEN, MARMET , CHARLESTON AND ST. ALBANS. FOR EACH CATEGORY (LIVE HEALTH AND SOCIAL, LIVE SAFETY AND INFRASTRUCTURE, LEARN, WORK, AND PLAY) INPUT FOR EACH OF THE TOP CHALLENGES WAS GIVEN ON TOP CONTRIBUTING FACTORS, POTENTIAL RESOLUTIONS, AND HOW OTHER COMMUNITIES SUCCESSFULLY ADDRESSED THE CHALLENGES. STEP 5 AND 6, PLANNING AND IMPLEMENTATION THIS WILL OCCUR ONCE OUR NEW COMMUNITY HEALTH IMPROVEMENT COUNCILS ARE FORMED FOR EACH NEW PRIORITY. COUNCILS WILL BE COMPRISED OF BOTH SUBJECT EXPERTS AND COMMUNITY RESIDENTS. GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL) GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: CHARLESTON AREA ALLIANCE, KANAWHA - CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT. GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: UNDER LIVE: HEALTH AND SOCIAL WELLNESS PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION. CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD/FOOD INSECURITY, HEART DISEASE, COPD, CANCER, DENTAL, SUBSTANCE ABUSE/ADDICTION, HIV/AIDS, HEPATITIS A/B/C, AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, AND PREVENT DIABETES PROGRAM CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE GENESIS 5K PROGRAM AND HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), LIMITED ACCESS TO FOOD WAS ADDRESSED WITH THE FARMACY PROGRAM, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE SOW & GROW AND SOCIAL DETERMINANTS OF HEALTH - COORDINATED CARE NETWORK. HEART DISEASE WAS ADDRESSED BY BUILD A SUSTAINABLE RESEARCH INFRASTRUCTURE THAT SUBSTANTIVELY CONTRIBUTES TO IMPROVING WV HEALTH OUTCOMES, ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE CANCER CENTER FASHION SHOW, CANCER CENTER SUPPORT GROUP, BREAST CANCER AWARENESS ACTIVITIES, BREAST CANCER SURVIVORSHIP GROUP, RUN FOR YOUR LIFE, SCREEN 2 INTERVENE, HEALTHY STEPS EXERCISE PROGRAM. WE ALSO PROVIDE THROUGH THE CAMC FOUNDATION GRANT - CAMC BREAST CENTER FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN; CAMC CANCER CENTER FOR ASSISTANCE WITH MEDS, CHEMO, SUPPLIES, ETC. DENTAL: CAMC PROVIDES A MOBILE UNIT FOR EASY ACCESS FOR DENTAL CARE. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, RMOMS, WCH WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. WELLNESS PROMOTION IS ADDRESSED VIA DISCOUNTED LAB WORK, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, HEALTHY KANAWHA WELLNESS PROGRAM, DRIVE THRU HEALTH FAIRS, RMOMS, AND VACCINE INITIATIVES. UNDER LIVE: SAFETY AND INFRASTRUCTURE CAMC TARGETED MENTAL HEALTH, HOMELESSNESS, AND CRIME. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED/UNDERINSURED RESIDENTS, EDUCATION FOR MEDICAL DIRECTION TO EMS AGENCIES, PROGRAMS AT FAMILY RESOURCE CENTER, AND THE HEALING HOUSE. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. CRIME WAS ADDRESSED THROUGH EDUCATION OF MEDICAL DIRECTION TO THE EMS AGENCIES. UNDER LEARN: EDUCATE FAMILIES ON THE IMPORTANCE OF EARLY CHILDHOOD EDUCATION. ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES A TEDDY BEAR FAIR, KEYS4 HEALTHYKIDS-REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM, DRIVE THRU HEALTH FAIRS. UNDER WORK: EMPLOYER WELLNESS PROGRAMS CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, AND CAMC CAREER ROAD MAP. LACK OF DIVERSE JOB OPPORTUNITIES WORKFORCE DEVELOPMENT ADDRESSED BY BUILD THE BASE OF LOCAL GROWERS AND ARTISANS, IMAGINE U, JUNIOR NURSE ACADEMY, TUITION ASSISTANCE AND A TEACHING INSTITUTIONS. UNDER PLAY: EXPAND USE/KNOWLEDGE OF COMMUNITY CENTER FOR SOCIAL AND RECREATIONAL ACTIVITIES IN KANAWHA COUNTY. ACCESS TO ARTS, CULTURE AND ENTERTAINMENT OPPORTUNITIES AND SHOPPING/BUSINESS OPPORTUNITIES CAMC ADDRESSED WITH OFFERING A CAMC PRIDE CARD WHICH OFFERS DISCOUNTS FOR VARIOUS ACTIVITIES/RESTAURANTS AND SHOPPING. ACCESS TO RECREATIONAL SPACES IN NEIGHBORHOODS CAMC WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND PROVIDES THE CAMC PRIDE CARD AND SPONSORS A CAMC EVENT AT THE GOMART BALLPARK. GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL 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. GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 5: STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA-CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, SPILMAN THOMAS & BATTLE, PLCC, 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 PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. THE PROCESS WAS DESIGNED TO ENGAGE THE LOCAL GOVERNMENTS AND MAJOR EMPLOYERS IN THE AREA AND THE RESIDENTS OF KANAWHA. THE FOLLOWING ARE THOSE WHO AIDED IN THE DISSEMINATION OF THE SURVEY: - KANAWHA COUNTY COMMISSIONERS OFFICE - CITY OF CHARLESTON MAYORS OFFICE - CITY OF SAINT ALBANS MAYORS OFFICE - CITY OF DUNBAR MAYORS OFFICE - CITY OF SOUTH CHARLESTON MAYORS OFFICE - CITY OF ELKVIEW MAYORS OFFICE - CITY OF MONTGOMERY MAYORS OFFICE - CITY OF SMITHERS MAYORS OFFICE - CHARLESTON PARKS & RECREATION - CHARLESTON AREA MEDICAL CENTER - THOMAS HEALTH SYSTEMS - KANAWHA COUNTY BOARD OF EDUCATION FROM JULY 1, 2022 THROUGH OCTOBER 31, 2022, THE KCCHI LEADERSHIP ASSESSED THE HEALTH NEEDS OF THE COMMUNITY. KANAWHA COUNTY RESIDENTS WHO WERE 18 AND OLDER WERE THE INTENDED AUDIENCE. TO ALLOW ALL KANAWHA COUNTY RESIDENTS TO PARTICIPATE, THE SURVEY WAS WIDELY DISSEMINATED. EMAIL, SOCIAL MEDIA AND PUBLICATIONS FROM LOCAL COMMUNITIES WERE USED TO PUBLICIZE THE SURVEY. SOCIAL MEDIA GROUPS, CHURCH GROUPS, AND OTHER PUBLIC SPACES WERE USED TO DISSEMINATE SOCIAL MEDIA FLYERS THROUGHOUT THE COUNTY. THROUGH AN ONLINE LINK, THE MAIN SURVEY WAS CARRIED OUT. THE SURVEY ASKED 69 QUESTIONS COVERING THE FOLLOWING TOPICS: LIVE, LEARN, WORK AND PLAY. IN TOTAL, 1,191 REPLIED WERE OBTAINED. FOLLOWING THE COMPLETION OF THE SURVEY, THE INFORMATION WAS GATHERED BY THE KCCHI EXECUTIVE DIRECTORY AND SHARED WITH THE CAMC STRATEGIC PLANNING DEPARTMENT TO ASSESS THE RESULTS AND ESTABLISH THE INITIAL OBJECTIVES THAT WOULD BE PRESENTED AND DISCUSSED AT THE KCCHI STEERING COMMITTEE IN THE COMING MONTHS. THE KANAWHA COALITION INVESTIGATED MANY AVENUES FOR INVOLVING IMPORTANT STAKEHOLDERS AND SECTOR SPECIALISTS IN OUR EFFORTS TO ENHANCE THE HEALTH OF KANAWHA COUNTY. THE MEMBERS OF OUR LEADERSHIP TEAM INVITED PROFESSIONALS IN THE FIELDS OF LIVE, LEARN, WORK, AND PLAY TO TAKE PART IN OUR EXPERT OPINION SURVEY. THERE WERE 52 PARTICIPANTS. STEP 1:EXPERT OPINION SURVEY: THE KANAWHA COALITION'S STEERING COMMITTEE DESIGNATED KEY EXPERTS, AND 52 OF THE 60 IDENTIFIED COMPLETED THE ONLINE POLL. TO ELICIT A WIDE RANGE OF RELIES, THE SURVEY CONTAINED BOTH STANDARDIZED AND OPEN-ENDED QUESTIONS. STEP 2: CONVENING OF EXPERTS THE KANAWHA COALITION IMPROVED THE WAY INTERESTED PARTIES AND PROFESSIONALS FROM IMPORTANT SECTORS CAN PARTICIPATE IN OUR EFFORTS TO IMPROVE THE HEALTH IN KANAWHA COUNTY. IN ADDITION TO THE KEY EXPERTS ONLINE POLL, PARTICIPANTS WERE ASKED TO DISCUSS THE MAIN ISSUES THAT THEY BELIEVED TO EXIST IN KANAWHA COUNTY WITH REFERENCE TO RISKY BEHAVIORS FOR HEALTH, MEDICAL TREATMENT, SOCIAL AND ECONOMIC ASPECTS AND THE PHYSICAL ENVIRONMENT. THEY WERE REQUESTED TO DISCUSS THE DIFFICULTIES AND IMPEDIMENTS THEY SEE, AS WELL AS THEIR IDEAS FOR HOW TO GET THROUGH THEM. WE QUESTIONED THESE PROFESSIONALS ABOUT THE MAJOR ISSUES THEY SAW IN KANAWHA COUNTY. STEP 3 AND 4: TOP CHALLENGE RANKING SURVEY AND CUSTOMER FEEDBACK (COMMUNITY INPUT) FOCUS GROUPS: IN OCTOBER 2022, FOCUS GROUPS WERE HELD IN KANAWHA COUNTY TO BETTER UNDERSTAND LOCAL NEEDS. FOCUS GROUPS PROVIDE INSIGHT INTO THE NEEDS, CONCERNS AND EXPERIENCES OF PEOPLE WHOSE VOICES ARE NOT FREQUENTLY HEARD AS PART OF THE COALITION'S ASSESSMENT. FOCUS GROUPS TYPICALLY CONSIST OF SMALL NUMBER OF PEOPLE FROM A TARGET OR VULNERABLE COMMUNITY. RESIDENTS FROM TOWNS SPREAD ACROSS THE COUNTY'S MANY GEOGRAPHIC REGIONS PARTICIPATED IN THE FOCUS GROUPS THAT WERE CREATED IN THIS INSTANCE. IT IS CRUCIAL TO REMEMBER THAT WHILE THE FINDINGS MAY REFLECT THE OPINIONS OF CERTAIN COMMUNITY MEMBERS IN KANAWHA COUNTY, THEY MAY NOT NECESSARILY BE REPRESENTATIVE OF ALL OF THEM. THREE FOCUS GROUPS WERE ORGANIZED IN SUCCESSION. DISCUSSION TOPICS THAT MIGHT INFLUENCE COMMUNITY MEMBERS' HEALTH WERE THE FOCUS OF THE GATHERING. FOCUS GROUP IN THE COMMUNITY INCLUDED A TOTAL OF 30 PARTICIPANTS. IN THESE THREE GROUPS RESIDENTS FROM THE FOLLOWING AREAS ATTENDED: ELKVIEW, CLENDENIN, DUNBAR, WESTSIDE OF CHARLESTON, MALDEN, MARMET , CHARLESTON AND ST. ALBANS. FOR EACH CATEGORY (LIVE HEALTH AND SOCIAL, LIVE SAFETY AND INFRASTRUCTURE, LEARN, WORK, AND PLAY) INPUT FOR EACH OF THE TOP CHALLENGES WAS GIVEN ON TOP CONTRIBUTING FACTORS, POTENTIAL RESOLUTIONS, AND HOW OTHER COMMUNITIES SUCCESSFULLY ADDRESSED THE CHALLENGES. STEP 5 AND 6, PLANNING AND IMPLEMENTATION THIS WILL OCCUR ONCE OUR NEW COMMUNITY HEALTH IMPROVEMENT COUNCILS ARE FORMED FOR EACH NEW PRIORITY. COUNCILS WILL BE COMPRISED OF BOTH SUBJECT EXPERTS AND COMMUNITY RESIDENTS. GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 6A: THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL) GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 6B: CHARLESTON AREA ALLIANCE, KANAWHA - CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT. GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 11: UNDER LIVE: HEALTH AND SOCIAL WELLNESS PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION. CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD/FOOD INSECURITY, HEART DISEASE, COPD, CANCER, DENTAL, SUBSTANCE ABUSE/ADDICTION, HIV/AIDS, HEPATITIS A/B/C, AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, AND PREVENT DIABETES PROGRAM CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE GENESIS 5K PROGRAM AND HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), LIMITED ACCESS TO FOOD WAS ADDRESSED WITH THE FARMACY PROGRAM, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE SOW & GROW AND SOCIAL DETERMINANTS OF HEALTH - COORDINATED CARE NETWORK. HEART DISEASE WAS ADDRESSED BY BUILD A SUSTAINABLE RESEARCH INFRASTRUCTURE THAT SUBSTANTIVELY CONTRIBUTES TO IMPROVING WV HEALTH OUTCOMES, ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE CANCER CENTER FASHION SHOW, CANCER CENTER SUPPORT GROUP, BREAST CANCER AWARENESS ACTIVITIES, BREAST CANCER SURVIVORSHIP GROUP, RUN FOR YOUR LIFE, SCREEN 2 INTERVENE, HEALTHY STEPS EXERCISE PROGRAM. WE ALSO PROVIDE THROUGH THE CAMC FOUNDATION GRANT - CAMC BREAST CENTER FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN; CAMC CANCER CENTER FOR ASSISTANCE WITH MEDS, CHEMO, SUPPLIES, ETC. DENTAL: CAMC PROVIDES A MOBILE UNIT FOR EASY ACCESS FOR DENTAL CARE. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, RMOMS, WCH WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. WELLNESS PROMOTION IS ADDRESSED VIA DISCOUNTED LAB WORK, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, HEALTHY KANAWHA WELLNESS PROGRAM, DRIVE THRU HEALTH FAIRS, RMOMS, AND VACCINE INITIATIVES. UNDER LIVE: SAFETY AND INFRASTRUCTURE CAMC TARGETED MENTAL HEALTH, HOMELESSNESS, AND CRIME. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED/UNDERINSURED RESIDENTS, EDUCATION FOR MEDICAL DIRECTION TO EMS AGENCIES, PROGRAMS AT FAMILY RESOURCE CENTER, AND THE HEALING HOUSE. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. CRIME WAS ADDRESSED THROUGH EDUCATION OF MEDICAL DIRECTION TO THE EMS AGENCIES. UNDER LEARN: EDUCATE FAMILIES ON THE IMPORTANCE OF EARLY CHILDHOOD EDUCATION. ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES A TEDDY BEAR FAIR, KEYS4 HEALTHYKIDS-REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM, DRIVE THRU HEALTH FAIRS. UNDER WORK: EMPLOYER WELLNESS PROGRAMS CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, AND CAMC CAREER ROAD MAP. LACK OF DIVERSE JOB OPPORTUNITIES WORKFORCE DEVELOPMENT ADDRESSED BY BUILD THE BASE OF LOCAL GROWERS AND ARTISANS, IMAGINE U, JUNIOR NURSE ACADEMY, TUITION ASSISTANCE AND A TEACHING INSTITUTIONS. UNDER PLAY: EXPAND USE/KNOWLEDGE OF COMMUNITY CENTER FOR SOCIAL AND RECREATIONAL ACTIVITIES IN KANAWHA COUNTY. ACCESS TO ARTS, CULTURE AND ENTERTAINMENT OPPORTUNITIES AND SHOPPING/BUSINESS OPPORTUNITIES CAMC ADDRESSED WITH OFFERING A CAMC PRIDE CARD WHICH OFFERS DISCOUNTS FOR VARIOUS ACTIVITIES/RESTAURANTS AND SHOPPING. ACCESS TO RECREATIONAL SPACES IN NEIGHBORHOODS CAMC WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND PROVIDES THE CAMC PRIDE CARD AND SPONSORS A CAMC EVENT AT THE GOMART BALLPARK. GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL 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. GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA-CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, SPILMAN THOMAS & BATTLE, PLCC, 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 PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. THE PROCESS WAS DESIGNED TO ENGAGE THE LOCAL GOVERNMENTS AND MAJOR EMPLOYERS IN THE AREA AND THE RESIDENTS OF KANAWHA. THE FOLLOWING ARE THOSE WHO AIDED IN THE DISSEMINATION OF THE SURVEY: - KANAWHA COUNTY COMMISSIONERS OFFICE - CITY OF CHARLESTON MAYORS OFFICE - CITY OF SAINT ALBANS MAYORS OFFICE - CITY OF DUNBAR MAYORS OFFICE - CITY OF SOUTH CHARLESTON MAYORS OFFICE - CITY OF ELKVIEW MAYORS OFFICE - CITY OF MONTGOMERY MAYORS OFFICE - CITY OF SMITHERS MAYORS OFFICE - CHARLESTON PARKS & RECREATION - CHARLESTON AREA MEDICAL CENTER - THOMAS HEALTH SYSTEMS - KANAWHA COUNTY BOARD OF EDUCATION FROM JULY 1, 2022 THROUGH OCTOBER 31, 2022, THE KCCHI LEADERSHIP ASSESSED THE HEALTH NEEDS OF THE COMMUNITY. KANAWHA COUNTY RESIDENTS WHO WERE 18 AND OLDER WERE THE INTENDED AUDIENCE. TO ALLOW ALL KANAWHA COUNTY RESIDENTS TO PARTICIPATE, THE SURVEY WAS WIDELY DISSEMINATED. EMAIL, SOCIAL MEDIA AND PUBLICATIONS FROM LOCAL COMMUNITIES WERE USED TO PUBLICIZE THE SURVEY. SOCIAL MEDIA GROUPS, CHURCH GROUPS, AND OTHER PUBLIC SPACES WERE USED TO DISSEMINATE SOCIAL MEDIA FLYERS THROUGHOUT THE COUNTY. THROUGH AN ONLINE LINK, THE MAIN SURVEY WAS CARRIED OUT. THE SURVEY ASKED 69 QUESTIONS COVERING THE FOLLOWING TOPICS: LIVE, LEARN, WORK AND PLAY. IN TOTAL, 1,191 REPLIED WERE OBTAINED. FOLLOWING THE COMPLETION OF THE SURVEY, THE INFORMATION WAS GATHERED BY THE KCCHI EXECUTIVE DIRECTORY AND SHARED WITH THE CAMC STRATEGIC PLANNING DEPARTMENT TO ASSESS THE RESULTS AND ESTABLISH THE INITIAL OBJECTIVES THAT WOULD BE PRESENTED AND DISCUSSED AT THE KCCHI STEERING COMMITTEE IN THE COMING MONTHS. THE KANAWHA COALITION INVESTIGATED MANY AVENUES FOR INVOLVING IMPORTANT STAKEHOLDERS AND SECTOR SPECIALISTS IN OUR EFFORTS TO ENHANCE THE HEALTH OF KANAWHA COUNTY. THE MEMBERS OF OUR LEADERSHIP TEAM INVITED PROFESSIONALS IN THE FIELDS OF LIVE, LEARN, WORK, AND PLAY TO TAKE PART IN OUR EXPERT OPINION SURVEY. THERE WERE 52 PARTICIPANTS. STEP 1:EXPERT OPINION SURVEY: THE KANAWHA COALITION'S STEERING COMMITTEE DESIGNATED KEY EXPERTS, AND 52 OF THE 60 IDENTIFIED COMPLETED THE ONLINE POLL. TO ELICIT A WIDE RANGE OF RELIES, THE SURVEY CONTAINED BOTH STANDARDIZED AND OPEN-ENDED QUESTIONS. STEP 2: CONVENING OF EXPERTS THE KANAWHA COALITION IMPROVED THE WAY INTERESTED PARTIES AND PROFESSIONALS FROM IMPORTANT SECTORS CAN PARTICIPATE IN OUR EFFORTS TO IMPROVE THE HEALTH IN KANAWHA COUNTY. IN ADDITION TO THE KEY EXPERTS ONLINE POLL, PARTICIPANTS WERE ASKED TO DISCUSS THE MAIN ISSUES THAT THEY BELIEVED TO EXIST IN KANAWHA COUNTY WITH REFERENCE TO RISKY BEHAVIORS FOR HEALTH, MEDICAL TREATMENT, SOCIAL AND ECONOMIC ASPECTS AND THE PHYSICAL ENVIRONMENT. THEY WERE REQUESTED TO DISCUSS THE DIFFICULTIES AND IMPEDIMENTS THEY SEE, AS WELL AS THEIR IDEAS FOR HOW TO GET THROUGH THEM. WE QUESTIONED THESE PROFESSIONALS ABOUT THE MAJOR ISSUES THEY SAW IN KANAWHA COUNTY. STEP 3 AND 4: TOP CHALLENGE RANKING SURVEY AND CUSTOMER FEEDBACK (COMMUNITY INPUT) FOCUS GROUPS: IN OCTOBER 2022, FOCUS GROUPS WERE HELD IN KANAWHA COUNTY TO BETTER UNDERSTAND LOCAL NEEDS. FOCUS GROUPS PROVIDE INSIGHT INTO THE NEEDS, CONCERNS AND EXPERIENCES OF PEOPLE WHOSE VOICES ARE NOT FREQUENTLY HEARD AS PART OF THE COALITION'S ASSESSMENT. FOCUS GROUPS TYPICALLY CONSIST OF SMALL NUMBER OF PEOPLE FROM A TARGET OR VULNERABLE COMMUNITY. RESIDENTS FROM TOWNS SPREAD ACROSS THE COUNTY'S MANY GEOGRAPHIC REGIONS PARTICIPATED IN THE FOCUS GROUPS THAT WERE CREATED IN THIS INSTANCE. IT IS CRUCIAL TO REMEMBER THAT WHILE THE FINDINGS MAY REFLECT THE OPINIONS OF CERTAIN COMMUNITY MEMBERS IN KANAWHA COUNTY, THEY MAY NOT NECESSARILY BE REPRESENTATIVE OF ALL OF THEM. THREE FOCUS GROUPS WERE ORGANIZED IN SUCCESSION. DISCUSSION TOPICS THAT MIGHT INFLUENCE COMMUNITY MEMBERS' HEALTH WERE THE FOCUS OF THE GATHERING. FOCUS GROUP IN THE COMMUNITY INCLUDED A TOTAL OF 30 PARTICIPANTS. IN THESE THREE GROUPS RESIDENTS FROM THE FOLLOWING AREAS ATTENDED: ELKVIEW, CLENDENIN, DUNBAR, WESTSIDE OF CHARLESTON, MALDEN, MARMET , CHARLESTON AND ST. ALBANS. FOR EACH CATEGORY (LIVE HEALTH AND SOCIAL, LIVE SAFETY AND INFRASTRUCTURE, LEARN, WORK, AND PLAY) INPUT FOR EACH OF THE TOP CHALLENGES WAS GIVEN ON TOP CONTRIBUTING FACTORS, POTENTIAL RESOLUTIONS, AND HOW OTHER COMMUNITIES SUCCESSFULLY ADDRESSED THE CHALLENGES. STEP 5 AND 6, PLANNING AND IMPLEMENTATION THIS WILL OCCUR ONCE OUR NEW COMMUNITY HEALTH IMPROVEMENT COUNCILS ARE FORMED FOR EACH NEW PRIORITY. COUNCILS WILL BE COMPRISED OF BOTH SUBJECT EXPERTS AND COMMUNITY RESIDENTS. GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL) GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: CHARLESTON AREA ALLIANCE, KANAWHA - CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT. GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: UNDER LIVE: HEALTH AND SOCIAL WELLNESS PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION. CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD/FOOD INSECURITY, HEART DISEASE, COPD, CANCER, DENTAL, SUBSTANCE ABUSE/ADDICTION, HIV/AIDS, HEPATITIS A/B/C, AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, AND PREVENT DIABETES PROGRAM CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE GENESIS 5K PROGRAM AND HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), LIMITED ACCESS TO FOOD WAS ADDRESSED WITH THE FARMACY PROGRAM, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE SOW & GROW AND SOCIAL DETERMINANTS OF HEALTH - COORDINATED CARE NETWORK. HEART DISEASE WAS ADDRESSED BY BUILD A SUSTAINABLE RESEARCH INFRASTRUCTURE THAT SUBSTANTIVELY CONTRIBUTES TO IMPROVING WV HEALTH OUTCOMES, ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE CANCER CENTER FASHION SHOW, CANCER CENTER SUPPORT GROUP, BREAST CANCER AWARENESS ACTIVITIES, BREAST CANCER SURVIVORSHIP GROUP, RUN FOR YOUR LIFE, SCREEN 2 INTERVENE, HEALTHY STEPS EXERCISE PROGRAM. WE ALSO PROVIDE THROUGH THE CAMC FOUNDATION GRANT - CAMC BREAST CENTER FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN; CAMC CANCER CENTER FOR ASSISTANCE WITH MEDS, CHEMO, SUPPLIES, ETC. DENTAL: CAMC PROVIDES A MOBILE UNIT FOR EASY ACCESS FOR DENTAL CARE. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, RMOMS, WCH WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. WELLNESS PROMOTION IS ADDRESSED VIA DISCOUNTED LAB WORK, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, HEALTHY KANAWHA WELLNESS PROGRAM, DRIVE THRU HEALTH FAIRS, RMOMS, AND VACCINE INITIATIVES. UNDER LIVE: SAFETY AND INFRASTRUCTURE CAMC TARGETED MENTAL HEALTH, HOMELESSNESS, AND CRIME. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED/UNDERINSURED RESIDENTS, EDUCATION FOR MEDICAL DIRECTION TO EMS AGENCIES, PROGRAMS AT FAMILY RESOURCE CENTER, AND THE HEALING HOUSE. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. CRIME WAS ADDRESSED THROUGH EDUCATION OF MEDICAL DIRECTION TO THE EMS AGENCIES. UNDER LEARN: EDUCATE FAMILIES ON THE IMPORTANCE OF EARLY CHILDHOOD EDUCATION. ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES A TEDDY BEAR FAIR, KEYS4 HEALTHYKIDS-REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM, DRIVE THRU HEALTH FAIRS. UNDER WORK: EMPLOYER WELLNESS PROGRAMS CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, AND CAMC CAREER ROAD MAP. LACK OF DIVERSE JOB OPPORTUNITIES WORKFORCE DEVELOPMENT ADDRESSED BY BUILD THE BASE OF LOCAL GROWERS AND ARTISANS, IMAGINE U, JUNIOR NURSE ACADEMY, TUITION ASSISTANCE AND A TEACHING INSTITUTIONS. UNDER PLAY: EXPAND USE/KNOWLEDGE OF COMMUNITY CENTER FOR SOCIAL AND RECREATIONAL ACTIVITIES IN KANAWHA COUNTY. ACCESS TO ARTS, CULTURE AND ENTERTAINMENT OPPORTUNITIES AND SHOPPING/BUSINESS OPPORTUNITIES CAMC ADDRESSED WITH OFFERING A CAMC PRIDE CARD WHICH OFFERS DISCOUNTS FOR VARIOUS ACTIVITIES/RESTAURANTS AND SHOPPING. ACCESS TO RECREATIONAL SPACES IN NEIGHBORHOODS CAMC WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND PROVIDES THE CAMC PRIDE CARD AND SPONSORS A CAMC EVENT AT THE GOMART BALLPARK. GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL 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 GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL PART V, SECTION B, LINE 5: CAMC TEAYS VALLEY HOSPITAL CONDUCTED ITS FIFTH COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS UTILIZING DATA FROM THE UNITED WAY OF CENTRAL WEST VIRGINIA (2024 COMMUNITY NEEDS ASSESSMENT), ENACT COMMUNITY ACTION (2021-2022 COMMUNITY NEEDS ASSESSMENT), THE PUTNAM COUNTY HEALTH DEPARTMENT (2020 PUTNAM COUNTY COMMUNITY HEALTH ASSESSMENT PRIORITIZATION AND DEVELOPMENT OF HEALTH IMPROVEMENT PRIORITIES), SPARKMAP DATA FOR PUTNAM COUNTY, UNITED FOR ALICE RESEARCH CENTER, WORKFORCE WEST VIRGINIA, THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES (OFFICE OF DRUG CONTROL POLICY DASHBOARDS), AND THE WEST VIRGINIA BOARD OF PHARMACY. THE ASSESSMENT PROCESS ENCOMPASSED THE FOLLOWING: PUTNAM COUNTY SURVEY RESULTS AND DATA DASHBOARDS; UNITED WAY OF CENTRAL WV COMMUNITY NEEDS ASSESSMENT; ENACT COMMUNITY ACTION COMMUNITY NEEDS ASSESSMENT; PUTNAM COUNTY HEALTH DEPARTMENT COMMUNITY NEEDS ASSESSMENT PRIORITIZATION; WV DEPARTMENT OF HEALTH OF HUMAN RESOURCES OFFICE OF DRUG CONTROL POLICY DATA DASHBOARD; WV BOARD OF PHARMACY OPIOID INDICATORS DASHBOARD AND DEPARTMENT OF HEALTH AND HUMAN SERVICES EMPOWER EMERGENCY PLANNING DE-IDENTIFIED DATA SET; SOCIAL SERVICE AGENCY UTILIZATION. A SURVEY, UTILIZING SURVEY MONKEY WAS SENT TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS TO PRIORITIZE THE COMMUNITY HEALTH ISSUES FOR PUTNAM COUNTY. GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL PART V, SECTION B, LINE 6B: KEY LEADERS FROM THE FOLLOWING ORGANIZATIONS, IN PUTNAM COUNTY IDENTIFIED AND PRIORITIZED COMMUNITY HEALTH NEEDS. THE UNITED WAY OF CENTRAL WV, PUTNAM COUNTY WELLNESS COALITION, PUTNAM COUNTY DEVELOPMENT AUTHORITY, PUTNAM COUNTY HEALTH DEPARTMENT, UNITED FOR ALICE RESEARCH CENTER, ENACT COMMUNITY ACTION, PUTNAM COUNTY COMMISSION, PUTNAM COUNTY 911/EMERGENCY MANAGEMENT, PUTNAM COUNTY HOMELAND SECURITY, AND PUTNAM COUNTY LAW ENFORCEMENT. GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING COMMUNITY HEALTH STRATEGIES HAVE BEEN IDENTIFIED. THESE STRATEGIES HAVE BEEN FUNDED AND ARE BEING IMPLEMENTED. 1.) PROVIDE PHYSICAL ACTIVITY OPPORTUNITIES FOR THE AT RISK CARDIAC POPULATION AND PROVIDE MEDICAL SPECIALTY CARE FOR PULMONARY AND CHF PATIENTS BY -PROVIDING A LEVEL III CARDIAC REHAB PROGRAM-PROVIDE EXERCISE PROGRAM FOR PATIENTS AFTER THEY COMPLETE PRESCRIBED CARDIAC REHAB PROGRAM-INCREASE PARTICIPATION IN CARDIAC REHAB PROGRAM-INCREASE PARTICIPATION IN PULMONARY MEDICINE CLINIC-INCREASE PARTICIPATION IN CHF CLINIC2.) PROVIDE ACCESS TO PRIMARY AND SPECIALTY HEALTH CARE FOR THE SERVICE AREA THROUGH MEDICAL STAFF RECRUITMENT AND ESTABLISHMENT OF A PRIMARY SITE FOR ALL SPECIALISTS BY- RECRUIT MEDICAL STAFF FOR HIGH PRIORITY COMMUNITY NEEDS- INCREASED PRIMARY CARE SERVICES BY PLACING A PRIMARY CARE OFFICE IN THE TEAYS VALLEY OUTPATIENT BUILDING- IMPROVE ACCESS BY CENTRALIZING ALL SPECIALISTS IN ONE LOCATION- MAINTAIN TRAUMA LEVEL IV DESIGNATION/ACCREDITATION- PUTNAM COUNTY 911 COMMITTEE, HOSPITAL MEMBER REPRESENTATION- TRAUMA COORDINATOR PARTICIPATION IN TEDDY BEAR FAIR- STOP THE BLEED PROGRAM IN SCHOOLS AND COMMUNITY GROUPS- MEDS TO BED PROGRAM- GUARDIAN CAP FINANCIAL SUPPORT WINFIELD MIDDLE SCHOOL AND HURRICANE YOUTH LEAGUE3.) DIVERT NON-VIOLENT YOUTH WHO ABUSE ALCOHOL AND DRUGS TO A DRUG AND ALCOHOL FREE FUTURE BY- PROVIDE FINANCIAL SUPPORT TO THE PUTNAM COUNTY JUVENILE DRUG COURT- PROVIDE LEADERSHIP AND SUSTAINABILITY TO THE PROGRAM THROUGH THE CAMC TEAYS VALLEY HOSPITAL ADMINISTRATOR SERVING ON THE BOARD OF DIRECTORS- PUTNAM WELLNESS COALITION-SUBSTANCE USE DISORDER (SUD) COACHES FOR INPATIENTS.4.) STOP THE BLEED PROGRAM RESOURCE TRAINING/EDUCATION FOR SCHOOLS AND COMMUNITY ORGANIZATIONS BY- BECOME THE COMMUNITY RESOURCE FOR TRAINING5.) PROVIDE FOOD TO LOW INCOME CHILDREN DURING THE SUMMER THROUGH THE BACKPACK BUDDY PROGRAM BY- DISTRIBUTE FOOD TO NEEDY CHILDREN AT THE SCHOOL DURING THE SCHOOL YEAR AND BY MAIL DURING THE SUMMER- DONATION TO FOOD PANTRIES IN LOCAL AREA FOR DISTRIBUTION TO CITIZENS IN NEED.6.) INCREASE IDENTIFICATION AND AWARENESS OF CARDIOVASCULAR DISEASE; INCREASE PHYSICAL ACTIVITY FOR THE AT RISK POPULATION BY -PROVIDE COMMUNITY-WIDE AND OFFICE-BASED INFORMATION ON MODIFYING CARDIOVASCULAR DISEASE RISK-WORK WITH COMMUNITY PARTNERS TO FOCUS ON MODIFIABLE RISK FACTORS (TOBACCO, OBESITY, DIET, EXERCISE)-PROMOTE AND PARTICIPATE IN THE WALK FOR HEART HEALTH IN HUNTINGTON AND CHARLESTON TO CREATE AWARENESS OF HEART DISEASE IN PUTNAM COUNTY-PUTNAM COUNTY HOMECOMING HEALTH FAIR-DIETICIAN CONSULTATION/EDUCATION FOR CARDIAC REHAB AND WOUND CLINIC PATIENTS-FINANCIAL SUPPORT PULSE POINT AED REGISTRY TO IMPROVE CARDIAC EVENT OUTCOMES IN THE COMMUNITY7.) PROVIDE HOUSING, FOOD, LIFE SKILL TRAINING, EDUCATION AND JOB PLACEMENT ASSISTANCE TO HOMELESS YOUNG ADULTS IN PUTNAM COUNTY BY-PROVIDE IN PERSON SERVICES, FINANCIAL SUPPORT AND LEADERSHIP SUPPORT TO BAMBOO BRIDGE. GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL 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 C FACILITY REPORTING GROUP C CONSISTS OF: - FACILITY 5: CAMC CHARLESTON SURGICAL HOSPITAL, LLC GROUP C-FACILITY 5 -- CAMC CHARLESTON SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 2: ON SEPTEMBER 29, 2023, CAMC COMPLETED A TRANSACTION TO ACQUIRE 69.492% OF CHARLESTON SURGICAL HOSPITAL LLC 68 1 - CAMC IMAGING CENTER SOUTHRIDGE 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 CENTER 600 TRACY WAY CHARLESTON WV 253111258 REHABILITATION FACILITY 4 - CAMC SOLUTIONS 2568 PENNSYLVANIA AVENUE CHARLESTON WV 253024907 PHARMACY COMPOUNDING CENTER 5 - ST MARY'S LABORATORY SERVICES 2900 FIRST AVE SUITE 607 HUNTINGTON WV 25702 LABORATORY SERVICES 6 - CAMC WEIGHT LOSS CENTER 600 TRACY WAY SUITE 2 CHARLESTON WV 25311 WEIGHT LOSS CENTER 7 - CAMC PRIMARY CARE-NITRO 4111 FIRST AVENUE 3 NITRO WV 25143 FAMILY PRACTICE 8 - CAMC PRIMARY CARE-WINFIELD 12576 WINFIELD ROAD WINFIELD WV 25526 FAMILY PRACTICE 9 - CAMC PLASTIC SURGERY CENTER 210 BROOKS STREET SUITE 200 CHARLESTON WV 25301 PLASTIC SURGERY 10 - CAMC ORTHOPEDICS TEAYS VALLEY 3703 TEAYS VALLEY ROAD HURRICANE WV 25526 ORTHOPEDIC CENTER 11 - CAMC UROLOGIC SURGICAL CENTER 11 COURTNEY DRIVE CHARLESTON WV 25304 UROLOGICAL CENTER 12 - CAMC CARDIOLOGY-SOUTH CHARLESTON 4610 KANAWHA AVE SW SOUTH CHARLESTON WV 25309 CARDIOLOGY 13 - CAMC CARDIOLOGY-SUMMERSVILLE 702 PROFESSIONAL PARK DR SUMMERSVILLE WV 26651 CARDIOLOGY 14 - CAMC CARDIOLOGY 3100 MACCORKLE AVENUE SE SUITE 205 CHARLESTON WV 25304 CARDIOLOGY 15 - CAMC PRIMARY CARE-TEAYS VALLEY 3248 TEAYS VALLEY RD HURRICANE WV 25526 FAMILY PRACTICE 16 - CAMC EMPLOYEE WELLNESS CENTER 3418 STAUNTON AVENUE CHARLESTON WV 25304 EMPLOYEE WELLNESS 17 - CAMC CARDIOLOGY BECKLEY 1836 HARPER ROAD BECKLEY WV 258013366 CARDIOLOGY 18 - CAMC CARDIOLOGYUROLOGY 50 VERES DRIVE CHAPMANVILLE WV 25508 CARDIOLOGY AND UROLOGY 19 - CAMC RYAN WHITE PROGRAM-BECKLEY 1838 HARPER ROAD BECKLEY WV 25801 HIV/AIDS CLINIC 20 - CAMC GYNECOLOGY ONCOLOGY 1 COURTNEY DR SEDGELY OFFICE PARK CHARLESTON WV 25304 GYNECOLOGY/ONCOLOGY 21 - CAMC HEARTFIT (CARDIOPULMONARY REHAB) 130 57TH STREET SE CHARLESTON WV 25304 CARDIO REHAB 22 - CAMC TELEMEDICINE LEWISBURG 1464 JEFFERSON STREET N LEWISBURG WV 249011380 TELEMEDICINE 23 - CAMC PRIMARY CARE PRINCETON 150 COURTHOUSE ROAD PRINCETON WV 247402450 CLINIC 24 - CAMC PRIMARY CARE SUMMERSVILLE 702 PROFESSIONAL PARK DRIVE SUITE 102 SUMMERSVILLE WV 266512018 PRIMARY CARE 25 - CAMC GASTROENTEROLOGY 2930 CHESTERFIELD AVE CHARLESTON WV 25304 GASTROENTEROLOGY 26 - CAMC PRIMARY CARE CHARLESTON 8 COURTNEY DRIVE CHARLESTON WV 25304 PRIMARY CARE 27 - CAMC TELEMEDICINE - JACKSON 300 CLAY LICK RD RIPLEY WV 25271 TELEMEDICINE 28 - CAMC TELEMEDICINE SUMMERSVILLE 702 PROF PARK DRIVE SUMMERSVILLE WV 26651 TELEMEDICINE 29 - CAME TELEMEDICINE- PRINCETON 150 COURTHOUSE RD PRINCETON WV 24740 TELEMEDICINE 30 - CAMC ADULT AND PEDIATRIC ENT 1311 VIRGINIA ST E SUITE 100 CHARLESTON WV 25301 EAR, NOSE & THROAT 31 - CAMC PLASTIC SURGERY TEAYS 3948 TEAYS VALLEY ROAD HURRICANE WV 25526 PLASTIC SURGERY 32 - CAMC PEDIATRIC RHEUMATOLOGY TEAYS 3948 TEAYS VALLEY ROAD HURRICANE WV 25526 PEDIATRICS 33 - CAMC CANCER CENTER BECKLEY 275 DRY HILL ROAD BECKLEY WV 25801 ONCOLOGY 34 - CAMC NEUROSURGERY 415 MORRIS ST SUITE 400 CHARLESTON WV 25301 SURGERY 35 - CAMC ORTHOPEDICS NORTH GATE 100 TRACY WAY CHARLESTON WV 25311 ORTHOPEDICS 36 - CAMC TELEMEDICINE- MORGANTOWN 1188 PINEVIEW DR SUITE 100 MORGANTOWN WV 26505 TELEMEDICINE 37 - CAMC GENERAL SURGERY 9 COURTNEY DRIVE CHARLESTON WV 25304 GENERAL SURGERY 38 - CAMC INTERNAL MEDICINE OAK HILL 320 JONES AVE OAK HILL WV 25901 PRIMARY CARE 39 - CAMC PRIMARY CARE BECKLEY 230 GEORGES ST SUITE 2 BECKLEY WV 25801 PRIMARY CARE 40 - CAMC PRIMARY CARE OAK HILL 119 MAIN ST W OAK HILL WV 25901 PRIMARY CARE 41 - CAMC ENT BECKLEY 230 GEORGES ST SUITE 2 BECKLEY WV 25801 EAR, NOSE & THROAT 42 - CAMC PRIMARY CARE FAYETTEVILLE 131 W MAPLE AVE FAYETTEVILLE WV 25840 PRIMARY CARE 43 - CAMC SPECIALTY GROUP FAYETTEVILLE 211 W MAPLE AVE FAYETTEVILLE WV 25840 SPECIALTY CARE 44 - CAMC GENERAL SURGERY BECKLEY 102 BROOKSHIRE LANE BECKLEY WV 25801 GENERAL SURGERY 45 - CAMC SLEEP LAB RIPLEY 137 CLAYLICK RD RIPLEY WV 25271 SLEEP CLINIC 46 - CAMC CARDIOPULMONARY REHAB SC 4610 KANAWHA AVE SW SOUTH CHARLESTON WV 25309 CARDIOLOGY 47 - CAMC TELENEPHROLOGY 2945 CHESTERFIELD AVE CHARLESTON WV 25304 TELEMEDICINE 48 - CAMC TELEMEDICINE- POCAHONTAS 150 DUNCAN RD BUCKEYE WV 24924 TELEMEDICINE 49 - CAMC PRIMARY CARE POCA 2851 CHARLESTON RD POCA WV 25159 PRIMARY CARE 50 - CAMC PHARMACY SOUTH CHARLESTON 4610 KANAWHA AVE SW SOUTH CHARLESTON WV 25309 PHARMACY 51 - CAMC PRIMARY CARE PARKERSBURG 1212 GARFIELD AVE PARKERSBURG WV 26101 PRIMARY CARE 52 - CAMC BELPRE OUTPATIENT CENTER IMAGING 407 MAIN ST SUITE 1 BELPRE OH 45714 IMAGING CENTER 53 - CAMC IMAGING PARKERSBURG 1212 GARFIELD AVE PARKERSBURG WV 26101 IMAGING CENTER 54 - CAMC LAB PARKERSBURG 1212 GARFIELD AVE PARKERSBURG WV 26101 LABORATORY SERVICES 55 - CAMC OUTPATIENT CENTER - BELPRE 407 MAIN ST SUITE 1 BELPRE OH 45714 OUTPATIENT CARE 56 - CAMC TELEMEDICINE - PARKERSBURG HUB 2838 PIKE ST SUITE 1 PARKERSBURG WV 26101 TELEMEDICINE 57 - CAMC PRIMARY CARE PARKERSBURG SOUTH 2838 PIKE ST SUITE 2 PARKERSBURG WV 26101 PRIMARY CARE 58 - CAMC PRIMARY CARE RAVENSWOOD 403 PROFESSIONAL CIRCLE RAVENSWOOD WV 26164 PRIMARY CARE 59 - CAMC PRE OP ASSESSMENT CLINIC C-PACT 1220 LEE ST E CHARLESTON WV 25301 PRE OPERATIONS ASSESSMENT 60 - CAMC PHARMACY #5 400 ASSOCIATION DR CHARLESTON WV 25311 PHARMACY COMPOUNDING CENTER 61 - CAMC PHARMACY INFUSION SERVICES 5528 MACCORCKLE AVE SE CHARLESTON WV 25304 PHARMACY COMPOUNDING CENTER 62 - CAMC NEUROSURGERY TEAYS VALLEY 3948 TEAYS VALLEY RD HURRICANE WV 25526 NEUROSURGERY 63 - CAMC PRIMARY CARE - HURRICANE 3755 TEAYS VALLEY RD HURRICANE WV 25526 PRIMARY CARE 64 - CAMC NI VASCULAR LAB BECKLEY 1844 HARPER RD BECKLEY WV 25801 VASCULAR LAB 65 - CAMC OB ULTRASOUND SUMMERSVILLE 702 PROFESSIONAL PARK DR SUITE 104 SUMMERSVILLE WV 26651 ULTRASOUND 66 - CAMC TELEMEDICINE DAVIS 720 FERREE RD ELKINS WV 26241 TELEMEDICINE 67 - CAMC PRIMARY CARE TVOC 3848 TEAYS VALLEY RD HURRICANE WV 25526 PRIMARY CARE 68 - CAMC NEUROSURGERY CAMBRIDGE 1452 CLARK ST CAMBRIDGE OH 43725 NEUROSURGERY PART I, LINE 3C: CAMC MAY SCREEN PRIVATE PAY BALANCES FOR PRE-QUALIFIED ELIGIBILITY BY USING FINANCIAL ASSISTANCE ESTIMATION TOOLS THAT ACCESS PUBLIC RECORDS. USING A PROPRIETARY ALGORITHM (LOOKING AT TAX RECORDS, BANKRUPTCIES, ETC), THE TOOL RETURNS WHETHER THE PATIENT IS LIKELY TO QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. IN CASES WHERE PRE-QUALIFIED ELIGIBILITY DOES NOT QUALIFY A PATIENT FOR FINANCIAL ASSISTANCE, THE PATIENT MAY COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHERE APPLICATION MATERIAL IS EVALUATED TO DETERMINE IF THE PATIENT CAN QUALIFY BASED ON INCOME AND ASSETS. IF THE PATIENT MEETS INCOME CRITERIA FOR ELIGIBILITY AN INVENTORY OF AVAILABLE ASSETS IS EVALUATED. IF THE PATIENTS AVAILABLE ASSETS FALL BELOW $50,000 EXCLUDING THE PATIENTS PRIMARY RESIDENCE AND PRIMARY VEHICLE, THE PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE. IF A PATIENT IS FOUND TO BE RECEIVING CERTAIN STATE AGENCY ASSISTANCE (I.E. WIC, SNAP, ETC.), SUCH PATIENT WILL BE PRESUMED ELIGIBLE FOR CAMC 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 $ 74,341,276. PART II, COMMUNITY BUILDING ACTIVITIES: CAMC MEMORIAL, GENERAL AND WOMEN AND CHILDREN'S HOSPITALS COMMUNITY BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. CAMC IS A MEMBER OF THE PARTNER'S IN HEALTH NETWORK, INC. ("PARTNERS"), WHICH IS COMPRISED OF A NETWORK OF MOSTLY SMALL AND RURAL HOSPITALS, CLINICS AND HEALTH DEPARTMENTS WHO WORK TOGETHER TO ADDRESS QUALITY AND EDUCATIONAL NEEDS FOR IMPROVING THE CARE MANAGEMENT, ASSISTANCE WITH NCQA ACCREDITATION FOR PATIENT CENTERED MEDICAL HOMES AND IMPROVED QUALITY THROUGH ADDRESSING SEPSIS AND OTHER HEALTH ISSUES. ACCESS TO HEALTH CARE FOR 5,000 WORKING UNINSURED INDIVIDUALS IN CENTRAL AND SOUTHERN WEST VIRGINIA IS PROVIDED THROUGH PARTNER'S COMMUNITY ACCESS PROGRAM. ADDITIONALLY, CAMC PROVIDES STUDENTS ENROLLED IN POST-SECONDARY EDUCATION WITH RELATED ON-THE-JOB TRAINING THAT IS REQUIRED FOR THEIR GRADUATION. HEALTH FAIRS FOR THE COMMUNITY FOCUSING ON ADULTS AND CHILDREN PROVIDE SCREENING AND HEALTH INFORMATION TO IDENTIFY AND ADDRESS HEALTH ISSUES. CAMC ALSO PARTNERS WITH THE GREATER KANAWHA VALLEY FOUNDATION TO CREATE A VALUE CHAIN FOOD SYSTEM TO SUPPORT WEALTH CREATION FOR LOCAL GROWERS.CAMC EMPLOYEES VOLUNTEERED TO PARTICIPATE IN THE UNITED WAY'S DAY OF CARING PERFORMING COMMUNITY SERVICE PROJECTS FOR THE COMMUNITY.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 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 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. 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 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 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. CAMC TEAYS VALLEY HOSPITAL SUPPORTS AND STRENGTHENS THE PUTNAM COUNTY COMMUNITY THROUGH ITS ANNUAL PLANNING PROCESS WHERE THE NEEDS ASSESSMENT FINDINGS 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 ARE IDENTIFIED 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 ADDITION TO 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 SUPPORT THE 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 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'S COMMUNITY AREA OF FOCUS INCLUDES OUR PRIMARY AND SECONDARY SERVICE AREA. OUR PRIMARY SERVICE AREA (PSA) INCLUDES: KANAWHA, PUTNAM, FAYETTE, BOONE, AND RALEIGH COUNTIES. OUR SECONDARY SERVICE AREA (SSA) IS CLAY, JACKSON, LINCOLN, LOGAN, MERCER, NICHOLAS, AND ROANE COUNTIES. KANAWHA COUNTY CONSTITUTES A POPULATION OF 174,805 WITH A MEDIAN AGE OF 43.7 AND A HOUSEHOLD INCOME OF $55,226. THE PSA/SSA POPULATION IS 514,817 WITH A MEDIAN AGE OF 44.5 AND A HOUSEHOLD INCOME OF $51,835. TEAYS' COMMUNITY AND PRIMARY AREA OF FOCUS IS PUTNAM COUNTY. PUTNAM COUNTY HAS A POPULATION OF 57,347 WITH A MEDIAN AGE OF 42.2 AND A HOUSEHOLD INCOME OF $75,725. DEMOGRAPHIC, HEALTH AND SOCIOECONOMIC INFORMATION IS PROVIDED IN DETAIL IN THE 2024 COMMUNITY BENEFIT REPORTS FOUND ON WWW.CAMC.ORG. PART VI, LINE 5: CAMC'S GOVERNING BOARD IS ITS BOARD OF TRUSTEES, A 16 MEMBER VOLUNTEER COMMUNITY BOARD THAT MEETS WV STATE LAW REQUIREMENTS FOR NONPROFIT BOARD MEMBERSHIP INCLUDING COMMUNITY REPRESENTATION. ADMISSION TO THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE FACILITY. EACH CAMC HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM OPEN TO EVERYONE, REGARDLESS OF ABILITY TO PAY. CAMC SERVES A BROAD CROSS-SECTION OF THE COMMUNITY THROUGH RESEARCH AND CHARITY CARE. CAMC APPLIES ANY SURPLUS FUNDS TOWARD IMPROVING FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, RESEARCH AND EDUCATION. CAMC'S COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, FINANCIAL AND IN-KIND CONTRIBUTIONS, COMMUNITY AND BUILDING ACTIVITIES ARE DETAILED IN THE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.CAMC.ORG. PART VI, LINE 6: CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE SERVES AS THE EDUCATION AND RESEARCH ARM OF THE VANDALIA HEALTH. 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 THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 SECTION 7. IN SEPTEMBER 2023, CHARLSTON AREA MEDICAL CENTER INC. (CAMC) ACQUIRED AN INTEREST IN A JOINT VENTURE, CHARLESTON SURGICAL HOSPITAL LLC, THAT OPERATES CHARLESTON SURGICAL HOSPITAL FACILITY. CAMC DID NOT INCLUDE THE CHARLESTON SURGICAL HOSPITAL FACILITY IN 2023 SCHEDULE H, PART V, SECTION A AND B. THIS OVERSIGHT WAS DUE TO AN ADMINISTRATIVE ERROR DURING DATA COMPILATION AND MISCOMMUNICATION BETWEEN DEPARTMENTS. THIS ERROR WAS MINOR AND INADVERTENT. UPON DISCOVERY OF THE ERROR, CAMC PROMPTLY TOOK CORRECTIVE ACTION. THE ORGANIZATION HAS REVIEWED AND UPDATED INTERNAL CONTROLS AND COMMUNICATION PROTOCOLS TO ENSURE THAT ALL ACQUISITIONS ARE PROPERLY REPORTED IN FORM 990. CAMC HAS APPROPRIATELY REPORTED THE CHARLESTON SURGICAL HOSPITAL FACILITY ON THE 2024 SCHEDULE H, PART V, SECTION A AND B. 1 WV HEALTH RIGHT INC 1520 WASHINGTON STREET CHARLESTON WV 25311 311066881 501(C)(3) 201998 0 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN WEST VIRGINIA INC 910 PENNSYLVANIA AVE CHARLESTON WV 25302 550631080 501(C)(3) 30026 0 GENERAL SUPPORT WEST VIRGINIA MEDICAL PROFESSIONALS HEALTH PROGRAM INC 4013 BUCKHANNON PIKE MOUNT CLARE WV 26408 743226821 501(C)(3) 25000 0 GENERAL SUPPORT PUTNAM COUNTY FAIR PO BOX 955 ELEANOR WV 25070 311140523 501(C)(3) 6782 0 GENERAL SUPPORT 4 0 NURSING EDUCATIONAL ASSISTANCE 195 3726155 EMPLOYEE EDUCATIONAL ASSISTANCE 161 235870 EMPLOYEE DEPENDENT EDUCATIONAL ASSISTANCE 5 46250 ALLIED HEALTH EDUCATIONAL ASSISTANCE 20 299928 PART I, LINE 2: CAMC PROVIDES NURSING, ALLIED HEALTH AND EDUCATIONAL ASSISTANCE FUNDED BY THE CAMC FOUNDATION. AN APPLICATION PORTFOLIO IS SUBMITTED BY THE CANDIDATE AND REVIEWED AND SCORED ANONYMOUSLY BY THE FOUNDATION'S NURSING AND ALLIED HEALTH STUDENT EDUCATIONAL ASSISTANCE COMMITTEE CO-CHAIRS FOR SUBSEQUENT EDUCATIONAL ASSISTANCE AWARD BY THE COMMITTEE. CAMC PROVIDES EMPLOYEE AND EMPLOYEE DEPENDENT EDUCATIONAL ASSISTANCE. CANDIDATES SUBMIT AN APPLICATION AND REQUIRED MATERIALS AND A COMMITTEE REVIEWS APPLICATIONS BASED ON EDUCATIONAL ASSISTANCE GUIDELINES AND CRITERIA AND AWARDS EDUCATIONAL ASSISTANCE. EDUCATIONAL ASSISTANCE PAYMENTS ARE SUBMITTED DIRECTLY TO THE COLLEGE OR UNIVERSITY ON BEHALF OF THE RECIPIENT. CAMC PROVIDES ASSISTANCE TO VARIOUS COMMUNITY PROGRAMS WHICH ARE REVIEWED BY THE CIVIC AFFAIRS COUNCIL FOR AWARD OR AT THE DISCRETION OF THE CHIEF EXECUTIVE OFFICER. 1 1 0 0 0 0 0 1 0 SANGEETA MANDAPAKA CARDIOLOGIST 2278094 0 0 0 23000 0 13800 0 18694 0 2333588 0 0 0 JAMES HARMAN ENDOVASCULAR SURGEON 2009551 0 0 0 0 0 13800 0 55656 0 2079007 0 0 0 DAVID L RAMSEY PRESIDENT AND CEO VANDALIA HEALTH 0 1051150 0 619074 0 256730 0 79545 0 52062 0 2058561 0 106038 ROBERT SHIN BARIATRIC SURGEON 1905952 0 0 0 0 0 13800 0 54963 0 1974715 0 0 0 ELIE GHARIB INTERVENTIONAL CARDIOLOGY 1814363 0 0 0 0 0 13800 0 55886 0 1884049 0 0 0 HAZAIM ALWAIR CARDIOVASCULAR SURGEON 1768028 0 0 0 23000 0 13800 0 55886 0 1860714 0 0 0 ANGELA HILL VP & GENERAL COUNSEL 0 441508 0 88839 0 470013 0 268155 0 39048 0 1307563 0 449309 GLENN CROTTY JR MD PRESIDENT AND CEO CAMC 0 779502 0 262109 0 114516 0 13800 0 45025 0 1214952 0 0 JEFF SANDENE EVP & CFO 0 621095 0 217144 0 122559 0 240058 0 10345 0 1211201 0 57462 JEFFREY OSKIN SENIOR VP AND COO 504441 0 87604 0 92945 0 257715 0 24801 0 967506 0 49510 0 JEFFREY GOODE SENIOR VP AMBULATORY SERVICES 418462 0 79521 0 89811 0 285552 0 63853 0 937199 0 50268 0 KRISTI SNYDER VP HR 0 412312 0 84918 0 57102 0 228969 0 9140 0 792441 0 42109 BARRY MITCHELL MD TRUSTEE 676360 0 0 0 23000 0 13800 0 1954 0 715114 0 0 0 GEORGE FARRIS VP ADMINISTRATOR 413493 0 62634 0 175752 0 37647 0 21521 0 711047 0 112514 0 HEIDI EDWARDS VP ADMINISTRATOR & CNO 356820 0 55909 0 50459 0 178024 0 64472 0 705684 0 27065 0 STEPHEN WEBER VP ADMINISTRATOR 328836 0 54314 0 83521 0 170105 0 62035 0 698811 0 45249 0 DANIEL STROSS VP CHIEF INFORMATION OFFICER 0 428319 0 90608 0 35940 0 86170 0 57363 0 698400 0 0 THOMAS MCILWAIN FORMER VP CHIEF MEDICAL OFFICER 11951 0 0 0 582594 0 13800 0 35183 0 643528 0 0 0 ANTHONY UY VP CHIEF QUALITY OFFICER 426506 0 30881 0 69288 0 13800 0 34355 0 574830 0 0 0 E MICHAEL ROBIE VP AMBULATORY SERVICES 382881 0 19568 0 10961 0 110989 0 19733 0 544132 0 0 0 SHELDA MARTIN VP CHIEF MEDICAL OFFICER 412516 0 18373 0 44493 0 13800 0 18534 0 507716 0 0 0 CHAD HOVIS VP FINANCE & TREASURER 0 266813 0 52797 0 41378 0 68629 0 62131 0 491748 0 25838 RANDALL HODGES VP ADMINISTRATOR 303048 0 44064 0 77999 0 13800 0 41509 0 480420 0 0 0 D MICHELLE COON VP MANAGED CARE 267273 0 51973 0 34447 0 65293 0 60927 0 479913 0 21439 0 MICHAEL WILLIAMS FORMER VP ADMINISTRATOR 0 0 0 0 472835 0 0 0 0 0 472835 0 36104 0 CHRISTINE STURTEVANT VP REVENUE CYCLE 0 291424 0 62158 0 34097 0 74081 0 7319 0 469079 0 0 MYRANDA PIKE VP CHIEF COMPLIANCE OFFICER 0 274477 0 57387 0 10000 0 70560 0 1031 0 413455 0 0 ELIZABETH PELLEGRIN VP AND CHIEF MARKETING OFFICER 0 224220 0 48988 0 10000 0 61647 0 35069 0 379924 0 0 TAMARA FULLER VP & CHIEF STRATEGY OFFICER 0 204745 0 45887 0 10627 0 50726 0 35368 0 347353 0 0 STEVEN PERRY VP SUPPLY CHAIN & CHIEF PURCHASING O 0 201634 0 35411 0 13332 0 51148 0 23842 0 325367 0 0 HEATHER LEWIS VP CHIEF QUALITY & SAFETY OFFICER 73898 0 0 0 175650 0 27176 0 23275 0 299999 0 0 0 REBECCA STEVENSON SECRETARY 0 172346 0 15547 0 3961 0 7921 0 58152 0 257927 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) 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 SEVERANCE - SEVERANCE ARRANGEMENTS ARE REVIEWED AND APPROVED TO ENSURE CONSISTENCY WITH THE ORGANIZATION'S COMPENSATION AND GOVERNANCE PRACTICES. TWO EXECUTIVES WERE ELIGIBLE FOR SEVERANCE PAYMENTS IN 2024. HEATHER LEWIS - 168,150 THOMAS MCILWAIN - $491,360 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 HEIDI EDWARDS - $28,880 JEFFREY H. GOODE - $53,639 RANDALL H. HODGES - $37,825 THOMAS P. MCILWAIN - $80,349 JEFFREY OSKIN - $52,830 DAVID L. RAMSEY - $154,224 S. ANDREW WEBER - $48,284 GEORGE FARRIS - $159,519 MICHAEL WILLIAMS - $470,397 KRISTY SNYDER - $44,933 ANGELA HILL - $452,281 JEFFREY 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. A WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956624AQ3 2008-06-19 127355000 SEE PART VI 0 0 0 B WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956622F74 2014-07-24 50641160 SEE PART VI 0 0 0 C WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956622T95 2019-06-04 103903458 SEE PART VI 0 0 0 D WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956622X33 2023-10-31 411354374 SEE PART VI 0 0 0 A 24525000 130398907 2071347 773024 94470515 33084021 2015 1 0 1 1 B 8115000 50641160 640714 50000446 1 0 1 1 C 104945138 1328174 31046551 72570413 2023 1 0 1 1 D 415412790 3593948 2782314 46886902 258275160 103874465 1 1 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 MERRILL LYNCH CAPITAL 29.200000000000 0 0 0 1 1 B 0 0 1 0 0 0 1 WACHOVIA 10.000000000000 1 0 1 C 0 0 0 1 0 0 1 PNC CAPITAL MARKETS 0.200000000000 1 1 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WEST VIRGINIA HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/17/2024 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: WEST VIRGINIA HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2018 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 2014A BONDS WERE USED TO (I) CURRENTLY REFUND AND EXTINGUISH A PORTION OF THE SERIES 2009A BONDS ISSUED 9/10/2009 AND (II) PAY THE COSTS OF ISSUING THE 2014A BONDS. PART I LINE C (F) DESCRIPTION OF PURPOSE: THE PROCEEDS FOR THE 2019A BONDS WERE USED TO (I) TO FUND CERTAIN CAPITAL PROJECTS AT VARIOUS CAMC FACILITIES (II) REFUND ON A CURRENT BASIS A PORTION OF THE ISSUER'S OUTSTANDING $179,925,000 HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS (CHARLESTON AREA MEDICAL CENTER, INC.) 2009 SERIES A (ISSUED 9/10/2009); AND (III) PAY THE COSTS OF ISSUANCE OF THE BONDS. PART I LINE D (F) DESCRIPTION OF PURPOSE: THE PROCEEDS FOR THE 2023B BONDS WERE USED TO (I) FUND CERTAIN CAPITAL PROJECTS AT VARIOUS CAMC FACILITIES; (II) REFUND TAX-EXEMPT DEBT ISSUED 6/4/2019; AND (III) REFUND TAXABLE DEBT ISSUED 12/21/2022, 3/30/2023, 3/22/2013; 5/21/2013 AND 6/15/2023; IV) PAY COSTS OF ISSUANCE AND CREDIT ENHANCEMENT COSTS OF THE BONDS. PART IV, LINE 6, COLUMN A AND C: SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED. PART I AND PART II, LINE 3 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. DAVID L RAMSEY OFFICER SPLIT DOLLAR LIFE INSURANCE X 2848591 2971646 0 1 1 2971646 CHARLES RICHARD CROTTY FAMILY MAMEBER OF GLENN CROTTY JR 56067 EMPLOYED BY ORGANIZTAION 0 CHRISTINE OSKIN FAMILY MEMBER OF JEFFREY OSKIN 160186 EMPLOYED BY ORGANIZTAION 0 AUDREY KISER FAMILY MEMBER OF JEFFREY GOODE 51662 EMPLOYED BY ORGANIZTAION 0 JOHN SNYDER FAMILY MEMBER OF KRISTI SNYDER 122118 EMPLOYED BY ORGANIZTAION 0 HEATHER PENNINGTON FAMILY MEMBER OF HEIDI EDWARDS 115969 EMPLOYED BY ORGANIZTAION 0 HALEY BETH EDWARDS FAMILY MEMBER OF HEIDI EDWARDS 76447 EMPLOYED BY ORGANIZTAION 0 ROY KUHL SPORTS 35% CONTROLLED ENTITY OF FAMILY MEMBER OF RANDALL HODGES 134668 EMPLOYED BY ORGANIZTAION 0 MELINDA PERRY FAMILY MEMBER OF STEVEN PERRY 67891 EMPLOYED BY ORGANIZTAION 0 HANNAH TACKETT FAMILY MEMBER OF KENNETH TACKET 12428 EMPLOYED BY ORGANIZATION 0 X 3 301260 COST OR SELLING PRICE 0 0 0 0 PART I, COLUMN (B): COLUMN (B) REFERS TO NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS OF CAMC WERE AMENDED TO REMOVE THE REQUIREMENT THAT TWO OF THE ELECTED TRUSTEES BE PHYSICIANS AND TO REMOVE THE ASSOCIATE VICE PRESIDENT OF HEALTH SCIENCES OF ROBERT C. BYRD HEALTH SCIENCES CENTER OF WVU CHARLESTON DIVISION AS AN EX-OFFICIO TRUSTEE. FORM 990, PART VI, SECTION A, LINE 6 VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.) IS CAMC'S SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.) IS CAMC'S SOLE VOTING MEMBER AND HAS AUTHORITY TO ELECT ALL VOTING TRUSTEES OF CAMC OTHER THAN EX-OFFICIO TRUSTEES NAMES 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 VANDALIA HEALTH, INC. IS CAMC'S SOLE VOTING MEMBER AND HAS RESERVED POWERS UNDER CAMC'S GOVERNING DOCUMENTS, WHICH PROVIDE THAT DECISIONS OF CAMC'S GOVERNING BODY, SUCH AS ELECTION OF OFFICERS, APPROVAL OF ANNUAL BUDGETS AND BORROWINGS, ARE SUBJECT TO APPROVAL BY THE SOLE VOTING MEMBER. THE SOLE VOTING MEMBER ALSO HAS ALL APPROVAL POWERS PROVIDED TO MEMBERS OF WEST VIRGINIA NONPROFIT CORPORATIONS UNDER STATE LAW. FORM 990, PART VI, SECTION B, LINE 11B CAMC COMPILES NECESSARY INFORMATION FOR FORM 990 THROUGH THE EFFORTS OF VARIOUS OFFICERS AND TRUSTEES OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THIS FIRM THEN REVIEWS THE COMPLETED FORM 990 WITH THE CAMC BOARD OF TRUSTEES AND ITS AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C CORPORATE OFFICERS, INCLUDING THE PRESIDENT AND SECRETARY, DEVELOP THE AGENDAS FOR BOARD MEETINGS AND IDENTIFY AND RESOLVE POTENTIAL CONFLICT OF INTEREST ISSUES RELATIVE TO ACTION ITEMS. ANNUAL DISCLOSURE PROCEDURES ARE IMPLEMENTED AND THE PRESIDENT AND THE VANDALIA HEALTH, INC. BOARD OF DIRECTOR GOVERNANCE COMMITTEE PERIODICALLY REVIEW CONFLICT SITUATIONS. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES ALL DISCLOSED CONFLICTS TO BE REPORTED BY THE CHIEF COMPLIANCE OFFICER TO THE CAMC HEALTH SYSTEM MANAGEMENT COMPLIANCE COMMITTEE. THE COMPLIANCE OFFICER WILL INFORM THE CAMCHSI BOARD OF DIRECTORS AUDIT COMMITTEE AT THEIR NEXT SCHEDULED MEETING OF ALL SUCH ACTIVITIES APPROVED BY THE CAMC HEALTH SYSTEM MANAGEMENT COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE 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, INC. 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 VANDALIA HEALTH , 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 IX, LINE 11G HEALTHCARE CONTRACTORS: PROGRAM SERVICE EXPENSES 184,773,151. MANAGEMENT AND GENERAL EXPENSES 19,182,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,956,106. FORM 990, PART XI, LINE 9: INCREASE/DECREASE IN BENEFICIAL INTEREST IN CAMC FOUNDATION 3,416,947. CHANGE IN AFFILIATE RECEIVABLE -23,240,945. AFFILIATE TRANSFERS: VANDALIA HEALTH , INC. AND SUBSIDIARIES -1,285,492. CHANGE IN RETIREMENT OBLIGATION 90,436. CHANGE IN NON-CONTROLLING INTEREST -1,871,674. ACQUISITION CHARLESTON SURGICAL HOSPITAL -1,019,618. 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