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VANDALIA HEALTH INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
VANDALIA HEALTH INC (EIN 55-0664138)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201633209349300518
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T03:32:17-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 S Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550664138EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMC Health System IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAMCBusinessNameControlTxt
Phone3043885432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1547AddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253261547ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLarry C HudsonPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone3043885432PhoneNum
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY RAUSCHENBERGPreparerPersonNm
PTINP00172604PTIN
Phone3124861000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLarry C HudsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 Morris StreetAddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$862,314GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.camc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionTo provide support to Charleston Area Medical Center, Inc., a not-for-profit corporation.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$167,636PYInvestmentIncomeAmt
CY Investment Income$157,964CYInvestmentIncomeAmt
PY Other Revenue$590,249PYOtherRevenueAmt
CY Other Revenue$704,350CYOtherRevenueAmt
PY Total Revenue$757,885PYTotalRevenueAmt
CY Total Revenue$862,314CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$199,210PYOtherExpensesAmt
CY Other Expenses$278,366CYOtherExpensesAmt
PY Total Expenses$199,210PYTotalExpensesAmt
CY Total Expenses$278,366CYTotalExpensesAmt
PY Revenues Less Expenses$558,675PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$583,948CYRevenuesLessExpensesAmt
Total Assets BOY$581,685,241TotalAssetsBOYAmt
Total Assets EOY$565,687,717TotalAssetsEOYAmt
Total Liabilities BOY$19,765,171TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,955,199TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$561,920,070NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$546,732,518NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCAMC Health System, Inc. is organized and shall be operated solely to provide support to Charleston Area Medical Center, Inc. ("CAMC"), a not-for-profit corporation organized under the laws of the state of West Virginia, through the performance of functions of said Charleston Area Medical Center, Inc. or otherwise.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Revenue$704,350RevenueAmt
DescCAMC Health System, Inc. provides strategic direction, oversight and coordination of the activities of its subsidiaries - Charleston Area Medical Center, Inc. and affiliates - which together comprise CAMC Health System, an integrated health care delivery system.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Larry C HudsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3043887603PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 Morris StreetAddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP25301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
David L Ramsey
President & CEO5.0051.50Yes (X)Yes (X)$0$1,319,630$139,643
William Rice Jr
Chairman3.003.50Yes (X)Yes (X)$0$0$0
John R Hoblitzell Esq
Vice Chairman5.002.50Yes (X)Yes (X)$0$0$0
Gina R Busch MD
Director2.502.50Yes (X)$0$0$0
Charles L Capito Jr
Director2.502.50Yes (X)$0$0$0
Mark A Chandler
Director2.502.50Yes (X)$0$0$0
Fonda Elliot
Director2.502.50Yes (X)$0$0$0
James P Griffith MD
Director2.502.50Yes (X)$0$0$0
Samuel Shawn Groves MD
Chief of Staff-CAMC2.5050.50Yes (X)$0$515,127$40,378
Melvin Jones
Director2.502.50Yes (X)$0$0$0
Brenda J Powell
Director2.502.50Yes (X)$0$0$0
Linda J Powers
Director2.502.50Yes (X)$0$0$0
Karen S Price
Director2.502.50Yes (X)$0$0$0
Bryan K Richmond MD
Director2.503.00Yes (X)$0$0$0
Steven L Smith
Director2.502.50Yes (X)$0$0$0
Kenneth L Tackett
Director2.502.50Yes (X)$0$0$0
Edwin H Welch Ph D
Director2.503.50Yes (X)$0$0$0
Glenn Crotty Jr MD
COO5.0051.00Yes (X)$0$713,689$102,445
Larry C Hudson
CFO5.0055.00Yes (X)$0$738,621$27,512
Gregory M Veltri
VP Info Services5.0050.00Yes (X)$0$402,728$40,560
Robert B Danielson
VP Compliance5.0050.00Yes (X)$0$231,955$92,735
Kristi Snyder
VP Human Resources5.0051.00Yes (X)$0$334,674$171,608
Marshall A McMullen Jr
Secretary & Gen Counsel5.0050.00Yes (X)$0$422,714$71,145
Thomas P McIlwain MD
VP Med Affairs & CMO5.0050.00Yes (X)$0$527,397$51,319
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,206,535TotReportableCompRltdOrgAmt
Total Other Compensation$737,345TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$157,964TotalRevenueColumnAmt
Exclusion$157,964ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Affiliate Transfer900099$583,948$583,948
Affiliate Support900099$120,402$120,402
FieldValueIRS element (for citing)
Other Revenue Total$704,350OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$862,314TotalRevenueColumnAmt
Related Or Exempt Func Income$704,350RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$157,964ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$98,298TotalAmt
Management And General$98,298ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$84,781TotalAmt
Management And General$84,781ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110TotalAmt
Management And General$110ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$75,194TotalAmt
Management And General$75,194ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescExcise TaxesDesc
Total$19,983TotalAmt
Management And General$19,983ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$278,366TotalAmt
Program Services$0ProgramServicesAmt
Management And General$278,366ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$270,054BOYAmt
EOY$248,648EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$3,159,892EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$25,705EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$108,875BOYAmt
EOY$108,875EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$577,916,096BOYAmt
EOY$562,144,597EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,390,216BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$581,685,241BOYAmt
EOY$565,687,717EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,036BOYAmt
EOY$33,992EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,732,135BOYAmt
EOY$18,921,207EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,765,171BOYAmt
EOY$18,955,199EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$498,968,734BOYAmt
EOY$489,706,778EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,285,661BOYAmt
EOY$33,972,798EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,665,675BOYAmt
EOY$23,052,942EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$561,920,070BOYAmt
EOY$546,732,518EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$581,685,241BOYAmt
EOY$565,687,717EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$583,948ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$15,771,500OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Charleston Area Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN550526150EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Section A, Line 6:CAMC Health System, Inc. ("CAMCHSI") provides strategic direction, oversight and coordination of activities of its subsidiaries in order to ultimately provide support to the supported organization, Charleston Area Medical Center, Inc. ("CAMC"). In this way, CAMCHSI provides support to CAMC Foundation, Inc. ("Foundation"), a subsidiary of CAMCHSI and an organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). Foundation is organized and operated exclusively for the purpose of receiving gifts, grants, contributions, devises and bequests, holding the same primarily as endowment funds, and making distributions of such funds, and the income received from the investment of the same, to or for the benefit of the supported organization, CAMC.
Part IV, Section D, Line 3:The supported organization, Charleston Area Medical Center, Inc. ("CAMC"), makes recommendations to the parent company, CAMC Health System, Inc. ("CAMCHSI"), that is organized and operated exclusively to provide support to CAMC. The identical makeup of the voting members of the governing bodies, and key corporate officers, of the supporting and supported organizations ensures that the supported organization has a significant voice in the organization's investment policies and in directing the use of the organization's income or assets, which are minimal compared to that of the supported organization. Also, the governing bodies of the supported and supporting organizations each have a Finance Committee comprised largely of the same voting members.
Part IV, Section E, Line 3a:The supporting organization has the power to elect all of the members of the supported organization's governing body and to approve the election of key supported organization officers.
Part IV, Section E, Line 3b:The supporting organization's primary role is oversight and coordination of the activities of the supported organization and its affiliates, which also provide support to the supported organization. This begins with reserved powers the supporting organization/parent has with respect to its subsidiaries. The parent company and its subsidiaries are managed in a coordinated fashion as a system with significant governing body and management overlap and development of system-wide policies and procedures, and budgeting processes.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$62,951,335BeginningYearBalanceAmt
Investment Earnings Or Losses-$5,925,595InvestmentEarningsOrLossesAmt
End Year Balance$57,025,740EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$69,563,232BeginningYearBalanceAmt
Investment Earnings Or Losses-$6,611,897InvestmentEarningsOrLossesAmt
End Year Balance$62,951,335EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$60,502,869BeginningYearBalanceAmt
Investment Earnings Or Losses$9,060,363InvestmentEarningsOrLossesAmt
End Year Balance$69,563,232EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$54,178,986BeginningYearBalanceAmt
Investment Earnings Or Losses$6,323,883InvestmentEarningsOrLossesAmt
End Year Balance$60,502,869EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$47,749,351BeginningYearBalanceAmt
Investment Earnings Or Losses$6,429,635InvestmentEarningsOrLossesAmt
End Year Balance$54,178,986EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.40000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.60000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Affiliates - CAMC$397,869,243C
Affiliates - FNDTN$159,464,961C
Affiliates - CHERI$3,309,661C
Affiliates - IHCPI$1,500,732C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$562,144,597TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescAffiliate Payable-CAMC, Inc.Desc
Amt$18,921,207Amt
FieldValueIRS element (for citing)
Total Liability$18,921,207TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:To further the mission of the organization.
Part X, Line 2:CAMCHSI financial statements are audited as part of the financial statements of CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the consolidated footnotes is as follows: "The IRS has determined that CAMC, the Foundation, and the Institute are exempt from income taxes under Section 501 (c)(3) of the Code and applicable state statutes. The System does not have any material uncertain tax positions as of December 31, 2015."

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David L Ramsey
President & CEO$0$757,699$0$296,000$0$265,931$0$99,882$0$39,761$0$1,459,273$0$76,610
Samuel Shawn Groves MD
Chief of Staff-CAMC$0$503,613$0$0$0$11,514$0$12,523$0$27,855$0$555,505$0$0
Glenn Crotty Jr MD
COO$0$485,540$0$158,634$0$69,515$0$64,376$0$38,069$0$816,134$0$41,931
Larry C Hudson
CFO$0$431,065$0$136,074$0$171,482$0$15,900$0$11,612$0$766,133$0$58,558
Gregory M Veltri
VP Info Services$0$138,116$0$22,490$0$242,122$0$10,600$0$29,960$0$443,288$0$36,916
Robert B Danielson
VP Compliance$0$171,896$0$32,031$0$28,028$0$67,333$0$25,402$0$324,690$0$18,025
Kristi Snyder
VP Human Resources$0$237,342$0$55,484$0$41,848$0$162,689$0$8,919$0$506,282$0$29,614
Marshall A McMullen Jr
Secretary & Gen Counsel$0$292,538$0$52,952$0$77,224$0$41,766$0$29,379$0$493,859$0$44,207
Thomas P McIlwain MD
VP Med Affairs & CMO$0$374,077$0$93,534$0$59,786$0$25,728$0$25,591$0$578,716$0$32,010

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aGregory Veltri received $145,000 severance in 2015. CAMC has a Mutual Severance Agreement with Mr. Veltri which states "Although Veltri will no longer be performing duties or exercising any responsibilities, CAMC will continue to pay Veltri his bi-weekly pay check through December 2016."
Part I, Line 4bSupplemental Executive Retirement Plan ("SERP"). Participants are key officers of CAMCHSI and subsidiaries. Terms and Conditions of SERP plan: Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected, if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less 30 and 0.5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): Participant-CEO Terms and Conditions of CEO SERP Plan: Defined Contribution. Vest at age 65. Benefit at age 65 projected as the difference between 60% of Final 5 Year Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan and 50% of projected age 65 Primary Social Security Benefit. Actual benefits will depend upon simulated investment results based on investment options selected by participant. Eligible to receive SERP benefits upon earliest of: deferred vesting date; death; disability; involuntary termination without cause. Taxes due upon vesting. Subject to the Substantial Risk of Forfeiture. Under the Execu-Flex Benefit Plan (409A), executives receive 11% of their salary in flex allowance. This flex allowance is used to elect executive benefits. Any remaining flex allowance is credited to a tax-deferred Capital Accumulation Account. The minimum vesting period is two years, maximum is age 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: David L. Ramsey - $77,247 Thomas P. McIlwain, M.D. - $32,286 Glenn Crotty Jr., M.D. - $41,937 Larry C. Hudson - $126,272 Gregory M. Veltri - $52,122 Robert B. Danielson - $18,028 Kristi Snyder - $30,837 Marshall A. McMullen, Jr. - $44,214
Part I, Line 7The organization provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the CAMC Health System, Inc. Board of Directors Compensation Committee.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2David L. Ramsey, Glenn Crotty, Jr., M.D., Larry C. Hudson, Gregory M. Veltri, Robert B. Danielson, Marshall A. McMullen, Jr. and Thomas P. McIlwain, M.D. have a business relationship due to joint employment by related companies within the same health system.
Form 990, Part VI, Section B, line 11CAMC Health System, Inc. ("CAMCHSI") compiles necessary information for Form 990 through 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 CAMCHSI Board of Directors and its Audit Committee.
Form 990, Part VI, Section B, line 12cCorporate officers including the President and Secretary develop the agendas for board meetings and identify and resolve potential conflict of interest issues relative to action items. Annual disclosure procedures are implemented and the board chair and nominating committee periodically review conflict situations. The organization's conflict of interest policy requires all disclosed conflicts to be reported by the Chief Compliance Officer to the CAMC Health System Management Compliance Committee. The Compliance Officer will inform the Board of Directors Audit Committee at their next scheduled meeting of all such activities approved by the CAMC Health System Management Compliance Committee. The Manager (the direct supervisor of a company representative) may concur with the Compliance Officer's decision or may ask that the CAMC Health System Management Compliance Committee review the Conflict of Interest Form in question. The CAMC Health System Management Compliance Committee will then review the conflict of interest in question at the next meeting and their decision is final.
Form 990, Part VI, Section B, line 15The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries and executives (including CAMCHSI's CEO). The Committee uses the data to determine the total compensation of CAMCHSI's CEO and other executive officers. This data is reviewed every two years or when a new person comes into an executive role.
Form 990, Part VI, Section C, line 19The organization's audit is part of a consolidated financial audit for CAMC Health System, 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 XI, line 9:Change in Beneficial Interest in Affiliates -9,845,905. Change in Temp & Permanent Restricted Activities of Subsidiaries -5,925,595.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CAMC Health Education and Research Institute Inc
PO Box 1547CharlestonWV253261547550753754Medical Educational ResearchWV501(c)(3)Line 11b, IICAMC Health System IncYes (1)
Charleston Area Medical Center Inc
PO Box 1547CharlestonWV253261547550526150HospitalWV501(c)(3)Line 3CAMC Health System IncYes (1)
CAMC Foundation Inc
PO Box 1547CharlestonWV253261547310887133FundraisingWV501(c)(3)Line 7CAMC Health System IncYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Women and Children's Medical Office Building Partnership
PO Box 1547CharlestonWV253261547550669065Medical Office BuildingWVN/A
General Division Medical Office Building Partnership
PO Box 1547CharlestonWV253261547550623949Medical Office BuildingWVN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Integrated Health Care Providers IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1547AddressLine1Txt
CityCharlestonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP253261547ZIPCd
FieldValueIRS element (for citing)
EIN550751010EIN
Primary ActivitiesSpecialty Physician PracticesPrimaryActivitiesTxt
Legal Domicile StateWVLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CAMC Health System IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Charleston Area Medical Center Inc
M$98,298Fair Market Value
Charleston Area Medical Center Inc
S$704,350Fair Market Value