CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION (EIN 31-1524546)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201523179349306067
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T13:29:36-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1556 | AddressLine1Txt |
| City | MORGANTOWN | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 265071556 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311524546 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAMD | BusinessNameControlTxt |
| Phone | 3044242202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1Txt |
| City | PARKERSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROLYN ALLEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3044242202 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN S DULL | PreparerPersonNm |
| PTIN | P00233523 | PTIN |
| Phone | 3042927343 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN CLARK MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID K MCCLURE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVE | AddressLine1Txt |
| City | PARKERSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $234,803,469 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CCMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE AN ACUTE CARE AND EMERGENCY HOSPITAL FACILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 2410 | TotalEmployeeCnt |
| Total Volunteers | 422 | TotalVolunteersCnt |
| Total Gross UBI | $3,034,864 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $670,117 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $221,368 | PYContributionsGrantsAmt |
| CY Contributions Grants | $96,246 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $241,853,786 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $223,729,290 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,176,762 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,601,714 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,885,604 | PYOtherRevenueAmt |
| CY Other Revenue | $1,735,961 | CYOtherRevenueAmt |
| PY Total Revenue | $259,137,520 | PYTotalRevenueAmt |
| CY Total Revenue | $233,163,211 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $324,774 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $275,459 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $94,018,676 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $90,045,770 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $165,866,200 | PYOtherExpensesAmt |
| CY Other Expenses | $143,483,937 | CYOtherExpensesAmt |
| PY Total Expenses | $260,209,650 | PYTotalExpensesAmt |
| CY Total Expenses | $233,805,166 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,072,130 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$641,955 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $351,297,717 | TotalAssetsBOYAmt |
| Total Assets EOY | $326,543,610 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $286,649,314 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $289,916,466 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $64,648,403 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,627,144 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CAMDEN-CLARK MEMORIAL HOSPITAL IS TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY FOR A LIFETIME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $116,507,208 | ExpenseAmt |
| Revenue | $120,264,434 | RevenueAmt |
| Desc | CAMDEN CLARK MEMORIAL HOSPITAL OFFERS EMERGENCY ROOM SERVICES AS PART OF THE HOSPITAL'S MISSION OF MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY FOR A LIFETIME. DUE TO THE COMMUNITY THAT IT SERVES, THE MAJORITY OF PATIENTS VISITING THE ER ARE EITHER UNDERINSURED OR UNINSURED. FOR THE REPORTING PERIOD, THERE WERE APPROXIMATELY 58,294 ER VISITS, OF THIS TOTAL, 9,645 OR 16.6% WERE ULTIMATELY ADMITTED TO THE HOSPITAL. THIS REPRESENTS 70.7% OF THE TOTAL HOSPITAL ADMISSIONS FOR 2014. THEREFORE, A SIGNIFICANT PORTION OF THE HOSPITAL'S INPATIENT VOLUME COMES DIRECTLY FROM THE ER. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,945,570 | ExpenseAmt |
| Revenue | $13,363,050 | RevenueAmt |
| Desc | CAMDEN-CLARK MEMORIAL HOSPITAL IS A LEADER IN CANCER CARE FOR THE MID-OHIO VALLEY, PROVIDING CANCER CARE TO PATIENTS IN A 45 MILE RADIUS FROM THE HOSPITAL. IN ADDITION TO A WIDE RANGE OF TREATMENT OPTIONS PROVIDED, THE HOSPITAL OFFERS A NUMBER OF RELATED SERVICES TO ITS PATIENTS. THROUGH THE HOSPITAL'S COLLABORATION WITH THE AMERICAN CANCER SOCIETY, THE DEVELOPMENT OF THE ORGANIZATION'S CANCER RESOURCE CENTER, A HAIR RESTORATION SALON, A PATIENT NAVIGATOR AND AN ONCOLOGY SOCIAL WORKER, THE HOSPITAL HAS ENHANCED THE EDUCATION, NAVIGATION AND SOCIAL SUPPORT OF ITS CANCER PATIENTS AND FAMILIES. THE HOSPITAL'S COMMUNITY AND SOCIAL SERVICES PROVIDE A HOLISTIC HEALING ENVIRONMENT WHICH INCLUDES SUPPORT GROUPS FOR PATIENTS/FAMILIES AND AESTHETIC SERVICES TO ENHANCE THE PATIENTS' PHYSICAL AND EMOTIONAL WELL-BEING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,315,082 | ExpenseAmt |
| Revenue | $4,454,238 | RevenueAmt |
| Desc | CAMDEN-CLARK MEMORIAL HOSPITAL OFFERS BEHAVIORAL HEALTH SERVICES FOR ITS IMMEDIATE SERVICE AREA DIRECTLY THROUGH THE HOSPITAL. IN ADDITION, SERVICES ARE PROVIDED TO UNDERSERVED COUNTIES THROUGHOUT THE AREA VIA PHYSICIANS THAT ARE EMPLOYED BY CAMDEN CLARK PHYSICIAN CORPORATION, A RELATED ENTITY. THERE IS A SEVERE SHORTAGE OF BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE MID-OHIO VALLEY, AND CAMDEN-CLARK HAS MADE EFFORTS TO BRIDGE THAT GAP. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $84,345,208 | ExpenseAmt |
| Grant | $275,459 | GrantAmt |
| Revenue | $84,466,109 | RevenueAmt |
| Desc | THE HOSPITAL STRIVES TO SUPPLY A COMPREHENSIVE RANGE OF INPATIENT, OUTPATIENT, OUTREACH CLINICS AND EMERGENCY ROOM SERVICES, INCLUDING PREVENTION, GUIDANCE, DIAGNOSIS, TREATMENT, RESTORATION, REHABILITATION AND OTHER EFFORTS AS MAY BE REQUIRED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY AND AS THE HOSPITAL'S RESOURCES WILL PERMIT.ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THIS COMMITMENT TO SERVICE ALL MEMBERS OF THE COMMUNITY, CAMDEN-CLARK MEMORIAL HOSPITAL WILL PROVIDE THE FOLLOWING WHERE THE INDIVIDUAL'S NEED AND/OR AN INABILITY TO PAY COEXIST: - FREE CARE AND/OR SUBSIDIZED CARE - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITYRECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARTITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. IN ADDITION, CHARITY CARE IS PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT THE HOSPITAL BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED.THE HOSPITAL ALSO PROVIDES NUMBEROUS OTHER BENEFITS FOR THE MID-OHIO VALLEY COMMUNITY, INCLUDING ECONOMIC BENEFITS, HEALTH EDUCATION, WELLNESS/OUTREACH PROGRAMS, AND PUBLIC SERVICES AND SUPPORT GROUPS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $84,345,208 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $275,459 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $84,466,109 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $218,113,068 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 181 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2410 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROLYN ALLEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3044242202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1Txt |
| City | PARKERSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TERRY CAPEL MD | |||||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KATHY G EDDY | |||||||||
| VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KARL BOELTER | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL MOREHEAD MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY GORE | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER LEAVITT DO | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $56,817 | $0 | $0 | ||||
| JOSEPH CAMPBELL | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL A KING | |||||||||
| PRESIDENT/CEO 1/1/14-6/30/14 | 40.00 | 5.00 | Yes (X) | $344,048 | $0 | $34,362 | |||
| ALLEN R BUTCHER | |||||||||
| TREASURER/CFO 1/1/14-1/31/14 | 40.00 | 5.00 | Yes (X) | $349,971 | $0 | $9,892 | |||
| DAVID MCCLURE | |||||||||
| PRESIDENT/CEO 7/1/14-12/31/14 | 40.00 | 5.00 | Yes (X) | $338,121 | $0 | $28,748 | |||
| CAROLYN ALLEN | |||||||||
| TREASURER/CFO 10/1/14-12/31/14 | 40.00 | 5.00 | Yes (X) | $69,919 | $0 | $5,098 | |||
| TODD A KRUGER | |||||||||
| VICE PRESIDENT | 40.00 | 5.00 | $366,492 | $0 | $4,156 | Yes (X) | |||
| TOM HELLER | |||||||||
| VP OF HR | 40.00 | $298,895 | $0 | $41,188 | Yes (X) | ||||
| CYNTHIA KERN | |||||||||
| VP OF QUALITY | 40.00 | $203,651 | $0 | $20,411 | Yes (X) | ||||
| SHERRY SIMMONS | |||||||||
| CHIEF NURSING OFFICER | 40.00 | $165,523 | $0 | $16,200 | Yes (X) | ||||
| JOSHUA WOODS | |||||||||
| CIO | 40.00 | $126,857 | $0 | $11,689 | Yes (X) | ||||
| GENE SEXTON | |||||||||
| PHARMACIST | 40.00 | $131,831 | $0 | $23,898 | Yes (X) | ||||
| MICHAEL TRIMBLE | |||||||||
| PHARMACIST | 40.00 | $137,983 | $0 | $18,634 | Yes (X) | ||||
| SHAUN CARTER | |||||||||
| PHARMACY MANAGER | 40.00 | $136,502 | $0 | $612 | Yes (X) | ||||
| BRIAN STANDLEY | |||||||||
| DIRECTOR OF FINANCE | 40.00 | 5.00 | $127,415 | $0 | $14,174 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,854,025 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $229,062 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ACCENTURE LLP | |||||
| 161 N CLARK STREET | CHICAGO | IL | 60601 | OPERATIONS | $1,635,302 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731245 | SOFTWARE HARDWARE SUPPORT & EQUIPMENT | $646,917 |
| PRICEWATERHOUSE COOPERS LLP | |||||
| P O BOX 7247-8001 | PHILADELPHIA | PA | 191708001 | VBO SERVICES | $607,779 |
| DIXON HUGHES GOODMAN LLP | |||||
| 6525 MORRISON BLVD | CHARLOTTE | NC | 28211 | CONSULTING | $449,941 |
| COPIER WORD PROCESSING | |||||
| 2040 OHIO AVENUE | PARKERSBURG | WV | 26101 | COPIER SERVICES | $328,925 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $96,246 | RelatedOrganizationsAmt |
| Total Contributions | $96,246 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE,NET | 621500 | $218,732,977 | $216,294,461 | $2,438,516 |
| PASS-THROUGH INCOME - OVASC & HH | 621910 | $1,226,053 | $1,226,053 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,770,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,770,260 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $223,729,290 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,443,133 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $26,634 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,416,499 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $157,101 | TotalRevenueColumnAmt |
| Exclusion | $157,101 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,549,448 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,640,258 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$90,810 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$90,810 | TotalRevenueColumnAmt |
| Exclusion | -$90,810 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $253 | SecuritiesAmt |
| Other | $1,227 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $253 | SecuritiesAmt |
| Other | $1,227 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,480 | TotalRevenueColumnAmt |
| Exclusion | $1,480 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 624200 | $1,149,049 | $1,149,049 | |
| HEALTH AND WELLNESS CENTER | 713940 | $569,714 | $569,714 | |
| OTHER | 900099 | $108,008 | $108,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,826,771 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $233,163,211 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $222,547,831 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,034,864 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,484,270 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,459 | TotalAmt |
| Program Services | $275,459 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,296,677 | TotalAmt |
| Program Services | $841,568 | ProgramServicesAmt |
| Management And General | $1,455,109 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,014,127 | TotalAmt |
| Program Services | $63,473,651 | ProgramServicesAmt |
| Management And General | $5,540,476 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,254 | TotalAmt |
| Program Services | $1,846,674 | ProgramServicesAmt |
| Management And General | $160,580 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,522,045 | TotalAmt |
| Program Services | $9,680,281 | ProgramServicesAmt |
| Management And General | $841,764 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,205,667 | TotalAmt |
| Program Services | $5,709,214 | ProgramServicesAmt |
| Management And General | $496,453 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,263 | TotalAmt |
| Management And General | $103,263 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,334 | TotalAmt |
| Management And General | $43,334 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,662,339 | TotalAmt |
| Program Services | $16,249,352 | ProgramServicesAmt |
| Management And General | $1,412,987 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,059 | TotalAmt |
| Program Services | $569,534 | ProgramServicesAmt |
| Management And General | $49,525 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,795,731 | TotalAmt |
| Program Services | $3,492,073 | ProgramServicesAmt |
| Management And General | $303,658 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,913,344 | TotalAmt |
| Program Services | $1,760,276 | ProgramServicesAmt |
| Management And General | $153,068 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,779,780 | TotalAmt |
| Program Services | $4,397,398 | ProgramServicesAmt |
| Management And General | $382,382 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,905 | TotalAmt |
| Program Services | $73,513 | ProgramServicesAmt |
| Management And General | $6,392 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,638,317 | TotalAmt |
| Program Services | $7,027,252 | ProgramServicesAmt |
| Management And General | $611,065 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,642,264 | TotalAmt |
| Program Services | $17,150,883 | ProgramServicesAmt |
| Management And General | $1,491,381 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,274,256 | TotalAmt |
| Program Services | $3,012,316 | ProgramServicesAmt |
| Management And General | $261,940 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $29,805,057 | $29,805,057 | |
| PATIENT CHARGES | $22,873,268 | $22,873,268 | |
| PHYSICIAN FEES | $10,121,496 | $9,311,776 | $809,720 |
| REPAIRS & MAINTENANCE | $7,282,755 | $6,700,135 | $582,620 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,849,769 | TotalAmt |
| Program Services | $13,863,388 | ProgramServicesAmt |
| Management And General | $986,381 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,805,166 | TotalAmt |
| Program Services | $218,113,068 | ProgramServicesAmt |
| Management And General | $15,692,098 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,680 | BOYAmt |
| EOY | $426,493 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,094,771 | BOYAmt |
| EOY | $5,622,913 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,990,281 | BOYAmt |
| EOY | $24,146,549 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,629,073 | BOYAmt |
| EOY | $1,675,235 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,026,649 | BOYAmt |
| EOY | $10,835,132 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,792 | BOYAmt |
| EOY | $54,522 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $309,380,947 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $152,591,242 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,155,903 | BOYAmt |
| EOY | $156,789,705 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,102,072 | BOYAmt |
| EOY | $95,737,317 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,091 | BOYAmt |
| EOY | $917,007 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,723,405 | BOYAmt |
| EOY | $30,338,737 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,297,717 | BOYAmt |
| EOY | $326,543,610 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,217,962 | BOYAmt |
| EOY | $26,295,243 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,664 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,786,341 | BOYAmt |
| EOY | $216,698,577 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $959,317 | BOYAmt |
| EOY | $1,400,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,672,030 | BOYAmt |
| EOY | $45,522,646 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,649,314 | BOYAmt |
| EOY | $289,916,466 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,648,403 | BOYAmt |
| EOY | $36,627,144 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,648,403 | BOYAmt |
| EOY | $36,627,144 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,297,717 | BOYAmt |
| EOY | $326,543,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$641,955 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,031,955 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$80,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$51,331,259 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $28,186 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $28,186 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AS WELL AS THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA). A PORTION OF THESE DUES, SPECIFICALLY $28,186, WAS RELATED TO LOBBYING ACTIVITIES OF THE AHA AND WVHA. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,998,852 | OtherCostOrOtherBasisAmt |
| Book Value | $22,998,852 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,015,311 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,499,221 | DepreciationAmt |
| Book Value | $76,516,090 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $160,366,784 | OtherCostOrOtherBasisAmt |
| Depreciation | $103,092,021 | DepreciationAmt |
| Book Value | $57,274,763 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $156,789,705 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ORGANIZATIONS | $18,808,107 |
| UNAMORTIZED BORROWING COSTS | $4,202,236 |
| GOODWILL - OVASC | $7,229,757 |
| OTHER RECEIVABLES | $98,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,338,737 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-FUNDED INSURANCE RESERVE | $8,666,000 |
| PENSION LIABILITY | $9,880,797 |
| BOND INTEREST SWAP LIABILITY | $17,862,384 |
| OTHER | $9,113,465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,522,646 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | WEST VIRGINIA UNITED HEALTH SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 AND 2013. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,103,613 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,103,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,229,924 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,716,963 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,512,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,333,537 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,716,963 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,616,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $910,265 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $910,265 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,600,810 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,532,045 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,511,075 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,442,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,844,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,785,728 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,058,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $911,663 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $504,002 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $70,395,896 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $88,545,318 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,149,422 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct |
|---|---|
| 1 OHIO VALLEY AMBULATORY SURGERY CENTER LLC | |
| AMBULATORY SERVICES | 0.62500 |
| 2 HOUSECALLS HOME HEALTH & HOSPICE LLC | |
| HOME HEALTH SERVICES | 0.10000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1Txt |
| City | PARKERSBURG | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPROPORTIONATE SHARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CAMDENCLARK.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.CAMDENCLARK.ORG/UPLOADS/PUBLIC/COMMUNITY%20HEALTH%20NEEDS%20ASSE | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CAMDEN-CLARK MEMORIAL HOSPITAL CORP. | PART V, SECTION B, LINE 5: THE ORGANIZATION COLLECTED A VAST AMOUNT OF DEMOGRAPHIC DATA ON THE COMMUNITY SERVED, MET WITH UNITED WAY AGENCIES AND THE HEALTH DEPARTMENT, AND USED INFORMATION GARNERED FROM STUDIES PERFORMED BY THE SISTERS OF ST. JOSEPH. |
| CAMDEN-CLARK MEMORIAL HOSPITAL CORP. | PART V, SECTION B, LINE 11: CERTAIN NEEDS IDENTIFIED IN THE ORGANIZATION'S CHNA WERE NOT OR WILL NOT BE ADDRESSED AS IT WAS DETERMINED THAT THESE NEEDS ARE BEING ADDRESSED BY THE OTHER AGENCIES WITHIN THE COMMUNITY AND ANY EFFORT ON BEHALF OF CCMH WOULD BE DUPLICATIVE. |
| CAMDEN-CLARK MEMORIAL HOSPITAL CORP. | PART V, SECTION B, LINE 15E: A STATE MEDICAID REPRESENTATIVE WAS ON SITE TO HELP DETERMINE ELIGIBILITY AND HELP PATIENTS THROUGH THE ELIGIBILITY PROCESS. |
| CAMDEN-CLARK MEMORIAL HOSPITAL CORP. | PART V, SECTION B, LINE 18D: CCMH MAY ALSO TAKE ACTION WITH A LIEN ON RESIDENCES UNDER THE ORGANIZATION'S CURRENT FINANCIAL ASSISTANCE POLICY. HOWEVER, EVEN THOUGH THEY WERE PERMITTED TO UNDER THE POLICY, NO LIENS WERE ADMINISTERED. |
| CAMDEN-CLARK MEMORIAL HOSPITAL CORP. | PART V, SECTION B, LINE 22D: CAMDEN CLARK MEMORIAL HOSPITAL IS IN THE PROCESS OF DRAFTING A WRITTEN FINANCIAL ASSISTANCE POLICY USING THE LOOK-BACK METHOD WITH AN AVERAGE OF MEDICARE AND NON-MEDICARE. THE POLICY WILL TENTATIVELY BE FINALIZED BY THE END OF CALENDAR YEAR 2015. TENTATIVE CHANGES TO THE POLICY WILL INCLUDE BUT ARE NOT LIMITED TO:-PATIENTS ARE TO BE INFORMED OF FINANCIAL ASSISTANCE POLICY (FAP) AT REGISTRATION AND PRIOR TO DISCHARGE. THE FAP WILL BE ON THE PATIENTS STATEMENT, CCMH WEBSITE, AND AVAILABLE THROUGHOUT THE COMMUNITY.-PATIENTS WILL HAVE 30 DAYS TO RETURN NECESSARY INFORMATION TO COMPLETE THE FAP PROCESS.-ALL SELF PAY PATIENTS WILL RECEIVE A DISCOUNT BASED ON THE AMOUNTS GENERALLY BILLED. |
| PART V, SECTION B, LINE 16A | CAMDEN CLARK MEMORIAL HOSPITAL IS CURRENTLY IN THE PROCESS OF GETTING THEIR FINANCIAL ASSISTANCE POLICY ONLINE. THEIR WEBSITE CURRENTLY DISPLAYS THE PHONE NUMBER (304) 424-2258 TO CALL TO APPLY FOR FINANCIAL ASSISTANCE AT WWW.CAMDENCLARK.ORG/PATIENTS. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| CAMDEN-CLARK MEMORIAL HOSPITAL CORP. PART V, SECTION B, LINE 16A WEBSITE: | WWW.CAMDENCLARK.ORG/PATIENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CAMDEN CLARK PRIMARY CARE | ||||
| 2200 GRAND CENTRAL AVENUE SUITE 110 | VIENNA | WV | 26105 | PRIMARY CARE |
| CAMDEN CLARK PRIMARY CARE | ||||
| 4 ROSEMAR MEDICAL | PARKERSBURG | WV | 26101 | PRIMARY CARE |
| CAMDEN CLARK PRIMARY CARE | ||||
| 2838 PIKE STREET | PARKERSBURG | WV | 26101 | PRIMARY CARE |
| CAMDEN CLARK PRIMARY CARE | ||||
| 602 DIVISION STREET | PARKERSBURG | WV | 26101 | PRIMARY CARE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | WORKSHEET 2, "RATIO OF PATIENT CARE, COST TO CHARGES' WAS USED TO COMPLETE THE COST-TO-CHARGE RATIO IN PART I, LINE 7. FOR "OTHER BENEFITS", ACTUAL EXPENSES OF THE ORGANIZATION AT COST WERE USED IN ADDITION TO SOME DONATED ITEMS VALUED AT FAIR MARKET VALUE. |
| PART I, LN 7 COL(F): | THE AMOUNT OF TOTAL EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES A BAD DEBT EXPENSE OF $2,520,010 WHICH HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENT OF TOTAL EXPENSE IN COLUMN (F). |
| PART III, LINE 4: | PART III, LINE 2:BAD DEBT EXPENSE AT COST IS CALCULATED BY MULTIPLYING THE INTERNAL FINANCIAL STATEMENT AMOUNT OF BAD DEBT EXPENSE ($2,520,010) BY THE COST TO CHARGE RATIO (36.18%) WHICH WAS DETERMINED BY USING IRS WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. PART III, LINE 3:THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY IS CALCULATED BASED ON THE ESTIMATE OF 20% OF THE BAD DEBT AT COST. THE RATIONALE FOR THIS IS THAT SELF-PAY BALANCES AFTER INSURANCE ARE NOT ACCOUNTS THAT THE ORGANIZATION FOCUSES A LOT OF EFFORT ON. THE ORGANIZATION FOCUSES THEIR EFFORTS ON QUALIFYING PATIENTS FOR CHARITY CARE ON PRIMARY SELF-PAY ACCOUNTS. NOT ALL PATIENTS TAKE THE INITIATIVE TO SEE IF THEY QUALIFY FOR CHARITY CARE.PART III, LINE 4:TO AUDITED FINANCIAL STATEMENTS PAGE 9 |
| PART III, LINE 8: | THE ORGANIZATION USED INFORMATION FROM THEIR COST REPORT TO COMPLETE THIS SECTION AS WELL AS THEIR INTERNAL REPORTS.THE ORGANIZATION RAN A REPORT FOR 2014 OF EVERY PATIENT THAT QUALIFIED FOR MEDICARE THAT WOULD ALSO HAVE QUALIFIED MEDICAID IF MEDICARE DID NOT EXIST. THE ORGANIZATION BELIEVES THAT IF A PERSON IS QUALIFIED FOR MEDICAID, THEY WOULD HAVE ALSO QUALIFIED UNDER THE ORGANIZATION'S CHAIRTY CARE GUIDELINES. THE ORGANIZATION FOUND THAT 21.52% OF MEDICARE PATIENTS WERE DUALLY ELIGIBLE FOR MEDICARE/MEDICAID. THEREFORE, 21.52% OF THE SHORTFALL, OR $3,905,756, WOULD QUALIFY AS COMMUNITY BENEFIT. |
| PART III, LINE 9B: | IF A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEN NO COLLECTION ACTIVITY WILL OCCUR ON THEIR ACCOUNT. THE CHARITY QUALIFICATION IS GOOD FOR SIX-MONTHS, SO ANY SUBSEQUENT VISITS DURING THAT SIX-MONTH PERIOD WOULD ALSO QUALIFY FOR CHARITY CARE AND WOULD NOT BE SUBJECT TO COLLECTION ACTIVITY. |
| PART VI, LINE 2: | THE ORGANIZATION IS PART OF THE MID-OHIO VALLEY RURAL HEALTH ALLIANCE. THE ALLIANCE MEMBERS JOINTLY ASSESS THE NEEDS OF THE REGION AND WORK WITH A CONSULTANT TO ENSURE THAT THOSE NEEDS ARE ADDRESSED. THE ORGANIZATION IS IN THE PROCESS OF PREPARING ITS OWN COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART VI, LINE 3: | THE ORGANIZATION PROVIDES, IN WRITING, ALL OPTIONS FOR POSSIBLE FINANCIAL ASSISTANCE. THIS INFORMATION IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION ALSO HAS REPRESENTATIVES THAT ARE AVAILABLE TO DISCUSS OPTIONS WITH INPATIENTS AND OUTPATIENTS ON A DAILY BASIS. STATE MEDICAID WORKERS ARE ONSITE TO HELP DETERMINE PATIENT ELIGIBITY AND TO ASSIST PATIENTS THROUGH THE ELIGIBILITY PROCESS. |
| PART VI, LINE 4: | CAMDEN-CLARK MEDICAL CENTER, LOCATED IN PARKERSBURG, WV, SERVICES THE MID-OHIO VALLEY REGION OF WEST VIRGINIA AND OHIO. THE PRIMARY SERVICE AREA CONSISTS OF FOUR COUNTIES WITH AN ESTIMATED TOTAL POPULATION OF 164,000 PEOPLE AND A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $39,000. IT IS AN AGING POPULATION. THERE IS A DECLINING CORPORATE PRESENCE IN THE AREA WHICH HAS NEGATIVELY IMPACTED THE UNEMPLOYMENT RATE. THERE IS ONE OTHER HOSPITAL WITHIN THE PRIMARY SERVICE AREA, LOCATED IN MARIETTA, OH. IN ADDITION, THE COMMUNITY INCLUDES SEVERAL FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. |
| PART VI, LINE 5: | A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO MANY OF ITS DEPARTMENTS.ANY SURPLUS OF FUNDS IS USED PRIMARILY TO ENHANCE PATIENT CARE. WHILE NO RESEARCH IS DONE AT THE FACILITY, A RESIDENCY PROGRAM WAS STARTED IN 2009. |
| PART VI, LINE 6: | CAMDEN-CLARK MEMORIAL HOSPITAL IS PART OF THE WEST VIRGINIA UNITED HEALTH SYSTEM. CCMH PLAYS A SIGNIFICANT ROLE IN IMPROVING THE HEALTH OF THE COMMUNITY. THE STATEGIC PLAN OF THE SYSTEM STATES INTENT TO BUILD A REGIONAL HEALTH CARE DELIVERY SYSTEM IN ITS SERVICES AREA WHILE OFFERING A VARIETY OF OPTIONS FOR PROVIDERS WHO WANT TO PARTICIPATE. THE SYSTEM MAINTAINS A DEMONSTRATED COMMITMENT TO ASSIST RURAL COMMUNITIES IN PRESERVING AND IMPROVING THE HEALTH CARE AVAILABLE TO THE PATIENTS IT SERVES. SYSTEM MANAGEMENT IS FOCUSED ON RECRUITMENT OF STAFF AND EMPLOYEES TO MEET THE GROWING NEEDS OF THE AGING POPULATION IN THE SYSTEM'S SERVICES AREAS. OTHER HOSPITALS IN THE SYSTEM INCLUDE UNITED HEALTH CENTER, WHICH IS MORE CENTRALLY LOCATED IN THE STATE, JEFFERSON MEMORIAL HOSPITAL AND CITY HOSPITALS, INC., WHICH ARE LOCATED IN THE EASTERN PANHANDLE OF WEST VIRGINIA, AND WEST VIRGINIA UNIVERSITY HOSPITALS LOCATED IN MORGANTOWN, WV. THE SYSTEM ALSO INCLUDES THE PHYSICIAN PRACTICES OF UNITED PHYSICIANS CARE, INC. AND CAMDEN CLARK PHYSICIAN CORP THAT OPERATE IN CONJUNCTION WITH THE SYSTEM HOSPITALS. UNITED SUMMIT CENTER IS A BEHAVIORAL HEALTH CENTER LOCATED IN CLARKSBURG, WV. IN ADDITION TO THESE PRACTICES, THE SYSTEM ALSO INCLUDES WVUH-EAST, INC. AND CAMDEN CLARK HEALTH SERVICES WHICH OPERATE AS MANAGEMENT COMPANIES FOR THEIR RESPECTIVE HOSPITALS. THE SYSTEM ALSO HAS FOUNDATIONS THAT DO VARIOUS FUNDRAISING ACTIVITIES FOR THE HOSPITALS. CITY HOSPITAL FOUNDATION AND JEFFERSON HEALTHCARE FOUNDATION OPERATE IN THE EASTERN PANHANDLE, UNITED HEALTH FOUNDATION OPERATES IN CLARKSBURG, AND CAMDEN CLARK FOUNDATION OPERATES IN PARKERSBURG, WV. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WV |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN RED CROSS | |||||||||
| 250 JARI ROAD | JOHNSTOWN | PA | 159046949 | 530196605 | 501(C)(3) | $5,100 | N/A | N/A | OPERATIONS |
| STATE GOVERNMENT - WOOD COUNTY DEVELOPMENT AUTHORITY | |||||||||
| PO BOX 1683 | PARKERSBURG | WV | 26102 | N/A | $5,500 | ANNUAL PLEDGE | |||
| WEST VIRGINIA UNITED HEALTH SYSTEM | |||||||||
| 1000 TECHNOLOGY DRIVE | FAIRMONT | WV | 26554 | 550175471 | 501(C)(3) | $196,531 | OPERATIONS | ||
| THE OHIO UNIVERSITY FOUNDATION | |||||||||
| PO BOX 869 | ATHENS | OH | 45701 | 316402269 | 501(C)(3) | $66,228 | OPERATIONS | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CONTRIBUTIONS ARE DISCRETIONARY AND DECISIONS ON WHICH ORGANIZATIONS CAMDEN-CLARK MEMORIAL HOSPITAL SUPPORTS ARE MADE BY THE CEO IN CONJUNCTION WITH THE DIRECTOR OF MARKETING. TYPICALLY, LOCAL ORGANIZATIONS ARE SUPPORTED THROUGHOUT THE YEAR AND THE DONATIONS ARE TYPICALLY NOT SPECIFICALLY RESTRICTED, SO THERE IS NO FOLLOW UP PROCESS FOR MONITORING THE USE OF THE FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL A KING | ||||||||||||||
| PRESIDENT/CEO 1/1/14-6/30/14 | $342,600 | $0 | $1,448 | $0 | $0 | $0 | $23,088 | $0 | $11,274 | $0 | $378,410 | $0 | $0 | $0 |
| ALLEN R BUTCHER | ||||||||||||||
| TREASURER/CFO 1/1/14-1/31/14 | $58,513 | $0 | $0 | $0 | $291,458 | $0 | $6,715 | $0 | $3,177 | $0 | $359,863 | $0 | $0 | $0 |
| DAVID MCCLURE | ||||||||||||||
| PRESIDENT/CEO 7/1/14-12/31/14 | $294,910 | $0 | $43,211 | $0 | $0 | $0 | $23,000 | $0 | $5,748 | $0 | $366,869 | $0 | $0 | $0 |
| TODD A KRUGER | ||||||||||||||
| VICE PRESIDENT | $292,336 | $0 | $74,156 | $0 | $0 | $0 | $0 | $0 | $4,156 | $0 | $370,648 | $0 | $0 | $0 |
| TOM HELLER | ||||||||||||||
| VP OF HR | $253,909 | $0 | $44,986 | $0 | $0 | $0 | $40,500 | $0 | $688 | $0 | $340,083 | $0 | $0 | $0 |
| CYNTHIA KERN | ||||||||||||||
| VP OF QUALITY | $179,459 | $0 | $24,192 | $0 | $0 | $0 | $17,500 | $0 | $2,911 | $0 | $224,062 | $0 | $0 | $0 |
| SHERRY SIMMONS | ||||||||||||||
| CHIEF NURSING OFFICER | $141,145 | $0 | $24,378 | $0 | $0 | $0 | $14,400 | $0 | $1,800 | $0 | $181,723 | $0 | $0 | $0 |
| GENE SEXTON | ||||||||||||||
| PHARMACIST | $131,831 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $6,398 | $0 | $155,729 | $0 | $0 | $0 |
| MICHAEL TRIMBLE | ||||||||||||||
| PHARMACIST | $133,329 | $0 | $4,654 | $0 | $0 | $0 | $16,002 | $0 | $2,632 | $0 | $156,617 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | MEMBERSHIPS AT THE HEALTH AND WELLNESS CENTER ARE OFFERED TO EACH MEMBER OF THE SENIOR LEADERSHIP TEAM. THESE ARE COVERED IN THE APPLICABLE EMPLOYMENT CONTRACTS. |
| PART I, LINE 4A | ALLEN BUTCHER RECEIVED SEVERANCE PAY IN THE AMOUNT OF $291,458. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 621256910 | 956622VY7 | 2004-06-30 | $19,350,000 | 2004B SERIES - REFUND PRIOR ISSUANCES & FUND IMPROVEMENTS | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| B | 621256910 | 956622A87 | 2009-10-16 | $24,600,000 | 2009 SERIES - REISSUANCE (9/13/2007) | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| C | 621256910 | 956622D35 | 2011-03-01 | $23,555,712 | 2011B PURCHASE ASSETS OF ST. JOSEPHS HOSPITAL | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| D | 621256910 | 956622E26 | 2012-08-01 | $50,080,000 | 2012B SERIES - REFUND 2011A BOND | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $19,350,000 | $1,618,092 | $1,167,255 | $95,902 | $11,468,751 | $5,000,000 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $24,600,000 | $1,643,134 | $979,089 | $21,978,242 | 2013 | Yes (1) | 0 | 0 | Yes (1) | ||
| C | $23,555,712 | $435,854 | $14,935,920 | $8,183,938 | 2012 | 0 | 0 | 0 | Yes (1) | ||
| D | $50,080,000 | $80,000 | $50,000,000 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Business Name Line2GICProviderName/BusinessNameLine2Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAYMOND JAMES | ||||||||||||||||
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 29.600000000000 | 0 | 0 | Yes (1) | LEHMAN BROTHERS | SPECIAL FINANCING | 29.600000000000 | Yes (1) | Yes (1) | Yes (1) |
| (no name) | ||||||||||||||||
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (1) | |||||||
| (no name) | ||||||||||||||||
| C | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | ||||||||
| (no name) | ||||||||||||||||
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | ||||||||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K SUPPLENTAL INFORMATION | WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (WVUH), EIN 55-0643304; CITY HOSPITAL, INC. DBA BERKELEY MEDICAL CENTER (BMC), EIN 55-0383321; THE CHARLES TOWN GENERAL HOSPITAL DBA JEFFERSON MEMORIAL HOSPITAL (JMC), EIN 55-0359755; UNIVERSITY HEALTHCARE FOUNDATION, INC EIN 31-1118075, AND CAMDEN-CLARK MEMORIAL HOSPITAL, INC. (CCMH), EIN 31-1524546 ARE MEMBERS OF THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP AND HAVE ISSUED TAX-EXEMPT BONDS AS THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP. THESE BOND ISSUANCES ARE INTERNALLY ALLOCATED WITHIN THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP TO THE MEMBER WHO WILL BE USING THE FUNDS. |
| SCHEDULE K, PART II, COLUMN C | THERE IS A $465 DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE GROSS PROCEEDS IN RESERVE FUNDS, ISSUANCE COSTS FROM PROCEEDS, AND OTHER SPENT PROCEEDS. THIS DIFFERENCE IS DUE TO INTEREST INCOME FROM THE DEBT RESERVE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 621256910 | 956622E91 | 2013-10-03 | $47,037,860 | 2013A SERIES - REFUND 2004A BONDS & FINANCE RENOVATIONS | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| B | 621256910 | 956622VY7 | 2004-06-30 | $57,900,000 | 2004C SERIES - REFUND PRIOR ISSUANCES & FUND IMPROVEMENTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,120,000 | $47,037,860 | $5,335,549 | $411,600 | $6,459,124 | $12,146,948 | $23,615,961 | Yes (1) | 0 | 0 | Yes (1) | ||
| B | $57,900,000 | $3,343,149 | $286,963 | $32,615,614 | $16,800,000 | Yes (1) | 0 | Yes (1) | Yes (1) | $4,854,274 | 2008 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Business Name Line2GICProviderName/BusinessNameLine2Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||||||||
| RAYMOND JAMES | ||||||||||||||||
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 29.600000000000 | 0 | 0 | LEHMAN BROTHERS | SPECIAL FINANCING | 29.600000000000 | Yes (1) | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| PARKERSBURG NEUROLOGICAL ASSOCIATES | |||
| BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR. MICHAEL MOREHEAD | $85,763 | PAYMENT REMITTED TO PARKERSBURG NEUROLOGICAL ASSOCIATES FOR THE ORGANIZATION'S USE OF EQUIPMENT, SUPPLIES, AND STAFF AND INTRAOPERATIVE MONITORING ON THE ORGANIZATION'S NEUROSURGERY CASES | 0 |
| PARKERSBURG NEUROLOGICAL ASSOCIATES | |||
| BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD | $29,614 | REVENUE RECEIVED FROM PARKERSBURG NEUROLOGICAL ASSOCIATES FOR LEASE OF THE ORGANIZATION'S OFFICE SPACE | 0 |
| DR JENNIFER LEAVITT | |||
| DR. LEAVITT SERVES AS A MEMBER OF THE CCMH BOARD OF DIRECTORS | $56,817 | DR. LEAVITT RECEIVED PAYMENT FOR OVERSEEING THE RESIDENT PROGRAM | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 20B: | THE ORGANIZATION MUST ATTACH A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. ATTACHED ARE THE CONSOLIDATED FINANCIAL STATEMENTS OF WEST VIRGINIA UNITED HEALTH SYSTEM, INC. (WVUHS) AND CONTROLLED ENTITIES. WVUHS BECAME THE SOLE MEMBER OF CAMDEN CLARK HEALTH SERVICES, INC., THE PARENT CORPORATION OF CAMDEN-CLARK MEMORIAL HOSPITAL ON MARCH 1, 2011. THE FINANCIAL POSITION, RESULTS OF OPERATIONS, AND CASH FLOWS OF CAMDEN-CLARK MEMORIAL HOSPITAL ARE INCLUDED IN THE AFOREMENTIONED CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
| FORM 990, PART VI, SECTION A, LINE 6 | CAMDEN-CLARK HEALTH SERVICES, INC., A NON-PROFIT, TAX-EXEMPT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY CAMDEN CLARK HEALTH SERVICES, INC., SUBJECT TO APPROVAL BY WEST VIRGINIA UNITED HEALTH SYSTEM (WVUHS). |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER OF CAMDEN CLARK HEALTH SERVICES, INC., WVUHS THROUGH ITS AFFILIATION AGREEMENT, HOLDS POWER TO APPROVE CERTAIN DECISIONS SUCH AS: - ANNUAL BUDGET - CAPITAL EXPENDITURES OVER $1 MILLION - NEW DEBT OVER $1 MILLION - NEW PROGRAMS - EXTRAORDINARY FILINGS |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE REVIEW THE COMPLETED FORM PRIOR TO FILING AND A DRAFT COPY OF THE FORM IS ALSO REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | TO IDENTIFY AND MONITOR ANY CONFLICTS, A SIGNED CONFLICT OF INTEREST STATEMENT IS REQUIRED FROM BOARD MEMBERS OF THE ORGANIZATION AND KEY INDIVIDUALS THAT ARE IN A POSITION TO MAKE OR INFLUENCE DECISIONS. IF AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST IS OBSERVED OR DISCLOSED, THE ORGANIZATION INVOKES THE PROCEDURES SET OUT IN THE POLICY/BYLAWS FOR ADDRESSING THE CONFLICT OF INTEREST. FOR KEY INDIVIDUALS (EMPLOYEES), A SPECIFIC CONFLICT OF INTEREST STANDARD IN THE ORGANIZATION'S CODE OF ETHICS AND BUSINESS CONDUCT ALSO EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION UTILIZES AN EXECUTIVE COMPENSATION CONSULTANT TO SURVEY DATA AND MAKE RECOMMENDATIONS. THE COMPENSATION OF THE CEO IS DETERMINED BY USING AN INDEPENDENT COMPENSATION CONSULTANT, AS WELL AS A COMPENSATION SURVEY OR STUDY. IT IS SUPPORTED BY A WRITTEN EMPLOYMENT CONTRACT WHICH IS THEN REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE AND THE WVUHS BOARD OF DIRECTORS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE ON REQUEST AND ARE ALSO AVAILABLE ON THE WEST VIRGINIA HEALTHCARE AUTHORITY WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | ANNUAL PENSION LIABILITY VALUATION ADJUSTMENT -9,016,445. TRANSFERS TO RELATED ORGANIZATIONS -43,745,241. ANNUAL ADJUSTMENT TO VALUATION OF INTEREST RATE SWAP LIABILITY 204,213. PASS-THROUGH INCOME FROM OVASC & HH 1,226,214. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CAMDEN-CLARK HEALTH SERVICES INC | |||||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550769602 | AIDS, STRENGTHENS, AND SUPPORTS CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | LINE 11A, I | WEST VIRGINIA UNITED HEALTH SYSTEM | Yes (1) | |
| CAMDEN-CLARK FOUNDATION | |||||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550667789 | RAISE AND MANAGE FUNDS FOR CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | LINE 11A, I | 0 | N/A | |
| AUXILIARY OF CAMDEN-CLARK MEMORIAL HOSPITAL OF PARKERSBURG | |||||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550386283 | PROMOTES ADVANCEMENT AND WELFARE OF CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | LINE 3 | 0 | N/A | |
| CAMDEN-CLARK PHYSICIAN CORPORATION | |||||||||||
| 604 ANN STREET | PARKERSBURG | WV | 26102 | 264058719 | FURNISHES FACILITIES AND SERVICES TO PROVIDE MEDICAL SERVICES. | WV | 501(C)3 | LINE 11A, I | 0 | N/A | |
| WEST VIRGINIA UNITED HEALTH SYSTEM | |||||||||||
| 1000 TECHNOLOGY DRIVE | FAIRMONT | WV | 26554 | 550175471 | HEALTHCARE ACCESS | WV | 501(C)3 | LINE 11A, I | 0 | N/A | |
| WEST VRIGINIA UNIVERSITY HOSPITALS INC | |||||||||||
| PO BOX 8034 | MORGANTOWN | WV | 26506 | 550643304 | PATIENT CARE | WV | 501(C)3 | LINE 3 | WEST VIRGINIA UNITED HEALTH SYSTEM | Yes (1) | |
| WEST VIRGINIA UNIVERSITY HOSPITALS EAST | |||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 202337985 | HEALTHCARE ACCESS | WV | 501(C)3 | LINE 11A, I | WEST VIRGINIA UNITED HEALTH SYSTEM | Yes (1) | |
| CITY HOSPITAL INC | |||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 550383321 | PATIENT CARE | WV | 501(C)3 | LINE 3 | 0 | N/A | |
| JEFFERSON MEMORIAL HOSPITAL | |||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 550359755 | PATIENT CARE | WV | 501(C)3 | LINE 3 | 0 | N/A | |
| CITY HOSPITAL FOUNDATION | |||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 311118075 | HOSPITAL SUPPORT | WV | 501(C)3 | LINE 11A, I | 0 | N/A | |
| JEFFERSON HEALTHCARE FOUNDATION | |||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 550768901 | HOSPITAL SUPPORT | WV | 501(C)3 | LINE 11A, I | 0 | N/A | |
| UNITED HOSPITAL CENTER INC | |||||||||||
| 327 MEDICAL PARK DRIVE | BRIDGEPORT | WV | 26330 | 550525724 | PATIENT CARE | WV | 501(C)3 | LINE 3 | WEST VIRGINIA UNITED HEALTH SYSTEM | Yes (1) | |
| UNITED PHYSICIANS CARE INC | |||||||||||
| 686 SOUTH PIKE STREET | SHINNSTON | WV | 26431 | 550638563 | PATIENT CARE | WV | 501(C)3 | LINE 3 | 0 | N/A | |
| UNITED HOSPITAL FOUNDATION | |||||||||||
| 327 MEDICAL PARK DRIVE | BRIDGEPORT | WV | 26330 | 550621706 | HOSPITAL SUPPORT | WV | 501(C)3 | LINE 11A, I | 0 | N/A | |
| WVU HEALTHCARE CO-OP | |||||||||||
| PO BOX 8059 | MORGANTOWN | WV | 26506 | 550650441 | SUPPORT | WV | 501(C)3 | LINE 11A, I | WEST VIRGINIA UNITED HEALTH SYSTEM | Yes (1) | |
| UNITED SUMMIT CENTER | |||||||||||
| 6 HOSPITAL PLAZA | CLARKSBURG | WV | 26301 | 550752788 | BEHAVIORAL HEALTH | WV | 501(C)3 | LINE 3 | 0 | N/A | |
| POTOMAC VALLEY HOSPITAL INC | |||||||||||
| 100 PIN OAK LANE | KEYSER | WV | 26726 | 550420956 | PATIENT CARE | WV | 501(C)3 | LINE 3 | WVU HOSPITALS INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO VALLEY AMBULATORY SURGERY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 608 WASHINGTON BLVD | AddressLine1Txt |
| City | BELPRE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208671724 | EIN |
| Primary Activities | OUTPATIENT SURGICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.62500 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ALLIED HEALTH SERVICES INC | |||||||||
| PO BOX 782 | MORGANTOWN | WV | 26507 | 550652017 | MEDICAL LAB | WV | WV UNITED HEALTH SYSTEM | C | 0 |
| WEST VIRGINIA UNITED INSURANCE SERVICES | |||||||||
| 1000 TECHNOLOGY DRIVE SUITE 2320 | FAIRMONT | WV | 26554 | 550756055 | PROVIDER NETWORK | WV | WV UNITED HEALTH SYSTEM | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WEST VIRGINIA UNITED HEALTH SYSTEM | ||
| P | $3,509,986 | COST |
| WEST VIRGINIA UNIVERSITY HOSPITALS INC | ||
| P | $2,803,613 | COST |
| WV UNITED INSURANCE SERVICES | ||
| M | $87,000 | COST |
| ALLIED HEALTH SERVICES INC | ||
| M | $1,101,864 | COST |
| CAMDEN CLARK PHYSICIANS CORPORATION | ||
| R | $9,839,069 | COST |