CAMC Teays Valley Hospital Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CAMC Teays Valley Hospital Inc (EIN 55-0752636)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-12-05
- IRS object ID
- 201403399349300815
- Schema version
- 2013v3.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-12-05T14:54:24-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 S Wacker Drive | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550752636 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMC Teays Valley Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAMC | BusinessNameControlTxt |
| Phone | 3047571700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1547 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25301 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Randy Hodges | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 3043886247 | PhoneNum |
| Signature | 2014-12-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laura Gillespie | PreparerPersonNm |
| PTIN | P00855604 | PTIN |
| Phone | 3124861000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teays Valley Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Randy Hodges | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Hospital Drive | AddressLine1 |
| City | Hurricane | City |
| State | WV | State |
| ZIP Code | 25526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $59,250,060 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.camc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | Striving to provide the best healthcare to every patient, every day.CAMC Teays Valley Hospital, Inc.'s ("Teays") primary exempt purpose is to provide hospital services for the people residing in the geographical area of Putnam County, the State of West Virginia and elsewhere. These services promote legitimate methods for the prevention of disease and the positive promotion of personal and public health. Teays fosters and conducts education within the nursing and technical occupations, which contribute to the diagnosis, treatment and prevention of disease. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 41 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,585,211 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,951,936 | CYProgramServiceRevenueAmt |
| PY Investment Income | $57,239 | PYInvestmentIncomeAmt |
| CY Investment Income | $36,475 | CYInvestmentIncomeAmt |
| PY Other Revenue | $236,889 | PYOtherRevenueAmt |
| CY Other Revenue | $240,573 | CYOtherRevenueAmt |
| PY Total Revenue | $74,879,339 | PYTotalRevenueAmt |
| CY Total Revenue | $59,228,984 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,734,136 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,968,339 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,630,650 | PYOtherExpensesAmt |
| CY Other Expenses | $35,657,281 | CYOtherExpensesAmt |
| PY Total Expenses | $68,364,786 | PYTotalExpensesAmt |
| CY Total Expenses | $58,625,620 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,514,553 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $603,364 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,686,388 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,492,681 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,972,424 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,680,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,713,964 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,812,052 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CAMC Teays Valley Hospital, Inc.'s ("Teays") primary exempt purpose is to provide hospital services for the people residing in the geographical area of Putnam County, the State of West Virginia and elsewhere. These services promote legitimate methods for the prevention of disease and the positive promotion of personal and public health. Teays fosters and conducts education within the nursing and technical occupations, which contribute to the diagnosis, treatment and prevention of disease. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,988,772 | ExpenseAmt |
| Revenue | $58,951,936 | RevenueAmt |
| Desc | Teays Valley Hospital is licensed for 70 beds, and our health care services focuses on providing a full range of inpatient and outpatient services. Inpatient days of 12,962, outpatient visits of 66,384, and emergency department visits of 17,179. We support our community because we understand the impact that medical care, charity care, education, corporate contributions and community partnerships have on the lives the population we serve. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,049,975 | ExpenseAmt |
| Desc | Teays Valley Hospital provided un-reimbursed charity care at cost of $3,049,975 and bad debts at cost of $9,993,213 to the community in 2013 Teays Valley Hospital does much more than just provide health care, being involved in nearly every aspect of the lives and well-being of the community. Programs and services are available to our community to serve our community-particularly the needs of the low income, elderly, youth, and other vulnerable persons. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of the following community benefit criteria:1) Improves access to health care services.2) Enhances health of the community.3) Advances medical or health care knowledge.4) Relieves or reduces the burden of government or other community efforts. Teays benefit activities offered 20 programs which affected an estimated 13,938 people. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $44,038,747 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | 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 | 0 | 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 | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | Larry C Hudson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3043887603 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Morris Street | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Steven L Smith | ||||||||
| Chairman of the Board | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Oshel B Craigo | ||||||||
| Vice Chairman of Board | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James A Akins MD | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| David W Bunger | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey H Goode start 113 | ||||||||
| Trustee | 3.00 | 50.00 | Yes (X) | $0 | $242,573 | $131,373 | ||
| Johnny Harris start 713 | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| David L Ramsey | ||||||||
| Trustee | 3.00 | 56.50 | Yes (X) | $0 | $1,077,537 | $665,878 | ||
| Nancy R Smith | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dale R Wood start 113 | ||||||||
| Trustee | 3.00 | 50.00 | Yes (X) | $0 | $337,332 | $221,001 | ||
| E Michael Robie DO | ||||||||
| President of Medical Staff | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Leonard A Fichter DO | ||||||||
| Past-President of Medical Staff | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Randall H Hodges | ||||||||
| President | 45.00 | 0.00 | Yes (X) | $0 | $254,086 | $273,683 | ||
| Larry C Hudson | ||||||||
| Vice President/Treasurer | 3.00 | 57.00 | Yes (X) | $0 | $569,371 | $91,918 | ||
| Francis C Gall Jr | ||||||||
| Secretary | 3.00 | 55.00 | Yes (X) | $0 | $216,526 | $32,948 | ||
| Thomas Rittinger | ||||||||
| Hospitalist | 40.00 | 0.00 | $0 | $404,310 | $41,033 | Yes (X) | ||
| Nancy Lares | ||||||||
| Hospitalist | 40.00 | 0.00 | $0 | $340,610 | $26,618 | Yes (X) | ||
| Mary Beth Mullins | ||||||||
| Associate Administrator | 40.00 | 0.00 | $0 | $168,873 | $5,760 | Yes (X) | ||
| Lance T Carney | ||||||||
| Pharmacy Manager | 40.00 | 0.00 | $0 | $147,009 | $36,592 | Yes (X) | ||
| Roy Messick | ||||||||
| Clinical Nurse II | 40.00 | 0.00 | $0 | $115,352 | $5,725 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,873,579 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,532,529 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| G&G Builders | |||||
| 500 Corporate Centre Dr Suite 500 | Scott Depot | WV | 25560 | Construction | $2,926,526 |
| Siemens Medical Solutions | |||||
| PO Box 120001 Dept 0733 | Dallas | TX | 753120733 | Information Technology Services | $1,082,130 |
| Alliance Healthcare Services | |||||
| PO Box 96485 | Chicago | IL | 60693 | Diagnostic Imaging Services | $744,871 |
| NAPS Inc | |||||
| PO Box 11686 | Charleston | WV | 25339 | Diagnostic Imaging Services | $415,000 |
| Pray Construction Co | |||||
| 4964 Teays Valley Road | Scott Depot | WV | 25560 | Construction | $329,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Revenue | 622110 | $56,866,633 | $56,866,633 |
| Clinical Services Sold | 621990 | $1,980,991 | $1,980,991 |
| Rental (Non-Res) | 531120 | $88,481 | $88,481 |
| Credentialling Fees | 900099 | $6,931 | $6,931 |
| Public Support | 900099 | $6,773 | $6,773 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,127 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,951,936 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,551 | TotalRevenueColumnAmt |
| Exclusion | $57,551 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $21,076 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$21,076 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,076 | TotalRevenueColumnAmt |
| Exclusion | -$21,076 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria/Vending | 722212 | $236,005 | $236,005 |
| Medical Records Fee | 812900 | $4,568 | $4,568 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $240,573 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,228,984 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,951,936 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $277,048 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,768 | TotalAmt |
| Management And General | $527,768 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,266,507 | TotalAmt |
| Program Services | $16,140,367 | ProgramServicesAmt |
| Management And General | $1,126,140 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,074 | TotalAmt |
| Program Services | $122,377 | ProgramServicesAmt |
| Management And General | $409,697 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,641,990 | TotalAmt |
| Program Services | $1,096,732 | ProgramServicesAmt |
| Management And General | $3,545,258 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,147,725 | TotalAmt |
| Program Services | $161,645 | ProgramServicesAmt |
| Management And General | $1,986,080 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,095 | TotalAmt |
| Management And General | $13,095 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,749 | TotalAmt |
| Management And General | $13,749 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,863 | TotalAmt |
| Management And General | $11,863 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,294,044 | TotalAmt |
| Program Services | $3,525,281 | ProgramServicesAmt |
| Management And General | $768,763 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,695 | TotalAmt |
| Program Services | $354 | ProgramServicesAmt |
| Management And General | $135,341 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,694,467 | TotalAmt |
| Program Services | $1,849,089 | ProgramServicesAmt |
| Management And General | $1,845,378 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,311 | TotalAmt |
| Program Services | $56,816 | ProgramServicesAmt |
| Management And General | $70,495 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $912,505 | TotalAmt |
| Program Services | $274,484 | ProgramServicesAmt |
| Management And General | $638,021 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38 | TotalAmt |
| Program Services | $38 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,110 | TotalAmt |
| Program Services | $10,656 | ProgramServicesAmt |
| Management And General | $8,454 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $812,227 | TotalAmt |
| Management And General | $812,227 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,550,577 | TotalAmt |
| Management And General | $1,550,577 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,298,835 | TotalAmt |
| Program Services | $962,181 | ProgramServicesAmt |
| Management And General | $336,654 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,395 | TotalAmt |
| Program Services | $6,852 | ProgramServicesAmt |
| Management And General | $740,543 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $12,259,702 | $12,212,932 | $46,770 |
| Charity | $6,688,619 | $6,688,619 | |
| Provider Tax | $930,324 | $930,324 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,625,620 | TotalAmt |
| Program Services | $44,038,747 | ProgramServicesAmt |
| Management And General | $14,586,873 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,200 | BOYAmt |
| EOY | $2,399 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,014,146 | BOYAmt |
| EOY | $7,385,880 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,279,154 | BOYAmt |
| EOY | $1,282,019 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,820 | BOYAmt |
| EOY | $199,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,809,758 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,235,948 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,939,331 | BOYAmt |
| EOY | $21,573,810 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,012,483 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,265,254 | BOYAmt |
| EOY | $12,049,003 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,686,388 | BOYAmt |
| EOY | $42,492,681 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,216,674 | BOYAmt |
| EOY | $5,510,253 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $62,500 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,242,535 | BOYAmt |
| EOY | $22,124,040 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,804,712 | BOYAmt |
| EOY | $5,524,617 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,708,503 | BOYAmt |
| EOY | $3,459,219 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,972,424 | BOYAmt |
| EOY | $36,680,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,713,964 | BOYAmt |
| EOY | $5,812,052 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,713,964 | BOYAmt |
| EOY | $5,812,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,686,388 | BOYAmt |
| EOY | $42,492,681 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $603,364 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $494,724 | 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 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 | $20,338 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $20,338 | 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 | Lobbying expenses represent the portion of dues paid to state hospital association that is specifically allocable to lobbying. CAMC Teays Valley Hospital, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or opposition to) any candidates for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,902,037 | OtherCostOrOtherBasisAmt |
| Book Value | $4,902,037 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,261,013 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,484,596 | DepreciationAmt |
| Book Value | $9,776,417 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,283,652 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,712,188 | DepreciationAmt |
| Book Value | $3,571,464 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,363,056 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,164 | DepreciationAmt |
| Book Value | $3,323,892 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,573,810 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Affiliate: Integrated Health Care Providers, Inc. | $10,307 |
| Affiliate: Charleston Area Medical Center, Inc. | $11,321,545 |
| Long-term Receivable - Physicians & Student Loans | $717,151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,049,003 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Affiliate: Integrated Health Care Providers, Inc. | $151,981 |
| Affiliate: Charleston Area Medical Center, Inc. | $3,307,233 |
| Affiliate: CHERI | $5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,459,219 | 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 | CAMC Teays Valley Hospital is part of the consolidated audit for CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the Consolidated footnotes is as follows: "CAMC, the Foundation, the Institute and CAMC Teays, are exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code (the "Code") and applicable state statutes, but are subject to unrelated business income tax. The System does not have any material uncertain tax positions as of December 31, 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 |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,049,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,049,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,633,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,899,678 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,733,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04660 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $683,897 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $128,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $555,409 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,367,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,028,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,339,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,582 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $154,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,865 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $166,447 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $166,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,533,767 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,028,166 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,505,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11090 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,993,213 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,636,172 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,969,811 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,515,090 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,545,279 | 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 |
| 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 | CAMC Teays Valley Hospital Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Hospital Drive | AddressLine1 |
| City | Hurricane | City |
| State | WV | State |
| ZIP Code | 25526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.camc.org | WebsiteAddressTxt |
| State License | 10 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMC Teays Valley Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.camc.org/tvh | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CAMC Teays Valley Hospital, Inc. | Part V, Section B, Line 3: The Chamber of Commerce survey included 330 residents of Putnam County. The Advisory Committee reviewed data from a number of sources and provided insights based on their role in Putnam County. CAMC Teays Valley Hospital and the Steering Committee worked to involve the Putnam County Health Department in the process, but due to internal issues they were only able to provide the needs assessment data provided above. As a result, Dr. Rahul Gupta, Health Officer for the Kanawha/Charleston Health Department was consulted on the health needs for Putnam County since a large percentage of Putnam County residents work and seek health care in Kanawha County including at the Kanawha/Charleston Health Department. Dr. Gupta is an active and vital participant of the Kanawha Coalition for Community Health Improvement and one of his staff members is now serving in a leadership role with the Putnam County Health Department and will be an active participant in this process. Lance Whaley, DHHR for Putnam County was also consulted and he shared that they have someone come in about 3-4 times a month (average) stating they are homeless. At the highest they may have a surge with 3 a day. The DHHR does an intake and they attempt to work with landlords to secure an apartment for the client. The DHHR will pay a security deposit and the first month's rent. Women and/or families with children get top priority. When asked his priority list of needs for Putnam County, the list included: - Transportation- Homeless shelter- Child shelter like Patchwork- 24/7 resources for food and clothing- Substance abuse treatment centerIn addition, the 2012 West Virginia Findings of State Public Health System Partner Survey was reviewed for additional data representing the community's interest and their survey respondents identified the following health risks/risky behavior for West Virginia: Obesity (67.93%), Prescription Drug Misuse/Abuse (51.05%), Illicit Drug Use (41.77%), Smoking (38.82%), and Sedentary Lifestyle (29.96%). Three of the five are identified priorities for Putnam County. |
| CAMC Teays Valley Hospital, Inc. | Part V, Section B, Line 7: The following needs have not been addressed:- Counseling Services: Psychiatric services not provided at CAMC Teays. Services provided by Hopewell Place and KVC Behavioral Healthcare West Virginia in Hurricane, Prestera in Winfield and Starlight Behavioral Health Services in Scott Depot.- 4th and 8th Grade Reading and Math Proficiency: Addressed by the Putnam County Board of Education and Literacy Volunteers.- Births to Unmarried Teens: CAMC Women and Children's hospital provides services to this Putnam County population.- Drinking and Driving: Students Against Drunk Driving, Drug Court.- Stroke: CAMC Teays is currently recruiting a neurologist and planning for telestroke services with CAMC General Hospital. |
| CAMC Teays Valley Hospital, Inc. | Part V, Section B, Line 14g: A summary of the policy is provided to patients on admission and posted in areas of service. |
| CAMC Teays Valley Hospital, Inc. | Part V, Section B, Line 16e: None of these actions are taken without first making a reasonable effort to determine eligibility. |
| CAMC Teays Valley Hospital, Inc. | Part V, Section B, Line 20d: Patients who qualify for charity care are given a 100% discount. If a patient does not qualify for charity care but is uninsured, a 35% discount from billed charges is given, which is greater than the highest negotiated commercial insurance discount. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Utilized Worksheet 2 provided in the instructions of Schedule H to determine cost-to-charge ratio. |
| Part II, Community Building Activities: | Teays community building activities promote the health of our community through community support, offering programs such as the cardiac project which assesses elementary school age children for potential heart problems and diabetes; the Putnam County Drug Endangered Children Task Force to help eliminate drugs in the community; and offering a Putnam County Breast Cancer Support Group for emotional and resource support for breast cancer patients in the community. |
| Part III, Line 4: | There is no footnote describing bad debt, however, private pay accounts and amounts for deductibles and co-insurance that are deemed uncollectable that do not appear to meet the charity care guidelines, are written off as bad debt expense and appear as an operating expense in the statement of operations. In determining the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy, one month of actual bad debt write-off's was reviewed. From this one month, the amount of bad debt for uninsured patients was determined to be 60%. Then a sample of 100 of these uninsured patients was taken and run through a credit worthy calculator that determined 94% of the patients met the income eligibility guidelines under the organization's charity care policy. |
| Part III, Line 8: | The organization uses cost to charge ratio as costing methodology to determine Medicare shortfall or surplus. The organization considers any government reimbursement that is insufficient to cover allocated costs as being a community benefit. We chose to serve the community by participating in the Medicare program and accepting Medicare reimbursement. |
| Part III, Line 9b: | Teays's collection policy makes provisions for patients who qualify for charity care or financial assistance. Patients who receive charity assistance must meet the following requirements: income at 200% or less of Federal poverty income and resource guidelines, insufficient assets to pay for the care, and not eligible for any public programs. Patients without third-party coverage who do not qualify for charity are given a 35% discount from charges (which is greater than any commercial discount). In addition to charity and uninsured discounts, Teays provides assistance with payment plans, government programs, and an Employee Assistance Program. |
| Part VI, Line 2: | Teays board of trustees is comprised primarily of community leaders. These individuals are aware of the needs of the community and thus can most effectively help determine the direction Teays will take to address those needs. Representatives of Teays also meet with civic groups, such as the Putnam County Chamber of Commerce and local ministerial groups, to gain insight on what is needed in the local area in terms of programs offered. |
| Part VI, Line 3: | Teays informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under Teays charity care policy during the registration process. Brochures are available at each registration point with contact information and phone numbers for our financial counselors. WV state employees are also on site to accept and process medicaid applications and notify patients if they qualify. |
| Part VI, Line 4: | Teays community and primary area of focus is defined as our primary and secondary service areas and includes Putnam County in West Virginia. Putnam County constitutes a population of 56,396, with a median age of 40.5 and household median income of $54,106. We provide, alone and in collaboration with, a wide-ranging array of community benefit services designed to improve community health and the health of individuals, and to increase access to health care. This includes providing free and discounted services to people who are uninsured and underinsured. |
| Part VI, Line 5: | Teays has a board of trustees comprised primarily of prominent civic and business leaders. Thirty percent of the members are hospital administrators, physicians or others professionally connected to the hospital. Admission to the hospital's medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. Teays operates a full-time emergency room open to everyone, regardless of ability to pay. Teays serves a broad cross-section of the community through charity care. Teays applies any surplus funds toward improving facilities, equipment, patient care, medical training, and education. Integrated Healthcare Providers, Inc., a sister company to Teays, is called upon to open a practice when determined that an essential physician need or access issues for patients is present. |
| Part VI, Line 6: | Teays is part of the CAMC Health System. A sister company to CAMC, CAMC Health Education and Research Institute, Inc. ("CHERI"), is actively engaged in clinical trials and has active research protocols in oncology, cardiology/cardiovascular medicine, medicine and medicine subspecialties, behavioral health community medicine, pediatrics, nursing research and trauma/pain. A majority of this research is conducted at CAMC hospitals. CHERI serves as the education and research arm of the CAMC Health System, Inc. CAMC Foundation, Inc.'s ("The Foundation") mission is to support and promote CAMC's delivery of excellent and compassionate health services, and its contribution to the quality of life and economic vitality of the region. The Foundation is a sister company and support organization to CAMC. Integrated Health Care Providers, Inc., a sister company to CAMC, is called upon to open a practice when determined that an essential physician need or access issues for patients is present. Teays has a governing board, community board, board of trustees or board of directors composed of prominent civic leaders, rather than exclusively members who are hospital administrators, physicians or others professionally connected to the hospital. Admission to the hospital's medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. The hospital operates a full-time emergency room open to everyone, regardless of ability to pay. The hospital serves a broad cross-section of the community through research or charity care. The hospital applies any surplus funds toward improving facilities, equipment, patient care, medical training, research and education. |
| Part VI, Line 7, Reports Filed With States | WV |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey H Goode start 113 | ||||||||||||||
| Trustee | $0 | $186,540 | $0 | $26,900 | $0 | $29,133 | $0 | $98,054 | $0 | $33,319 | $0 | $373,946 | $0 | $17,754 |
| David L Ramsey | ||||||||||||||
| Trustee | $0 | $666,525 | $0 | $288,100 | $0 | $122,912 | $0 | $639,870 | $0 | $26,008 | $0 | $1,743,415 | $0 | $67,308 |
| Dale R Wood start 113 | ||||||||||||||
| Trustee | $0 | $256,493 | $0 | $40,218 | $0 | $40,621 | $0 | $209,003 | $0 | $11,998 | $0 | $558,333 | $0 | $0 |
| Randall H Hodges | ||||||||||||||
| President | $0 | $207,111 | $0 | $29,748 | $0 | $17,227 | $0 | $248,507 | $0 | $25,176 | $0 | $527,769 | $0 | $0 |
| Larry C Hudson | ||||||||||||||
| Vice President/Treasurer | $0 | $367,845 | $0 | $91,023 | $0 | $110,503 | $0 | $72,734 | $0 | $19,184 | $0 | $661,289 | $0 | $54,145 |
| Francis C Gall Jr | ||||||||||||||
| Secretary | $0 | $199,108 | $0 | $12,552 | $0 | $4,866 | $0 | $12,484 | $0 | $20,464 | $0 | $249,474 | $0 | $0 |
| Thomas Rittinger | ||||||||||||||
| Hospitalist | $0 | $404,310 | $0 | $0 | $0 | $0 | $0 | $10,877 | $0 | $30,156 | $0 | $445,343 | $0 | $0 |
| Nancy Lares | ||||||||||||||
| Hospitalist | $0 | $340,110 | $0 | $0 | $0 | $500 | $0 | $0 | $0 | $26,618 | $0 | $367,228 | $0 | $0 |
| Mary Beth Mullins | ||||||||||||||
| Associate Administrator | $0 | $138,846 | $0 | $10,790 | $0 | $19,237 | $0 | $1,623 | $0 | $4,137 | $0 | $174,633 | $0 | $0 |
| Lance T Carney | ||||||||||||||
| Pharmacy Manager | $0 | $137,860 | $0 | $3,849 | $0 | $5,300 | $0 | $7,299 | $0 | $29,293 | $0 | $183,601 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The CAMC Health System, Inc. Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of the Teays CEO. The data is reviewed every two years or when a new person comes into an executive role. |
| Part I, Line 4b | Supplemental Executive Retirement Plan ("SERP"). Participants are members of the Executive group. Terms & 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 Benefit 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 than 30 and .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. Neither contributions to nor distributions from the supplemental nonqualified plan were made in the current year. |
| Part I, Line 7 | CAMC 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. (CAMC's parent company) Board of Directors Compensation Committee. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | West Virginia Hospital Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 621256910 | BondIssuerEIN |
| Bond Issued | 2008-09-30 | BondIssuedDt |
| Issue Price | $26,000,000 | IssuePriceAmt |
| Purpose | See Part VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,842,281 | RetiredAmt |
| Total Proceeds | $26,105,219 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $146,457 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,214,557 | CapitalExpendituresAmt |
| Other Spent Proceeds | $21,744,205 | OtherSpentProceedsAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | Yes (1) | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: West Virginia Hospital Finance Authority Date the Rebate Computation was Performed: 08/27/2013 |
| Schedule K, part I | Description of Purpose: To refund a portion of a $30,000,000 temporary note used to finance the acquisition, construction, and improvement of facility and to finance a project acquisitionfund. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. |
| Part IV, Line 6, Column A | Such amounts were appropriately yield restricted. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Item C | DBA: Teays Valley Hospital |
| Form 990, Part VI, Section A, line 2 | David Ramsey, Larry Hudson, Francis Gall, Dale Wood, Randall Hodges, and Jeffrey H. Goode have a business relationship due to joint employment by related companies within same health system. |
| Form 990, Part VI, Section A, line 6 | CAMC Health System, Inc. ("CAMCHSI") is Teays' sole voting member. |
| Form 990, Part VI, Section A, line 7a | CAMC Health System, Inc. ("CAMCHSI") is Teays' sole voting member and has authority to elect all voting trustees of Teays other than ex-officio trustees named in Teays governing documents. The sole voting member has the sole authority to amend Teays' governing documents. |
| Form 990, Part VI, Section A, line 7b | CAMCHSI is Teays' sole voting member and has reserved powers under Teays' governing documents, which provide that decisions of Teays' governing body such as election of officers, approval of annual budgets and borrowings are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law. |
| Form 990, Part VI, Section B, line 11 | Teays' compiles necessary information for Form 990 through the efforts of various officers and trustees organization. The return is then prepared and reviewed by an external consultant firm. This firm then reviews the completed Form 990 with the Teays Board of Trustees and Audit Committee. |
| Form 990, Part VI, Section B, line 12c | Corporate officers including the President and Secretary develop the agendas for board meetings and identify potential conflict of interest issues relative to action items and assist the board chairs with resolution of same. Annual disclosure procedures are implemented and the board chair and CAMC Health System, Inc. Nominating Committee periodically review conflict situations. As per the conflict of interest policy, all disclosed conflicts shall be reported by the Corporate Compliance Officer to the Management Committee, which will approve or disapprove the possible conflicting activity at their next scheduled meeting. The Compliance Officer will inform the Board of Trustees Audit Committee at their next scheduled meeting of all such activities approved by the 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 Management Compliance Committee review the Conflict of Interest Form in question. The Management Compliance Committee will then review the conflict of interest in questions at the next meeting and their decision is final. |
| Form 990, Part VI, Section B, line 15 | The CAMCHSI Board of Trustees Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. (including Teays) and executives (including CEO). The Committee uses the data to determine the total compensation of Teays' 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 19 | Teays is part of a consolidated financial audit for CAMC Health System, Inc. and Subsidiaries. Consolidated audited financial statements are available on-line at CAMC.org. They are also filed with the WV Health Care Authority where they are available on-line and in person. There is no formal method of making the Bylaws and Conflict of Interest Policy publicly available, but they are available upon request. The Articles of Incorporation are publicly available at the WV Secretary of State's Office. |
| Form 990, Part VII, Section B: | G&G Builder's provided construction services in relation to the ICU expansion project. The payments made to G&G included both materials and labor. There is no easy way to break out these amounts. |
| Form 990, Part XI, line 9: | Gain on SWAP transactions from 2008 Bonds 494,724. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CAMC Health System Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550664138 | Parent Company | WV | Section 501(c)(3) | Schedule A, Line 11c | N/A | 0 | |
| Charleston Area Medical Center Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550526150 | Hospital | WV | Section 501(c)(3) | Schedule A, Line 3 | Yes (1) | CAMC Health System Inc | |
| CAMC Health Education and Research Institute Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550753754 | Medical Educational Research | WV | Section 501(c)(3) | Schedule A, Line 11b | Yes (1) | CAMC Health System Inc | |
| CAMC Foundation Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 310887133 | Foundation | WV | Section 501(c)(3) | Schedule A, Line 11b | Yes (1) | CAMC Health System Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Women & Children's Medical Office Building Partnership | |||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550669065 | Medical Office Building | WV | N/A |
| General Division Medical Office Building Partnership | |||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550623949 | Medical Office Building | WV | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Integrated Health Care Providers Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1547 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 253261547 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550751010 | EIN |
| Primary Activities | Specialty Physician Practices | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Integrated Health Care Providers Inc | ||
| A | $56,062 | Contract |
| Charleston Area Medical Center Inc | ||
| M | $1,986,080 | Contract |
| Charleston Area Medical Center Inc | ||
| P | $24,553,415 | FMV |
| Charleston Area Medical Center Inc | ||
| Q | $4,377,080 | FMV |
| Integrated Health Care Providers Inc | ||
| R | $1,552,978 | Contract |