CHARLESTON AREA MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CHARLESTON AREA MEDICAL CENTER INC (EIN 55-0526150)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201433219349311983
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T18:22:36-06:00	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	550526150	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Charleston Area Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	CHAR	BusinessNameControlTxt
Phone	3043885432	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Larry Hudson	PersonNm
Person Title	Executive VP & CFO	PersonTitleTxt
Phone	3043887603	PhoneNum
Signature	2014-11-17	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	CAMC	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	Larry Hudson	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	501 Morris Street	AddressLine1
City	Charleston	City
State	WV	State
ZIP Code	253010000	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,107,844,729	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	1971	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	Striving to provide the best health care to every patient, every day.Charleston Area Medical Center, Inc.'s ("CAMC") primary charitable exempt purpose is to provide hospital care, without distinction, for all the inhabitants of the City of Charleston, State of WV and elsewhere, to promote legitimate methods for the prevention of disease and positive promotion of health (both personal and public), and to foster and conduct education in medicine in all its branches and adjunct arts and sciences, such as nursing and technical occupations, which contribute to the diagnosis, treatment and prevention of disease. CAMC owns and operates three seperately-licensed hospitals as a tertiary-care academic medical center designed to provide care for community residents throughout every stage of life. CAMC patients depend on CAMC to provide convenient and compassionate care delivered regardless of a patient's ability to pay.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	7855	TotalEmployeeCnt
Total Volunteers	270	TotalVolunteersCnt
Total Gross UBI	$8,205,625	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$869,576	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$604,243	PYContributionsGrantsAmt
CY Contributions Grants	$2,537,667	CYContributionsGrantsAmt
PY Program Service Revenue	$942,131,054	PYProgramServiceRevenueAmt
CY Program Service Revenue	$969,174,674	CYProgramServiceRevenueAmt
PY Investment Income	$8,726,415	PYInvestmentIncomeAmt
CY Investment Income	$23,977,558	CYInvestmentIncomeAmt
PY Other Revenue	$1,527,731	PYOtherRevenueAmt
CY Other Revenue	$1,614,490	CYOtherRevenueAmt
PY Total Revenue	$952,989,443	PYTotalRevenueAmt
CY Total Revenue	$997,304,389	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,520,054	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,794,378	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$349,893,516	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$368,032,788	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$540,906,350	PYOtherExpensesAmt
CY Other Expenses	$584,369,189	CYOtherExpensesAmt
PY Total Expenses	$892,319,920	PYTotalExpensesAmt
CY Total Expenses	$954,196,355	CYTotalExpensesAmt
PY Revenues Less Expenses	$60,669,523	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$43,108,034	CYRevenuesLessExpensesAmt
Total Assets BOY	$761,799,914	TotalAssetsBOYAmt
Total Assets EOY	$889,754,010	TotalAssetsEOYAmt
Total Liabilities BOY	$498,853,306	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$566,875,501	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$262,946,608	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$322,878,509	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Striving to provide the best health care to every patient, every day.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$586,665,826	ExpenseAmt
Grant	$562,774	GrantAmt
Revenue	$941,022,768	RevenueAmt
Desc	CAMC is West Virginia's largest medical center with over 6311 employees and 560 medical staff. CAMC is licensed for 838 beds at three campuses and our health care services delivery focuses on providing a full range of inpatient and outpatient services as a tertiary regional referral center, teaching and safety net hospital. As a regional referral center, CAMC has one of only two state Level 1 Trauma Centers, a Level III Neonatal ICU, a Pediatric ICU, a TJC-Certified Primary Stroke Center, and Bariatric Center of Excellence. CAMC is the primary medical safety net provider of women and children's and trauma services in central and southern West Virginia and provides 21% of the charity care in the state. There were inpatient days of 193,333, outpatient visits of 551,512, emergency department visits of 75,672 and deliveries of 2,718 in 2013. CAMC gives back to the community because we understand the impact that high quality medical care, charity care, education, corporate contributions and community partnerships have on the lives of real people.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$31,824,412	ExpenseAmt
Grant	$1,058,293	GrantAmt
Desc	CAMC has established medical and allied health education excellence as a core competency. Provision and support for education include training for interns and residents, nurses, anesthetists and other personnel. 71 WVU/WVSOM medical students trained at CAMC hospitals and 171 medical residents were employed by CAMC. CAMC provided faculty support to the University of Charleston helping educate 56 students, assisted 120 employees through student loan forgiveness, and distributed 288 scholarships.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$150,458,976	ExpenseAmt
Grant	$173,311	GrantAmt
Revenue	$299,166	RevenueAmt
Desc	CAMC does much more than just provide health care, being involved in nearly every aspect of the lives and well being of the community. CAMC offered 82 programs which served an estimated 66,792 people. CAMC provided acute inpatient and outpatient hospital services including unreimbursed charity care at cost of $43,292,223 and bad debts at cost of $43,448,235. Creative, state-of-the-art programs and services are provided to our community to serve our community-particularly the needs of the low income, elderly, and other vulnerable persons. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of the following community benefit criteria: 1) Improves access to health care services. 2) Enhances health of the community. 3) Advances medical or health care knowledge. 4) Relieves or reduces the burden of government or other community efforts.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$768,949,214	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	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	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	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	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	488	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	7855	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	0	CompensationProcessCEOInd
Compensation Process Other	0	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	Larry 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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 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
David L Ramsey
President, CEO & Trustee	50.00	9.50	Yes (X)	Yes (X)	$1,077,537	$0	$665,878
Fonda Elliot
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
James P Griffith MD
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Kenneth Tackett
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
John R Hoblitzell Esq
Chairman of the Board	2.50	5.00	Yes (X)	Yes (X)	$0	$0	$0
Charles L Capito Jr
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Brenda J Powell
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Thomas E Potter Esq
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Linda J Powers
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Karen S Price
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Gina R Busch MD
Trustee	2.50	3.00	Yes (X)		$10,000	$0	$0
William A Rice Jr
Vice Chairman of Board	2.50	5.50	Yes (X)	Yes (X)	$0	$0	$0
Mark A Chandler
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
Edwin H Welch Ph D
Trustee	2.50	3.50	Yes (X)		$0	$0	$0
James A Lohan MD
Trustee	2.50	2.50	Yes (X)		$0	$0	$0
William R McDavid Esq
Trustee (End 1/13)	2.50	2.50	Yes (X)		$0	$0	$0
Larry C Hudson
Executive VP & CFO	50.00	10.00		Yes (X)	$569,371	$0	$91,918
Glenn Crotty Jr MD
Executive VP & COO	50.00	6.50		Yes (X)	$600,400	$0	$89,978
Marshall A McMullen Jr
Secretary & Gen Counsel	50.00	8.00		Yes (X)	$369,824	$0	$74,537
Michael D Williams
VP Administrator	50.00			Yes (X)	$311,171	$0	$195,333
S Andrew Weber
VP Administrator	50.00			Yes (X)	$245,269	$0	$139,337
Stephen Z Bell
VP Finance	50.00	10.00		Yes (X)	$241,320	$0	$188,429
Robert D Whitler
VP Gov't & Comm Affairs	50.00	1.00		Yes (X)	$227,465	$0	$36,855
Lynn Y Brookshire
VP Info Svc & CIO	50.00	5.00		Yes (X)	$1,731,810	$0	$30,447
Elizabeth Spangler MD
VP Medical Affairs	50.00			Yes (X)	$59,098	$0	$2,963
Ronald E Moore
VP Prof Prac & CNO	50.00	1.00		Yes (X)	$271,038	$0	$194,563
Robert B Danielson
VP Compliance	50.00	5.00		Yes (X)	$225,257	$0	$71,295
Dale R Wood
VP System Improv & CQO	50.00			Yes (X)	$337,332	$0	$221,001
Jeffrey H Goode
VP Ambulatory Services	50.00			Yes (X)	$242,573	$0	$131,373
Jeff Oskin
VP Administrator	50.00			Yes (X)	$352,546	$0	$146,818
Thomas P McIllwain
VP Medical Affairs	50.00			Yes (X)	$95,362	$0	$18,860
Gregory Veltri
VP Info Svc & CIO	50.00	5.00		Yes (X)	$19,890	$0	$0
Kristi Snyder
VP Human Resources	50.00	1.00		Yes (X)	$213,545	$0	$180,453
James Tierney DO
Physician	20.00	40.00			$748,600	$0	$13,763	Yes (X)
Leon Ronen MD
Physician	40.00				$531,668	$0	$39,621	Yes (X)
Mark K Stephens MD
Physician	40.00				$476,218	$0	$37,706	Yes (X)
Daniel L Smith MD
Physician	40.00				$474,813	$0	$37,705	Yes (X)
Kenneth Wright MD
Physician	40.00				$320,154	$0	$26,910	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,752,261	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,635,743	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	248	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
Siemens Medical Solutions
PO Box 120001	Dallas	TX	753120733	IT Service and Support	$25,159,214
West Virginia University Physicians of C
3110 MacCorkle Ave SE	Charleston	WV	25304	GME/Physician Services	$17,249,045
Maynard C Smith Construction Company
PO Box 11888	Charleston	WV	25339	Contractor Services	$8,207,122
Jackson Nurse Professionals
PO Box 404118	Atlanta	GA	303844118	Nursing Services	$3,832,719
WL Gore & Associates
PO Box 751331	Charlotte	NC	28275	Contractor Services	$2,450,601

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	220	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,257,995	RelatedOrganizationsAmt
Government Grants	$159,672	GovernmentGrantsAmt
All Other Contributions	$120,000	AllOtherContributionsAmt
Noncash Contributions	$120,000	NoncashContributionsAmt
Total Contributions	$2,537,667	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Revenue	621990	$928,589,645	$928,589,645	$0
Lab Services	621500	$9,413,614	$33,809	$1,306,471	$8,073,334
Pharmacy	446110	$7,985,601		$7,903,345	$82,256
Cafeteria/Vending	721000	$5,960,188		$5,960,188
Rental (non residentia	531120	$5,443,908	$1,404,495	$4,039,413

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,781,718	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,408,714	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$50,035	UnrelatedBusinessRevenueAmt
Exclusion	$2,322,969	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$969,174,674	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,981,204	TotalRevenueColumnAmt
Related Or Exempt Func Income	$271,249	RelatedOrExemptFuncIncomeAmt
Exclusion	$9,709,955	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$397,748	TotalRevenueColumnAmt
Exclusion	$397,748	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$468	TotalRevenueColumnAmt
Exclusion	$468	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$123,545,251	SecuritiesAmt
Other	$593,695	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$110,534,446	SecuritiesAmt
Other	$5,894	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,010,805	SecuritiesAmt
Other	$587,801	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,598,606	TotalRevenueColumnAmt
Exclusion	$13,598,606	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Laundry	812300	$966,740	$966,740
Medical Center Inn	721110	$417,920	$417,920
Affiliate Transfers	541610	$210,859	$210,859

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,503	TotalRevenueColumnAmt
Related Or Exempt Func Income	$18,503	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,614,022	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$997,304,389	TotalRevenueColumnAmt
Related Or Exempt Func Income	$941,321,934	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,205,625	UnrelatedBusinessRevenueAmt
Exclusion	$45,239,163	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,365,288	TotalAmt
Program Services	$1,365,288	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$429,090	TotalAmt
Program Services	$429,090	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,630,275	TotalAmt
Program Services	$10,000	ProgramServicesAmt
Management And General	$9,620,275	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$832,719	TotalAmt
Program Services	$325,426	ProgramServicesAmt
Management And General	$507,293	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$268,880,506	TotalAmt
Program Services	$229,530,894	ProgramServicesAmt
Management And General	$39,349,612	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,871,332	TotalAmt
Program Services	$8,155,178	ProgramServicesAmt
Management And General	$1,716,154	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$58,826,053	TotalAmt
Program Services	$48,836,728	ProgramServicesAmt
Management And General	$9,989,325	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,991,903	TotalAmt
Program Services	$16,398,769	ProgramServicesAmt
Management And General	$3,593,134	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,365,349	TotalAmt
Program Services	$1,976,558	ProgramServicesAmt
Management And General	$2,388,791	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,480,988	TotalAmt
Management And General	$3,480,988	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$410,730	TotalAmt
Management And General	$410,730	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$116,153	TotalAmt
Management And General	$116,153	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,007,997	TotalAmt
Management And General	$1,007,997	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$73,211,795	TotalAmt
Program Services	$44,593,336	ProgramServicesAmt
Management And General	$28,618,459	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,204,377	TotalAmt
Program Services	$130,724	ProgramServicesAmt
Management And General	$1,073,653	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,372,206	TotalAmt
Program Services	$1,328,802	ProgramServicesAmt
Management And General	$2,043,404	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,528,986	TotalAmt
Program Services	$514,461	ProgramServicesAmt
Management And General	$9,014,525	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,541,618	TotalAmt
Program Services	$11,342,525	ProgramServicesAmt
Management And General	$5,199,093	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,537,321	TotalAmt
Program Services	$659,412	ProgramServicesAmt
Management And General	$877,909	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$519,768	TotalAmt
Program Services	$318,750	ProgramServicesAmt
Management And General	$201,018	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,529,797	TotalAmt
Management And General	$15,529,797	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$37,486,566	TotalAmt
Program Services	$37,486,566	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,861,966	TotalAmt
Program Services	$18,053,619	ProgramServicesAmt
Management And General	$15,808,347	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,289,182	TotalAmt
Program Services	$57,622	ProgramServicesAmt
Management And General	$7,231,560	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$184,749,577	$182,806,829	$1,942,748	$0
Prov. For Uncollectible	$71,936,972	$71,820,074	$116,898	$0
Charity Allowance	$65,160,641	$65,160,641	$0	$0
Provider Tax	$21,572,866	$21,572,866	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,484,334	TotalAmt
Program Services	$6,075,056	ProgramServicesAmt
Management And General	$25,409,278	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$954,196,355	TotalAmt
Program Services	$768,949,214	ProgramServicesAmt
Management And General	$185,247,141	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$35,795	BOYAmt
EOY	$35,285	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$158,001,537	BOYAmt
EOY	$224,637,657	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$123,289,940	BOYAmt
EOY	$107,050,786	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,094,140	BOYAmt
EOY	$750,343	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,451,285	BOYAmt
EOY	$16,272,808	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,542,191	BOYAmt
EOY	$5,175,371	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$872,706,773	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$589,542,003	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$266,376,453	BOYAmt
EOY	$283,164,770	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$28,970,481	BOYAmt
EOY	$28,969,287	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$46,478,973	BOYAmt
EOY	$124,414,605	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,336,261	BOYAmt
EOY	$4,822,465	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$108,222,858	BOYAmt
EOY	$94,460,633	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$761,799,914	BOYAmt
EOY	$889,754,010	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$107,817,698	BOYAmt
EOY	$100,528,118	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,612,138	BOYAmt
EOY	$9,626,344	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$296,432,928	BOYAmt
EOY	$292,977,525	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$93,885	BOYAmt
EOY	$69,066	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,157,646	BOYAmt
EOY	$89,890,435	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$7,729,080	BOYAmt
EOY	$7,134,535	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,009,931	BOYAmt
EOY	$66,649,478	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$498,853,306	BOYAmt
EOY	$566,875,501	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$231,831,475	BOYAmt
EOY	$286,561,948	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,765,523	BOYAmt
EOY	$24,753,415	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,349,610	BOYAmt
EOY	$11,563,146	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$262,946,608	BOYAmt
EOY	$322,878,509	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$761,799,914	BOYAmt
EOY	$889,754,010	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$43,108,034	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,957,365	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$866,502	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	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$4,985	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$166,075	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,382	OtherActivitiesAmt
Total Lobbying Expenditures	$172,442	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	Occasionally, individuals are asked by legislators at both the state and national levels for opinions on certain issues and the process of health-related legislation. At such times, CAMC representatives may hold discussions with legislative officials to present their information and perspectives regarding various health care issues. Such interactions do not typically involve CAMC expressing whether of not they support a particular bill, but rather consist of general discussions related to the pertinent health issues.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,115,133	BeginningYearBalanceAmt
Contributions	$747,434	ContributionsAmt
Investment Earnings Or Losses	$5,250,714	InvestmentEarningsOrLossesAmt
Other Expenditures	$793,950	OtherExpendituresAmt
Administrative Expenses	$2,770	AdministrativeExpensesAmt
End Year Balance	$36,316,561	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,674,365	BeginningYearBalanceAmt
Contributions	$751,017	ContributionsAmt
Investment Earnings Or Losses	$3,451,658	InvestmentEarningsOrLossesAmt
Other Expenditures	$758,744	OtherExpendituresAmt
Administrative Expenses	$3,163	AdministrativeExpensesAmt
End Year Balance	$31,115,133	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,121,864	BeginningYearBalanceAmt
Contributions	$637,036	ContributionsAmt
Investment Earnings Or Losses	-$192,637	InvestmentEarningsOrLossesAmt
Other Expenditures	$888,233	OtherExpendituresAmt
Administrative Expenses	$3,665	AdministrativeExpensesAmt
End Year Balance	$27,674,365	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,031,594	BeginningYearBalanceAmt
Contributions	$865,051	ContributionsAmt
Investment Earnings Or Losses	$2,980,879	InvestmentEarningsOrLossesAmt
Other Expenditures	$710,409	OtherExpendituresAmt
Administrative Expenses	$45,251	AdministrativeExpensesAmt
End Year Balance	$28,121,864	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,516,626	BeginningYearBalanceAmt
Contributions	$1,047,818	ContributionsAmt
Investment Earnings Or Losses	$3,812,540	InvestmentEarningsOrLossesAmt
Other Expenditures	$311,551	OtherExpendituresAmt
Administrative Expenses	$33,839	AdministrativeExpensesAmt
End Year Balance	$25,031,594	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.32000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.68000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,729,009	OtherCostOrOtherBasisAmt
Book Value	$20,729,009	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$334,609,879	OtherCostOrOtherBasisAmt
Depreciation	$202,780,275	DepreciationAmt
Book Value	$131,829,604	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,868,943	OtherCostOrOtherBasisAmt
Depreciation	$4,909,773	DepreciationAmt
Book Value	$1,959,170	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$461,387,852	OtherCostOrOtherBasisAmt
Depreciation	$375,252,428	DepreciationAmt
Book Value	$86,135,424	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,111,090	OtherCostOrOtherBasisAmt
Depreciation	$6,599,527	DepreciationAmt
Book Value	$42,511,563	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$283,164,770	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Malpractice Fund	$2,747,830	C
Malpractice Fund	$36,731,976	F
Recruitment/Student Loan	$3,369,706	C
Workers Comp Self Insured Fund	$246,853	F
RC Byrd Teaching Ctr Fund	$71,265,897	F
Investments Other	$832,041	C
Affiliate Receivables	$9,220,302	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$124,414,605	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Trustee Funds	$8,010,455
Interest in Net Assets: CAMC Foundation	$36,226,697
Bond Funds	$39,027,817
Bond Collateral	$3,860,000
Deferred Bond Costs	$4,158,702
Investments Other	$218,455
Derivative Asset Value	$2,958,507

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$94,460,633	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Estimated Malpractice Claims	$18,392,000
Estimated Worker's Comp Claims	$1,253,530
Affiliate Payables	$15,047,374
Settlements Due to 3rd Parties	$15,960,564
Estimated Retiree Health	$3,320,759
Umbrella Trust & SERP	$12,675,251

Field	Value	IRS element (for citing)
Total Liability	$66,649,478	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	CAMC operates HealthCare Financial Services, which provides collections services to outside clients. Payments that are recovered by the collection department include both the commission portion and the amount due to the outside client. The amount listed in Part X Line 21 reflects the amount CAMC transmitted to the client.
Part V, Line 4:	To further the mission of the organization.
Part X, Line 2:	CAMC's financial statements are audited as part of the audit of the financial statements of CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the consolidated footnotes is as follows: The IRS has determined that CAMC, the Foundation, 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. A provision of $373,000 has been made in the accompanying consolidated financial statements for the year ended December 31, 2013, for estimated unrelated business income tax. The System does not have any material uncertain tax positions at December 31, 2013.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	0	ExpensesExceedBudgetInd
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	$43,292,223	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,292,223	NetCommunityBenefitExpnsAmt
Total Expense	0.04910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148,985,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,579,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,406,505	NetCommunityBenefitExpnsAmt
Total Expense	0.03670	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,703,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,708,105	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,994,911	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$196,980,744	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$118,287,105	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,693,639	NetCommunityBenefitExpnsAmt
Total Expense	0.08920	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,385,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,299,096	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,583,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,876,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,706,983	NetCommunityBenefitExpnsAmt
Total Expense	0.04610	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$721,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$671,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$224,995	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$224,995	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,916,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,635,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,281,593	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$248,897,462	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,922,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$122,975,232	NetCommunityBenefitExpnsAmt
Total Expense	0.13940	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,141	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,141	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$139,330	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$107,723	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$252,746	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$221,139	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$71,098,404	BadDebtExpenseAmt
Bad Debt Expense Attributable	$43,448,235	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$265,242,314	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$335,594,496	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$70,352,182	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 General Division Medical Office Building Partnership	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	Medical Office Space Rental	PrimaryActivitiesTxt
Org Profit Or Ownership	0.79630	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.20370	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd
CAMC Memorial Hospital
1	3200 MacCorkle Avenue	Charleston	WV	253040000	www.camc.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CAMC General Hospital
2	501 Morris Street	Charleston	WV	253010000	www.camc.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CAMC Women and Children's Hospital
3	800 Pennsylvania Avenue	Charleston	WV	253025302	www.camc.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1

Field	Value	IRS element (for citing)
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
Other	Yes (X)	OtherInd
CHNA Conducted	11	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.camc.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.healthykanawha.org	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
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
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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: CAMC Memorial Hospital, - Facility 2: CAMC General Hospital, - Facility 3: CAMC Women and Children's Hospital
Facility Reporting Group - A Part V, Section B, line 1j:	Kanawha Coaltition
Facility Reporting Group - A Part V, Section B, line 3:	Household Telephone Survey The household surveys were conducted using appropriate quality controls which included involving research experts in the design of the survey instrument, thorough and consistent training of interviewers, and the use of reputable survey-analysis software. The principal investigator provided oversight to the surveying process including data collection and entry. This assessment marked the first use of online survey collection. The Coalition decided to use this technology to enable cross-tabulations of data at a level not previously available. This report was compiled and verified for accuracy by members of the Kanawha Coalition for Community Health Improvement. This survey sample size results in a statistically significant 95% confidence interval with an error of margin of plus or minus 6.08%. Not all respondents answered every question therefore the margin of error was adjusted and reported for each question, based on the number of respondents. An independent sampling firm randomly selected landline telephone numbers for Kanawha County households. The random landline sample consisted of 4,000 numbers which was screened for disconnects, resulting in a list of 2,378 numbers. Twenty volunteers were recruited and trained in how to administer the phone survey.After learning that that the number of American homes with only wireless telephones continues to grow and that more than one of every four American homes (26.6%) had only wireless telephones (January-June 2010 National Health Interview Survey), the Kanawha Coalition acquired a second random sample of 5,000 wireless telephone numbers for Kanawha County. The wireless sample received postcards in the mail directing them to the online survey or to call the Kanawha Coalition to arrange a convenient time to take the survey by telephone. The wireless sample also received text messages to their cellular phones encouraging them to visit the Coalition's website to take the online survey. As with any telephone survey, there are certain limitations. The result of the survey depends on the accuracy of the responses given by the persons interviewed. Self-reported behavior must be interpreted with caution. To assure proper sampling distribution, the demographics of the survey respondents were compared to county demographics based on 2010 U.S. Census data. This comparison reveals an over-representation of respondents who were older (over 55), Caucasian, and with higher educational attainment. There was an underrepresentation of African Americans and those with lower-education (high school or less). The Kanawha Coalition conducted focus groups among individuals from these underrepresented populations. Focus group findings are intentionally reported independently from those of the scientific random telephone survey to maintain fidelity.Focus Groups2011 Health Assessment Focus Groups were held in 2 Locations: FamilyCare and WV Health Right with a total of 12 participants. Demographics included eight female and four male; eight African American and four Caucasian; all were low income / uninsured and underinsured; 80% low educational attainment; and all were residents of both urban (Charleston) and outlying rural areas of Kanawha County. The participants provided information of the biggest health problem in Kanawha County; Barriers/Challenges/Contributors to the problems; and what they think needs to happen in Kanawha County to address these issues.
Facility Reporting Group - A Part V, Section B, line 4:	CAMC Memorial Hospital; CAMC General Hospital; CAMC Women and Children's Hospital; Thomas Memorial Hospital; St. Francis Hospital; Highland Hospital
Facility Reporting Group - A Part V, Section B, line 5d:	Available on the Kanawha Coalition for Community Health Improvement website. Provided to all attendees at the community forum and to each workgroup member.
Facility Reporting Group - A Part V, Section B, line 7:	1.) High School Drop-out---Issue being addressed by United Way of Central WV. CAMC represented on the Community Services Committee.2.) Illiteracy---Addressed by Literacy Volunteers supportd by United Way.
Facility Reporting Group - A Part V, Section B, line 10:
Facility Reporting Group - A Part V, Section B, line 14g:	A summary of the policy is provided to patients on admission, attached to billing invoices, and posted in areas of service.
Facility Reporting Group - A Part V, Section B, line 16e:
Facility Reporting Group - A 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 20% discount from billed charges is given, which is greater than the highest negotiated commercial insurance discount.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
CAMC LabWorks
3004 Chesterfield	Charleston	WV	253040000	Laboratory Services
CAMC Imaging Center (Kanawha City Locati
3416 MacCorkle Ave SE	Charleston	WV	253040000	Outpatient Imaging Center
CAMC Imaging Center (Trace Fork Location
60 RHL Boulevard	South Charleston	WV	253090000	Outpatient Imaging Center
CAMC Urgent Care Center
314 Goff Mountain Road Suite 3	Cross Lanes	WV	253130000	Urgent Care Facility
CAMC Phys Therapy & Sport Med Center
200 Tracy Way	Charleston	WV	253111258	Rehabilitation Facility
CAMC Wound Healing Center
600 Morris Street Suite 103	Charleston	WV	253010000	Wound Healing Center
CAMC Ambulatory Infusion Center
3100 MacCorkle Ave Suite 101	Charleston	WV	253040000	Ambulatory Infusion Center
Cardiac Imaging Center
2930 Chesterfield Avenue	Charleston	WV	253041066	Cardiac Imaging Services
CAMC Occupational Lung Center
600 Morris Street Suite 100	Charleston	WV	253010000	Occupational Lung Center
Cardiac Imaging Center
2335 Chesterfield Avenue	Charleston	WV	253041066	Cardiac Imaging Services
CAMC Solutions
2568 Pennsylvania Avenue	Charleston	WV	253024907	Pharmacy Compounding Center
CAMC Pharmacy (Cross Lanes Location)
314 Goff Mountain Road	Cross Lanes	WV	253130000	Pharmacy
St Mary's Laboratory Service
2900 First Ave Ste 607	Huntington	WV	257020000	Laboratory Services

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Utilized Worksheet 2 to determine cost-to-charge ratio.
Part II, Community Building Activities:	Community-building activites include programs and services that address root causes of health problems. Examples include CAMC's membership in the Partners in Health Network, Inc. ("Partners"), members of which comprise a network of mostly small and rural hospitals, clinics and health departments who work together to address quality and educational needs for improving care management, assistance with NCQA accreditation for patient centered medical homes and improved quality through addressing sepsis. Access to health care for 5,000 working uninsured individuals in central and southern West Virginia is provided through Partners' Community Access Program. Additionally, CAMC provides students enrolled in post-secondary education with related on-the-job training that is required for their graduation. Health Fairs for the community focusing on adults and children provide screening and health information to identify and address health issues.
Part III, Line 8:	CAMC treats any government reimbursement that is insufficient to cover allocated costs as being a community benefit. CAMC chooses to serve the community by participating in the Medicare program and accepting Medicaid reimbursement.
Part III, Line 9b:	CAMC'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 20% discount from charges (which is greater than any commercial discount). In addition to charity and uninsured discounts, CAMC provides assistance with payment plans, government programs, and an Employee Assistance Program.
Part III Line 4: Bad Debt Footnote	Allowance for Uncollectible Accounts - The patient portion of accounts receivable, including self-pay accounts for patients with no insurance and patient deductibles and co-payments on third-party accounts, are reduced by an allowance for doubtful accounts. Management maintains an allowance for doubtful accounts for each of its major revenue sources to reserve for estimated losses based on the length of time the account has been past due and historical experience. The System considers the patient portion of accounts receivable for write-off beginning 90 days after billing. Certain patient accounts are excluded from consideration when the following conditions exist: the patient account has a credit balance, the charge has been voided, hold on the account, unapplied credits that exist on the patient account, or a payment was made on the patient account in the last 45 days. Excluded accounts are reviewed weekly by the business office to assess collectibility. To estimate the amount of the bad debt expense attributable to patients eligible under the charity care policy, one month of actual bad debt written off was reviewed. Sixty three percent of this was for uninsured patients. A sample of 100 of the uninsured patients from the month was taken and entered into a credit worthy calculator to determine that 97% of the patients met the income eligibility guidelines under the charity care policy.
Part VI, Line 2:	CAMC is an active sponsor of the community health survey completed every three years by the Kanawha Coalition for Community Health Improvement. This random telephone survey of Kanawha County residents provides information from our community on community health issues that is used in a county-wide open Community Forum to establish the top three health issues the community will address over the next three years. CAMC conducted its fifth triennial community health needs assessment through Kanawha Coalition for Community Health Improvement during 2011. CAMC participates on the Coalition's Steering Committee and oversees the Community Work Groups as they address these priority issues. Additionally, since 2006 the Kanawha Coalition for Community Health Improvement has been the coordinating body for addressing youth risks and interventions in Kanawha county.
Part VI, Line 3:	CAMC informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under CAMC's charity care policy during the registration process. Brochures are available at each registration point with contact information and phone numbers for our Financial Counselors. CAMC Financial Counselors are located in each Emergency Department and Admitting area. During registration, if a patient is uninsured, they may be referred to a Financial Counselor who provides education about Charity Care, Medicaid Eligibility and Federal Disability. WV state employees are also on site at each hospital to accept and process Medicaid applications and notify patients if they qualify.
Part VI, Line 4:	CAMC's community and primary area of focus is Kanawha County. Putnam, Boone, Fayette, Logan, Braxton, Jackson, Lincoln, Raleigh, Clay, Nicholas and Roane Counties are secondary service areas to CAMC. Kanawha County constitutes a population of 198,762 with a median age of 42 and household median income of 36,541. CAMC provides, alone and in collaboration, with others, 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:	CAMC's governing board is its Board of Trustees, which is a predominately volunteer community board comprised of prominent civic leaders. A minority of board members are hospital administrators, physicians or others professionally connected to the hospital. Admission to the medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. Each CAMC hospital operates a full-time emergency room open to everyone, regardless of ability to pay. CAMC serves a broad cross-section of the community through research or charity care. CAMC applies any surplus funds toward improving facilities, equipment, patient care, medical training, research and education. CAMC's community-building activities promote the health of the community through workforce development activities including educational and health care career presentations for youth, under-employed adults and those changing careers, and by providing work experiences for students enrolled in post-secondary programs with work-based experience needed for graduation. CAMC also provides community support through all-terrain vehicle ("ATV") safety education.
Part VI, Line 6:	CAMC Health Education and Research Institute, Inc. ("CHERI"), a sister company to CAMC, is actively engaged in clinical trials and has active research protocols in oncology, cardiology/cardiovascular medicine, internal medicine and medicine subspecialties, behavioral health community medicine, pediatrics, nursing and trauma/pain. The majority of this research is conducted at CAMC hospitals and in collaboration with CAMC. CHERI also manages CAMC's residency program and other educational programs conducted at CAMC's hospital facilities. 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, through accepting donations and raising funds. Integrated Health Care Providers, Inc., a sister company to CAMC, operates physician practices to meet CAMC's needs to speciality physicians to maintain adequate coverage for emergency and trauma services. CAMC Teays Valley Hospital, Inc., a sister company to CAMC, is a 70 bed community hospital in Putnam County, WV and provides acute and emergency services to its community as well as community benefit to the residents in its county. CAMC's governing board is its Board of Trustees, which is a predominantly volunteer, community board comprised of prominent civic leaders. A minority of board members hospital administrators, physicians or others professionally connected to the hospital. Admission to medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. Each CAMC hospital operates a full-time emergency room open to everyone, regardless of ability to pay. CAMC serves a broad cross-section of the community through research or charity care. CAMC 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
University of Charleston
2300 MacCorkle Avenue SE	Charleston	WV	25304	550357039	501(c)(3)	$285,000	Nursing and Pharmacy Program Support
Kanawha Valley Community and Technical College
2001 Union Carbide Drive	South Charleston	WV	25303	352380021	501(c)(3)	$344,204	Nursing Program Support
WV Health Right Inc
1520 Washington Street	Charleston	WV	25311	311066881	501(c)(3)	$172,024	General Program Support
Ronald McDonald House Charities of Southern West Virginia Inc
30th Street SE	Charleston	WV	25304	550631080	501(c)(3)	$11,891	General Program Support
American Heart Association
162 Court Street	Charleston	WV	25301	135613797	501(c)(3)	$7,500	General Program Support
Braxton County Memorial Hospital
100 Hoylman Drive	Gassaway	WV	26624	550611919	501(c)(3)	$200,000	General Program Support
Buckskin Council BSA
2829 Kanawha Blvd E	Charleston	WV	25311	550357013	501(c)(3)	$6,500	General Program Support
Clay Center for the Arts
One Clay Square	Charleston	WV	25301	550702471	501(c)(3)	$9,600	General Program Support
Fund for the Arts
803 Quarrier Street 100	Charleston	WV	25301	550614854	501(c)(3)	$10,500	General Program Support
HospiceCare
1606 Kanawha Blvd W	Charleston	WV	25387	341337316	501(c)(3)	$7,000	General Program Support
YMCA of Charleston
100 YMCA Drive	Charleston	WV	25311	550357058	501(c)(3)	$6,000	General Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Nursing Scholarships	76	$149,775
Allied Health Scholarships	19	$46,750
Medical Scholarships	13	$78,475
Employee Dependent Scholarships	29	$36,250
Employee Scholarships	151	$117,840

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	CAMC provides nursing, allied health and medical student scholarships funded by the Foundation. An application portfolio is submitted by the candidate and reviewed and scored anonymously by the Foundation's Nursing Allied Health and Medical Student Scholarship committee co-chairs for subsequent scholarship award by the committee. CAMC provides employee and employee dependent scholarships. Candidates submit an application and required materials an a committee reviews applications based on scholarship guidelines and criteria and awards scholarships. Scholarship payments are submitted directly to the college or university on behalf of the recipient. CAMC provides support to the University of Charleston ("UC") nursing program and pharmacy school program. UC is a nonprofit, tax-exempt organization. UC provided CAMC with an acknowledgement letter along with a giving history report. CAMC provides assistance to various community programs which are reviewed by the Civic Affairs Council for award or at the discretion of the Chief Executive Officer.	ExplanationTxt

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 (20 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
David L Ramsey
President, CEO & Trustee	$666,525	$0	$288,100	$0	$122,912	$0	$639,870	$0	$26,008	$0	$1,743,415	$0	$67,308	$0
Larry C Hudson
Executive VP & CFO	$367,845	$0	$91,023	$0	$110,503	$0	$72,734	$0	$19,184	$0	$661,289	$0	$54,145	$0
Glenn Crotty Jr MD
Executive VP & COO	$420,285	$0	$115,242	$0	$64,873	$0	$56,276	$0	$33,702	$0	$690,378	$0	$39,748	$0
Marshall A McMullen Jr
Secretary & Gen Counsel	$273,284	$0	$38,333	$0	$58,207	$0	$53,103	$0	$21,434	$0	$444,361	$0	$26,109	$0
Michael D Williams
VP Administrator	$241,663	$0	$31,962	$0	$37,546	$0	$169,553	$0	$25,780	$0	$506,504	$0	$23,964	$0
S Andrew Weber
VP Administrator	$187,408	$0	$26,937	$0	$30,924	$0	$109,022	$0	$30,315	$0	$384,606	$0	$20,316	$0
Stephen Z Bell
VP Finance	$178,061	$0	$28,881	$0	$34,378	$0	$158,636	$0	$29,793	$0	$429,749	$0	$20,981	$0
Robert D Whitler
VP Gov't & Comm Affairs	$166,871	$0	$24,709	$0	$35,885	$0	$10,409	$0	$26,446	$0	$264,320	$0	$0	$0
Lynn Y Brookshire
VP Info Svc & CIO	$167,786	$0	$38,682	$0	$1,525,342	$0	$19,403	$0	$11,044	$0	$1,762,257	$0	$940,611	$0
Ronald E Moore
VP Prof Prac & CNO	$197,470	$0	$26,973	$0	$46,595	$0	$175,607	$0	$18,956	$0	$465,601	$0	$16,020	$0
Robert B Danielson
VP Compliance	$160,997	$0	$22,466	$0	$41,794	$0	$51,734	$0	$19,561	$0	$296,552	$0	$31,789	$0
Dale R Wood
VP System Improv & CQO	$256,493	$0	$40,218	$0	$40,621	$0	$209,003	$0	$11,998	$0	$558,333	$0	$27,917	$0
Jeffrey H Goode
VP Ambulatory Services	$186,540	$0	$26,900	$0	$29,133	$0	$98,054	$0	$33,319	$0	$373,946	$0	$17,754	$0
Jeff Oskin
VP Administrator	$263,890	$0	$33,805	$0	$54,851	$0	$123,161	$0	$23,657	$0	$499,364	$0	$34,214	$0
Kristi Snyder
VP Human Resources	$196,553	$0	$6,173	$0	$10,819	$0	$169,978	$0	$10,475	$0	$393,998	$0	$0	$0
James Tierney DO
Physician	$748,550	$0	$0	$0	$50	$0	$10,200	$0	$3,563	$0	$762,363	$0	$0	$0
Leon Ronen MD
Physician	$531,668	$0	$0	$0	$0	$0	$11,729	$0	$27,892	$0	$571,289	$0	$0	$0
Mark K Stephens MD
Physician	$476,218	$0	$0	$0	$0	$0	$11,103	$0	$26,603	$0	$513,924	$0	$0	$0
Daniel L Smith MD
Physician	$474,813	$0	$0	$0	$0	$0	$11,158	$0	$26,547	$0	$512,518	$0	$0	$0
Kenneth Wright MD
Physician	$311,904	$0	$0	$0	$8,250	$0	$11,748	$0	$15,162	$0	$347,064	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The CAMCHSI 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 CAMC's CEO and the other executives. 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. Participant Lynn Brookshire in 2013 was paid in the amount of $1,465,446 in SERP benefits. 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.
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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
West Virginia Hospital Finance Authority
A	621256910	956624AQ3	2008-06-19	$127,355,000	See Part VI	0	0	0
West Virginia Hospital Finance Authority
B	621256910	956622ZV9	2009-09-10	$177,519,271	See Part VI	0	0	0
West Virginia Hospital Finance Authority
C	621256910		2010-11-01	$8,428,228	Refund prior bonds issued 12/17/85.	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$2,815,000	$130,356,808	$2,071,347	$773,024	$70,943,349	$33,084,021	$23,485,068	Yes (1)	0	Yes (1)
B	$9,535,000	$178,397,572	$2,455,533		$2,926,790	$146,196,700		Yes (1)	Yes (1)	Yes (1)	$15,542,749	$842,090	$17,301,803	2013
C	$6,496,793	$8,428,228	$60,028			$8,368,200		Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	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	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Business Name Line2HedgeProviderName/BusinessNameLine2	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
Merrill Lynch
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	Capital	29.200000000000	0	0	0	Yes (1)	Yes (1)
Wachovia
B	0	Yes (1)	0	0	0	0					Yes (1)	Yes (1)	Yes (1)	23.000000000000	Yes (1)
(no name)
C	0	0	Yes (1)	0	Yes (1)	0					0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 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 Supplental Information

Part I. Line A (F) Description of purpose: The proceeds for the 2008A Bonds were used to (i) currently refund the Series 1995A Bonds originally issued on 9/26/95, (ii) pay the costs of certain capital expenditures made, or to be made, by CAMC, refinance a bank loan, and (iii) pay the costs of issuing the Series 2008A Bonds, including certain fees of the bank. Part I Line B (F) Description of purpose: The proceeds for the 2009A Bonds were used to (i) currently refund the outstanding principal amount of the 2002 Series A and B Bonds originally issued on 9/24/02, (ii) pay a portion of a termination payment as a result of termination of hedge agreement in connection with the 2002 Bonds (an extraordinary working capital expenditure), (iii) fund a debt service reserve fund, and (iv) pay the costs of issuing the 2009 Bonds. Part I Line C (F) Description of purpose: The proceeds for the 2010A Bonds were used to refund prior bonds issued 12/17/85. Part II Line 3: The total proceeds of issue includes accumulated interest earnings. Working capital expenditures reported in Part II, Line 9, column B consist of an extraordinary working capital expenditure consisting of a swap termination payment. Part II, line 4, column B: The amount shown here consists of $15,458,673 in a debt service reserve fund, plus $84,076 of debt service fund deposits. Part II, line 11, column B: Form 8038 reported that $148,894,025 of proceeds was to be used to retire the prior debt. The actual amount required for that purpose was $146,196,700. The remainder was deposited to a project fund and spent on capital expenditures eligible for tax-exempt financing. Part III has not been completed with respect to column C bonds, since such bonds refunded pre-2003 bond issues. Part III has been completed for the column B bonds only with respect to the new money portion of the issue, as the refunding portion refunded pre-2003 debt. Part IV, Line 6, columns A and B - Such amounts were appropriately yield restricted.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Rick Crotty
Family member of Glenn Crotty, Officer	$58,078	employed by organization	0
Barbara Covelli
Family member of Glenn Crotty, Officer	$77,321	employed by organization	0
Donna Bell
Family member of Steve Bell, Officer	$158,203	employed by organization	0
Glenda Bryant
Family member of Ronald Moore, Officer	$25,605	employed by organization	0
Gloria Jean Morgan
Family member of Kristi Snyder, Officer	$83,683	employed by organization	0
John Snyder
Family member of Kristi Snyder, Officer	$82,613	employed by organization	0
Christine Oskin
Family member of Jeff Oskin, Officer	$106,777	employed by organization	0
BBT
Relationship with Edwin H Welch, PhD, CAMC Trustee	$868,446	Purchased Services	0
Kay Casto Cheney PLLC
Partnership more than 5% owned by John R Hoblitzell, Trustee	$150,073	Purchased Services	0
Associated Radiologists Inc
Entity Board Member, John A. Willis, MD, Trustee	$633,796	Purchased services.	0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$120,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost or selling price	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Desc	Other:	Desc
Contribution	0	ContributionCnt
Noncash Contributions Rpt F990	$0	NoncashContributionsRptF990Amt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	This is the number of contributors.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member.
Form 990, Part VI, Section A, line 7a	CAMC Health System, Inc. ("CAMCHSI") is CAMC's sole voting member and has authority to elect all voting trustees of CAMC other than ex-officio trustees named in CAMC's governing documents. The sole voting member has the sole authority to amend CAMC's governing documents.
Form 990, Part VI, Section A, line 7b	CAMCHSI is CAMC's sole voting member and has reserved powers under CAMC's governing documents, which provide that decisions of CAMC's governing body such as election of officers, approval of annual budgets and borrowings are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law.
Form 990, Part VI, Section B, line 11	CAMC compiles necessary information for Form 990 through the efforts of various officers and trustees of the organization. The return is then prepared and reviewed by an external consultant firm. This firm then reviews the completed Form 990 with the CAMC Board of Trustees and its Audit Committee.
Form 990, Part VI, Section B, line 12c	Corporate officers including the President and Secretary develop the agendas for board meetings and identify potential conflict of interest issues relative to action items and assist the board chairs with resolutions of same. Annual disclosure procedures are implemented and the board chair and 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 compmany 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 Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including CAMC) and executives (including CAMC's CEO). The Committee uses the data to determine the total compensation of CAMC's CEO and other executive officers. This data is reviewed every two years or when a new person comes into a executive role.
Form 990, Part VI, Section C, line 19	CAMC 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 XI, line 9:	Change in Affiliate Receivable Balance 732,016. Increase/Decrease in beneficial interest in CAMC Foundation 5,302,912. Affiliate Transfers: CAMC Health System, Inc. and Subsidiaries -6,184,338. Changes in non-controlling interest 64,892. Change in retirement obligation 951,020.

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CAMC Foundation Inc
PO BOX 1547	Charleston	WV	253261547	310887133	Foundation	WV	501(c)(3)	Line 11, Type II: 50	CAMC Health SystemInc	Yes (1)
CAMC Health System Inc
PO BOX 1547	Charleston	WV	253261547	550664138	Parent Company	WV	501(c)(3)	Line 11, Type III-FI		0	N/A
CAMC Health Education and Research Institute Inc
PO BOX 1547	Charleston	WV	253261547	550753754	Medical Research	WV	501(c)(3)	Line 11, Type II: 50	CAMC Health SystemInc	Yes (1)
CAMC Teays Valley Hospital Inc
PO BOX 1547	Charleston	WV	253261547	550752636	Hospital	WV	501(c)(3)	Line 3: 170(b)(1)(a)	CAMC Health SystemInc	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Women & Children's Medical Office Building Partnership
PO Box 1547	Charleston	WV	253261547	550669065	Medical office Building	WV	CAMC	Related	0	Yes (1)	0.90100
General Division Medical Office Building Partnership
PO Box 1547	Charleston	WV	253261547	550623949	Medical office Building	WV	CAMC	Related	0	Yes (1)	0.79300

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	0	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	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	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 (29 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAMC Health Education and Research Institute Inc
R	$2,913,947	Contract
Integrated Health Care Providers Inc
B	$34,175,379	Contract
CAMC Foundation Inc
C	$2,157,995	Contract
General Division Medical Office Building Partnership
E	$364,969	Contract
CAMC Health Education and Research Institute Inc
J	$256,008	Contract
Integrated Health Care Providers Inc
J	$1,438,001	Contract
CAMC Foundation Inc
K	$353,700	Contract
Women and Children's Medical Office Building Partnership
K	$936,913	Contract
General Division Medical Office Building Partnership
K	$789,611	Contract
Integrated Health Care Providers Inc
K	$87,606	Contract
CAMC Health System Inc
L	$66,569	Contract
CAMC Teays Valley Hospital Inc
L	$1,986,060	Contract
CAMC Foundation Inc
L	$239,744	Contract
CAMC Health Education and Research Institute Inc
L	$396,748	Contract
Women and Children's Medical Office Building Partnership
L	$248,608	Contract
General Division Medical Office Building Partnership
L	$187,213	Contract
Integrated Health Care Providers Inc
L	$4,405,077	Contract
CAMC Health Education and Research Institute Inc
M	$14,731,566	Fair Market Value
CAMC Teays Valley Hospital Inc
P	$4,377,080	Fair Market Value
CAMC Health Education and Research Institute Inc
P	$522,804	Fair Market Value
Integrated Health Care Providers Inc
P	$1,550,812	Fair Market Value
CAMC Teays Valley Hospital Inc
Q	$24,553,415	Fair Market Value
CAMC Foundation Inc
Q	$263,159	Fair Market Value
CAMC Health Education and Research Institute Inc
Q	$2,363,127	Fair Market Value
Women and Children's Medical Office Building Partnership
Q	$92,813	Fair Market Value
Integrated Health Care Providers Inc
Q	$54,177,083	Fair Market Value
CAMC Health System Inc
R	$548,899	Fair Market Value
CAMC Health Education and Research Institute Inc
R	$1,732,138	Fair Market Value
Integrated Health Care Providers Inc
R	$3,903,301	Fair Market Value