CHARLESTON AREA MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHARLESTON AREA MEDICAL CENTER INC (EIN 55-0526150)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201303199349309235
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T15:49:36-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	550526150	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	CHAR	NameControl

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Larry Hudson	Name
Title	Executive VP & CFO	Title
Phone	3043887603	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Laura Gillespie	Name
PTIN	P00855604	PTIN
Phone	3124861000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	CAMC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Larry Hudson	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	1010574062	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.camc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1971	YearFormation
State Legal Domicile	WV	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	7887	TotalNbrEmployees
Total Nbr Volunteers	218	TotalNbrVolunteers
Total Gross UBI	8001321	TotalGrossUBI
Net Unrelated Business Txbl Income	804403	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1139543	ContributionsGrantsPriorYear
Contributions Grants Current Year	604243	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	887692859	ProgramServiceRevenuePriorYear
Program Service Revenue CY	942131054	ProgramServiceRevenueCY
Investment Income Prior Year	3387772	InvestmentIncomePriorYear
Investment Income Current Year	8726415	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2406414	OtherRevenuePriorYear
Other Revenue Current Year	1527731	OtherRevenueCurrentYear
Total Revenue Prior Year	894626588	TotalRevenuePriorYear
Total Revenue Current Year	952989443	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1068694	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1520054	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	337876186	SalariesEtcPriorYear
Salaries Etc Current Year	349893516	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	526332209	OtherExpensePriorYear
Other Expenses Current Year	540906350	OtherExpensesCurrentYear
Total Expenses Prior Year	865277089	TotalExpensesPriorYear
Total Expenses Current Year	892319920	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	29349499	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	60669523	RevenuesLessExpensesCY
Total Assets BOY	694695545	TotalAssetsBOY
Total Assets EOY	761799914	TotalAssetsEOY
Total Liabilities BOY	500422847	TotalLiabilitiesBOY
Total Liabilities EOY	498853306	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	194272698	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	262946608	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Striving to provide the best health care to every patient, every day.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	553466109	Expense
Grants	462704	Grants
Revenue	915612221	Revenue
Description	CAMC is West Virginia's largest medical center. 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 20% of the charity care in the state. There were inpatient days of 201,268, outpatient visits of 476,783, emergency department visits of 77,845 and deliveries of 2,951 in 2012. 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	29276259	Expense
Grants	901452	Grants
Description	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. 78 WVU/WVSOM medical students trained at CAMC hospitals and 172 medical residents were employed by CAMC. CAMC provided faculty support to the University of Charleston helping educate 56 students, assisted 86 employees through student loan forgiveness, and distributed 280 scholarships.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	145202189	Expense
Grants	155898	Grants
Revenue	325870	Revenue
Description	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 85 programs which served an estimated 75,420 people. CAMC provided acute inpatient and outpatient hospital services including unreimbursed charity care at cost of $39,922,587 and bad debts at cost of $40,084,124. 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	727944557	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	478	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	7887	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	WV	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Larry Hudson	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3043887603	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
David L Ramsey
President, CEO & Trustee	50.00	9.50	X	X	1378967	0	504531
Fonda Elliot
Trustee	2.50	2.50	X		0	0	0
James P Griffith MD
Trustee	2.50	2.50	X		0	0	0
Kenneth Tackett
Trustee	2.50	2.50	X		0	0	0
John R Hoblitzell Esq
Chairman of the Board	2.50	5.00	X	X	0	0	0
Charles L Capito Jr
Trustee	2.50	2.50	X		0	0	0
William R McDavid Esq
Trustee	2.50	2.50	X		0	0	0
Thomas E Potter Esq
Trustee	2.50	2.50	X		0	0	0
Linda J Powers
Trustee	2.50	2.50	X		0	0	0
Karen S Price
Trustee	2.50	2.50	X		0	0	0
Gina R Busch MD
Trustee	2.50	3.00	X		61500	0	0
William A Rice Jr
Vice Chairman of Board	2.50	5.50	X	X	0	0	0
Mark A Chandler
Trustee	2.50	2.50	X		0	0	0
Edwin H Welch Ph D
Trustee	2.50	3.50	X		0	0	0
John A Willis MD
Trustee	2.50	2.50	X		10000	0	0
Asif Rahman MD
Trustee	2.50	2.50	X		0	0	0
Larry C Hudson
Executive VP & CFO	50.00	10.00		X	688244	0	89086
Glenn Crotty Jr MD
Executive VP & COO	50.00	6.50		X	663053	0	76083
Marshall A McMullen Jr
Secretary & Gen Counsel	50.00	8.00		X	1787435	0	77408
Michael D Williams
VP Administrator	50.00			X	341666	0	201053
S Andrew Weber
VP Administrator	50.00			X	270963	0	132397
Stephen Z Bell
VP Finance	50.00	10.00		X	268078	0	194521
Robert D Whitler
VP Gov't & Comm Affairs	50.00	1.00		X	232790	0	32812
Beth A Samples
VP Human Resources	50.00	6.00		X	120832	0	22836
Lynn Y Brookshire
VP Info Svc & CIO	50.00	5.00		X	338065	0	247152
Elizabeth Spangler MD
VP Medical Affairs	50.00			X	416259	0	36439
Ronald E Moore
VP Prof Prac & CNO	50.00	1.00		X	302430	0	236017
Robert B Danielson
VP Compliance	50.00	5.00		X	212487	0	67267
Dale R Wood
VP System Improv & CQO	50.00			X	369515	0	207686
Jeffrey H Goode
VP Ambulatory Services	50.00			X	269088	0	115265
Jeff Oskin
VP Administrator	50.00			X	340540	0	105658
Kristi Snyder
VP Human Resources	50.00	6.00		X	125451	0	14323
James Tierney DO
Physician	20.00	40.00			866392	0	10400	X
Leon Ronen MD
Physician	40.00				532414	0	36768	X
Mark K Stephens MD
Physician	40.00				501328	0	35709	X
Daniel Smith MD
Physician	40.00				484692	0	35775	X
Kenneth Wright MD
Physician	40.00				332912	0	37951	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10915101	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2517137	TotalOtherCompensation
Number Individuals GT100 K	244	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Siemens Medical Solutions
PO Box 120001 Dept 0733	Dallas	TX	753120733	IT Service and Support	25571480
West Virginia University Medical Corpora
3110 MacCorkle Avenue SE	Charleston	WV	25304	GME/Physician Services	15776573
Maynard C Smith Construction Company
P O Box 11888	Charleston	WV	25339	Contractor Services	4451071
WL Gore & Associates
PO Box 751331	Charlotte	NC	28275	Contractor Services	2399096
Executive Health Resources
PO Box 822688	Philadelphia	PA	191822688	Consultants	1581065

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	148	NumberOfContractorsGT100K
Related Organizations	417975	RelatedOrganizations
Government Grants	186268	GovernmentGrants
Noncash Contributions	12000	NoncashContributions
Total Contributions	604243	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Patient Revenue	621990	903142352	903142352
Lab Services	621500	9244973		7976672	$1,268,301
Pharmacy	446110	7827594			$7,827,594
Cafeteria/Vending	721000	5753261			$5,753,261
Rental (non residentia	531120	5235545	2352998		$2,882,547

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10927329	TotalRevenueColumn
Related Or Exempt Function Income	8399920	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	24649	UnrelatedBusinessRevenue
Exclusion	$2,502,760	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	942131054	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8012931	TotalRevenueColumn
Related Or Exempt Function Income	516031	RelatedOrExemptFunctionIncome
Exclusion	$7,496,900	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	429363	TotalRevenueColumn
Exclusion	$429,363	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	941	TotalRevenueColumn
Exclusion	$941	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	57417302	Securities
Other	451438	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	57098710	Securities
Other	485909	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	318592	Securities
Other	-34471	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	284121	TotalRevenueColumn
Exclusion	$284,121	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Laundry	812300	859470	859470
Medical Center Inn	721110	433294	433294
Affiliate Transfers	541610	219026	219026

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15000	TotalRevenueColumn
Related Or Exempt Function Income	15000	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1526790	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	952989443	TotalRevenueColumn
Related Or Exempt Function Income	915938091	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	8001321	UnrelatedBusinessRevenue
Exclusion	$28,445,788	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1126357	Total
Program Services	1126357	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	393697	Total
Program Services	393697	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	10341253	Total
Program Services	71500	ProgramServices
Management And General	10269753	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	833098	Total
Program Services	280762	ProgramServices
Management And General	552336	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	257843398	Total
Program Services	223120491	ProgramServices
Management And General	34722907	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9624297	Total
Program Services	8028505	ProgramServices
Management And General	1595792	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	52099752	Total
Program Services	43669547	ProgramServices
Management And General	8430205	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	19151718	Total
Program Services	15689045	ProgramServices
Management And General	3462673	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2193407	Total
Program Services	1931836	ProgramServices
Management And General	261571	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2518403	Total
Management And General	2518403	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	524610	Total
Management And General	524610	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	124838	Total
Management And General	124838	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	812752	Total
Management And General	812752	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	66070480	Total
Program Services	41508624	ProgramServices
Management And General	24561856	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1552814	Total
Program Services	85220	ProgramServices
Management And General	1467594	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	174650525	Total
Program Services	170536736	ProgramServices
Management And General	4113789	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9510907	Total
Program Services	379773	ProgramServices
Management And General	9131134	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18977185	Total
Program Services	12662429	ProgramServices
Management And General	6314756	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2191435	Total
Program Services	1331407	ProgramServices
Management And General	860028	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	198906	Total
Program Services	93863	ProgramServices
Management And General	105043	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14084122	Total
Management And General	14084122	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	33925887	Total
Program Services	33925887	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34825021	Total
Program Services	17811578	ProgramServices
Management And General	17013443	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4233951	Total
Program Services	45764	ProgramServices
Management And General	4188187	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Charity Allowance	65545402	65545402	0
Prov. For Uncollectible	64646322	65593394	-947072
Provider Tax	18488207	18488207	0
Preventative Maintenanc	8170400	1087705	7082695

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	17660776	Total
Program Services	4536828	ProgramServices
Management And General	13123948	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	892319920	Total
Program Services	727944557	ProgramServices
Management And General	164375363	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	38897	BOY
EOY	35795	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	112557282	BOY
EOY	158001537	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	121033479	BOY
EOY	123289940	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1697529	BOY
EOY	1094140	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	16374675	BOY
EOY	17451285	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4698753	BOY
EOY	6542191	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	868459734	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	602083281	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	267351720	BOY
EOY	266376453	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	20663276	BOY
EOY	28970481	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	42284436	BOY
EOY	46478973	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	5877267	BOY
EOY	5336261	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	102118231	BOY
EOY	108222858	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	694695545	BOY
EOY	761799914	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	114156647	BOY
EOY	107817698	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	9293323	BOY
EOY	8612138	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	299343331	BOY
EOY	296432928	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	164187	BOY
EOY	93885	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	12328654	BOY
EOY	9157646	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	10187840	BOY
EOY	7729080	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	54948865	BOY
EOY	69009931	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	500422847	BOY
EOY	498853306	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	166598333	BOY
EOY	231831475	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16552813	BOY
EOY	19765523	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11121552	BOY
EOY	11349610	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	194272698	BOY
EOY	262946608	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	694695545	BOY
EOY	761799914	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	60669523	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	11225762	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-3221375	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$4,729	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$172,223	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$1,780	OtherActivitiesAmount
Total Lobbying Expenditures IIB	178732	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Legislative: 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 issues. Such interactions do not typically involve CAMC expressing whether or not they support a particular bill, but rather consist of general discussions related to the pertinent health issues.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	27674365	BeginningOfYearBalance
Contributions	751017	Contributions
Investment Earnings Or Losses	3451658	InvestmentEarningsOrLosses
Other Expenditures	758744	OtherExpenditures
Administrative Expenses	3163	AdministrativeExpenses
End Of Year Balance	31115133	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28121864	BeginningOfYearBalance
Contributions	637036	Contributions
Investment Earnings Or Losses	-192637	InvestmentEarningsOrLosses
Other Expenditures	888233	OtherExpenditures
Administrative Expenses	3665	AdministrativeExpenses
End Of Year Balance	27674365	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25031594	BeginningOfYearBalance
Contributions	865051	Contributions
Investment Earnings Or Losses	2980879	InvestmentEarningsOrLosses
Other Expenditures	710409	OtherExpenditures
Administrative Expenses	45251	AdministrativeExpenses
End Of Year Balance	28121864	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20516626	BeginningOfYearBalance
Contributions	1047818	Contributions
Investment Earnings Or Losses	3812540	InvestmentEarningsOrLosses
Other Expenditures	311551	OtherExpenditures
Administrative Expenses	33839	AdministrativeExpenses
End Of Year Balance	25031594	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	26766284	BeginningOfYearBalance
Contributions	906169	Contributions
Investment Earnings Or Losses	-5868928	InvestmentEarningsOrLosses
Other Expenditures	1268215	OtherExpenditures
Administrative Expenses	18684	AdministrativeExpenses
End Of Year Balance	20516626	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.37000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.63000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20729009	OtherCostOrOtherBasis
Book Value	20729009	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	316779029	OtherCostOrOtherBasis
Depreciation	197311449	Depreciation
Book Value	119467580	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6868943	OtherCostOrOtherBasis
Depreciation	4672040	Depreciation
Book Value	2196903	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	492829467	OtherCostOrOtherBasis
Depreciation	394087782	Depreciation
Book Value	98741685	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31253286	OtherCostOrOtherBasis
Depreciation	6012010	Depreciation
Book Value	25241276	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	266376453	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Malpractice Fund	29735282	F
Malpractice Fund	2747830	C
Recruitment/Student Loan	5224873	C
Workers Comp Self Insured Fund	159092	F
RC Byrd Teaching Ctr Fund	7107	F
Investments Other	122599	C
Affiliate Receivables	8482190	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	46478973	TotalOfBookValueProgramRelated

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Trustee Funds	6569474
Interest in Net Assets: CAMC Foundation	31025269
Bond Funds	47317917
Bond Collateral	19180000
Deferred Bond Costs	3897166
Investments other	233032

Field	Value	IRS element (for citing)
Total Book Value Other Assets	108222858	TotalBookValueOtherAssets
Federal Income Tax Liability	210600	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Estimated Malpractice Claims	$19,696,000
Estimated Worker's Comp Claims	$1,064,007
Affiliate Payables	$12,554,625
Settlements Due to 3rd Parties	$18,691,323
Estimated Retiree Health	$3,778,871
Umbrella Trust & SERP	$13,014,505

Field	Value	IRS element (for citing)
Total Of Amounts	69009931	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	To further the mission of the organization.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39922587	TotalCommunityBenefitExpense
Net Community Benefit Expense	39922587	NetCommunityBenefitExpense
Percent Of Total Expense	0.04820	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	138458846	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106013000	DirectOffsettingRevenue
Net Community Benefit Expense	32445846	NetCommunityBenefitExpense
Percent Of Total Expense	0.03920	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4095893	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1568370	DirectOffsettingRevenue
Net Community Benefit Expense	2527523	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	182477326	TotalCommunityBenefitExpense
Direct Offsetting Revenue	107581370	DirectOffsettingRevenue
Net Community Benefit Expense	74895956	NetCommunityBenefitExpense
Percent Of Total Expense	0.09050	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3519858	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8587	DirectOffsettingRevenue
Net Community Benefit Expense	3511271	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43221103	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7519672	DirectOffsettingRevenue
Net Community Benefit Expense	35701431	NetCommunityBenefitExpense
Percent Of Total Expense	0.04310	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	717468	TotalCommunityBenefitExpense
Direct Offsetting Revenue	574278	DirectOffsettingRevenue
Net Community Benefit Expense	143190	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	198394	TotalCommunityBenefitExpense
Net Community Benefit Expense	198394	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47656823	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8102537	DirectOffsettingRevenue
Net Community Benefit Expense	39554286	NetCommunityBenefitExpense
Percent Of Total Expense	0.04770	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	230134149	TotalCommunityBenefitExpense
Direct Offsetting Revenue	115683907	DirectOffsettingRevenue
Net Community Benefit Expense	114450242	NetCommunityBenefitExpense
Percent Of Total Expense	0.13820	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	110778	TotalCommunityBuildingExpense
Net Community Building Expense	110778	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	3520	TotalCommunityBuildingExpense
Net Community Building Expense	3520	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	418	TotalCommunityBuildingExpense
Net Community Building Expense	418	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	138626	TotalCommunityBuildingExpense
Direct Offsetting Revenue	25600	DirectOffsettingRevenue
Net Community Building Expense	113026	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	253342	TotalCommunityBuildingExpense
Direct Offsetting Revenue	25600	DirectOffsettingRevenue
Net Community Building Expense	227742	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$65,593,395	BadDebtExpenseAmount
Amount Attributable To	40084124	AmountAttributableTo
Amount Reimbursed By Medicare	269184089	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	316495108	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-47311019	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 General Division Medical Office Building Partnership
Medical Office space rental	0.82700	0.00000	0.17300
2 Women & Children's Medical Office Building Partnership
Medical Office space rental	0.88510	0.00000	0.11490

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Childrens HospitalChildrensHospital
CAMC Memorial Hospital
1	3200 MacCorkle Avenue	Charleston	WV	25304	X	X	X	X
CAMC General Hospital
2	501 Morris Street	Charleston	WV	25301	X	X	X	X
CAMC Women and Children's Hospital
3	800 Pennsylvania Avenue	Charleston	WV	253025302	X	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
CAMC Memorial Hospital
1	1	1	200.000000000000	1	200.000000000000	1	X	X	X	X	1	1	X	X	X	1	0	1	X	0	0
CAMC General Hospital
2	1	1	200.000000000000	1	200.000000000000	1	X	X	X	X	1	1	X	X	X	1	0	1	X	0	0
CAMC Women and Children's Hospital
3	1	1	200.000000000000	1	200.000000000000	1	X	X	X	X	1	1	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SVI Laboratory Services
3004 Chesterfield	Charleston	WV	25304	Laboratory Services
CAMC Imaging Center (Kanawha City Locati
3416 MacCorkle Ave SE	Charleston	WV	25304	Outpatient Imaging Center
CAMC Imaging Center (Trace Fork Location
60 RHL Boulevard	South Charleston	WV	25309	Outpatient Imaging Center
CAMC Urgent Care Center
314 Goff Mountain Road Suite 3	Cross Lanes	WV	25313	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	25301	Wound Healing Center
CAMC Ambulatory Infusion Center
3100 MacCorkle Ave Suite 101	Charleston	WV	25304	Ambulatory Infusion Center
CAMC Weight Loss Center
3100 MacCorkle Ave Suite 202	Charleston	WV	25304	Weight Loss Center
CAMC Occupational Lung Center
600 Morris Street Suite 100	Charleston	WV	25301	Occupational Lung Center
Cardiac Imaging
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	25313	Pharmacy
Cardiac Imaging Center
2930 Chesterfield Avenue	Charleston	WV	253041066	Cardiac Imaging Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 7: Utilized Worksheet 2 to determine cost-to-charge ratio.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 64646322.
Part II: 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 4: There is no footnote describing bad debt, however, private pay accounts and amounts for deductibles and co-insurance that are deemed uncollectable that do not appear to meet the charity care guidelines, are written off as bad debt expense and appear as a deduction from patient service revenue in the audited financial statements. 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 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 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.	CAMC Memorial Hospital
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.	CAMC General Hospital
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.	CAMC Women and Children's Hospital
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.	CAMC Memorial Hospital
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.	CAMC General Hospital
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.	CAMC Women and Children's Hospital
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. Charleston Area Medical Center 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.
WV	Reports Filed With States	Part VI, Line 7
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.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.		Schedule H, Part VI, Line 8: Facility Reporting Group A:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
University of Charleston
2300 MacCorkle Ave SE	Charleston	WV	253040000	550357039	501(c)(3)	285000	Nursing and Pharmacy Program Support
Kanawha Valley Community and Technical College
2001 Union Carbide Drive	South Charleston	WV	253030000	352380021	501(c)(3)	222754	Nursing Program Support
WV Health Right Inc
1520 Washington Street	Charleston	WV	253110000	311066881	501(c)(3)	210727	General Program Support
Braxton County Memorial Hospital
100 Hoylman Drive	Gassaway	WV	266240000	550611919	501(c)(3)	200000	General Program Support
YWCA of Charleston
1114 Quarrier Street	Charleston	WV	253010000	550357060	501(c)(3)	25000	General Program Support
Coalition to Protect America's Healthcare
PO Box 30211	Bethesda	MD	208240211	522253225	501(c)(3)	10000	General Program Support
Fund for the Arts
803 Quarrier Street 100	Charleston	WV	253010000	550614854	501(c)(3)	10000	General Program Support
Ronald McDonald House Charities of Southern West Virginia Inc
302 30th Street SE	Charleston	WV	253040000	550631080	501(c)(3)	9236	General Program Support
American Heart Association
162 Court Street	Charleston	WV	253010000	135613797	501(c)(3)	7000	General Program Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
Nursing Scholarships	85	164775
Allied Health Scholarships	42	90200
Medical Scholarships	8	20025
Employee Dependent Scholarships	24	28798
Employee Scholarships	121	89899

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David L Ramsey
President, CEO & Trustee	632672	0	279762	0	466533	0	460678	0	43853	0	1883498	0	65766	0
Larry C Hudson
Executive VP & CFO	353370	0	166660	0	168214	0	70227	0	18859	0	777330	0	53078	0
Glenn Crotty Jr MD
Executive VP & COO	402586	0	198654	0	61813	0	54884	0	21199	0	739136	0	38917	0
Marshall A McMullen Jr
Secretary & Gen Counsel	251538	0	74893	0	1461004	0	43754	0	33654	0	1864843	0	750111	0
Michael D Williams
VP Administrator	232174	0	72087	0	37405	0	180298	0	20755	0	542719	0	23581	0
S Andrew Weber
VP Administrator	179650	0	61899	0	29414	0	106144	0	26253	0	403360	0	18344	0
Stephen Z Bell
VP Finance	168662	0	59638	0	39778	0	159634	0	34887	0	462599	0	27232	0
Robert D Whitler
VP Gov't & Comm Affairs	159630	0	48137	0	25023	0	9311	0	23501	0	265602	0	0	0
Lynn Y Brookshire
VP Info Svc & CIO	211298	0	75756	0	51011	0	226616	0	20536	0	585217	0	20780	0
Elizabeth Spangler MD
VP Medical Affairs	261876	0	85045	0	69338	0	15000	0	21439	0	452698	0	0	0
Ronald E Moore
VP Prof Prac & CNO	202752	0	61921	0	37757	0	226534	0	9483	0	538447	0	23969	0
Robert B Danielson
VP Compliance	154688	0	42356	0	15443	0	49428	0	17839	0	279754	0	0	0
Dale R Wood
VP System Improv & CQO	246539	0	83049	0	39927	0	198014	0	9672	0	577201	0	27460	0
Jeffrey H Goode
VP Ambulatory Services	178997	0	62200	0	27891	0	88200	0	27065	0	384353	0	16789	0
Jeff Oskin
VP Administrator	254328	0	74700	0	11512	0	91444	0	14214	0	446198	0	0	0
James Tierney DO
Physician	866392	0	0	0	0	0	10000	0	400	0	876792	0	0	0
Leon Ronen MD
Physician	520742	0	5152	0	6520	0	12080	0	24688	0	569182	0	0	0
Mark K Stephens MD
Physician	498827	0	2501	0	0	0	11073	0	24636	0	537037	0	0	0
Daniel Smith MD
Physician	480029	0	4663	0	0	0	11042	0	24733	0	520467	0	0	0
Kenneth Wright MD
Physician	324116	0	0	0	8796	0	11618	0	26333	0	370863	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
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 Marshall McMullen in 2012 was paid in the amount of $1,403,809 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. The following were paid Split dollar life insurance:- 1.Ramsey, David L - $19,725 2.McMullen Jr, Marshall A - $13,463 3.Bell, Stephen Z - $5,555 4.Whitler, Robert D - $3,030
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

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
West Virginia Hospital Finance Authority
A	621256910	956624AQ3	2008-06-19	127355000	See Part V	0	0	0
West Virginia Hospital Finance Authority
B	621256910	956622ZV9	2009-09-10	177519271	See Part V	0	0	0
West Virginia Hospital Finance Authority
C	621256910		2010-11-01	8428228	Refund prior bonds issued 12/17/85.	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Working Capital ExpendituresWorkingCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion
A	1855000	130315094	2071347	773024	65455959	33084021	28930743	1	1
B	6935000	177577566	2455533			148894025	2948236	1	1	15438937	17301803	2009
C	4389725	8428228	60028			8368200		1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	0
B	1	1	1
C	0		0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
Merrill Lynch
A	0	1	0	0	1	1	Capital	29.200000000000	0	0	0	1	1
Wachovia
B	0	1	0	0	0	0					1	0	1	23.000000000000	1
(no name)
C	0	0	1	0	1	0					0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Schedule K Supplental Information	Identifier
Explanation	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 $15,408,919 in a debt service fund, plus $30,018 debt service fund deposits. Part III has not been completed with respect to the column B and column C bonds, since such bonds refunded pre-2003 bond issues. Regarding Part II, Line 9, column B, please see separate disclosure regarding purpose of bonds. Part IV, Line 5, column A - Such amounts were appropriately yield restricted.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (12 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Rick Crotty
Family member of Glenn Crotty, Officer	55434	employed by organization	0
Barbara Covelli
Family member of Glenn Crotty, Officer	89063	employed by organization	0
Donna Bell
Family member of Steve Bell, Officer	157146	employed by organization	0
Michael Samples
Family member of Beth A. Samples, Officer	30657	employed by organization	0
Glenda Bryant
Family member of Ronald Moore, Officer	58309	employed by organization	0
(no name)
			0
BBT
Entity Board Members, Edwin H Welch, Ph D, CAMC Trustees	741080	Purchased Services	0
Kay Casto Chaney PLLC
Parnership more than 5% owned by John R Hoblitzell, Trustee	227419	Purchased Services	0
Gloria Jean Morgan
Family member of Kristi Snyder, Officer	85596	employed by organization	0
John Snyder
Family member of Kristi Snyder, Officer	83360	employed by organization	0
Christine Oskin
Family member of Jeff Oskin, Officer	56549	employed by organization	0
Associated Radiologists Inc
Entity Board Member, John A. Willis, MD, Trustee	735501	Purchased services.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 Health System, Inc. ("CAMCHSI") is CAMC's sole voting member.
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 Directors 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.
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 an 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 545,766. Increase in beneficial interest in CAMC Foundation 3,510,891. Change in Temp Restricted Contributions 123,362. Affiliate Transfers: CAMC Health System, Inc. and Subsidiaries -6,442,064. Distributions of non-controlling interest -189,472. Change in Retirement obligation -1,071,352. Contributions for Capital 301,494.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Charleston Area Medical Center Foundation Inc
PO BOX 1547	Charleston	WV	253261547	310887133	Foundation	WV	501(c)(3)	Line 11, Type II: 50	CAMC Health SystemInc	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	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	0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Women & Children's Medical Office Building Partnership
PO Box 1547	Charleston	WV	253261547	550669065	Medical office Building	WV	CAMC	Related	0	1	0.88510
General Division Medical Office Building Partnership
PO Box 1547	Charleston	WV	253261547	550623949	Medical office Building	WV	CAMC	Related	0	1	0.82700

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Integrated Health Care Providers Inc	BusinessNameLine1

Address US AddressUS

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 Activity	Specialty Physician Practices	PrimaryActivity
Legal Domicile State	WV	LegalDomicileState
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	1	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (35 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CAMC Health Education and Research Institute Inc
B	3360174	Contract
Integrated Health Care Providers Inc
B	30701999	Contract
CAMC Health System Inc
C	73925	Contract
Charleston Area Medical Center Foundation Inc
C	649450	Contract
Women and Children's Medical Office Building Partnership
D	325914	Contract
General Division Medical Office Building Partnership
D	314969	Contract
Integrated Health Care Providers Inc
G	309063	Fair Market Value
Integrated Health Care Providers Inc
H	414433	Fair Market Value
CAMC Health Education and Research Institute Inc
J	252419	Contract
Integrated Health Care Providers Inc
J	1305489	Contract
Charleston Area Medical Center Foundation Inc
K	234827	Contract
Women and Children's Medical Office Building Partnership
K	940167	Contract
General Division Medical Office Building Partnership
K	720461	Contract
Integrated Health Care Providers Inc
K	134710	Contract
CAMC Health System Inc
L	61004	Contract
CAMC Teays Valley Hospital Inc
L	1865131	Contract
Charleston Area Medical Center Foundation Inc
L	229820	Contract
CAMC Health Education and Research Institute Inc
L	378711	Contract
Women and Children's Medical Office Building Partnership
L	248608	Contract
General Division Medical Office Building Partnership
L	187175	Contract
Integrated Health Care Providers Inc
L	3655547	Contract
CAMC Teays Valley Hospital Inc
P	1563406	Fair Market Value
Charleston Area Medical Center Foundation Inc
P	62347	Fair Market Value
CAMC Health Education and Research Institute Inc
P	929992	Fair Market Value
Integrated Health Care Providers Inc
P	541610	Fair Market Value
CAMC Teays Valley Hospital Inc
Q	23669766	Fair Market Value
Charleston Area Medical Center Foundation Inc
Q	239875	Fair Market Value
CAMC Health Education and Research Institute Inc
Q	2377178	Fair Market Value
Women and Children's Medical Office Building Partnership
Q	105555	Fair Market Value
Integrated Health Care Providers Inc
Q	48562499	Fair Market Value
CAMC Health System Inc
R	336906	Fair Market Value
CAMC Teays Valley Hospital Inc
R	945034	Fair Market Value
CAMC Health Education and Research Institute Inc
R	358469	Fair Market Value
Integrated Health Care Providers Inc
R	5746690	Fair Market Value
CAMC Health Education and Research Institute Inc
M	13089275	Fair Market Value