CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION (EIN 31-1524546)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-21
- IRS object ID
- 201303259349300705
- 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 | 2013-11-21T09:58:05-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1556 | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 265071556 | 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 | 311524546 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAMD | NameControl |
| Phone | 3044242202 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALLEN R BUTCHER | Name |
| Title | CFO | Title |
| Phone | 3044242635 | Phone |
| Date Signed | 2013-11-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN S DULL | Name |
| PTIN | P00233523 | PTIN |
| Phone | 3042927343 | 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 | CAMDEN CLARK MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL A KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 253644125 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CCMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | TO OPERATE AN ACUTE CARE AND EMERGENCY HOSPITAL FACILITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2435 | TotalNbrEmployees |
| Total Nbr Volunteers | 450 | TotalNbrVolunteers |
| Total Gross UBI | 4015860 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 573946 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 213084 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 295809 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 125744422 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 243609109 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1594872 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5297067 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 121821033 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3592984 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 249373411 | TotalRevenuePriorYear |
| Total Revenue Current Year | 252794969 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3200 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 114665 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 50209154 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 96472722 | 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 | 79133948 | OtherExpensePriorYear |
| Other Expenses Current Year | 155914161 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 129346302 | TotalExpensesPriorYear |
| Total Expenses Current Year | 252501548 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 120027109 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 293421 | RevenuesLessExpensesCY |
| Total Assets BOY | 372484313 | TotalAssetsBOY |
| Total Assets EOY | 370251270 | TotalAssetsEOY |
| Total Liabilities BOY | 273331510 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 270486856 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 99152803 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 99764414 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF CAMDEN-CLARK MEMORIAL HOSPITAL IS TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY FOR A LIFETIME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 129265293 | Expense |
| Revenue | 129397634 | Revenue |
| Description | AS PART OF CAMDEN CLARK MEMORIAL HOSPITAL'S MISSION OF MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY FOR A LIFETIME, IT OFFERS EMERGENCY ROOM SERVICES ON BOTH CAMPUSES. DUE TO THE COMMUNITY THAT IT SERVES, THE MAJORITY OF THE PATIENTS VISITING THE ER ARE EITHER UNDERINSURED OR UNINSURED. FOR THE REPORTING PERIOD, THERE WERE APPROXIMATELY 69,598 ER VISITS. OF THIS TOTAL, 9,631 OR 13.8% WERE ULTIMATELY ADMITTED TO THE HOSPITAL. THIS REPRESENTS 57.3% OF TOTAL HOSPITAL ADMISSIONS FOR 2012, SO A SIGNIFICANT PORTION OF THE HOSPITAL'S INPATIENT VOLUME COMES DIRECTLY FROM THE ER. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13526266 | Expense |
| Revenue | 12754141 | Revenue |
| Description | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION IS A LEADER IN CANCER CARE FOR THE MID-OHIO VALLEY, PROVIDING CANCER CARE TO PATIENTS IN A 45 MILE RADIUS FROM THE HOSPITAL. IN ADDITION TO A WIDE RANGE OF TREATMENT OPTIONS PROVIDED, THE HOSPITAL OFFERS A NUMBER OF RELATED SERVICES TO ITS PATIENTS. THROUGH THE HOSPITAL'S COLLABORATION WITH THE AMERICAN CANCER SOCIETY, THE DEVELOPMENT OF THE ORGANIZATION'S CANCER RESOURCE CENTER, A HAIR RESTORATION SALON, A PATIENT NAVIGATOR AND AN ONCOLOGY SOCIAL WORKER, THE HOSPITAL HAS ENHANCED THE EDUCATION, NAVIGATION AND SOCIAL SUPPORT OF ITS CANCER PATIENTS AND FAMILIES. THE HOSPITAL'S COMMUNITY AND SOCIAL SERVICES PROVIDE A HOLISTIC HEALING ENVIRONMENT THAT INCLUDES SUPPORT GROUPS FOR PATIENTS/FAMILIES AND AESTHETIC SERVICES TO ENHANCE THE PATIENTS' PHYSICAL AND EMOTIONAL WELL-BEING. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4477862 | Expense |
| Revenue | 7576965 | Revenue |
| Description | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION OFFERS BEHAVIORAL HEALTH SERVICES FOR ITS IMMEDIATE SERVICE AREA, DIRECTLY THROUGH THE HOSPITAL. IN ADDITION, SERVICES ARE PROVIDED TO UNDERSERVED COUNTIES THROUGHOUT THE AREA VIA PHYSICIANS THAT ARE EMPLOYED BY CAMDEN CLARK PHYSICIAN CORPORATION, A RELATED ENTITY. THERE IS A SEVERE SHORTAGE OF BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE MID-OHIO VALLEY, AND CAMDEN-CLARK HAS MADE EFFORTS TO BRIDGE THAT GAP. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 89344052 | Expense |
| Grants | 114665 | Grants |
| Revenue | 92227918 | Revenue |
| Description | THE HOSPITAL STRIVES TO SUPPLY A COMPREHENSIVE RANGE OF INPATIENT, OUTPATIENT, OUTREACH CLINICS AND EMERGENCY ROOM SERVICES, INCLUDING PREVENTION, GUIDANCE, DIAGNOSIS, TREATMENT, RESTORATION, REHABILITATION AND OTHER EFFORTS AS MAY BE REQUIRED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY AND AS THE HOSPITAL'S RESOURCES WILL PERMIT.ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THIS COMMITMENT TO SERVICE ALL MEMBERS OF THE COMMUNITY, CAMDEN-CLARK MEMORIAL HOSPITAL WILL PROVIDE THE FOLLOWING WHERE THE INDIVIDUAL'S NEED AND/OR AN INABILITY TO PAY COEXIST: - FREE CARE AND/OR SUBSIDIZED CARE - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITYRECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARTITY CARE IN MEETING IT'S MISSION TO THE ENTIRE COMMUNITY. IN ADDITION, CHARITY CARE IS PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT THE HOSPITAL BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED. THE HOSPITAL PROVIDED $17,405,717 OF CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2012.THE HOSPITAL ALSO PROVIDES NUMBEROUS OTHER BENEFITS FOR THE MID-OHIO VALLEY COMMUNITY, INCLUDING ECONOMIC BENEFITS, HEALTH EDUCATION, WELLNESS/OUTREACH PROGRAMS, AND PUBLIC SERVICES AND SUPPORT GROUPS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 89344052 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 114665 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 92227918 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 236613473 | 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 | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | 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 | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 1 | InvestTaxExemptBonds |
| Escrow Account | 0 | 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 | 0 | 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 733 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2435 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | 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 | 1 | 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 | BRIAN R STANDLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3044242635 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| LAURENCE MALLORY JAN-MAY 2012 | ||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| TERRY CAPEL MD | ||||||||
| ACTING CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| KATHY G EDDY | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| RONALD ROBERTS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL MOREHEAD MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| GREGORY GORE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JENNIFER LEAVITT MD | ||||||||
| BOARD MEMBER | 1.00 | X | 75000 | 0 | 0 | |||
| MICHAEL A KING | ||||||||
| PRESIDENT/CEO | 40.00 | X | 539228 | 0 | 101033 | |||
| ALLEN R BUTCHER | ||||||||
| TREASURER/CFO | 40.00 | X | 336732 | 0 | 16825 | |||
| TODD A KRUGER | ||||||||
| VICE PRESIDENT | 40.00 | X | 292224 | 0 | 78827 | |||
| DAVID MCCLURE | ||||||||
| VP OF OPERATIONS | 40.00 | X | 211031 | 0 | 12377 | |||
| TOM HELLER | ||||||||
| VP OF HR | 40.00 | X | 227392 | 0 | 10422 | |||
| CYNTHIA KERN | ||||||||
| VP OF QUALITY | 40.00 | X | 157980 | 0 | 10308 | |||
| SHERRY SIMMONS | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 191137 | 0 | 5034 | X | |||
| PAMELA MINCKS | ||||||||
| PHARMACIST | 40.00 | 134261 | 0 | 8313 | X | |||
| GENE SEXTON | ||||||||
| PHARMACIST | 40.00 | 138463 | 0 | 12101 | X | |||
| MICHAEL TRIMBLE | ||||||||
| PHARMACIST | 40.00 | 138636 | 0 | 7377 | X | |||
| SHAUN CARTER | ||||||||
| PHARMACY MANAGER | 40.00 | 133334 | 0 | 30769 | X | |||
| BRIAN STANDLEY | ||||||||
| DIRECTOR OF FINANCE | 40.00 | 126451 | 0 | 14108 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2701869 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 307494 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | 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 |
|---|---|---|---|---|---|
| ALLSCRIPTS | |||||
| PO BOX 8538-0133 | PHILADELPHIA | PA | 191710133 | SOFTWARE CONSULTING | 4739162 |
| UNITED ANESTHESIA INC | |||||
| 3211 DUDLEY AVENUE | PARKERSBURG | WV | 26101 | ANESTHESIOLOGISTS | 2888839 |
| HSS SYSTEMS LLC | |||||
| 6640 CAROTHERS PARKWAY | FRANKLIN | TN | 37067 | REVENUE CYCLE SERVICES | 1286691 |
| QUEST DIAGNOSTICS | |||||
| 12436 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | LABORATORY SERVICES | 1251814 |
| CANDESCENT HEALING LLC | |||||
| 220 WHITE PLAINS ROAD 4TH FLOOR | TARRYTOWN | NY | 10591 | WOUND CARE SERVICES | 1137362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 113 | NumberOfContractorsGT100K |
| Related Organizations | 263216 | RelatedOrganizations |
| All Other Contributions | 32593 | AllOtherContributions |
| Total Contributions | 295809 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE,NET | 621500 | 242140752 | 238648606 | 3492146 |
| AMBULANCE FEES | 621910 | 335019 | 335019 | |
| COMMUNITY SERVICE | 624200 | 72318 | 72318 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1061020 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1061020 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 243609109 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5041574 | TotalRevenueColumn |
| Unrelated Business Revenue | 4860 | UnrelatedBusinessRevenue |
| Exclusion | $5,036,714 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8981 | TotalRevenueColumn |
| Exclusion | $8,981 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1868536 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 387589 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1480947 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1480947 | TotalRevenueColumn |
| Exclusion | $1,480,947 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 708079 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 461567 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 246512 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 246512 | TotalRevenueColumn |
| Related Or Exempt Function Income | 246512 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA | 624200 | 1374999 | 1374999 | |
| FAMILY FITNESS CENTER | 713940 | 518854 | 518854 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218184 | TotalRevenueColumn |
| Related Or Exempt Function Income | 218184 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2112037 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 252794969 | TotalRevenueColumn |
| Related Or Exempt Function Income | 241956658 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4015860 | UnrelatedBusinessRevenue |
| Exclusion | $6,526,642 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114665 | Total |
| Program Services | 114665 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1955724 | Total |
| Program Services | 740869 | ProgramServices |
| Management And General | 1214855 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75544396 | Total |
| Program Services | 69500844 | ProgramServices |
| Management And General | 6043552 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2655570 | Total |
| Program Services | 2443124 | ProgramServices |
| Management And General | 212446 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9383219 | Total |
| Program Services | 8632561 | ProgramServices |
| Management And General | 750658 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6933813 | Total |
| Program Services | 6379108 | ProgramServices |
| Management And General | 554705 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1089497 | Total |
| Program Services | 1002337 | ProgramServices |
| Management And General | 87160 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211045 | Total |
| Management And General | 211045 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181328 | Total |
| Management And General | 181328 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10004067 | Total |
| Program Services | 9203742 | ProgramServices |
| Management And General | 800325 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 634806 | Total |
| Program Services | 584022 | ProgramServices |
| Management And General | 50784 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19296189 | Total |
| Program Services | 17752494 | ProgramServices |
| Management And General | 1543695 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3891264 | Total |
| Program Services | 3579963 | ProgramServices |
| Management And General | 311301 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4954822 | Total |
| Program Services | 4558436 | ProgramServices |
| Management And General | 396386 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128933 | Total |
| Program Services | 118618 | ProgramServices |
| Management And General | 10315 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7734875 | Total |
| Program Services | 7116085 | ProgramServices |
| Management And General | 618790 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18429908 | Total |
| Program Services | 16955515 | ProgramServices |
| Management And General | 1474393 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2641145 | Total |
| Program Services | 2429853 | ProgramServices |
| Management And General | 211292 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 28577631 | 28577631 | |
| PATIENT CHARGES | 24249737 | 24249737 | |
| PROVISION FOR BAD DEBTS | 18700858 | 18700858 | |
| REPAIRS & MAINTENANCE | 4960357 | 4563528 | 396829 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10227699 | Total |
| Program Services | 9409483 | ProgramServices |
| Management And General | 818216 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252501548 | Total |
| Program Services | 236613473 | ProgramServices |
| Management And General | 15888075 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2371133 | BOY |
| EOY | 60312 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2358208 | BOY |
| EOY | 3762853 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33913786 | BOY |
| EOY | 40894555 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1747713 | BOY |
| EOY | 1972771 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7288040 | BOY |
| EOY | 7163193 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2429359 | BOY |
| EOY | 1689580 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 387317978 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 169465781 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225728999 | BOY |
| EOY | 217852197 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91021584 | BOY |
| EOY | 87177770 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345628 | BOY |
| EOY | 311451 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5279863 | BOY |
| EOY | 9366588 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372484313 | BOY |
| EOY | 370251270 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20460275 | BOY |
| EOY | 18824287 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49436 | BOY |
| EOY | 46400 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192296463 | BOY |
| EOY | 189325321 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 504466 | BOY |
| EOY | 454844 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60020870 | BOY |
| EOY | 61836004 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273331510 | BOY |
| EOY | 270486856 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99152803 | BOY |
| EOY | 99764414 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99152803 | BOY |
| EOY | 99764414 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372484313 | BOY |
| EOY | 370251270 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 293421 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 3171853 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -2853663 | 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 | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $24,467 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 24467 | 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 | THE ORGANIZATION PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AS WELL AS THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA). A PORTION OF THESE DUES, SPECIFICALLY $24,467, WAS RELATED TO LOBBYING ACTIVITIES OF THE AHA AND WVHA. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22303015 | OtherCostOrOtherBasis |
| Book Value | 22303015 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 174934248 | OtherCostOrOtherBasis |
| Depreciation | 41902450 | Depreciation |
| Book Value | 133031798 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 186483187 | OtherCostOrOtherBasis |
| Depreciation | 91680015 | Depreciation |
| Book Value | 94803172 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3597528 | OtherCostOrOtherBasis |
| Depreciation | 35883316 | Depreciation |
| Book Value | -32285788 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 217852197 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF-FUNDED INSURANCE RESERVE | $8,365,423 |
| PENSION LIABILITY | $15,108,219 |
| BOND INTEREST SWAP LIABILITY | $21,103,760 |
| OTHER | $17,258,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 61836004 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | WEST VIRGINIA UNITED HEALTH SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10090987 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10090987 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04320 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35071903 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29368096 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5703807 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45162890 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29368096 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15794794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06760 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 797948 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 797948 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1384763 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 336340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1048423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 187808 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 187808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2370519 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 336340 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2034179 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47533409 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29704436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17828973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07630 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $6,704,978 | BadDebtExpenseAmount |
| Amount Attributable To | 1340996 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 68343872 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 87155046 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -18811174 | 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 |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | DISPROPORTIONATE SHARE HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: WORKSHEET 2, "RATIO OF PATIENT CARE, COST TO CHARGES' WAS USED TO COMPLETE THE COST-TO-CHARGE RATIO IN PART I, LINE 7. FOR "OTHER BENEFITS", ACTUAL EXPENSES OF THE ORGANIZATION AT COST WERE USED IN ADDITION TO SOME DONATED ITEMS VALUED AT FAIR MARKET VALUE. | |
| PART I, L7 COL(F): THE AMOUNT OF TOTAL EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES A BAD DEBT EXPENSE OF $18,848,052 WHICH HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENT OF TOTAL EXPENSE IN COLUMN (F). | |
| PART III, LINE 4: BAD DEBT EXPENSE AT COST IS CALCULATED BY MULTIPLYING THE INTERNAL FINANCIAL STATEMENT AMOUNT OF BAD DEBT EXPENSE ($18,700,858) BY THE COST TO CHARGE RATIO (35.85%) WHICH WAS DETERMINED BY USING IRS WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY IS CALCULATED BASED ON THE ESTIMATE OF 20% OF THE BAD DEBT AT COST. THE RATIONALE FOR THIS IS THAT SELF-PAY BALANCES AFTER INSURANCE ARE NOT ACCOUNTS THAT THE ORGANIZATION FOCUSES A LOT OF EFFORT ON. THE ORGANIZATION FOCUSES THEIR EFFORTS ON QUALIFYING PATIENTS FOR CHARITY CARE ON PRIMARY SELF-PAY ACCOUNTS. NOT ALL PATIENTS TAKE THE INITIATIVE TO SEE IF THEY QUALIFY FOR CHARITY CARE. | |
| PART III, LINE 8: THE ORGANIZATION USED INFORMATION FROM THEIR COST REPORT TO COMPLETE THIS SECTION AS WELL AS THEIR INTERNAL REPORTS.THE ORGANIZATION RAN A REPORT FOR 2012 OF EVERY PATIENT THAT QUALIFIED FOR MEDICARE THAT WOULD ALSO HAVE QUALIFIED MEDICAID IF MEDICARE DID NOT EXIST. THE ORGANIZATION BELIEVES THAT IF A PERSON IS QUALIFIED FOR MEDICAID, THEY WOULD HAVE ALSO QUALIFIED UNDER THE ORGANIZATION'S CHAIRTY CARE GUIDELINES. THE ORGANIZATION FOUND THAT 18.84% OF MEDICARE PATIENTS WERE DUALLY ELIGIBLE FOR MEDICARE/MEDICAID. THEREFORE, 18.84% OF THE SHORTFALL, OR $3,544,025, WOULD QUALIFY AS COMMUNITY BENEFIT. | |
| PART III, LINE 9B: IF A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEN NO COLLECTION ACTIVITY WILL OCCUR ON THEIR ACCOUNT. THE CHARITY QUALIFICATION IS GOOD FOR SIX-MONTHS, SO ANY SUBSEQUENT VISITS DURING THAT SIX-MONTH PERIOD WOULD ALSO QUALIFY FOR CHARITY CARE AND WOULD NOT BE SUBJECT TO COLLECTION ACTIVITY. | |
| PART V, SECTION B, LINE 3: THE ORGANIZATION COLLECTED A VAST AMOUNT OF DEMOGRAPHIC DATA ON THE COMMUNITY SERVED, MET WITH UNITED WAY AGENCIES AND THE HEALTH DEPARTMENT, AND USED INFORMATION GARNERED FROM STUDIES PERFORMED BY THE SISTERS OF ST. JOSEPH. | CAMDEN-CLARK MEMORIAL HOSPITAL CORP. |
| PART VI, LINE 2: THE ORGANIZATION IS PART OF THE MID-OHIO VALLEY RURAL HEALTH ALLIANCE. THE ALLIANCE MEMBERS JOINTLY ASSESS THE NEEDS OF THE REGION AND WORK WITH A CONSULTANT TO ENSURE THAT THOSE NEEDS ARE ADDRESSED. IN ADDITION, DURING 2012 THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION 501(R) OF THE INTERNAL REVENUE CODE. THE CHNA WAS PREPARED USING DEMOGRAPHIC DATA FROM OUR COMMUNITY AS WELL AS INFORMATION GATHERED FROM STATE AND LOCAL AGENCIES AS WELL AS COMMUNITY LEADERS. THE MOST PRESSING HEALTHCARE NEEDS IN OUR COMMUNITY WERE IDENTIFIED AND PLANS PUT INTO PLACE FOR THE ORGANIZATION TO ADDRESS THOSE NEEDS THAT WERE NOT ALREADY BEEN ADDRESSED BY OTHER ORGANIZATIONS. | |
| PART VI, LINE 3: THE ORGANIZATION PROVIDES, IN WRITING, ALL OPTIONS FOR POSSIBLE FINANCIAL ASSISTANCE. THIS INFORMATION IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION ALSO HAS REPRESENTATIVES THAT ARE AVAILABLE TO DISCUSS OPTIONS WITH INPATIENTS AND OUTPATIENTS ON A DAILY BASIS. STATE MEDICAID WORKERS ARE ONSITE TO HELP DETERMINE PATIENT ELIGIBITY AND TO ASSIST PATIENTS THROUGH THE ELIGIBILITY PROCESS. | |
| PART VI, LINE 4: CAMDEN-CLARK MEDICAL CENTER, LOCATED IN PARKERSBURG, WV, SERVICES THE MID-OHIO VALLEY REGION OF WEST VIRGINIA AND OHIO. THE PRIMARY SERVICE AREA CONSISTS PRIMARILY OF FOUR COUNTIES WITH AN ESTIMATED TOTAL POPULATION OF APPROXIMATELY 164,000 PEOPLE AND A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $39,000. IT IS AN AGING POPULATION. THERE IS A DECLINING CORPORATE PRESENCE IN THE AREA WHICH HAS NEGATIVELY IMPACTED THE UNEMPLOYMENT RATE. THERE IS ONE OTHER HOSPITAL WITHIN THE PRIMARY SERVICE AREA, LOCATED IN MARIETTA, OH. IN ADDITION, THE COMMUNITY INCLUDES SEVERAL FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. | |
| PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO MANY OF ITS DEPARTMENTS.ANY SURPLUS OF FUNDS IS USED PRIMARILY TO ENHANCE PATIENT CARE. WHILE NO RESEARCH IS DONE AT THE FACILITY, A RESIDENCY PROGRAM WAS STARTED IN 2009. | |
| PART VI, LINE 6: CAMDEN-CLARK MEMORIAL HOSPITAL IS PART OF THE WEST VIRGINIA UNITED HEALTH SYSTEM. CCMH PLAYS A SIGNIFICANT ROLE IN IMPROVING THE HEALTH OF THE COMMUNITY. THE STATEGIC PLAN OF THE SYSTEM STATES INTENT TO BUILD A REGIONAL HEALTH CARE DELIVERY SYSTEM IN ITS SERVICES AREA WHILE OFFERING A VARIETY OF OPTIONS FOR PROVIDERS WHO WANT TO PARTICIPATE. THE SYSTEM MAINTAINS A DEMONSTRATED COMMITMENT TO ASSIST RURAL COMMUNITIES IN PRESERVING AND IMPROVING THE HEALTH CARE AVAILABLE TO THE PATIENTS IT SERVES. SYSTEM MANAGEMENT IS FOCUSED ON RECRUITMENT OF STAFF AND EMPLOYEES TO MEET THE GROWING NEEDS OF THE AGING POPULATION IN THE SYSTEM'S SERVICES AREAS. OTHER HOSPITALS IN THE SYSTEM INCLUDE UNITED HEALTH CENTER, WHICH IS MORE CENTRALLY LOCATED IN THE STATE, JEFFERSON MEMORIAL HOSPITAL AND CITY HOSPITALS, INC., WHICH ARE LOCATED IN THE EASTERN PANHANDLE OF WEST VIRGINIA, AND WEST VIRGINIA UNIVERSITY HOSPITALS LOCATED IN MORGANTOWN, WV. THE SYSTEM ALSO INCLUDES THE PHYSICIAN PRACTICES OF UNITED PHYSICIANS CARE, INC. AND CAMDEN CLARK PHYSICIAN CORP THAT OPERATE IN CONJUNCTION WITH THE SYSTEM HOSPITALS. UNITED SUMMIT CENTER IS A BEHAVIORAL HEALTH CENTER LOCATED IN CLARKSBURG, WV. IN ADDITION TO THESE PRACTICES, THE SYSTEM ALSO INCLUDES WVUH-EAST, INC. AND CAMDEN CLARK HEALTH SERVICES WHICH OPERATE AS MANAGEMENT COMPANIES FOR THEIR RESPECTIVE HOSPITALS. THE SYSTEM ALSO HAS FOUNDATIONS THAT DO VARIOUS FUNDRAISING ACTIVITIES FOR THE HOSPITALS. CITY HOSPITAL FOUNDATION AND JEFFERSON HEALTHCARE FOUNDATION OPERATE IN THE EASTERN PANHANDLE, UNITED HEALTH FOUNDATION OPERATES IN CLARKSBURG, AND CAMDEN CLARK FOUNDATION OPERATES IN PARKERSBURG, WV. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| WOOD COUNTY ROTARY | |||||||||
| PO BOX 5068 | VIENNA | WV | 26105 | 550652867 | 501(C)(4) | 5000 | N/A | N/A | OPERATIONS |
| WOOD COUNTY DEVELOPMENT AUTHORITY | |||||||||
| PO BOX 1683 | PARKERSBURG | WV | 26102 | 550575873 | 501(C)(4) | 5500 | N/A | N/A | OPERATIONS |
| GOOD SAMARITAN CLINIC | |||||||||
| 418 GRAND PARK DRIVE | PARKERSBURG | WV | 26101 | 550708491 | 501(C)(3) | 30000 | CLINIC OPERATIONS | ||
| WEST VIRGINIA CENTER FOR NURSING | |||||||||
| 1018 KANAWHA BLVD EAST SUITE 700 | CHARLESTON | WV | 25301 | 203711601 | 5000 | OPERATIONS | |||
| BOY SCOUTS OF AMERICA | |||||||||
| 1340 JULIANA STREET | PARKERSBURG | WV | 26101 | 436075050 | 501(C)(3) | 5000 | OPERATIONS | ||
| OHIO UNIVERSITY FOUNDATION | |||||||||
| 205 GROSEVENOR HALL | ATHENS | OH | 45701 | 316402269 | 501(C)(3) | 63000 | N/A | N/A | DIABETES FELLOWSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
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: CONTRIBUTIONS ARE DISCRETIONARY AND DECISIONS ON WHICH ORGANIZATIONS CAMDEN-CLARK MEMORIAL HOSPITAL SUPPORTS ARE MADE BY THE CEO IN CONJUNCTION WITH THE DIRECTOR OF MARKETING. TYPICALLY, LOCAL ORGANIZATIONS ARE SUPPORTED THROUGHOUT THE YEAR AND THE DONATIONS ARE TYPICALLY NOT SPECIFICALLY RESTRICTED, SO THERE IS NO FOLLOW UP PROCESS FOR MONITORING THE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL A KING | ||||||||||||||
| PRESIDENT/CEO | 499728 | 0 | 0 | 0 | 39500 | 0 | 96711 | 0 | 4322 | 0 | 640261 | 0 | 0 | 0 |
| ALLEN R BUTCHER | ||||||||||||||
| TREASURER/CFO | 302732 | 0 | 0 | 0 | 34000 | 0 | 13243 | 0 | 3582 | 0 | 353557 | 0 | 0 | 0 |
| TODD A KRUGER | ||||||||||||||
| VICE PRESIDENT | 268243 | 0 | 0 | 0 | 23981 | 0 | 75396 | 0 | 3431 | 0 | 371051 | 0 | 0 | 0 |
| DAVID MCCLURE | ||||||||||||||
| VP OF OPERATIONS | 188531 | 0 | 0 | 0 | 22500 | 0 | 8310 | 0 | 4067 | 0 | 223408 | 0 | 0 | 0 |
| TOM HELLER | ||||||||||||||
| VP OF HR | 187892 | 0 | 0 | 0 | 39500 | 0 | 9822 | 0 | 600 | 0 | 237814 | 0 | 0 | 0 |
| CYNTHIA KERN | ||||||||||||||
| VP OF QUALITY | 140980 | 0 | 0 | 0 | 17000 | 0 | 7895 | 0 | 2413 | 0 | 168288 | 0 | 0 | 0 |
| SHERRY SIMMONS | ||||||||||||||
| CHIEF NURSING OFFICER | 168637 | 0 | 0 | 0 | 22500 | 0 | 3796 | 0 | 1238 | 0 | 196171 | 0 | 0 | 0 |
| GENE SEXTON | ||||||||||||||
| PHARMACIST | 121781 | 0 | 0 | 0 | 16682 | 0 | 6741 | 0 | 5360 | 0 | 150564 | 0 | 0 | 0 |
| SHAUN CARTER | ||||||||||||||
| PHARMACY MANAGER | 133334 | 0 | 0 | 0 | 0 | 0 | 30626 | 0 | 143 | 0 | 164103 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | MEMBERSHIPS AT THE FAMILY FITNESS CENTER ARE OFFERED TO EACH MEMBER OF THE SENIOR LEADERSHIP TEAM. THESE ARE COVERED IN THE APPLICABLE EMPLOYMENT CONTRACTS. THE HOUSING ALLOWANCE WAS PROVIDED TO A CERTAIN NEWLY HIRED CHIEF NURSING OFFICER WHO DID NOT LIVE LOCALLY. THIS ALLOWANCE WAS DOCUMENTED IN THE EMPLOYMENT OFFER LETTER. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 621256910 | 956622VY7 | 2004-06-30 | 96695947 | SEE SCHEDULE O | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| B | 621256910 | 956622A87 | 2009-10-16 | 25063291 | REFUND PRIOR ISSUE (9/13/2007) | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| C | 621256910 | 956622D35 | 2011-03-01 | 73555712 | PURCHASE ASSETS OF ST. JOSEPHS HOSPITAL | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||||
| D | 621256910 | 2012-08-01 | 50080000 | REFUND 2011 SERIES A BONDS | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 96250000 | 6480328 | 5856926 | 957082 | 4364162 | 54490515 | 24666322 | 270826 | 2008 | 1 | 0 | 1 | 1 | |
| B | 25063291 | 1652833 | 220575 | 328403 | 31197274 | 1278049 | 1 | 0 | 0 | 1 | ||||
| C | 73555712 | 435854 | 70741634 | 0 | 0 | 0 | 1 | 50000000 | ||||||
| D | 50080000 | 80000 | 50000000 | 2012 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 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 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Business Name Line2NameOfGICProvider/BusinessNameLine2 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||||||||||
| A | 0 | 0 | 1 | 0 | 1 | 1 | 29.600000000000 | 0 | 0 | 1 | LEHMAN BROTHERS | SPECIAL FINANCING | 29.600000000000 | 1 | 1 | 0 |
| (no name) | ||||||||||||||||
| B | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | |||||||
| (no name) | ||||||||||||||||
| C | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||||||
| (no name) | ||||||||||||||||
| D | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||||||
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K SUPPLENTAL INFORMATION | Identifier |
| Explanation | WEST VIRGINIA UNIVERSITY HOSPITALS, INC. (WVUH), EIN 55-0643304; CITY HOSPITAL, INC. (CITY HOSPITAL), EIN 55-0383321; THE CHARLES TOWN GENERAL HOSPITAL (D/B/A JEFFERSON MEMORIAL HOSPITAL), EIN 55-0359755; CITY HOSPITAL FOUNDATION, INC. (CITY HOSPITAL FOUNDATION), EIN 31-1118075; UNITED HOSPITAL CENTER, INC. (UNITED HOSPITAL CENTER), EIN 55-0525724; AND CAMDEN-CLARK MEMORIAL HOSPITAL, INC. (CAMDEN-CLARK), EIN 31-1524546 ARE MEMBERS OF THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP AND HAVE ISSUED TAX-EXEMPT BONDS AS THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP. THESE BOND ISSUANCES ARE INTERNALLY ALLOCATED WITHIN THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP TO THE MEMBER WHO WILL BE USING THE FUNDS. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PARKERSBURG NEUROLOGICAL ASSOCIATES | |||
| BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD | 102659 | PAYMENT REMITTED TO PARKERSBURG NEUROLOGICAL ASSOCIATES FOR THE ORGANIZATION'S USE OF EQUIPMENT, SUPPLIES, AND STAFF AND INTRAOPERATIVE MONITORING ON THE ORGANIZATION'S NEUROSURGERY CASES | 0 |
| PARKERSBURG NEUROLOGICAL ASSOCIATES | |||
| BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD | 26869 | REVENUE RECEIVED FROM PARKERSBURG NEUROLOGICAL ASSOCIATES FOR LEASE OF THE ORGANIZATION'S OFFICE SPACE | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART IV, LINE 20B: | THE ORGANIZATION MUST ATTACH A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. ATTACHED ARE THE CONSOLIDATED FINANCIAL STATEMENTS OF WEST VIRGINIA UNITED HEALTH SYSTEM, INC. (WVUHS) AND CONTROLLED ENTITIES. WVUHS BECAME THE SOLE MEMBER OF CAMDEN CLARK HEALTH SERVICES, INC., THE PARENT CORPORATION OF CAMDEN-CLARK MEMORIAL HOSPITAL ON MARCH 1, 2011. THE FINANCIAL POSITION, RESULTS OF OPERATIONS, AND CASH FLOWS OF CAMDEN-CLARK MEMORIAL HOSPITAL ARE INCLUDED IN THE AFOREMENTIONED CONSOLIDATED AUDITED FINANCIAL STATEMENTS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | CAMDEN-CLARK HEALTH SERVICES, INC., A NON-PROFIT, TAX-EXEMPT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY CAMDEN CLARK HEALTH SERVICES, INC.,SUBJECT TO APPROVAL BY WEST VIRGINIA UNITED HEALTH SYSTEM (WVUHS). | |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER OF CAMDEN CLARK HEALTH SERVICES, INC., WVUHS THROUGH ITS AFFILIATION AGREEMENT, HOLDS POWER TO APPROVE CERTAIN DECISIONS SUCH AS: - ANNUAL BUDGET - CAPITAL EXPENDITURES OVER $1 MILLION - NEW DEBT OVER $1 MILLION - NEW PROGRAMS - EXTRAORDINARY FILINGS | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE REVIEW THE COMPLETED FORM PRIOR TO FILING AND A DRAFT COPY OF THE FORM IS ALSO REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO BEING FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | TO IDENTIFY AND MONITOR ANY CONFLICTS, A SIGNED CONFLICT OF INTEREST STATEMENT IS REQUIRED FROM BOARD MEMBERS OF THE ORGANIZATION AND KEY INDIVIDUALS THAT ARE IN A POSITION TO MAKE OR INFLUENCE DECISIONS. IF AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST IS OBSERVED OR DISCLOSED, THE ORGANIZATION INVOKES THE PROCEDURES SET OUT IN THE POLICY/BYLAWS FOR ADDRESSING THE CONFLICT OF INTEREST. FOR KEY INDIVIDUALS (EMPLOYEES), A SPECIFIC CONFLICT OF INTEREST STANDARD IN THE ORGANIZATION'S CODE OF ETHICS AND BUSINESS CONDUCT ALSO EXISTS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION UTILIZES AN EXECUTIVE COMPENSATION CONSULTANT TO SURVEY DATA AND MAKE RECOMMENDATIONS. THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE ON REQUEST AND ARE ALSO AVAILABLE ON THE WEST VIRGINIA HEALTHCARE AUTHORITY WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. | |
| FORM 990, PART VII: | DR. JENNIFER LEAVITT WAS COMPENSATED FOR HER ROLE IN OVERSEEING THE ORGANIZATION'S RESIDENT PROGRAM, AND NOT FOR HER ROLE AS A BOARD MEMBER OF THE ORGANIZATION. | |
| FORM 990, PART XI, LINE 9: | ANNUAL PENSION LIABILITY VALUATION ADJUSTMENT 2,990,439. TRANSFERS TO RELATED ORGANIZATIONS -6,075,360. ANNUAL ADJUSTMENT TO VALUATION OF INTEREST RATE SWAP LIABILITY 9,048,360. CUMULATIVE CHANGE IN INTEREST RATE SWAP -8,817,102. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY FITNESS CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2804 BIRCH STREET | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550774193 | EIN |
| Primary Activities | PROVIDE AN EXERCISE FACILITY FOR THE COMMUNITY | PrimaryActivities |
| Legal Domicile State | WV | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CAMDEN-CLARK HEALTH SERVICES INC | ||||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550769602 | AIDS, STRENGTHENS, AND SUPPORTS CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| CAMDEN-CLARK FOUNDATION | ||||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550667789 | RAISE AND MANAGE FUNDS FOR CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| AUXILIARY OF CAMDEN-CLARK MEMORIAL HOSPITAL OF PARKERSBURG | ||||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550386283 | PROMOTES ADVANCEMENT AND WELFARE OF CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | LINE 3 | N/A | 0 |
| CAMDEN-CLARK PHYSICIAN CORPORATION | ||||||||||
| 604 ANN STREET | PARKERSBURG | WV | 26102 | 264058719 | FURNISHES FACILITIES AND SERVICES TO PROVIDE MEDICAL SERVICES. | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| WEST VIRGINIA UNITED HEALTH SYSTEM | ||||||||||
| 1000 TECHNOLOGU DRIVE | FAIRMONT | WV | 26554 | 550175471 | HEALTHCARE ACCESS | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| WEST VRIGINIA UNIVERSITY HOSPITALS INC | ||||||||||
| PO BOX 8034 | MORGANTOWN | WV | 26506 | 550643304 | PATIENT CARE | WV | 501(C)3 | LINE 3 | N/A | 0 |
| WEST VIRGINIA UNIVERSITY HOSPITALS EAST | ||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 202337985 | HEALTHCARE ACCESS | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| CITY HOSPITAL INC | ||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 550383321 | PATIENT CARE | WV | 501(C)3 | LINE 3 | N/A | 0 |
| JEFFERSON MEMORIAL HOSPITAL | ||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 550359755 | PATIENT CARE | WV | 501(C)3 | LINE 3 | N/A | 0 |
| CITY HOSPITAL FOUNDATION | ||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 311118075 | HOSPITAL SUPPORT | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| JEFFERSON HEALTHCARE FOUNDATION | ||||||||||
| 2000 FOUNDATION WAY | MARTINSBURG | WV | 25401 | 550768901 | HOSPITAL SUPPORT | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| UNITED HOSPITAL CENTER INC | ||||||||||
| 327 MEDICAL PARK DRIVE | BRIDGEPORT | WV | 26330 | 550525724 | PATIENT CARE | WV | 501(C)3 | LINE 3 | N/A | 0 |
| UNITED PHYSICIANS CARE INC | ||||||||||
| 686 SOUTH PIKE STREET | SHINNSTON | WV | 26431 | 550638563 | PATIENT CARE | WV | 501(C)3 | LINE 3 | N/A | 0 |
| UNITED HOSPITAL FOUNDATION | ||||||||||
| 327 MEDICAL PARK DRIVE | BRIDGEPORT | WV | 26330 | 550621706 | HOSPITAL SUPPORT | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| WVU HEALTHCARE CO-OP | ||||||||||
| PO BOX 8059 | MORGANTOWN | WV | 26506 | 550650441 | SUPPORT | WV | 501(C)3 | LINE 11A, I | N/A | 0 |
| UNITED SUMMIT CENTER | ||||||||||
| 6 HOSPITAL PLAZA | CLARKSBURG | WV | 26301 | 550752788 | BEHAVIORAL HEALTH | WV | 501(C)3 | LINE 3 | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OHIO VALLEY AMBULATORY SURGERY CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 608 WASHINGTON BLVD | AddressLine1 |
| City | BELPRE | City |
| State | OH | State |
| ZIP Code | 45714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208671724 | EIN |
| Primary Activity | OUTPATIENT SURGICAL SERVICES | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 995124 | ShareOfTotalIncome |
| Share Of EOY Assets | 878127 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.62500 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| ALLIED HEALTH SERVICES INC | |||||||||
| PO BOX 782 | MORGANTOWN | WV | 26507 | 550652017 | MEDICAL LAB | WV | WV UNITED HEALTH SYSTEM | C | 0 |
| WEST VIRGINIA UNITED INSURANCE SERVICES | |||||||||
| 1000 TECHNOLOGY DRIVE SUITE 2320 | FAIRMONT | WV | 26554 | 550756055 | PROVIDER NETWORK | WV | WV UNITED HEALTH SYSTEM | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | 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 | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | 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 | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| WEST VIRGINIA UNITED HEALTH SYSTEM | ||
| P | 2734991 | COST |
| WEST VIRGINIA UNIVERSITY HOSPITALS INC | ||
| P | 118469 | COST |
| WV UNITED INSURANCE SERVICES | ||
| M | 60000 | COST |
| ALLIED HEALTH SERVICES INC | ||
| M | 860418 | COST |