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CAMC HEALTH EDUCATION AND RESEARCH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CAMC HEALTH EDUCATION AND RESEARCH (EIN 55-0753754)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349309269
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T15:49:57-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 S Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550753754EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAMC Health Education and ResearchBusinessNameLine1
Business Name Line2Institute IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCAMCNameControl
Phone3043889900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1547AddressLine1
CityCharlestonCity
StateWVState
ZIP Code253261547ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSharon A HallName
TitlePresidentTitle
Phone3043889900Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura GillespieName
PTINP00855604PTIN
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CAMC InstituteBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSharon A HallNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13200 MacCorkle AveAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10054468GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.camcinstitute.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionCAMC Health Education and Research Institute, Inc. ("CHERI")'s primary exempt purpose is to provide education opportunities and perform research which benefits both the community and Charleston Area Medical Center ("CAMC"), a not-for-profit corporation organized under the laws of the State of West Virginia. The organization administers a graduate medical education program. Its education focus and research opportunities center around anesthesia, and trauma, as well as other health related programs.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees132TotalNbrEmployees
Total Nbr Volunteers41TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2854862ContributionsGrantsPriorYear
Contributions Grants Current Year1852834ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4065928ProgramServiceRevenuePriorYear
Program Service Revenue CY4483001ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year4171867OtherRevenuePriorYear
Other Revenue Current Year3718633OtherRevenueCurrentYear
Total Revenue Prior Year11092657TotalRevenuePriorYear
Total Revenue Current Year10054468TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6607312SalariesEtcPriorYear
Salaries Etc Current Year6238823SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5143090OtherExpensePriorYear
Other Expenses Current Year4035657OtherExpensesCurrentYear
Total Expenses Prior Year11750402TotalExpensesPriorYear
Total Expenses Current Year10274480TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-657745RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-220012RevenuesLessExpensesCY
Total Assets BOY5832233TotalAssetsBOY
Total Assets EOY6026067TotalAssetsEOY
Total Liabilities BOY2807207TotalLiabilitiesBOY
Total Liabilities EOY2779564TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3025026NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3246503NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCAMC Health Education and Research Institute, Inc. ("CHERI")'s primary exempt purpose is to provide education opportunities and perform research which benefits both the community and Charleston Area Medical Center ("CAMC"), a not-for-profit corporation organized under the laws of the State of West Virginia. The organization administers a graduate medical education program. Its education focus and research opportunities center around anesthesia, cancer, and trauma, as well as treatment outcomes, and other health related programs.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4313252Expense
Revenue2817016Revenue
DescriptionThe organization serves as administrator of Charleston Area Medical Center, Inc. ("CAMC") graduate medical education and nurse anesthesia programs, and conducts a variety of professional education and training programs for CAMC healthcare professionals as well as healthcare professionals throughout the state of West Virginia.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2315494Expense
DescriptionProvision of services pertaining to various research activities including centers for clinical trials and cancer research, health services and outcomes research, trauma research and other health related research centers of excellence.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2327634Expense
Revenue79312Revenue
DescriptionProvision of various health programs designed to improve health education and awareness in the state and local communities.Description
FieldValueIRS element (for citing)
Total Program Service Expense8956380TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109691NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees132NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Larry C HudsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3043887603TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 Morris StreetAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
William H Carter MD
Director1.00X000
Glenn Crotty Jr MD
Director1.00X06630537608355.50
Clark Hansbarger MD
Director1.00X000
Steven Jubelirer MD
Director1.00X03644753437544.00
Ronald E Moore
Director1.00X030243023601750.00
E Gail Pitchford
Director1.00X02467447578350.00
David L Ramsey
Director1.00X0137896750453158.50
Beth A Samples
Director1.00X01208322283655.00
Kristi Snyder
Director6.00X01254511432450.00
Edwin Welch PhD
Director1.00X0005.00
Sharon A Hall
President & Director55.00X278782055319X
Robert D Whitler
Vice President/Director1.00X02327903281250.00X
Gregory E Souther
Secretary/Treasurer40.0096298013406X
Nancy L Tierney
Director School of Anesthesia40.00189137036267X
Priscilla P Walkup
CRNA Instructor40.00165578020015X
William A White Jr
CRNA Instructor39.001615704156359421.00X
Cassandra L Taylor
CRNA Instructor40.00158854019544X
Kathryn F Newcome
CRNA Instructor37.0014781513444299273.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1198034TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3452342TotalReportableCompFrmRltdOrgs
Total Other Compensation1207181TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Marshall University
One John Marshall DriveHuntingtonWV25755School of Anesthesia Faculty438507
WVU Physicians of Charleston
3110 MacCorkle AveCharlestonWV25304Professional Fees135821
Development Dimensions Int'l
1225 Washington PikeBridgevillePA15017Educational Consultants133216
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations202761RelatedOrganizations
Government Grants1650073GovernmentGrants
Total Contributions1852834TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Education Services61171028170162817016
Research Revenue6219901586673$1,586,673
Non Clinical Services6219907931279312
FieldValueIRS element (for citing)
Total Program Service Revenue4483001TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionAffiliate TransferDescription
Business Code900099BusinessCode
Total Revenue Column3718633TotalRevenueColumn
Exclusion$3,718,633ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3718633TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10054468TotalRevenueColumn
Related Or Exempt Function Income2896328RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,305,306ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total425584Total
Management And General425584ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4714129Total
Program Services4674844ProgramServices
Management And General39285ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total175993Total
Program Services158448ProgramServices
Management And General17545ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total580633Total
Program Services56824ProgramServices
Management And General523809ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total342484Total
Program Services319303ProgramServices
Management And General23181ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total86568Total
Management And General86568ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3397Total
Management And General3397ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25338Total
Program Services18570ProgramServices
Management And General6768ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1068352Total
Program Services1068352ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total38251Total
Program Services38251ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total217976Total
Program Services213630ProgramServices
Management And General4346ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53218Total
Program Services52953ProgramServices
Management And General265ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total441762Total
Program Services342504ProgramServices
Management And General99258ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total214998Total
Program Services213199ProgramServices
Management And General1799ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1183887Total
Program Services1166191ProgramServices
Management And General17696ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total415736Total
Program Services389781ProgramServices
Management And General25955ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10750Total
Program Services1324ProgramServices
Management And General9426ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies108981108981
Other Supplies4691346913
Dietary4685045938912
Repairs and Maintenance1209511814281

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total60585Total
Program Services28560ProgramServices
Management And General32025ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10274480Total
Program Services8956380ProgramServices
Management And General1318100ManagementAndGeneral
Fundraising0Fundraising

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY497556BOY
EOY394626EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6654BOY
EOY39022EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6088765LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4936949LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1356071BOY
EOY1151816EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3971952BOY
EOY4440603EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5832233BOY
EOY6026067EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1647909BOY
EOY1532717EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1159298BOY
EOY1246847EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2807207BOY
EOY2779564EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1242302BOY
EOY-1299593EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2559050BOY
EOY2835829EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1708278BOY
EOY1710267EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3025026BOY
EOY3246503EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5832233BOY
EOY6026067EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-220012ReconcilationRevenueExpenses
Reconcilation Other Changes441489ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Charleston Area Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN550526150EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$3,360,174Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts3360174SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3112457BeginningOfYearBalance
Contributions9539Contributions
Investment Earnings Or Losses340487InvestmentEarningsOrLosses
Other Expenditures77204OtherExpenditures
End Of Year Balance3385279EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3350983BeginningOfYearBalance
Contributions9827Contributions
Investment Earnings Or Losses9003InvestmentEarningsOrLosses
Other Expenditures257356OtherExpenditures
End Of Year Balance3112457EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3192263BeginningOfYearBalance
Contributions11882Contributions
Investment Earnings Or Losses340282InvestmentEarningsOrLosses
Other Expenditures191625OtherExpenditures
Administrative Expenses1819AdministrativeExpenses
End Of Year Balance3350983EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2863709BeginningOfYearBalance
Contributions10174Contributions
Investment Earnings Or Losses479445InvestmentEarningsOrLosses
Other Expenditures154052OtherExpenditures
Administrative Expenses7013AdministrativeExpenses
End Of Year Balance3192263EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions2863709Contributions
End Of Year Balance2863709EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.51000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.49000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis210293OtherCostOrOtherBasis
Depreciation166878Depreciation
Book Value43415BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5878472OtherCostOrOtherBasis
Depreciation4770071Depreciation
Book Value1108401BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1151816TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Interest in Net Asset : CAMC Foundation3385279
Affiliate Receivables1055324
FieldValueIRS element (for citing)
Total Book Value Other Assets4440603TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Affiliate Payable$609,775
Accrued Payroll and Related Payroll Expenses$637,072
FieldValueIRS element (for citing)
Total Of Amounts1246847TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:To provide education opportunities and perform medical research, which benefits both the community and CAMC.
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:CAMC Health Education and Research Institute 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: "CAMC, the Foundation, the Institute and CAMC Teays, are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code (the "Code") and applicable state statutes, but are subject to unrelated business income tax. The System does not have any material uncertain tax positions at December 31, 2012."

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Glenn Crotty Jr MD
Director040258601986540618130548840211990739136038917
Steven Jubelirer MD
Director03644750000015000019375039885000
Ronald E Moore
Director02027520619210377570226534094830538447023969
E Gail Pitchford
Director01600150544080323210634340123490322527016251
David L Ramsey
Director063267202797620466533046067804385301883498065766
Sharon A Hall
President & Director16375105923705579403772001759903341010255670
Robert D Whitler
Vice President/Director015963004813702502309311023501026560200
Nancy L Tierney
Director School of Anesthesia166128015514074950109710252960225404000
Priscilla P Walkup
CRNA Instructor158316060006662097010103140185593000
William A White Jr
CRNA Instructor154808415660006162099460259960197512415600
Cassandra L Taylor
CRNA Instructor15825406000009701098430178398000
Kathryn F Newcome
CRNA Instructor147215134446000001056801935901777421344400

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3The 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 CHERI's President and the other executives. The data is reviewed every two years or when a new person comes into an executive role.
Part I, Line 4bSupplemental Executive Retirement Plan ("SERP"). Participants are members of the Executive group.Terms & Conditions of SERP Plan, Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Benefit Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected,if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less than 30 and .5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): articipant-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.wEligible to receive SERP benefits upon earliest of: deferred vesting date; death; disability; involuntary termination without cause. Taxes due upon vesting. Subject to the Substantial Risk of Forfeiture. Neither contributions to nor distributions from the supplemental nonqualified plan were made in the current year.
Part I, Line 7CAMC 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 O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Glenn Crotty Jr., David Ramsey, Beth A. Samples, E. Gail Pitchford, Ronald E. Moore, Kristi Snyder, Robert D. Whitler, Steven Jubelirer have a business relationship due to joint employment by a common health system entity.
Form 990, Part VI, Section A, line 6CAMC Health System,Inc.("CAMCHSI") is CHERI's sole voting member.
Form 990, Part VI, Section A, line 7aCAMC Health System, Inc. ("CAMCHSI") is CHERI's sole voting member and has authority to elect all voting trustees of CHERI other than ex-officio trustees named in CHERI's governing documents. The sole voting member has the sole authority to amend CHERI's governing documents.
Form 990, Part VI, Section A, line 7bCAMCHSI is CHERI's sole voting member and has reserved powers under CHERI's governing documents, which provide that decisions of CHERI'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 11CHERI compiles necessary information for Form 990 through efforts of various Officers and Directors 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 Health System, Inc. Board of Directors and its Audit Committee. CAMC's CFO reviews the return with CHERI's Board of Directors.
Form 990, Part VI, Section B, line 12cCorporate 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 President with resolution of same. Annual disclosure procedures are implemented and the President and CAMC Health System, Inc. Board of Directors Nominating Committee periodically review conflict situations.
Form 990, Part VI, Section B, line 15The 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 CHERI) and executives (including CHERI's President). The Committee uses the data to determine the total compensation of CHERI's President 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 19The organization 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 IX, line 11gConsulting Fees: Program service expenses 1,200. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,200. Purchased Services: Program service expenses 1,066,835. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,066,835. Taxi Service: Program service expenses 317. Management and general expenses 0. Fundraising expenses 0. Total expenses 317.Other Fees
Form 990, Part XI, line 9:Change in Temporary Restricted 276,780. Change in Permanent Restricted 1,989. Capital Contribtutions released from Restriction 162,720.Changes in Net Assets or Fund Balances:
Form 990, Part VII, Section A:The compensation paid to individuals who are Directors reflects payment for their services in different roles at related organizations, not remuneration for their participation on the Board of Directors of CAMC Health Education and Research Institute, Inc.Explanation of Compensation paid to Directors:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CAMC Health System Inc
PO Box 1547CharlestonWV253261547550664138Parent CompanyWVSection 501(c)(3)Line 11, Type III-FIN/A0
Charleston Area Medical Center Inc
PO Box 1547CharlestonWV253261547550526150HospitalWVSection 501(c)(3)Line 31CAMC Health System Inc
CAMC Teays Valley Hospital Inc
PO Box 1547CharlestonWV253261547550752636HospitalWVSection 501(c)(3)Line 31CAMC Health System Inc
Charleston Area Medical Center Foundation Inc
PO Box 1547CharlestonWV253261547310887133FoundationWVSection 501(c)(3)Line 11, Type II1CAMC Health System Inc

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Women and Children's Medical Office Building Partnership
PO Box 1547CharlestonWV253261547550669065Medical Office BuildingWVN/A
General Division Medical Office Building Partnership
PO Box 1547CharlestonWV253261547550623949Medical Office BuildingWVN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Integrated Health Care Providers IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1547AddressLine1
CityCharlestonCity
StateWVState
ZIP Code253261547ZIPCode
FieldValueIRS element (for citing)
EIN550751010EIN
Primary ActivitySpeciality Physician PracticesPrimaryActivity
Legal Domicile StateWVLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Charleston Area Medical Center Inc
S3360174Contract
Charleston Area Medical Center Inc
K252419Contract
Charleston Area Medical Center Inc
M378711Contract
Charleston Area Medical Center Inc
P2377178FMV
Charleston Area Medical Center Inc
Q929992FMV
Charleston Area Medical Center Inc
S358469FMV
CAMC Foundation Inc
C202761Contract