2013-11-15T15:49:57-06:00 2012-12-31 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2012-01-01 550753754 CAMC Health Education and Research Institute Inc CAMC 3043889900 PO Box 1547 Charleston WV 253261547 Sharon A Hall 3043889900 2013-11-15 1 Laura Gillespie P00855604 3124861000 2012 2016-02-25 16:41:14Z CAMC Institute Sharon A Hall 3200 MacCorkle Ave Charleston WV 25304 10054468 0 X www.camcinstitute.org X 1996 WV CAMC 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. 11 2 132 41 0 0 2854862 1852834 4065928 4483001 0 0 4171867 3718633 11092657 10054468 0 0 0 0 6607312 6238823 0 0 0 5143090 4035657 11750402 10274480 -657745 -220012 5832233 6026067 2807207 2779564 3025026 3246503 X CAMC 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. 0 0 4313252 2817016 The 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. 2315494 Provision 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. 2327634 79312 Provision of various health programs designed to improve health education and awareness in the state and local communities. 8956380 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 91 0 1 132 1 0 0 0 0 0 0 0 0 0 0 0 X 11 2 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X Larry C Hudson 3043887603 501 Morris Street Charleston WV 25301 William H Carter MD 1.00 X 0 0 0 Glenn Crotty Jr MD 1.00 55.50 X 0 663053 76083 Clark Hansbarger MD 1.00 X 0 0 0 Steven Jubelirer MD 1.00 44.00 X 0 364475 34375 Ronald E Moore 1.00 50.00 X 0 302430 236017 E Gail Pitchford 1.00 50.00 X 0 246744 75783 David L Ramsey 1.00 58.50 X 0 1378967 504531 Beth A Samples 1.00 55.00 X 0 120832 22836 Kristi Snyder 6.00 50.00 X 0 125451 14324 Edwin Welch PhD 1.00 5.00 X 0 0 0 Sharon A Hall 55.00 X X 278782 0 55319 Robert D Whitler 1.00 50.00 X X 0 232790 32812 Gregory E Souther 40.00 X 96298 0 13406 Nancy L Tierney 40.00 X 189137 0 36267 Priscilla P Walkup 40.00 X 165578 0 20015 William A White Jr 39.00 1.00 X 161570 4156 35942 Cassandra L Taylor 40.00 X 158854 0 19544 Kathryn F Newcome 37.00 3.00 X 147815 13444 29927 1198034 3452342 1207181 9 0 1 0 Marshall University One John Marshall Drive Huntington WV 25755 School of Anesthesia Faculty 438507 WVU Physicians of Charleston 3110 MacCorkle Ave Charleston WV 25304 Professional Fees 135821 Development Dimensions Int'l 1225 Washington Pike Bridgeville PA 15017 Educational Consultants 133216 3 202761 1650073 1852834 Education Services 611710 2817016 2817016 Research Revenue 621990 1586673 1586673 Non Clinical Services 621990 79312 79312 4483001 Affiliate Transfer 900099 3718633 3718633 3718633 10054468 2896328 0 5305306 X 425584 425584 4714129 4674844 39285 175993 158448 17545 580633 56824 523809 342484 319303 23181 86568 86568 3397 3397 25338 18570 6768 1068352 1068352 38251 38251 217976 213630 4346 53218 52953 265 441762 342504 99258 214998 213199 1799 1183887 1166191 17696 415736 389781 25955 10750 1324 9426 Medical Supplies 108981 108981 Other Supplies 46913 46913 Dietary 46850 45938 912 Repairs and Maintenance 12095 11814 281 60585 28560 32025 10274480 8956380 1318100 0 497556 394626 6654 39022 6088765 4936949 1356071 1151816 3971952 4440603 5832233 6026067 1647909 1532717 1159298 1246847 2807207 2779564 X -1242302 -1299593 2559050 2835829 1708278 1710267 3025026 3246503 5832233 6026067 X -220012 441489 X 0 1 X 1 1 1 X X X 0 0 0 Charleston Area Medical Center Inc 550526150 3 1 1 1 3360174 1 3360174 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3112457 9539 340487 77204 3385279 3350983 9827 9003 257356 3112457 3192263 11882 340282 191625 1819 3350983 2863709 10174 479445 154052 7013 3192263 2863709 2863709 0.51000 0.49000 0 1 1 210293 166878 43415 5878472 4770071 1108401 1151816 Interest in Net Asset : CAMC Foundation 3385279 Affiliate Receivables 1055324 4440603 Affiliate Payable 609775 Accrued Payroll and Related Payroll Expenses 637072 1246847 X 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." 0 1 0 0 0 0 0 1 0 Glenn Crotty Jr MD 0 402586 0 198654 0 61813 0 54884 0 21199 0 739136 0 38917 Steven Jubelirer MD 0 364475 0 0 0 0 0 15000 0 19375 0 398850 0 0 Ronald E Moore 0 202752 0 61921 0 37757 0 226534 0 9483 0 538447 0 23969 E Gail Pitchford 0 160015 0 54408 0 32321 0 63434 0 12349 0 322527 0 16251 David L Ramsey 0 632672 0 279762 0 466533 0 460678 0 43853 0 1883498 0 65766 Sharon A Hall 163751 0 59237 0 55794 0 37720 0 17599 0 334101 0 25567 0 Robert D Whitler 0 159630 0 48137 0 25023 0 9311 0 23501 0 265602 0 0 Nancy L Tierney 166128 0 15514 0 7495 0 10971 0 25296 0 225404 0 0 0 Priscilla P Walkup 158316 0 600 0 6662 0 9701 0 10314 0 185593 0 0 0 William A White Jr 154808 4156 600 0 6162 0 9946 0 25996 0 197512 4156 0 0 Cassandra L Taylor 158254 0 600 0 0 0 9701 0 9843 0 178398 0 0 0 Kathryn F Newcome 147215 13444 600 0 0 0 10568 0 19359 0 177742 13444 0 0 Part I, Line 3 The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of 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 4b Supplemental Executive Retirement Plan ("SERP"). Participants are members of the Executive group.Terms & Conditions of SERP Plan, Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Benefit Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected,if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less than 30 and .5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): 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 7 CAMC provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the CAMC Health System, Inc. (CAMC's parent company) Board of Directors Compensation Committee. Form 990, Part VI, Section A, line 2 Glenn 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 6 CAMC Health System,Inc.("CAMCHSI") is CHERI's sole voting member. Form 990, Part VI, Section A, line 7a CAMC 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 7b CAMCHSI 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 11 CHERI 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 12c Corporate officers including the President and Secretary develop the agendas for board meetings and identify potential conflict of interest issues relative to action items and assist the 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 15 The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including 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 19 The 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. Other Fees Form 990, Part IX, line 11g Consulting 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. Changes in Net Assets or Fund Balances: 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. Explanation of Compensation paid to Directors: 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. CAMC Health System Inc PO Box 1547 Charleston WV 253261547 550664138 Parent Company WV Section 501(c)(3) Line 11, Type III-FI N/A 0 Charleston Area Medical Center Inc PO Box 1547 Charleston WV 253261547 550526150 Hospital WV Section 501(c)(3) Line 3 CAMC Health System Inc 1 CAMC Teays Valley Hospital Inc PO Box 1547 Charleston WV 253261547 550752636 Hospital WV Section 501(c)(3) Line 3 CAMC Health System Inc 1 Charleston Area Medical Center Foundation Inc PO Box 1547 Charleston WV 253261547 310887133 Foundation WV Section 501(c)(3) Line 11, Type II CAMC Health System Inc 1 Women and Children's Medical Office Building Partnership PO Box 1547 Charleston WV 253261547 550669065 Medical Office Building WV N/A General Division Medical Office Building Partnership PO Box 1547 Charleston WV 253261547 550623949 Medical Office Building WV N/A Integrated Health Care Providers Inc PO Box 1547 Charleston WV 253261547 550751010 Speciality Physician Practices WV N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 Charleston Area Medical Center Inc S 3360174 Contract Charleston Area Medical Center Inc K 252419 Contract Charleston Area Medical Center Inc M 378711 Contract Charleston Area Medical Center Inc P 2377178 FMV Charleston Area Medical Center Inc Q 929992 FMV Charleston Area Medical Center Inc S 358469 FMV CAMC Foundation Inc C 202761 Contract