CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION (EIN 31-1524546)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-08-15
- IRS object ID
- 201212289349301321
- Schema version
- 2010v3.4
- 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 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 | 2012-08-15T09:18:19-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-07-01 | 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 | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN S DULL | Name |
| Phone | 3042927343 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 258812865 | 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 | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1735 | TotalNbrEmployees |
| Total Nbr Volunteers | 450 | TotalNbrVolunteers |
| Total Gross UBI | 3057656 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 561355 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 290515 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 600434 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 165218470 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 187334388 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4355868 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7155188 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1828114 | OtherRevenuePriorYear |
| Other Revenue Current Year | 29180590 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 171692967 | TotalRevenuePriorYear |
| Total Revenue Current Year | 224270600 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 29600 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 52250 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 70209369 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 80850969 | 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 | 106243143 | OtherExpensePriorYear |
| Other Expenses Current Year | 117590016 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 176482112 | TotalExpensesPriorYear |
| Total Expenses Current Year | 198493235 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4789145 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 25777365 | RevenuesLessExpensesCY |
| Total Assets BOY | 260632900 | TotalAssetsBOY |
| Total Assets EOY | 384699358 | TotalAssetsEOY |
| Total Liabilities BOY | 170531779 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 262515526 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 90101121 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 122183832 | NetAssetsOrFundBalancesEOY |
| 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 | 183145085 | Expense |
| Grants | 52250 | Grants |
| Revenue | 211872766 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 183145085 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 214 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1735 | 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 | 5 | 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 |
| Other Website | X | OtherWebsite |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| LAURENCE MALLORY | ||||||||
| CHAIRMAN OF THE BOARD | 1.00 | X | 0 | 0 | 0 | |||
| TERRY CAPEL MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| KATHY G EDDY | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| RONALD ROBERTS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL MOREHEAD MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| GREG GORE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JENNIFER LEAVITT DO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL A KING | ||||||||
| PRESIDENT | 40.00 | 654956 | 0 | 54876 | X | |||
| ALLEN R BUTCHER | ||||||||
| TREASURER | 40.00 | 370532 | 0 | 15011 | X | |||
| TODD A KRUGER | ||||||||
| VICE PRESIDENT | 40.00 | 339031 | 0 | 18966 | X | |||
| DAVID MCCLURE | ||||||||
| VP OF OPERATIONS | 40.00 | 211361 | 0 | 11532 | X | |||
| TOM HELLER | ||||||||
| VP OF HR | 40.00 | 241471 | 0 | 13470 | X | |||
| CYNTHIA KERN | ||||||||
| VP OF QUALITY | 40.00 | 152047 | 0 | 9570 | X | |||
| PAMELA MINCKS | ||||||||
| PHARMACIST | 40.00 | 125220 | 0 | 8482 | X | |||
| GENE SEXTON | ||||||||
| PHARMACIST | 40.00 | 124497 | 0 | 10699 | X | |||
| JOSHUA WOODS | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 116346 | 0 | 9221 | X | |||
| SHAUN CARTER | ||||||||
| PHARMACY MANAGER | 40.00 | 118131 | 0 | 11283 | X | |||
| BRIAN STANDLEY | ||||||||
| DIRECTOR OF FINANCE | 40.00 | 112157 | 0 | 9152 | X | |||
| PAUL MODIE MD | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2565749 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 172262 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | 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 |
|---|---|---|---|---|---|
| ECLIPSYS CORPORATION | |||||
| THREE RAVINIA DRIVE | ATLANTA | GA | 30346 | SOFTWARE CONSULTING | 3268996 |
| CANDESCENT HEALING LLC | |||||
| 32 ELM PLACE SUITE 1 SOUTH | RYE | NY | 10580 | WOUND CARE SERVICES | 1452837 |
| HMP OF WOOD COUNTY | |||||
| 4535 DRESSLER RD NW | CANTON | OH | 47718 | HOSPITALISTS | 1245979 |
| QUEST DIAGNOSTICS | |||||
| 12436 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | LABORATORY SERVICES | 1111898 |
| JARVIS DOWNING AND EMCH INC | |||||
| PO BOX 6253 | WHEELING | WV | 26003 | CONTRACTOR | 1092198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| All Other Contributions | 600434 | AllOtherContributions |
| Total Contributions | 600434 | 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 | 187071707 | 184667874 | 2403833 |
| AMBULANCE FEES | 621910 | 235110 | 235110 | |
| COMMUNITY SERVICE | 624200 | 27571 | 27571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 187334388 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2455623 | TotalRevenueColumn |
| Exclusion | $2,455,623 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28254 | TotalRevenueColumn |
| Exclusion | $28,254 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 867487 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 457070 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 410417 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 410417 | TotalRevenueColumn |
| Exclusion | $410,417 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 38755630 | Securities |
| Other | 876 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 34085195 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4670435 | Securities |
| Other | 876 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4671311 | TotalRevenueColumn |
| Exclusion | $4,671,311 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| GAIN ON ASSET ACQUISIT | 900099 | 26414074 | 26414074 | ||
| CAFETERIA | 624200 | 1156553 | $1,156,553 | ||
| FAMILY FITNESS CENTER | 713940 | 653823 | 653823 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 545723 | TotalRevenueColumn |
| Related Or Exempt Function Income | 528137 | RelatedOrExemptFunctionIncome |
| Exclusion | $17,586 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28770173 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 224270600 | TotalRevenueColumn |
| Related Or Exempt Function Income | 211872766 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3057656 | UnrelatedBusinessRevenue |
| Exclusion | $8,739,744 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52250 | Total |
| Program Services | 52250 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2092823 | Total |
| Program Services | 547171 | ProgramServices |
| Management And General | 1545652 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59936250 | Total |
| Program Services | 55141350 | ProgramServices |
| Management And General | 4794900 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3059795 | Total |
| Program Services | 2815011 | ProgramServices |
| Management And General | 244784 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10925337 | Total |
| Program Services | 10051310 | ProgramServices |
| Management And General | 874027 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4836764 | Total |
| Program Services | 4449823 | ProgramServices |
| Management And General | 386941 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1512178 | Total |
| Program Services | 1391204 | ProgramServices |
| Management And General | 120974 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239568 | Total |
| Program Services | 239568 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350946 | Total |
| Program Services | 350946 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9246597 | Total |
| Program Services | 8506869 | ProgramServices |
| Management And General | 739728 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 585488 | Total |
| Program Services | 538649 | ProgramServices |
| Management And General | 46839 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41275292 | Total |
| Program Services | 37973269 | ProgramServices |
| Management And General | 3302023 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2770662 | Total |
| Program Services | 2549009 | ProgramServices |
| Management And General | 221653 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4475113 | Total |
| Program Services | 4117104 | ProgramServices |
| Management And General | 358009 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2997 | Total |
| Program Services | 2757 | ProgramServices |
| Management And General | 240 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43712 | Total |
| Program Services | 40215 | ProgramServices |
| Management And General | 3497 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6351932 | Total |
| Program Services | 5843777 | ProgramServices |
| Management And General | 508155 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14371291 | Total |
| Program Services | 13221588 | ProgramServices |
| Management And General | 1149703 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6581911 | Total |
| Program Services | 6055358 | ProgramServices |
| Management And General | 526553 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PATIENT CHARGES | 12363240 | 12363240 |
| PROVISION FOR BAD DEBTS | 7671387 | 7671387 |
| DIAGNOSTIC TESTING | 3191801 | 3191801 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6555901 | Total |
| Program Services | 6031429 | ProgramServices |
| Management And General | 524472 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198493235 | Total |
| Program Services | 183145085 | ProgramServices |
| Management And General | 15348150 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76829 | BOY |
| EOY | 1586700 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9843323 | BOY |
| EOY | 4015681 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17017894 | BOY |
| EOY | 34799058 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17972 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1393564 | BOY |
| EOY | 1353423 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3607758 | BOY |
| EOY | 7243062 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2059143 | BOY |
| EOY | 2196301 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 392377756 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 165585350 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125329531 | BOY |
| EOY | 226792406 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96153755 | BOY |
| EOY | 102540449 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258743 | BOY |
| EOY | 347336 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4874388 | BOY |
| EOY | 3824942 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260632900 | BOY |
| EOY | 384699358 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10599648 | BOY |
| EOY | 20713596 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62476 | BOY |
| EOY | 62792 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110720610 | BOY |
| EOY | 192486219 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3886981 | BOY |
| EOY | 528248 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45262064 | BOY |
| EOY | 48724671 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170531779 | BOY |
| EOY | 262515526 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90101121 | BOY |
| EOY | 122183832 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90101121 | BOY |
| EOY | 122183832 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260632900 | BOY |
| EOY | 384699358 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 25777365 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 6305345 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11870134 | OtherCostOrOtherBasis |
| Book Value | 11870134 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 137989309 | OtherCostOrOtherBasis |
| Depreciation | 37004714 | Depreciation |
| Book Value | 100984595 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 239594619 | OtherCostOrOtherBasis |
| Depreciation | 125028163 | Depreciation |
| Book Value | 114566456 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2923694 | OtherCostOrOtherBasis |
| Depreciation | 3552473 | Depreciation |
| Book Value | -628779 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 226792406 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF-FUNDED INSURANCE RESERVE | $12,124,203 |
| PENSION LIABILITY | $10,984,066 |
| BOND INTEREST SWAP LIABILITY | $13,132,024 |
| OTHER | $12,484,378 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48724671 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART X, LINE 2: EFFECTIVE JULY 1, 2009, THE ORGANIZATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST AS OF JUNE 30, 2010, AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL POSITION OR RESULTS OF OPERATIONS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Tailored To Ind Hospitals | X | PolicyTailoredToIndHospitals |
| 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 | 13643285 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13643285 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07150 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25089473 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16369426 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8720047 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04880 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 38732758 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16369426 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22363332 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 822189 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 822189 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 827562 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 652663 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 174899 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 110680 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 110680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1760431 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 652663 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1107768 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40493189 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17022089 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23471100 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12610 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,913,911 | BadDebtExpenseAmount |
| Amount Attributable To | 582782 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 78102484 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 70607111 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7495373 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 LHC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | HOME HEALTH AND HOSPICE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.10000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| 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 |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| 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 |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | Return ReferenceReturnReference | 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 1, 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 $14,084,474 WHICH HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENT OF TOTAL EXPENSE IN COLUMN (F). | ||
| THIS AMOUNT INCLUDES THE EXPENSES OF THE FOLLOWING ACTIVITIES ALONG WITH MANY MORE: MAY FAIR HEALTH FAIR, COMMUNITY HEALTH FORUM, CHILDBIRTH CLASSES, HEARTSAVER AED, RELAY FOR LIFE, ROTARY BLOOD SCREENING, AND SHRINER'S CLINIC. | PART I, LINE 7E | |
| FOR FISCAL YEAR END 6/30/2010, A COMMUNITY BENEFIT REPORT WAS PREPARED. THE ORGANIZATION IS IN THE PROCESS OF PREPARING INFORMATION TO COMPLY WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENTS OF SECTION 501(R) FOR YEARS BEGINNING AFTER 5/23/2012. | PART I LINE 6A-B | |
| PART III, LINE 4: BAD DEBT EXPENSE AT COST IS CALCULATED BY MULTIPLYING THE INTERNAL FINANCIAL STATEMENT AMOUNT OF BAD DEBT EXPENSE ($7,671,387) BY THE COST TO CHARGE RATIO (37.98%) 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 AN ESTIMATE OF 20% OF THE BAD DEBT AT COST. THE RATIONALE FOR THIS IS THAT SELF-PAY BALANCES AFTER INSURANCE ARE NOT ACCOUNTS THAT WE FOCUS A LOT OF EFFORT ON. WE FOCUS OUR EFFORTS IN 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. | ||
| 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 6 MONTHS, SO ANY SUBSEQUENT VISITS DURING THAT 6 MONTH PERIOD WOULD ALSO QUALIFY FOR CHARITY CARE AND NOT BE SUBJECT TO COLLECTION ACTIVITY. | ||
| PART V, SECTION B, LINE 11H: THE ORGANIZATION HAS POSTED KEY EXCERPTS OF ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE ALONG WITH SOME FREQUENTLY ASKED QUESTIONS AND RELATED ANSWERS. | CAMDEN-CLARK MEMORIAL HOSPITAL | |
| PART V, SECTION B, LINE 19D: THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS STATE REGULATED. WEST VIRGINIA IS A RATE-REGULATED STATE. THE WV HEALTH CARE AUTHORITY HAS PRESCRIBED REVENUE LIMITS FOR CERTAIN GROUPS OF PAYORS, INCLUDED UNINSURED INDIVIDUALS. | CAMDEN-CLARK MEMORIAL HOSPITAL | |
| 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. | ||
| PART VI, LINE 3: THE ORGANIZATION PROVIDES IN WRITING ALL OPTIONS FOR POSSIBLE FINANCIAL ASSISTANCE. THE ORGANIZATION ALSO HAS FINANCIAL REPRESENTATIVES THAT ARE AVAILABLE TO DISCUSS OPTIONS WITH INPATIENTS AND OUTPATIENTS ON A DAILY BASIS AS WELL AS HAVING THIS INFORMATION POSTED ON THE ORGANIZATION'S WEBSITE. WE ALSO HAVE A STATE MEDICAID WORKER ONSITE TO HELP DETERMINE PATIENT ELIGIBILITY AND HELP PATIENTS THROUGH THE ELIGIBILITY PROCESS. | ||
| PART VI, LINE 4: CAMDEN CLARK, LOCATED IN PARKERSBURG, WV, SERVICES THE MID-OHIO VALLEY REGION OF WEST VIRGINIA AND OHIO. THE PRIMARY SERVICE AREA CONSISTS PRIMARILY OF 4 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, OUR COMMUNITY INCLUDEDS SEVERAL FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS. | ||
| PART VI, LINE 6: 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 7: CAMDEN-CLARK MEMORIAL HOSPITAL IS PART OF THE WV UNITED HEALTH SYSTEM. CAMDEN-CLARK MEMORIAL HOSPITAL PLAYS A SIGNIFICANT ROLE IN IMPROVING THE GENERAL HEALTH CARE OF THE COMMUNITY. THE STRATEGIC 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 HOSPITAL, INC. WHICH ARE LOCATED IN THE EASTERN PANHANDLE OF WEST VIRGINIA AND WEST VIRGINIA UNIVERSITY HOSPITALS LOCATED IN MORGANTOWN, WV. | ||
| WV | PART VI, LINE 7 | REPORTS FILED WITH STATES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| WOOD COUNTY DEVELOPMENT AUTHORITY | |||||||
| PO BOX 1683 | PARKERSBURG | WV | 26102 | 550575873 | 501(C)4 | 5500 | ANNUAL PLEDGE |
| GOOD SAMARITAN CLINIC INC | |||||||
| 418 GRAND PARK DRIVE SUITE 311 | PARKERSBURG | WV | 261054000 | 550708491 | 501(C)3 | 15000 | DONATION TO CLINIC OPERATIONS |
| PARKERSBURG AREA COMMUNITY FOUNDATION | |||||||
| PO BOX 1762 | PARKERSBURG | WV | 26102 | 550748246 | 501(C)3 | 10000 | ANNUAL PLEDGE |
| BOY SCOUTS OF AMERICA | |||||||
| 1340 JULIANA STREET | PARKERSBURG | WV | 26101 | 501(C)3 | 5000 | FUNDRAISING DINNER DONATION | |
| ELITE SPORTS CENTER | |||||||
| 2000 1ST AVENUE | PARKERSBURG | WV | 26101 | 10000 | SCOREBOARD SPONSORSHIP/SIGNAGE | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | 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 AND GRANTS ARE DISCRETIONARY AND DECISIONS ON WHICH ORGANIZATIONS TO SUPPORT ARE MADE BY THE SENIOR LEADERSHIP TEAM IN CONJUNCTION WITH THE BOARD OF DIRECTOR OF MARKETING. A VICE PRESIDENT OF THE ORGANIZATION SITS ON THE WOOD COUNTY DEVELOPMENT AUTHORITY'S BOARD OF DIRECTORS. THE DIRECTOR OF FINANCE SITS ON THE GOOD SAMARATIN CLINIC'S BOARD OF DIRECTORS. | 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 (6 entries)
| 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 | |||||||||||||
| 616456 | 0 | 0 | 0 | 38500 | 0 | 50933 | 0 | 3943 | 0 | 709832 | 0 | 0 | 0 |
| ALLEN R BUTCHER | |||||||||||||
| 337532 | 0 | 0 | 0 | 33000 | 0 | 11274 | 0 | 3737 | 0 | 385543 | 0 | 0 | 0 |
| TODD A KRUGER | |||||||||||||
| 306031 | 0 | 0 | 0 | 33000 | 0 | 16094 | 0 | 2872 | 0 | 357997 | 0 | 0 | 0 |
| DAVID MCCLURE | |||||||||||||
| 189361 | 0 | 0 | 0 | 22000 | 0 | 8525 | 0 | 3007 | 0 | 222893 | 0 | 0 | 0 |
| TOM HELLER | |||||||||||||
| 202971 | 0 | 0 | 0 | 38500 | 0 | 10931 | 0 | 2539 | 0 | 254941 | 0 | 0 | 0 |
| CYNTHIA KERN | |||||||||||||
| 141042 | 0 | 0 | 0 | 11005 | 0 | 8330 | 0 | 1240 | 0 | 161617 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I LINE 1A: 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 CERTAIN NEWLY HIRED CHIEF NURSING OFFICERS WHO DID NOT LIVE LOCALLY. THESE WERE DOCUMENTED IN THE EMPLOYMENT OFFER LETTERS. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| WV HOSPITAL FINANCE AUTHORITY | |||||||
| 621256910 | 956622VY7 | 2004-06-30 | 96695947 | SEE SCHEDULE O | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | |||||||
| 621256910 | 956622A87 | 2009-10-16 | 25063291 | REFUND PRIOR ISSUE (9/13/2007) | 0 | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | |||||||
| 621256910 | 956622D35 | 2011-03-01 | 73555712 | PURCHASE ASSETS OF ST. JOSEPHS HOSPITAL | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 96250000 | 6484456 | 5856926 | 957082 | 4364162 | 54490515 | 24666322 | 264472 | 2008 | 1 | 0 | 1 | 1 |
| 25063291 | 1651274 | 220575 | 328403 | 29661003 | 2875516 | 2012 | 1 | 0 | 0 | 1 | ||
| 73555712 | 435854 | 68026812 | 5093143 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | 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 | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||||||
| 0 | 1 | 1 | 29.600000000000 | 0 | 0 | 1 | LEHMAN BROTHERS | SPECIAL FINANCING | 29.600000000000 | 1 | 1 | 1 |
| (no name) | ||||||||||||
| 0 | 0 | 0 | 0 | 1 | 1 | |||||||
| (no name) | ||||||||||||
| 0 | 1 | 0 | 0 | 0 | 0 | |||||||
Form990 Schedule K Part V Form990ScheduleKPartV
| 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 CENTER, INC. (CAMDEN-CLARK) EIN 31-1524546 ARE MEMBERS OF THE WEST VIRGINIA UNITED HEALTH SYSTEM OBLIGATED GROUP AND HAVE ISSUED TAX-EXEMPT BONDS UNDER WEST VIRGINIA UNITED HEALTH SYSTEM. HOWEVER, THESE BOND ISSUANCES WERE IN TURN REALLOCATED BY WEST VIRGINIA UNITED HEALTH SYSTEM TO ITS SYSTEM SUBSIDIARIES. | 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 | 93122 | 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 | 50017 | REVENUE RECEIVED FROM PARKERSBURG NEUROLOGICAL ASSOCIATES FOR LEASE OF THE ORGANIZATION'S OFFICE SPACE | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART I, LINE 5 | AFTER CAMDEN CLARK MEDICAL CENTER MERGED WITH ST. JOSEPH'S HOSPITAL ON MARCH 1, 2011, THE ORGANIZATION HAD 2,108 TOTAL EMPLOYEES, WHICH IS DIFFERENT THAN THE AMOUNT THAT WAS REPORTED ON THE 2010 FORM W-3 OF 1,735. | |
| FORM 990, PART III, LINE 4A: | 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 COMMUNITY RECOGNIZING 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 $25,095,194 OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2011. 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. | |
| 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 6 | |
| ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY WEST VIRGINIA UNITED HEALTH SYSTEM (WVUHS), THE SOLE MEMBER OF CAMDEN CLARK HEALTH SERVICES, INC. | FORM 990, PART VI, SECTION A, LINE 7A | |
| 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 A, LINE 7B | |
| THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE REVIEWED THE COMPLETED FORM PRIOR TO FILING. A DRAFT COPY OF THE FORM IS REVIEWED WITH THE BOARD OF DIRECTORS AND A FULL AND COMPLETE FORM IS FORWARDED TO THE BOARD PRIOR TO BEING FILED. | FORM 990, PART VI, SECTION B, LINE 11 | |
| 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 VIII, LINE 11A | IN CONJUNCTION WITH THE ACQUISITION OF THE ASSETS OF ST. JOSEPH'S HOSPITAL, AN INDEPENDENT APPRAISAL WAS OBTAINED ON BOTH FACILITIES. THE VALUE ARRIVED AT IN THE APPRAISAL WAS HIGHER THAN THE CARRYING VALUE OF THE ASSETS ACQUIRED, RESULTING IN A GAIN BEING RECORDED OF $26,414,074. | |
| FORM 990, PART XI, LINE 5: | ANNUAL PENSION LIABILITY VALUATION ADJUSTMENT 4,310,193. ANNUAL ADJUSTMENT TO VALUATION OF INTEREST RATE SWAP LIABILITY 7,153,297. UNREALIZED GAIN OR LOSS -743,497. INTERCOMPANY TRANSFERS -4,414,648. TOTAL TO FORM 990, PART XI, LINE 5: 6,305,345. | 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 |
| Total Income | 656131 | TotalIncome |
| EOY Assets | 1791146 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | 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 7 | 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 |
| 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 |
| 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |