CAMC HEALTH EDUCATION AND RESEARCH: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CAMC HEALTH EDUCATION AND RESEARCH (EIN 55-0753754)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201223179349301327
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T10:55:23-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 S Wacker Drive | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550753754 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMC Health Education and Research | BusinessNameLine1 |
| Business Name Line2 | Institute Inc | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAMC | NameControl |
| Phone | 3043889900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1547 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 253261547 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sharon A Hall | Name |
| Title | President | Title |
| Phone | 3043889900 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Laura Gillespie | Name |
| PTIN | P00855604 | PTIN |
| Phone | 3124861000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | 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 | CAMC Institute | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sharon A Hall | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3200 MacCorkle Ave | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11092657 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.camcinstitute.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 132 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1261454 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2854862 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4423059 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4065928 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5390085 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4171867 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11074598 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11092657 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6738776 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6607312 | 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 | 4691969 | OtherExpensePriorYear |
| Other Expenses Current Year | 5143090 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11430745 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11750402 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -356147 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -657745 | RevenuesLessExpensesCY |
| Total Assets BOY | 6217506 | TotalAssetsBOY |
| Total Assets EOY | 5832233 | TotalAssetsEOY |
| Total Liabilities BOY | 3164298 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2807207 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3053208 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3025026 | NetAssetsOrFundBalancesEOY |
| Mission Description | See response, Schedule O. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4313032 | Expense |
| Revenue | 2826802 | Revenue |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2611953 | Expense |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3177795 | Expense |
| Revenue | 241325 | Revenue |
| Description | Provision of various health programs designed to improve health education and awareness in the state and local communities. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 10102780 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 128 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 132 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Larry C Hudson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3043887603 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Morris Street | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25301 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 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 |
|---|---|---|---|---|---|---|---|
| William H Carter MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Glenn Crotty Jr MD | |||||||
| Director | 1.00 | X | 0 | 577560 | 79215 | ||
| Clark Hansbarger MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Steven Jubelirer MD | |||||||
| Director | 1.00 | X | 0 | 420020 | 34695 | ||
| Ronald E Moore | |||||||
| Director | 1.00 | X | 0 | 238713 | 150964 | ||
| E Gail Pitchford | |||||||
| Director | 1.00 | X | 0 | 204360 | 51389 | ||
| David L Ramsey | |||||||
| Director | 1.00 | X | 0 | 934890 | 178365 | ||
| Beth A Samples | |||||||
| Director | 1.00 | X | 0 | 1094566 | 48333 | ||
| Edwin Welch PhD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Robert D Whitler | |||||||
| Vice President & Director | 40.00 | X | 0 | 212628 | 33520 | X | |
| Sharon A Hall | |||||||
| President & Director | 40.00 | X | 255447 | 0 | 55010 | X | |
| Gregory E Souther | |||||||
| Secretary/Treasurer | 40.00 | 95042 | 0 | 12662 | X | ||
| Nancy L Tierney | |||||||
| Director School of Anest | 40.00 | 178792 | 0 | 35112 | X | ||
| Priscilla P Walkup | |||||||
| CRNA Instructor | 40.00 | 155179 | 0 | 29613 | X | ||
| William A White Jr | |||||||
| CRNA Instructor | 40.00 | 155566 | 5629 | 35774 | X | ||
| Cassandra L Taylor | |||||||
| CRNA Instructor | 40.00 | 151605 | 0 | 19685 | X | ||
| Kathryn F Newcome | |||||||
| CRNA Instructor | 40.00 | 139795 | 7294 | 35650 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1131426 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3695660 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 799987 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Marshall University | |||||
| One John Marshall Drive | Huntington | WV | 25755 | School of Anesthesia Faculty | 561417 |
| WVU Physicians of Charleston | |||||
| 3110 MacCorkle Ave | Charleston | WV | 25304 | Professional Fees | 251134 |
| Siemens Medical Solutions | |||||
| Dept AT 40065 | Atlanta | GA | 311920065 | Information Technology Services | 114320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 432059 | RelatedOrganizations |
| Government Grants | 2422803 | GovernmentGrants |
| Total Contributions | 2854862 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Education Services | 611710 | 2826802 | 2826802 | |
| Research Revenue | 621990 | 997801 | $997,801 | |
| Non Clinical Services | 621990 | 241325 | 241325 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4065928 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Affiliate Transfer | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 4171867 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4171867 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4171867 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11092657 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7239994 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $997,801 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424728 | Total |
| Management And General | 424728 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4945079 | Total |
| Program Services | 4865151 | ProgramServices |
| Management And General | 79928 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165987 | Total |
| Program Services | 158825 | ProgramServices |
| Management And General | 7162 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 721949 | Total |
| Program Services | 133841 | ProgramServices |
| Management And General | 588108 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349569 | Total |
| Program Services | 320549 | ProgramServices |
| Management And General | 29020 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341384 | Total |
| Management And General | 341384 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5075 | Total |
| Management And General | 5075 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6717 | Total |
| Management And General | 6717 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31406 | Total |
| Program Services | 27593 | ProgramServices |
| Management And General | 3813 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1739574 | Total |
| Program Services | 1739309 | ProgramServices |
| Management And General | 265 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77285 | Total |
| Program Services | 77285 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142946 | Total |
| Program Services | 141106 | ProgramServices |
| Management And General | 1840 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78389 | Total |
| Program Services | 78389 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 469298 | Total |
| Program Services | 363546 | ProgramServices |
| Management And General | 105752 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183313 | Total |
| Program Services | 180875 | ProgramServices |
| Management And General | 2438 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1379773 | Total |
| Program Services | 1372149 | ProgramServices |
| Management And General | 7624 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 442882 | Total |
| Program Services | 417815 | ProgramServices |
| Management And General | 25067 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16649 | Total |
| Management And General | 16649 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 61560 | 61560 | |
| Dietary | 58587 | 57277 | 1310 |
| Repairs and Maintenance | 56255 | 55642 | 613 |
| Miscellaneous | 51997 | 51868 | 129 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11750402 | Total |
| Program Services | 10102780 | ProgramServices |
| Management And General | 1647622 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238412 | BOY |
| EOY | 497556 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5561 | BOY |
| EOY | 6654 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5877283 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4521212 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1034817 | BOY |
| EOY | 1356071 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4938716 | BOY |
| EOY | 3971952 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6217506 | BOY |
| EOY | 5832233 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2230851 | BOY |
| EOY | 1647909 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 933447 | BOY |
| EOY | 1159298 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3164298 | BOY |
| EOY | 2807207 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1299562 | BOY |
| EOY | -1242302 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2646819 | BOY |
| EOY | 2559050 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1705951 | BOY |
| EOY | 1708278 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3053208 | BOY |
| EOY | 3025026 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6217506 | BOY |
| EOY | 5832233 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -657745 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 629563 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Charleston Area Medical CenterInc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550526150 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $3,671,867 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 3671867 | SumOfAmounts |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3350983 | BeginningOfYearBalance |
| Contributions | 9827 | Contributions |
| Investment Earnings Or Losses | 9003 | InvestmentEarningsOrLosses |
| Other Expenditures | 257356 | OtherExpenditures |
| End Of Year Balance | 3112457 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3192263 | BeginningOfYearBalance |
| Contributions | 11882 | Contributions |
| Investment Earnings Or Losses | 340282 | InvestmentEarningsOrLosses |
| Other Expenditures | 191625 | OtherExpenditures |
| Administrative Expenses | 1819 | AdministrativeExpenses |
| End Of Year Balance | 3350983 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2863709 | BeginningOfYearBalance |
| Contributions | 10174 | Contributions |
| Investment Earnings Or Losses | 479445 | InvestmentEarningsOrLosses |
| Other Expenditures | 154052 | OtherExpenditures |
| Administrative Expenses | 7013 | AdministrativeExpenses |
| End Of Year Balance | 3192263 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 2863709 | Contributions |
| End Of Year Balance | 2863709 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.55000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.45000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 182388 | OtherCostOrOtherBasis |
| Depreciation | 160196 | Depreciation |
| Book Value | 22192 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5694895 | OtherCostOrOtherBasis |
| Depreciation | 4361016 | Depreciation |
| Book Value | 1333879 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1356071 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Interest in Net Asset : CAMC Foundation | 3112466 |
| Affiliate Receivables | 859486 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3971952 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Affiliate Payable | $497,126 |
| Accrued Payroll and Related Payroll Expenses | $662,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1159298 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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: | CAMC Health Education and Research Institute, Inc. is part of the consolidated audit for CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding 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, 2011." |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Glenn Crotty Jr MD | |||||||||||||
| 0 | 387963 | 0 | 129183 | 0 | 60414 | 0 | 54033 | 0 | 25182 | 0 | 656775 | 0 | 37564 |
| Steven Jubelirer MD | |||||||||||||
| 0 | 420020 | 0 | 0 | 0 | 0 | 0 | 14700 | 0 | 19995 | 0 | 454715 | 0 | 0 |
| Ronald E Moore | |||||||||||||
| 0 | 183492 | 0 | 41480 | 0 | 13741 | 0 | 141029 | 0 | 9935 | 0 | 389677 | 0 | 0 |
| E Gail Pitchford | |||||||||||||
| 0 | 152767 | 0 | 36205 | 0 | 15388 | 0 | 40534 | 0 | 10855 | 0 | 255749 | 0 | 0 |
| David L Ramsey | |||||||||||||
| 0 | 592117 | 0 | 235000 | 0 | 107773 | 0 | 155318 | 0 | 23047 | 0 | 1113255 | 0 | 57392 |
| Beth A Samples | |||||||||||||
| 0 | 184907 | 0 | 41792 | 0 | 867867 | 0 | 30170 | 0 | 18163 | 0 | 1142899 | 0 | 598275 |
| Robert D Whitler | |||||||||||||
| 0 | 153835 | 0 | 32694 | 0 | 26099 | 0 | 8055 | 0 | 25465 | 0 | 246148 | 0 | 0 |
| Sharon A Hall | |||||||||||||
| 157939 | 0 | 43012 | 0 | 54496 | 0 | 36547 | 0 | 18463 | 0 | 310457 | 0 | 24742 | 0 |
| Nancy L Tierney | |||||||||||||
| 161426 | 0 | 9871 | 0 | 7495 | 0 | 10582 | 0 | 24530 | 0 | 213904 | 0 | 0 | 0 |
| Priscilla P Walkup | |||||||||||||
| 148767 | 0 | 250 | 0 | 6162 | 0 | 9390 | 0 | 20223 | 0 | 184792 | 0 | 0 | 0 |
| William A White Jr | |||||||||||||
| 149154 | 1603 | 250 | 4026 | 6162 | 0 | 9744 | 0 | 26030 | 0 | 191340 | 5629 | 0 | 0 |
| Cassandra L Taylor | |||||||||||||
| 151355 | 0 | 250 | 0 | 0 | 0 | 9390 | 0 | 10295 | 0 | 171290 | 0 | 0 | 0 |
| Kathryn F Newcome | |||||||||||||
| 139545 | 2563 | 250 | 4731 | 0 | 0 | 9876 | 0 | 25774 | 0 | 175445 | 7294 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of 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. Participant Beth Samples in 2011 was paid in the amount of $846,435 in SERP benefits. Terms & Conditions of SERP Plan: Defined Benefit. Vest at age 60, or later,if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Benefit Restoration Plan and 50% of projected age 62 Primary Social Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected, if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less than 30 and .5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): Participant-CEO Terms and Conditions of CEO SERP Plan: Defined Contribution. Vest at age 65. Benefit at age 65 projected as the difference between 60% of Final 5 Year Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan and 50% of projected age 65 Primary Social Security Benefit. Actual benefits will depend upon simulated investment results based on investment options selected by participant. Eligible to receive SERP benefits upon earliest of: deferred vesting date; death; disability; involuntary termination without cause. Taxes due upon vesting. Subject to the Substantial Risk of Forfeiture. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 borrownings 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 trustees of the organization. The return is then prepared and reviewed by an external consultant firm. This firm then reviews the completed Form 990 with the CAMC Health System, Inc. Board of Trustees 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 precedures 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. | |
| Form 990, Part XI, line 5: | Change in Temp Restricted -87,770. Change in Perm Restricted 2,328. Capital Contribution to Fixed Assets 715,005. Total to Form 990, Part XI, Line 5: 629,563. | Changes in Net Assets or Fund Balances: |
| Form 990, Part VII: | 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: |
| Form 990, Part VII, Column E: | Description of reasonable effort made to obtain compensation from related organization: Some members of the board were compensated by related organizations for other duties as follows: CAMC - David L. Ramsey 48 hours, Glenn Crotty Jr. 45 hours, Ronald E. Moore 45 hours, Beth A. Samples 45 hours, Robert D. Whitler 45 hours, Steven Jubilerir 45 hours, E. Gail Pitchford 45 hours. These are on a weekly basis. William A. White Jr. was paid for 71 hours at CAMC for the year, and Kathryn F. Newcome was paid for 90 hours at CAMC for the year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CAMC Health System Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550664138 | Parent Company | WV | 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 | 501(c)(3) | Line 3 | 1 | CAMC Health System Inc | |
| CAMC Teays Valley Hospital Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550752636 | Hospital | WV | 501(c)(3) | Line 3 | 1 | CAMC Health System Inc | |
| Charleston Area Medical Center FoundationInc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 310887133 | Foundation | WV | 501(c)(3) | Line 11, Type II | 1 | CAMC Health System Inc | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Integrated Health Care Providers Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1547 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 253261547 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550751010 | EIN |
| Primary Activity | Specialty Physician Practices | PrimaryActivity |
| Legal Domicile State | WV | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Charleston Area Medical Center Inc | ||
| J | 252446 | FMV |
| Charleston Area Medical Center Inc | ||
| L | 341384 | FMV |
| Charleston Area Medical Center Inc | ||
| O | 4243990 | FMV |
| Charleston Area Medical Center Inc | ||
| P | 1810735 | FMV |
| Charleston Area Medical Center Inc | ||
| R | 4717867 | FMV |
| CAMC Foundation Inc | ||
| C | 432059 | FMV |
| CAMC Teays Valley Hospital Inc | ||
| P | 61172 | FMV |