CAMC Teays Valley Hospital Inc: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CAMC Teays Valley Hospital Inc (EIN 55-0752636)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201233179349301418
- 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 | 2012-11-12T10:56:11-06:00 | 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 | 550752636 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMC Teays Valley Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAMC | NameControl |
| Phone | 3047571700 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1547 | AddressLine1 |
| City | Charleston | City |
| State | WV | State |
| ZIP Code | 25301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Randy Hodges | Name |
| Title | President | Title |
| Phone | 3043886247 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Teays Valley Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Randy Hodges | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Hospital Drive | AddressLine1 |
| City | Hurricane | City |
| State | WV | State |
| ZIP Code | 25526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 67740968 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.camc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | CAMC Teays Valley Hospital, Inc.'s ("Teays") primary exempt purpose is to provide hospital services for the people residing in the geographical area of Putnam County, the State of West Virginia and elsewhere. These services promote legitimate methods for the prevention of disease and the positive promotion of personal and public health. Teays fosters and conducts education within the nursing and technical occupations, which contribute to the diagnosis, treatment and prevention of disease. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 490 | TotalNbrEmployees |
| Total Nbr Volunteers | 36 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 60019753 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 67701027 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 38259 | InvestmentIncomePriorYear |
| Investment Income Current Year | 39941 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 945034 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 61003046 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67740968 | 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 | 23149929 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21914597 | 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 | 38172697 | OtherExpensePriorYear |
| Other Expenses Current Year | 43639764 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61322626 | TotalExpensesPriorYear |
| Total Expenses Current Year | 65554361 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -319580 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2186607 | RevenuesLessExpensesCY |
| Total Assets BOY | 34525070 | TotalAssetsBOY |
| Total Assets EOY | 36162773 | TotalAssetsEOY |
| Total Liabilities BOY | 39594249 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 38607829 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -5069179 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2445056 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Striving to provide the best healthcare to every patient, every day. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 34473726 | Expense |
| Revenue | 67465974 | Revenue |
| Description | Teays Valley Hospital has over 490 employees and a medical staff of 115. The hospital is licensed for 70 beds, and our health care services focuses on providing a full range of inpatient and outpatient services. Inpatient days of 15,416 outpatient visits of 62,667, and emergency department visits of 17,548. We support our community because we understand the impact that medical care, charity care, education, corporate contributions and community partnerships have on the lives the population we serve. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15549696 | Expense |
| Description | Teays Valley Hospital provided un-reimbursed charity care at cost of $3,533,806 and bad debts at cost of $2,900,655 to the community in 2011. Teays Valley Hospital does much more than just provide health care, being involved in nearly every aspect of the lives and well being of the community. Programs and services are available to our community to serve our community-particularly the needs of the low income, elderly, youth, and other vulnerable persons. Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of the following community benefit criteria:1) Improves access to health care services.2) Enhances health of the community.3) Advances medical or health care knowledge.4) Relieves or reduces the burden of government or other community efforts. Teays benefit activities offered 28 programs which affected an estimated 5000 people. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 50023422 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 0 | 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 | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | 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 | 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 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 490 | 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
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 |
|---|---|---|---|---|---|---|---|
| James A Akins MD | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| David W Bunger | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Leonard A Fichter DO | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| David L Ramsey Sch O | |||||||
| Trustee | 3.00 | X | 0 | 934889 | 178365 | ||
| Richard L Slater | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Nancy R Smith | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Diane E Duttine Sanders | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Oshel B Craigo | |||||||
| Trustee | 3.00 | X | 0 | 0 | 0 | ||
| Randall H Hodges | |||||||
| President | 45.00 | 241531 | 0 | 268540 | X | ||
| Steven L Smith | |||||||
| Chairman of the Board | 3.00 | X | 0 | 0 | 0 | X | |
| Francis C Gall Jr | |||||||
| Secretary | 3.00 | 0 | 183845 | 33734 | X | ||
| Larry C Hudson | |||||||
| Treasurer | 3.00 | 0 | 570523 | 89058 | X | ||
| Thomas Rittinger MD | |||||||
| Hospitalist | 40.00 | 423785 | 0 | 36367 | X | ||
| Mary B Mullins | |||||||
| Chief Nursing Officer | 40.00 | 160143 | 0 | 8240 | X | ||
| Lance T Carney | |||||||
| Pharmacy Director | 40.00 | 131759 | 0 | 34230 | X | ||
| Frank Lambert | |||||||
| Clinical Nurse II | 40.00 | 108620 | 0 | 24446 | X | ||
| Wanda Marks | |||||||
| Access Coordinator | 40.00 | 110774 | 0 | 13494 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1176612 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1689257 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 686474 | 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 (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Alliance Healthcare Services | |||||
| PO Box 96485 | Chicago | IL | 60693 | Diagnostic Imaging Services | 869791 |
| Siemens Medical Solutions | |||||
| Dept AT 40065 | Atlanta | GA | 311920065 | Information Technology Services | 818043 |
| Capital Medical Supplies | |||||
| PO Box 998 | Poca | WV | 25159 | Nursing Services | 300075 |
| University Physicians and Surgeons | |||||
| 1249 15th St Ste 2000 | Huntington | WV | 25701 | Physician Pulmonary Services | 218667 |
| Night Watch | |||||
| 300 North Kanawha Street | Beckley | WV | 25801 | Pharmacy Services-After Hours | 167975 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Revenue | 622110 | 67282229 | 67282229 | |
| Cafeteria/Vending | 722212 | 230118 | $230,118 | |
| Rental (Non-Res) | 531120 | 126528 | 126528 | |
| Clinical Services Sold | 621990 | 51996 | 51996 | |
| Medical Records Fee | 812900 | 4935 | $4,935 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5221 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5221 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 67701027 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39941 | TotalRevenueColumn |
| Exclusion | $39,941 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67740968 | TotalRevenueColumn |
| Related Or Exempt Function Income | 67465974 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $274,994 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 510071 | Total |
| Management And General | 510071 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16298691 | Total |
| Program Services | 15018783 | ProgramServices |
| Management And General | 1279908 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412216 | Total |
| Program Services | 88542 | ProgramServices |
| Management And General | 323674 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4693619 | Total |
| Program Services | 1150141 | ProgramServices |
| Management And General | 3543478 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1946757 | Total |
| Program Services | 170803 | ProgramServices |
| Management And General | 1775954 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88299 | Total |
| Management And General | 88299 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33006 | Total |
| Management And General | 33006 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8233 | Total |
| Management And General | 8233 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4487213 | Total |
| Program Services | 3259377 | ProgramServices |
| Management And General | 1227836 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61109 | Total |
| Program Services | 1617 | ProgramServices |
| Management And General | 59492 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3206536 | Total |
| Program Services | 2423143 | ProgramServices |
| Management And General | 783393 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151966 | Total |
| Program Services | 42551 | ProgramServices |
| Management And General | 109415 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 922872 | Total |
| Program Services | 129800 | ProgramServices |
| Management And General | 793072 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1568 | Total |
| Program Services | 502 | ProgramServices |
| Management And General | 1066 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8603 | Total |
| Program Services | 5664 | ProgramServices |
| Management And General | 2939 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1028150 | Total |
| Management And General | 1028150 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1193188 | Total |
| Management And General | 1193188 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2043476 | Total |
| Program Services | 1621703 | ProgramServices |
| Management And General | 421773 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 993083 | Total |
| Management And General | 993083 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 10631526 | 10561100 | 70426 |
| Bad Debts | 8763716 | 8771624 | -7908 |
| Charity | 6778072 | 6778072 | |
| Provider Tax | 1292391 | 1292391 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65554361 | Total |
| Program Services | 50023422 | ProgramServices |
| Management And General | 15530939 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2800 | BOY |
| EOY | 15434 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7296818 | BOY |
| EOY | 7419833 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1094065 | BOY |
| EOY | 1041303 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187450 | BOY |
| EOY | 176436 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30355016 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10613102 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20763338 | BOY |
| EOY | 19741914 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2007069 | BOY |
| EOY | 2015391 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3173530 | BOY |
| EOY | 5752462 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34525070 | BOY |
| EOY | 36162773 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7668327 | BOY |
| EOY | 6056064 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24599567 | BOY |
| EOY | 23935104 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6470764 | BOY |
| EOY | 6089998 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 855591 | BOY |
| EOY | 2526663 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39594249 | BOY |
| EOY | 38607829 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5069179 | BOY |
| EOY | -2445056 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5069179 | BOY |
| EOY | -2445056 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34525070 | BOY |
| EOY | 36162773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2186607 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 437516 | 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4902037 | OtherCostOrOtherBasis |
| Book Value | 4902037 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11902136 | OtherCostOrOtherBasis |
| Depreciation | 1890506 | Depreciation |
| Book Value | 10011630 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13403978 | OtherCostOrOtherBasis |
| Depreciation | 8703014 | Depreciation |
| Book Value | 4700964 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146865 | OtherCostOrOtherBasis |
| Depreciation | 19582 | Depreciation |
| Book Value | 127283 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19741914 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Affiliate: Integrated Health Care Providers, Inc. | 4318 |
| Affiliate: Charleston Area Medical Center, Inc. | 4861338 |
| Long-term revievables- Phys & Student Loans | 850863 |
| Deferred Bond Costs | 35943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5752462 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Affiliate: Charleston Area Medical Center, Inc. | $2,350,502 |
| Affiliate: Integrated Health Care Providers, Inc. | $174,055 |
| Affiliate: CAMC Heatlh Education Research, Inc . | $2,106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2526663 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | Teays' financial statements are audited as part of the audit of the financial statements of CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the Consolidated footnotes is as follows: "CAMC, the Foundation, the Institute and CAMC Teays, are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code (the "Code") and applicable state statutes, but are subject to unrelated business income tax. The System does not have any material uncertain tax positions at December 31, 2011." | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| 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 | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3533806 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3533806 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6487093 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3281000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3206093 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05650 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 770244 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 122254 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 647990 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10791143 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3403254 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7387889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13010 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 135986 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3277 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 132709 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 135986 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3277 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 132709 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10927129 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3406531 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7520598 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13240 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $8,771,624 | BadDebtExpenseAmount |
| Amount Attributable To | 4947196 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 17097187 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22758458 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5661271 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMC Teays Valley Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 Hospital Drive | AddressLine1 |
| City | Hurricane | City |
| State | WV | State |
| ZIP Code | 25526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMC Teays Valley Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | 0 | CollectionActivities |
| 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 (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: Utilized Worksheet 2 provided in the instructions of Schedule H to determine cost-to-charge ratio. | ||
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 8763716. | ||
| Part II: Teays community building activities promote the health of our community through community support, offering programs such as the cardiac project which assesses elementary school age children for potential heart problems and diabetes; the Putnam County Drug Endangered Children Task Force to help eliminate drugs in the community; and offering a Putnam County Breast Cancer Support Group for emotional and resource support for breast cancer patients in the community. | ||
| Part III, Line 4: There is no footnote describing bad debt, however, private pay accounts and amounts for deductibles and co-insurance that are deemed uncollectable that do not appear to meet the charity care guidelines, are written off as bad debt expense and appear as an operating expense in the statement of operations. In determining the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy, one month of actual bad debt write-off's was reviewed. From this one month, the amount of bad debt for uninsured patients was determined to be 60%. Then a sample of 100 of these uninsured patients was taken and run through a credit worthy calculator that determined 94% of the patients met the income eligibility guidelines under the organization's charity care policy. | ||
| Part III, Line 8: The organization considers any government reimbursement that is insufficient to cover allocated costs as being a community benefit. We chose to serve the community by participating in the Medicare program and accepting Medicare reimbursement. | ||
| Part III, Line 9b: Teays's collection policy makes provisions for patients who qualify for charity care or financial assistance. Patients who receive charity assistance must meet the following requirements: income at 200% or less of Federal poverty income and resource guidelines, insufficient assets to pay for the care, and not eligible for any public programs. Patients without third-party coverage who do not qualify for charity are given a 35% discount from charges (which is greater than any commercial discount). In addition to charity and uninsured discounts, Teays provides assistance with payment plans, government programs, and an Employee Assistance Program. | ||
| Part V, Section B, Line 15e: Reasonable effort is made to determine eligibility under FAP before any other actions are taken. | CAMC Teays Valley Hospital, Inc | |
| Part V, Section B, Line 19d: If a patient is eligible for charity care then a 100% discount is offered. If a patient does not qualify for charity care but is uninsured then 35% discount from billed charges is given which exceeds the lowest negotiated commercial insurance rate. | CAMC Teays Valley Hospital, Inc | |
| Part VI, Line 2: Teays board of trustees is comprised primarily of community leaders. These individuals are aware of the needs of the community and thus can most effectively help determine the direction Teays will take to address those needs. Representatives of Teays also meet with civic groups, such as the Putnam County Chamber of Commerce and local ministerial groups, to gain insight on what is needed in the local area in terms of programs offered. | ||
| Part VI, Line 3: Teays informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under Teays charity care policy during the registration process. Brochures are available at each registration point with contact information and phone numbers for our financial counselors. WV state employees are also on site to accept and process medicaid applications and notify patients if they qualify. | ||
| Part VI, Line 4: Teays community and primary area of focus is defined as our primary and secondary service areas and includes Putnam County in West Virginia. Putnam County constitutes a population of 56,008, with a median age of 38 and household median income of $41,892. We provide, alone and in collaboration with, a wide-ranging array of community benefit services designed to improve community health and the health of individuals, and to increase access to health care. This includes providing free and discounted services to people who are uninsured and underinsured. | ||
| Part VI, Line 5: Teays has a board of trustees comprised primarily of prominent civic and business leaders. Thirty percent of the members are hospital administrators, physicians or others professionally connected to the hospital. Admission to the hospital's medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. Teays operates a full-time emergency room open to everyone, regardless of ability to pay. Teays serves a broad cross-section of the community through charity care. Teays applies any surplus funds toward improving facilities, equipment, patient care, medical training, and education. Integrated Healthcare Providers, Inc., a sister company to Teays, is called upon to open a practice when determined that an essential physician need or access issues for patients is present. | ||
| Part VI, Line 6: Teays is part of the CAMC Health System. A sister company to CAMC, CAMC Health Education and Research Institute, Inc. ("CHERI"), is actively engaged in clinical trials and has active research protocols in oncology, cardiology/cardiovascular medicine, medicine and medicine subspecialties, behavioral health community medicine, pediatrics, nursing research and trauma/pain. A majority of this research is conducted at CAMC hospitals. CHERI serves as the education and research arm of the CAMC Health System, Inc. Charleston Area Medical Center Foundation, Inc.'s ("The Foundation") mission is to support and promote CAMC's delivery of excellent and compassionate health services, and its contribution to the quality of life and economic vitality of the region. The Foundation is a sister company and support organization to CAMC. Integrated Health Care Providers, Inc., a sister company to CAMC, is called upon to open a practice when determined that an essential physician need or access issues for patients is present. Teays has a governing board, community board, board of trustees or board of directors composed of prominent civic leaders, rather than exclusively members who are hospital administrators, physicians or others professionally connected to the hospital. Admission to the hospital's medical staff is open to all qualified physicians in the area, consistent with the size and nature of the facility. The hospital operates a full-time emergency room open to everyone, regardless of ability to pay. The hospital serves a broad cross-section of the community through research or charity care. The hospital applies any surplus funds toward improving facilities, equipment, patient care, medical training, research and education. | ||
| WV | Reports Filed With States | Part VI, Line 7 |
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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David L Ramsey Sch O | |||||||||||||
| 0 | 592116 | 0 | 235000 | 0 | 107773 | 0 | 155318 | 0 | 23047 | 0 | 1113254 | 0 | 57392 |
| Randall H Hodges | |||||||||||||
| 191838 | 0 | 33122 | 0 | 16571 | 0 | 248757 | 0 | 19783 | 0 | 510071 | 0 | 0 | 0 |
| Francis C Gall Jr | |||||||||||||
| 0 | 163848 | 0 | 15131 | 0 | 4866 | 0 | 10671 | 0 | 23063 | 0 | 217579 | 0 | 0 |
| Larry C Hudson | |||||||||||||
| 0 | 339999 | 0 | 125135 | 0 | 105389 | 0 | 68312 | 0 | 20746 | 0 | 659581 | 0 | 51021 |
| Thomas Rittinger MD | |||||||||||||
| 411785 | 0 | 12000 | 0 | 0 | 0 | 8837 | 0 | 27530 | 0 | 460152 | 0 | 0 | 0 |
| Mary B Mullins | |||||||||||||
| 127080 | 0 | 16563 | 0 | 16500 | 0 | 5240 | 0 | 3000 | 0 | 168383 | 0 | 0 | 0 |
| Lance T Carney | |||||||||||||
| 122920 | 0 | 7589 | 0 | 1250 | 0 | 5360 | 0 | 28870 | 0 | 165989 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The CAMC Health System, Inc. 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 the Teays CEO 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 Teays Valley Hospital, 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 Teays Valley Hospital, 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 K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | West Virginia Hospital Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 621256910 | IssuerEIN |
| Date Issued | 2008-09-30 | DateIssued |
| Issue Price | 26000000 | IssuePrice |
| Description Of Purpose | See Part V | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 2064895 | AmountRetired |
| Total Proceeds | 26103216 | TotalProceeds |
| Issuance Costs From Proceeds | 146457 | IssuanceCostsFromProceeds |
| Capital Expenditures | 2202074 | CapitalExpenditures |
| Other Spent Proceeds | 21744205 | OtherSpentProceeds |
| Amount Unspent | 2010108 | AmountUnspent |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 1 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule K, Part I: | Description of Purpose: | To refund a portion of a $30,000,000 temporary note used to finance the acquisition, construction, and improvement of facility and to finance a project aquisition fund. |
| Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. |
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 Teays' sole voting member. | |
| Form 990, Part VI, Section A, line 7a | CAMC Health System, Inc. ("CAMCHSI") is Teays' sole voting member and has authority to elect all voting trustees of Teays other than ex- officio trustees named in Teays governing documents. The sole voting member has the sole authority to amend Teays' governing documents. | |
| Form 990, Part VI, Section A, line 7b | CAMCHSI is Teays' sole voting member and has reserved powers under Teays' governing documents, which provide that decisions of Teays' 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 | Teays' compiles necessary information for Form 990 with various efforts 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 Teays Board of Trustees and Audit Committee. | |
| 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 board chairs with resolution of same. Annual disclosure procedures are implemented and the board chair and CAMC Health System, Inc. 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. (including Teays) and executives (including CEO). The Committee uses the data to determine the total compensation of Teays' CEO and other executive officers. This data is reviewed every two years or when a new person comes into a executive role. | |
| Form 990, Part VI, Section C, line 19 | Teays 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 VII, Section A: | Some members of the board were compensated by Charleston Area Medical Center, Inc., a related orgnaization for other duties as follows: David L. Ramsey - 45 hours Larry C. Hudson - 45 hours | Avg hours devoted to related org(s) when related comp is reported: |
| Form 990, Part XI, line 5: | Gain on SWAP transactions from 2008 Bonds 437,516. Total to Form 990, Part XI, Line 5: 437,516. | Changes in Net Assets or Fund Balances: |
| Form 990, Part VII, Section A: | The compensation paid to David L. Ramsey reflects payment for his services as President/CEO to Charleston Area Medical Center, Inc., a related organization, not remuneration for his participation on the Board of Trustees of Teays. | Explanation of compensation paid to David L. Ramsey: |
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 Health Education and Research Institute Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550753754 | Medical Educational Research | WV | 501(c)(3) | Line 11, Type II-FI | 1 | CAMC Health System Inc | |
| Charleston Area Medical Center Foundation Inc | |||||||||||
| PO Box 1547 | Charleston | WV | 253261547 | 310887133 | Foundation | WV | 501(c)(3) | Line 11, Type II-FI | 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 & Children's Medical Office Building Partnership | |||||||
| PO Box 1547 | Charleston | WV | 253261547 | 550669065 | Medical Office Building | WV | N/A |
| General Division Medical Staff 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 | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | 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 | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Integrated Health Care Providers Inc | ||
| I | 40112 | Contract |
| Integrated Health Care Providers Inc | ||
| Q | 1187713 | Contract |
| Charleston Area Medical Center Inc | ||
| L | 1775754 | Contract |
| Integrated Health Care Providers Inc | ||
| O | 73834 | FMV |
| Charleston Area Medical Center Inc | ||
| O | 24801015 | FMV |
| CAMC Healthcare Education and Research Institute Inc | ||
| O | 61172 | FMV |
| Charleston Area Medical Center Inc | ||
| P | 2081685 | FMV |
| Charleston Area Medical Center Inc | ||
| R | 945034 | FMV |