CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION (EIN 31-1524546)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201141339349304004
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T13:42:31-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1556 | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 265071556 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311524546 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAMD | NameControl |
| Phone | 3044242202 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL A KING | Name |
| Title | CEO | Title |
| Phone | 3044242635 | Phone |
| Date Signed | 2011-05-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Karissa Cost | Name |
| Phone | 3042927343 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL A KING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 173231041 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.ccmh.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | TO OPERATE AN ACUTE CARE AND EMERGENCY HOSPITAL FACILITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1806 | TotalNbrEmployees |
| Total Nbr Volunteers | 477 | TotalNbrVolunteers |
| Total Gross UBI | 3388576 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 820468 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1111028 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 290515 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 177405808 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 165218470 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 887601 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4355868 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2096303 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1828114 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 181500740 | TotalRevenuePriorYear |
| Total Revenue Current Year | 171692967 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 37240 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 29600 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 75461917 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 70209369 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 110471576 | OtherExpensePriorYear |
| Other Expenses Current Year | 106243143 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 185970733 | TotalExpensesPriorYear |
| Total Expenses Current Year | 176482112 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4469993 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4789145 | RevenuesLessExpensesCY |
| Total Assets BOY | 263928076 | TotalAssetsBOY |
| Total Assets EOY | 260632900 | TotalAssetsEOY |
| Total Liabilities BOY | 160651162 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 170531779 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 103276914 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 90101121 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF CAMDEN-CLARK MEMORIAL HOSPITAL IS TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY FOR A LIFETIME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 131647438 | Expense |
| Grants | 29600 | Grants |
| Revenue | 165218470 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 131647438 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 1 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 192 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1806 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | WV | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN STANDLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3044242635 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GARFIELD AVENUE | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26102 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| LAURENCE MALLORY | ||||||||
| CHAIRMAN OF THE BOARD | 1.00 | X | X | 0 | 0 | 0 | ||
| TERRY CAPEL | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| PAUL MODIE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| KATHY EDDY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RONALD ROBERTS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL MOREHEAD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL KING | ||||||||
| CEO | 40.00 | X | 617776 | 0 | 64855 | |||
| ALLEN BUTCHER | ||||||||
| CFO | 40.00 | X | 365947 | 0 | 29382 | |||
| TODD KRUGER | ||||||||
| GENERAL LEGAL COUNSEL | 40.00 | X | 330859 | 0 | 40692 | |||
| DAVID MCCLURE | ||||||||
| VP OF OPERATIONS | 40.00 | X | 201533 | 0 | 7007 | |||
| TOM HELLER | ||||||||
| VP OF HR | 40.00 | X | 240301 | 0 | 28727 | |||
| Cynthia Kern | ||||||||
| VP OF Quality | 40.00 | X | 106306 | 0 | 7014 | |||
| Diana Topjian | ||||||||
| CNO | 40.00 | X | 178306 | 0 | 18793 | |||
| CINDY NEELY | ||||||||
| VP OF PATIENT CARE | 40.00 | X | 210556 | 0 | 1394 | |||
| SHANE PARMER | ||||||||
| PHYSICIAN | 40.00 | 169845 | 191837 | 15233 | X | |||
| JOSEPH DARROW JR | ||||||||
| PHYSICIAN | 40.00 | 260584 | 234367 | 4295 | X | |||
| TUAN NGUYEN | ||||||||
| PHYSICIAN | 40.00 | 156769 | 139297 | 3908 | X | |||
| GABOR ALTDORFER | ||||||||
| PHYSICIAN | 40.00 | 260968 | 234290 | 4289 | X | |||
| LISA CASALENUOVO | ||||||||
| PHYSICIAN | 40.00 | 263092 | 180599 | 11688 | X | |||
| IRIS MCCRADY | ||||||||
| FORMER VP OF OPERATIONS | 40.00 | 35050 | 0 | 1944 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3362842 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 980390 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 237277 | TotalOtherCompensation |
| Number Individuals GT100 K | 26 | 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 |
|---|---|---|---|---|---|
| JARVIS DOWNING AND EMCH INC | |||||
| PO BOX 6253 | WHEELING | WV | 26003 | CONTRACTOR | 1460974 |
| HMP OF WOOD COUNTY | |||||
| 4535 DRESSLER RD NW | CANTON | OH | 47718 | HOSPITALISTS | 1323873 |
| QUEST DIAGNOSTICS | |||||
| 12436 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | LABORATORY SERVICES | 1123273 |
| INTERIORS PLUS LLC | |||||
| ROUTE 3 BOX 84 | SANDYVILLE | WV | 25275 | CONTRACTOR | 772162 |
| PRICEWATERHOUSE COOPERS | |||||
| PO BOX 7247-8001 | PHILADELPHIA | PA | 19170 | CONSULTING | 765601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| Related Organizations | 245291 | RelatedOrganizations |
| All Other Contributions | 45224 | AllOtherContributions |
| Total Contributions | 290515 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE,NET | 621500 | 164909495 | 162205796 | 2703699 |
| AMBULANCE FEES | 621910 | 254653 | 254653 | |
| COMMUNITY SERVICE | 624200 | 54322 | 54322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 165218470 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4487985 | TotalRevenueColumn |
| Unrelated Business Revenue | 13488 | UnrelatedBusinessRevenue |
| Exclusion | $4,474,497 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47631 | TotalRevenueColumn |
| Exclusion | $47,631 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 688792 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 396028 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 292764 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 292764 | TotalRevenueColumn |
| Unrelated Business Revenue | 34796 | UnrelatedBusinessRevenue |
| Exclusion | $257,968 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 945944 | Securities |
| Other | 16354 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1137694 | Securities |
| Other | 4352 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -191750 | Securities |
| Other | 12002 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -179748 | TotalRevenueColumn |
| Exclusion | -$179,748 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA | 624200 | 827581 | $827,581 | |
| FAMILY FITNESS CENTER | 713940 | 636593 | 636593 | |
| VENDING MACHINE SALES | 624200 | 19359 | $19,359 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 51817 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51817 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1535350 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 171692967 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162566588 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3388576 | UnrelatedBusinessRevenue |
| Exclusion | $5,447,288 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29600 | Total |
| Program Services | 29600 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2157395 | Total |
| Program Services | 800922 | ProgramServices |
| Management And General | 1356473 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51113929 | Total |
| Program Services | 35779750 | ProgramServices |
| Management And General | 15334179 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2953736 | Total |
| Program Services | 2067615 | ProgramServices |
| Management And General | 886121 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9138083 | Total |
| Program Services | 6396658 | ProgramServices |
| Management And General | 2741425 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4846226 | Total |
| Program Services | 3392358 | ProgramServices |
| Management And General | 1453868 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 713381 | Total |
| Program Services | 499367 | ProgramServices |
| Management And General | 214014 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103881 | Total |
| Program Services | 72717 | ProgramServices |
| Management And General | 31164 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277399 | Total |
| Program Services | 194179 | ProgramServices |
| Management And General | 83220 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10528173 | Total |
| Program Services | 7369721 | ProgramServices |
| Management And General | 3158452 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 629156 | Total |
| Program Services | 440409 | ProgramServices |
| Management And General | 188747 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28538242 | Total |
| Program Services | 19976769 | ProgramServices |
| Management And General | 8561473 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2638576 | Total |
| Program Services | 1847003 | ProgramServices |
| Management And General | 791573 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2389992 | Total |
| Program Services | 1672994 | ProgramServices |
| Management And General | 716998 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 548 | Total |
| Program Services | 384 | ProgramServices |
| Management And General | 164 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31197 | Total |
| Program Services | 21838 | ProgramServices |
| Management And General | 9359 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5813606 | Total |
| Program Services | 4069524 | ProgramServices |
| Management And General | 1744082 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12584607 | Total |
| Program Services | 8809225 | ProgramServices |
| Management And General | 3775382 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8817939 | Total |
| Program Services | 6172557 | ProgramServices |
| Management And General | 2645382 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PROVISION FOR BAD DEBTS | 14084474 | 14084474 |
| PATIENT CHARGES | 11699362 | 11699362 |
| DIAGNOSTIC TESTING | 3584577 | 3584577 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3808033 | Total |
| Program Services | 2665435 | ProgramServices |
| Management And General | 1142598 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176482112 | Total |
| Program Services | 131647438 | ProgramServices |
| Management And General | 44834674 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38806 | BOY |
| EOY | 76829 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5675486 | BOY |
| EOY | 9843323 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21529705 | BOY |
| EOY | 17017894 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69000 | BOY |
| EOY | 17972 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1804076 | BOY |
| EOY | 1393564 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3790155 | BOY |
| EOY | 3607758 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1311343 | BOY |
| EOY | 2059143 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 263330149 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 138000618 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131137329 | BOY |
| EOY | 125329531 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92461488 | BOY |
| EOY | 96153755 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 687986 | BOY |
| EOY | 258743 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5422702 | BOY |
| EOY | 4874388 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 263928076 | BOY |
| EOY | 260632900 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14619951 | BOY |
| EOY | 10599648 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61212 | BOY |
| EOY | 62476 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112447871 | BOY |
| EOY | 110720610 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 614389 | BOY |
| EOY | 3886981 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32907739 | BOY |
| EOY | 45262064 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160651162 | BOY |
| EOY | 170531779 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103276914 | BOY |
| EOY | 90101121 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103276914 | BOY |
| EOY | 90101121 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 263928076 | BOY |
| EOY | 260632900 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2315975 | OtherCostOrOtherBasis |
| Book Value | 2315975 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 92303718 | OtherCostOrOtherBasis |
| Depreciation | 48011535 | Depreciation |
| Book Value | 44292183 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 161713793 | OtherCostOrOtherBasis |
| Depreciation | 87800872 | Depreciation |
| Book Value | 73912921 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6996663 | OtherCostOrOtherBasis |
| Depreciation | 2188211 | Depreciation |
| Book Value | 4808452 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 125329531 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF-FUNDED INSURANCE RESERVE | $13,335,273 |
| PENSION LIABILITY | $16,209,830 |
| BOND INTEREST SWAP LIABILITY | $14,807,729 |
| OTHER | $909,232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 45262064 | TotalOfAmounts |
| Total Revenue | 171692967 | TotalRevenue |
| Total Expenses | 176482112 | TotalExpenses |
| Excess Or Deficit For Year | -4789145 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3370786 | NetUnrealizedGLOnInvestments |
| Other | -$11,757,434 | OtherAmount |
| Total Adjustments | -8386648 | TotalAdjustments |
| Excess Or Deficit Per FS | -13175793 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 169179920 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3370786 | NetUnrealizedGainsInvestments |
| Other Revenues | -6279862 | OtherRevenues |
| Revenue Not Rptd F990 | -2909076 | RevenueNotRptdF990 |
| Revenue Subtotal | 172088996 | RevenueSubtotal |
| Other Revenues Not Included | -396029 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -396029 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 171692967 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 182355713 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 5873601 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 5873601 | ExpensesNotRptdF990 |
| Expenses Subtotal | 176482112 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 176482112 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | MINIMUM PENSION LIABILITY: -3015969. TRANSFERS TO RELATED ORGANIZATIONS: -3263893. INTEREST RATE SWAP: -5477572. |
| Part XII, Line 2d - Other Adjustments: | TRANSFERS TO RELATED ORGANIZATIONS: -3263893. PENSION IN OTHER CHANGES IN NET ASSETS ON AUDITED FINANCIAL STATEMENTS: -3015969. |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990: -396029. |
| Part XIII, Line 2d - Other Adjustments: | INTEREST RATE SWAP INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS: 5477572. RENTAL EXPENSES NETTED WITH REVENUE ON FORM 990: 396029. |
| PART X, LINE 2: EFFECTIVE JULY 1, 2009, THE ORGANIZATION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST AS OF JUNE 30, 2010, AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE FINANCIAL POSITION OR RESULTS OF OPERATIONS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6068689 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 209587 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5859102 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03610 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28775025 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12814250 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15960775 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09830 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42667 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42667 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34886381 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13023837 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21862544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13470 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 603435 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 603435 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 440503 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 584429 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -143926 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 76380 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 76380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1120318 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 584429 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 535889 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36006699 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13608266 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22398433 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13890 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $6,309,844 | BadDebtExpenseAmount |
| Amount Attributable To | 4391699 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 60951673 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 75516983 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14565310 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther | Er OtherErOther |
|---|---|---|---|---|---|---|---|---|---|
| Camden-Clark Memorial Hospital | |||||||||
| 800 Garfield AveNUE | Parkersburg | WV | 26102 | X | X | X | X | DISPROPORTIONATE SHARE HOSPITAL | |
| LHC GROUP INC | |||||||||
| 420 W Pinhood Road Suite A | LAFAYETTE | LA | 70503 | Homehealth AND Hospice | X | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense Expln | Part I, Line 7f: THE AMOUNT OF TOTAL EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES A BAD DEBT EXPENSE OF $14,084,474 WHICH HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENT OF TOTAL EXPENSE IN COLUMN (F). | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: PATIENT RECEIVABLES ARE REPORTED NET OF MANAGEMENT'S ESTIMATE OF AMOUNTS UNCOLLECTIBLE DUE TO CONTRACTUAL ADJUSTMENT, BAD DEBT, AND CHARITY. MANAGEMENT CONSIDERS PAST PERFORMANCE WHEN DETERMINING THESE AMOUNTS.BAD DEBT EXPENSE AT COST IS CALCULATED BY MULTIPLYING THE FINANCIAL STATEMENT AMOUNT OF BAD DEBT EXPENSE ($14,084,474) BY THE COST TO CHARGE RATIO (44.8%) WHICH WAS DETERMINED BY USING IRS WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY IS CALCULATED BASED ON THE ADOPTION OF THE SEARCH AMERICA CREDIT SCORING MODEL. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: THE ORGANIZATION USED INFORMATION FROM THEIR COST REPORT TO COMPLETE THIS SECTION AS WELL AS THEIR INTERNAL REPORTS.THE ORGANIZATION RAN A REPORT FOR FISCAL YEAR 2010 OF EVERY PATIENT THAT QUALIFIED FOR MEDICARE THAT WOULD HAVE ALSO QUALIFIED FOR MEDICAID IF MEDICARE DID NOT EXIST. THE ORGANIZATION BELIEVES THAT IF A PERSON QUALIFIED FOR MEDICAID, THEY WOULD HAVE ALSO QUALIFIED UNDER THE ORGANIZATION'S CHARITY CARE GUIDELINES. OF APPROXIMATELY $61 MILLION IN MEDICARE NET PATIENT REVENUE, ROUGHLY $9.5 MILLION IS FROM INDIVIDUALS THAT ARE DUALLY ELIGIBLE FOR MEDICARE/MEDICAID. THIS REPRESENTS APPROXIMATELY 15.6% OF THE $61 MILLION; THEREFORE, 15.6% OF THE SHORTFALL, $2.3 MILLION, WOULD QUALIFY AS COMMUNITY BENEFIT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: PATIENTS MEET WITH A FINANCIAL COUNSELOR AT THE TIME OF SERVICE. IF IT IS DETERMINED AT THAT TIME THAT THEY QUALIFY FOR CHARITY CARE, THEIR ACCOUNT IS CHARGED OFF AS CHARITY AND NO FURTHER BILLING OR COLLECTING ACTION IS TAKEN. THE ORGANIZATION HAS RECENTLY PUT IN PLACE NEW POLICIES TO IMPROVE THIS PROCESS SO THAT THEY WILL BE ABLE TO REEVALUATE THEIR ACCOUNTS RECEIVABLE FOR POSSIBLE CHARITY CARE AFTER THE INITIAL SCREENING. | DebtCollectionPolicy |
| General Explanation | PART I, LINE 7E: THIS AMOUNT INCLUDES THE EXPENSES OF THE FOLLOWING ACTIVITIES ALONG WITH MANY MORE: CHILDBIRTH CLASSES, HEARTSAVER AED, RELAY FOR LIFE, ROTARY BLOOD SCREENING, AND SHRINER'S CLINIC. | GeneralExplanation |
| Needs Assessment | Part VI, Line 2: THE ORGANIZATION IS PART OF THE MID-OHIO VALLEY RURAL HEALTH ALLIANCE. THE ALLIANCE MEMBERS JOINTLY ASSESS THE NEEDS OF THE REGION AND WORK WITH A CONSULTANT TO ENSURE THAT THOSE NEEDS ARE ADDRESSED. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: At the time of scheduling or service the patient is asked what insurance they have. If they have none and are self pay then they are informed of their options and may be placed with a financial counselor to determine whether they are eligible for assistance under Federal, state, or local government programs or our charity policy. The counselor will explain the policy to them and will gather the info necessary to determine if they qualify. The organization also distributes pamphlets, and prints the information on patient bills to spread awareness. The organization is currently working on getting the information put on the website. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The organization, located in Parkersburg, WV, services the Mid-Ohio Valley Region of West Virginia and Ohio. The primary service area consists primarily of 4 counties with an estimated total population of approximately 164,000 people and a median household income of approximately $39,000. It is an aging population. There is a declining corporate presence in the area which has negatively impacted the unemployment rate. There are two other hospitals within the primary service area, one in Parkersburg, WV and one in Marietta, OH. The community includes several federally designated medically underserved areas or populations. | CommunityInformation |
| Other Information | Part VI, Line 6: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY TO MANY OF ITS DEPARTMENTS.ANY SURPLUS OF FUNDS IS USED PRIMARILY TO ENHANCE PATIENT CARE. WHILE NO RESEARCH IS DONE AT THE FACILITY, A RESIDENCY PROGRAM WAS STARTED DURING THE CURRENT FISCAL YEAR. | OtherInformation |
| Reports Filed With States | WV | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| WOOD COUNTY DEVELOPMENT AUTHORITY | |||||||
| PO BOX 1683 | PARKERSBURG | WV | 26102 | 550575873 | 501(C)4 | 5500 | YEARLY PLEDGE |
| GOOD SAMARITAN CLINIC INC | |||||||
| 418 GRAND PARK DRIVE SUITE 311 | PARKERSBURG | WV | 261054000 | 550708491 | 501(C)3 | 15000 | DONATION TO CLINIC OPERATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: ALL GRANTS ARE APPROVED BY THE OFFICERS OF THE ORGANIZATION. A VICE PRESIDENT OF THE ORGANIZATION SITS ON BOTH THE WOOD COUNTY DEVELOPMENT AUTHORITY AND GOOD SAMARITAN CLINIC'S BOARD OF DIRECTORS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL KING | |||||||||||||
| 579276 | 0 | 0 | 0 | 38500 | 0 | 62761 | 0 | 2094 | 0 | 682631 | 0 | 0 | 0 |
| ALLEN BUTCHER | |||||||||||||
| 332947 | 0 | 0 | 0 | 33000 | 0 | 27298 | 0 | 2084 | 0 | 395329 | 0 | 0 | 0 |
| TODD KRUGER | |||||||||||||
| 297859 | 0 | 0 | 0 | 33000 | 0 | 38611 | 0 | 2081 | 0 | 371551 | 0 | 0 | 0 |
| DAVID MCCLURE | |||||||||||||
| 179533 | 0 | 0 | 0 | 22000 | 0 | 5308 | 0 | 1699 | 0 | 208540 | 0 | 0 | 0 |
| TOM HELLER | |||||||||||||
| 201801 | 0 | 0 | 0 | 38500 | 0 | 26907 | 0 | 1820 | 0 | 269028 | 0 | 0 | 0 |
| Diana Topjian | |||||||||||||
| 146306 | 0 | 0 | 0 | 32000 | 0 | 17138 | 0 | 1655 | 0 | 197099 | 0 | 0 | 0 |
| CINDY NEELY | |||||||||||||
| 210556 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1394 | 0 | 211950 | 0 | 0 | 0 |
| SHANE PARMER | |||||||||||||
| 166420 | 189012 | 0 | 0 | 3425 | 2825 | 13141 | 0 | 1045 | 1047 | 184031 | 192884 | 0 | 0 |
| JOSEPH DARROW JR | |||||||||||||
| 250046 | 222906 | 0 | 0 | 10538 | 11461 | 2200 | 0 | 1044 | 1051 | 263828 | 235418 | 0 | 0 |
| TUAN NGUYEN | |||||||||||||
| 152953 | 126613 | 0 | 0 | 3816 | 12684 | 1835 | 0 | 1031 | 1042 | 159635 | 140339 | 0 | 0 |
| GABOR ALTDORFER | |||||||||||||
| 250429 | 228329 | 0 | 0 | 10539 | 5961 | 2200 | 0 | 1038 | 1051 | 264206 | 235341 | 0 | 0 |
| LISA CASALENUOVO | |||||||||||||
| 255898 | 171374 | 0 | 0 | 7194 | 9225 | 9605 | 0 | 1041 | 1042 | 273738 | 181641 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| WV HOSPITAL FINANCE AUTHORITY | ||||||
| 621256910 | 956622VY7 | 2004-06-30 | 96695947 | SEE SCHEDULE O | 0 | 0 |
| WV HOSPITAL FINANCE AUTHORITY | ||||||
| 621256910 | 956622A87 | 2009-10-16 | 25063291 | REFUND PRIOR ISSUE (9/13/2007) | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| 75779599 | 6484456 | 263114 | 5251619 | 64431514 | 2008 | 1 | 0 | 1 | 1 |
| 463291 | 1635558 | 463291 | 2012 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Business Name Line2NameOfGICProvider/BusinessNameLine2 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||||
| 0 | 1 | 1 | 29.600000000000 | 1 | LEHMAN BROTHERS | SPECIAL FINANCING | 29.600000000000 | 1 | 1 | 1 |
| (no name) | ||||||||||
| 0 | 0 | 0 | 0 | 1 | 1 | |||||
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LISA CASALENUOVO | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $176,395 | OriginalPrincipalAmount |
| Balance Due | 17972 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 17972 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PARKERSBURG NEUROLOGICAL ASSOCIATES | |||
| BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD | 95836 | PAYMENT REMITTED TO PARKERSBURG NEUROLOGICAL ASSOCIATES FOR THE ORGANIZATION'S USE OF EQUIPMENT, SUPPLIES, AND STAFF AND INTRAOPERATIVE MONITORING ON THE ORGANIZATION'S NEUROSURGERY CASES | 0 |
| PARKERSBURG NEUROLOGICAL ASSOCIATES | |||
| BUSINESS ENTITY OWNED, IN PART, BY BOARD MEMBER, DR.MICHAEL MOREHEAD | 50017 | REVENUE RECEIVED FROM PARKERSBURG NEUROLOGICAL ASSOCIATES FOR LEASE OF THE ORGANIZATION'S OFFICE SPACE | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | CAMDEN-CLARK HEALTH SERVICES, INC., A NON-PROFIT, TAX-EXEMPT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION. |
| Form 990, Part VI, Section A, line 7a | A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS OF CAMDEN-CLARK HEALTH SERVICES, INC., A NONPROFIT CORPORATION, SHALL ALSO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS OF CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION. |
| Form 990, Part VI, Section A, line 7b | CAMDEN-CLARK HEALTH SERVICES, INC. SHALL HAVE THE SOLE RIGHT TO VOTE AT ANY MEETING OF THE MEMBERS OF CAMDEN-CLARK MEMORIAL HOSPITAL CORPORATION. ADDTIONALLY, THE POWER TO ALTER, AMEND, OR REPEAL THE BYLAWS OF THE CORPORATION SHALL BE RESERVED TO CAMDEN-CLARK HEALTH SERVICES, INC. |
| Form 990, Part VI, Section B, line 11 | THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE REVIEWED THE COMPLETED FORM PRIOR TO FILING. AFTER THE RETURN WAS FILED, A COPY WAS SENT TO THE BOARD OF DIRECTORS FOR THEIR REVIEW. |
| Form 990, Part VI, Section B, line 12c | TO IDENTIFY AND MONITOR ANY CONFLICTS, A SIGNED CONFLICT OF INTEREST STATEMENT IS REQUIRED FROM BOARD MEMBERS OF THE ORGANIZATION AND KEY INDIVIDUALS THAT ARE IN A POSITION TO MAKE OR INFLUENCE DECISIONS. IF AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST IS OBSERVED OR DISCLOSED, THE ORGANIZATION INVOKES THE PROCEDURES SET OUT IN THE POLICY/BYLAWS FOR ADDRESSING THE CONFLICT OF INTEREST. FOR KEY INDIVIDUALS (EMPLOYEES), A SPECIFIC CONFLICT OF INTEREST STANDARD IN THE ORGANIZATION'S CODE OF ETHICS AND BUSINESS CONDUCT ALSO EXISTS. |
| Form 990, Part VI, Section B, line 15 | THE ORGANIZATION UTILIZES AN EXECUTIVE COMPENSATION CONSULTANT TO SURVEY DATA AND MAKE RECOMMENDATIONS. THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE WEST VIRGINIA HEALTHCARE AUTHORITY WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. |
| FORM 990, PART III, LINE 4A | THE HOSPITAL STRIVES TO SUPPLY A COMPREHENSIVE RANGE OF INPATIENT, OUTPATIENT, OUTREACH CLINICS AND EMERGENCY ROOM SERVICES, INCLUDING PREVENTION, GUIDANCE, DIAGNOSIS, TREATMENT, RESTORATION, REHABILITATION AND OTHER EFFORTS AS MAY BE REQUIRED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY AND AS THE HOSPITAL'S RESOURCES WILL PERMIT. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THIS COMMITMENT TO SERVICE ALL MEMBERS OF THE COMMUNITY, CAMDEN-CLARK MEMORIAL HOSPITAL WILL PROVIDE THE FOLLOWING WHERE THE INDIVIDUAL'S NEED AND/OR AN INABILITY TO PAY COEXIST: - FREE CARE AND/OR SUBSIDIZED CARE - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARTITY CARE IN MEETING IT'S MISSION TO THE ENTIRE COMMUNITY. IN ADDITION, CHARITY CARE IS PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT THE HOSPITAL BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED. THE HOSPITAL PROVIDED $12,191,034 OF CHARITY CARE FOR THE YEAR ENDED JUNE 30, 2010. THE HOSPITAL ALSO PROVIDES NUMBEROUS OTHER BENEFITS FOR THE MID-OHIO VALLEY COMMUNITY, INCLUDING ECONOMIC BENEFITS, HEALTH EDUCATION, WELLNESS/OUTREACH PROGRAMS, AND PUBLIC SERVICES AND SUPPORT GROUPS. |
| SCHEDULE L SUPPLEMENTAL INFORMATION | CAMDEN-CLARK MEMORIAL HOSPITAL HAS DETERMINED THAT IT IS IN THE BEST INTEREST OF THE COMMUNITY TO PROVIDE RECRUITMENT ASSISTANCE TO DR. LISA CASALENUOVO. THIS LOAN WAS GRANTED TO ASSIST THE PHYSICIAN IN RELOCATING TO THE COMMUNITY AND TO PERMIT THE PHYSICIAN TO ESTABLISH A FULL-TIME OB/GYN PRACTICE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY FITNESS CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2804 BIRCH STREET | AddressLine1 |
| City | PARKERSBURG | City |
| State | WV | State |
| ZIP Code | 26101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550774193 | EIN |
| Primary Activities | PROVIDE AN EXERCISE FACILITY FOR THE COMMUNITY | PrimaryActivities |
| Legal Domicile State | WV | LegalDomicileState |
| Total Income | 642735 | TotalIncome |
| EOY Assets | 1804885 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| CAMDEN-CLARK HEALTH SERVICES INC | |||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550769602 | AIDS, STRENGTHENS, AND SUPPORTS CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | Line 11a, I | N/A |
| CAMDEN-CLARK FOUNDATION | |||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550667789 | RAISE AND MANAGE FUNDS FOR CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | Line 7 | N/A |
| AUXILIARY OF CAMDEN-CLARK MEMORIAL HOSPITAL OF PARKERSBURG | |||||||||
| 800 GARFIELD AVENUE | PARKERSBURG | WV | 26102 | 550386283 | PROMOTES ADVANCEMENT AND WELFARE OF CAMDEN-CLARK MEMORIAL HOSPITAL. | WV | 501(C)3 | Line 3 | N/A |
| CAMDEN-CLARK PHYSICIAN CORPORATION | |||||||||
| 604 ANN STREET | PARKERSBURG | WV | 26102 | 264058719 | FURNISHES FACILITIES AND SERVICES TO PROVIDE MEDICAL SERVICES. | WV | 501(C)3 | Line 11a, I | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |