2022-11-14T11:22:38-06:00 2021-12-31 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2021-01-01 310887133 CAMC Foundation Inc CAMC 3043889860 PO Box 1547 Charleston WV 253261547 Robert B Cummings President 3043889866 2022-11-14 1 Robert Cummings 999009999 Rachel Henderson-Pennington P01499421 3124861000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CAMC Foundation Robert B Cummings 3414 Staunton Avenue Charleston WV 25304 102253650 0 X www.camcfoundation.org X 1976 WV Raise funds to assist Charleston Area Medical Center, Inc. in its healthcare mission. 23 17 0 83 0 0 3610675 4312883 0 0 7708718 21911609 668611 538898 11988004 26763390 4054062 3928145 0 0 242333 187040 0 0 322357 1438031 1943906 5734426 6059091 6253578 20704299 303510257 339677325 1506622 1555430 302003635 338121895 X CAMC Foundation, Inc. ("CAMC Foundation") is organized and operated exclusively for the purpose of receiving gifts, grants, contributions, devises and bequests, holding the same primarily as endowment funds, and making distributions of such funds, and the income received from the investment of the same, to or for the benefit of Charleston Area Medical Center, Inc. ("CAMC"), a not-for-profit corporation organized under the laws of the State of West Virginia. CAMC's primary exempt purpose is to provide hospital and health services for the people residing in the area of Charleston, West Virginia. 0 0 3449035 3449035 CAMC Foundation, Inc. provides support to or for the benefit of Charleston Area Medical Center, Inc. Grants were approved for research, education, and medical assistance. 325134 325134 CAMC Foundation, Inc. provides support to or for the benefit of CAMC Health Education and Research Institute, Inc. Grants were approved for research and education. 153976 153976 CAMC Foundation, Inc. provides support to or for the benefit of approximately 100 individuals and companies, particularly low-income individuals and families. 3928145 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 10 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 23 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X Jeff Sandene 3043887603 501 Morris Street Charleston WV 25301 David L Ramsey Director & CAMCHSI CEO 1.00 56.00 X 0 1480251 200287 James P Tierney Director 0.50 40.00 X 0 760889 27491 E Gail Pitchford President (End 9/21) 50.00 1.00 X X 0 237093 152527 Nancy L Tierney Director 0.50 0.00 X 0 140341 11652 Robert B Cummings President (Start 10/21) 50.00 0.00 X X 0 116985 18982 Marion S Jones Director 0.50 40.00 X 0 67549 3225 Art Rubin DO Director 0.50 1.00 X 0 62248 0 David Ferretti Treasurer 0.50 0.00 X X 0 0 0 Douglas P Meeks Vice Chairman 0.50 0.00 X X 0 0 0 Ted H Brady Secretary 0.50 0.00 X X 0 0 0 Amy E Smith Director 0.50 0.00 X 0 0 0 Ann Orders Chairwoman 0.50 0.00 X X 0 0 0 Craig L Glover Start 121 Director 0.50 0.00 X 0 0 0 Dale Clowser Start 121 Director 0.50 0.00 X 0 0 0 James M Becker Director 0.50 0.00 X 0 0 0 John A Cavender Director 0.50 0.00 X 0 0 0 Katherine Capito Director 0.50 0.00 X 0 0 0 Maryclaire Akers Director 0.50 0.00 X 0 0 0 Nicholas J Oxley Vice Chairman 0.50 0.00 X X 0 0 0 Richard K Umstot MD Director (Start 1/21) 0.50 6.00 X 0 0 0 Stefan R Maxwell MD Director 0.50 5.00 X 0 0 0 Susan P Wheeler Start 121 Director 0.50 0.00 X 0 0 0 William L Harris MD Director 0.50 0.00 X 0 0 0 William Rice Jr Director 0.50 6.00 X 0 0 0 Jeff Sandene CFO-CAMCHSI 5.00 55.00 X 0 825339 250327 0 3690695 664491 0 0 1 0 Merrill Lynch (Bank of America) One Bryant Pk 28th Fl New York NY 10036 Investment Manager Fees 1145302 1 233174 4079709 57481 4312883 9581495 9581495 591447 34899 556548 556548 556548 87733024 75402910 12330114 12330114 12330114 30291 233174 52451 -22160 -22160 4510 0 4510 4510 26763390 0 0 22450507 3874902 3874902 53243 53243 176968 53090 123878 6072 1822 4250 -9106 -2732 -6374 13106 3932 9174 281365 281365 23031 23031 1153581 1153581 96359 96359 3181 3181 82585 82585 10676 10676 1924 577 1347 2625 2625 44670 44670 46041 46041 Fundraising 93723 93723 Prov. Uncollectible Acc 89176 89176 Supplies 6449 6449 Donor Recognition 5999 5999 2521 2521 6059091 3928145 1808589 322357 3226064 651211 8817919 10321908 164716 2684293 15439 29324 7372673 757984 6683009 6614689 284553823 319326228 49287 49672 303510257 339677325 20816 17505 1485806 1537925 1506622 1555430 X 208280968 230185544 93722667 107936351 302003635 338121895 303510257 339677325 20704299 15413961 0 X 0 1 X 1 0 X X 1 Charleston Area Medical Center Inc 550526150 3 1 3449035 0 1 3449035 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part IV, Section C, Line 1: The sole voting member of Charleston Area Medical Center, Inc. ("CAMC") is CAMC Health System, Inc. ("CAMCHSI"). The sole voting member of CAMC Foundation, Inc. ("Foundation") is CAMCHSI. Therefore, CAMC and Foundation are under the common control of CAMCHSI. Part I, Line 12 (g) (v): CAMC Foundation, Inc. ("Foundation") is organized and operates for the purpose of receiving gifts, grants, contributions, devises and bequests for the benefit of Charleston Area Medical Center, Inc. Foundation's mission is to support and promote CAMC's delivery of excellent and compassionate health services and CAMC's contribution to the quality of life and economic vitality of the region. This is accomplished through support of many services to CAMC patients and employees. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 93722666 4316968 10942868 931075 115077 107936350 81944578 3727954 8982210 829548 102528 93722666 69650482 1443340 12143800 1149864 143180 81944578 73718803 1526157 -2739167 2663539 191772 69650482 64546162 2011899 8764657 1349757 254158 73718803 0.29000 0.71000 0 0 5185685 5185685 2101100 679284 1421816 74638 74638 0 11250 4062 7188 6614689 Affiliate Payable- Charleston Area Medical Center, Inc. 1391447 Affiliate Payable- CAMC Health Education and Research Institute, Inc. 146478 1537925 X Part V, Line 4: CAMC Foundation, Inc. has over 100 endowment funds, many of which have been established to support cancer, heart, children, education, and research funds. These funds support various projects within CAMC as designated by the specific fund. Funds are set up throughout the year by individuals in the community to honor a member of their family who has survived an adverse medical situation and those who want to honor a deceased member of their family or someone in the community who has been a dedicated leader. Part X, Line 2: CAMC Foundation, Inc. financial statements are audited as part 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: "The IRS has determined that CAMC, the Foundation, the Institute and the Health Network are exempt from income taxes under Section 501 (c)(3) of the Code and applicable state statutes. The System does not have any material uncertain tax positions as of December 31, 2021." Central America and the Caribbean 0 0 Investments 7398500 0 0 0 0 0 0 7398500 0 7398500 1 0 1 0 0 0 Part III Accounting Method: 2021 Golf 162927 141636 21291 2600 14500 4250 16075 2021 Run for your Life 100538 91538 9000 10474 4552 263465 233174 30291 2600 10474 14500 4250 20627 52451 -22160 1 Charleston Area Medical Center Inc PO Box 1547 Charleston WV 253261547 550526150 501(c)(3) 3449035 0 General Support CAMC Health Education and Research Institute Inc PO Box 1547 Charleston WV 253261547 550753754 501(c)(3) 325134 0 General Support West Virginia University Physicians of Charleston 3110 MacCorkle Avenue Charleston WV 25304 550779739 501(c)(3) 16705 0 General Support University of Charleston 2300 MacCorkle Avenue SE Charleston WV 253041099 550357039 501(c)(3) 30000 0 General Support WVU Foundation One Waterfront Place 7th Floor Morgantown WV 26507 556017181 501(c)(3) 15000 0 General Support WV Chapter American College of Surgeons 3110 MacCorkle Avenue SE Charleston WV 25304 550576892 501(c)(6) 10000 0 General Support 5 1 Assistance to CAMC Health System, Inc., and Subsidiaries' employees for personal financial emergencies such as funeral expenses or travel, replacement of essential personal items lost due to theft, fire or other disaster, illness, emergency housing or relocation to escape dangerous living conditions. 70 53243 Part I, Line 2: The Grantee of each approved grant is required to provide a mid-year report, as well as a year-end report, on the distribution and usage of grant funds. 0 1 0 0 0 0 0 0 0 David L Ramsey Director & CAMCHSI CEO 0 934684 0 361608 0 183959 0 154600 0 45687 0 1680538 0 0 Jeff Sandene CFO-CAMCHSI 0 528769 0 182283 0 114287 0 203872 0 46455 0 1075666 0 49708 James P Tierney Director 0 736143 0 0 0 24746 0 11600 0 15891 0 788380 0 0 E Gail Pitchford President (End 9/21) 0 152645 0 38727 0 45721 0 123130 0 29397 0 389620 0 19061 Nancy L Tierney Director 0 106225 0 10197 0 23919 0 4692 0 6960 0 151993 0 0 Part I, Line 3 The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including Foundation) and executives (including Foundation's President). The Committee uses the data to determine the total compensation of Foundation's President and other executive officers. This data is reviewed every two years. Part I, Line 4b Supplemental Executive Retirement Plan ("SERP"). Participants are key officers of CAMCHSI and subsidiaries. Terms and Conditions of SERP plan: Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement 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 30 and 0.5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. Under the Execu-Flex Benefit Plan (409A), executives receive 11% of their salary in flex allowance. This flex allowance is used to elect executive benefits. Any remaining flex allowance is credited to a tax-deferred Capital Accumulation Account. The minimum vesting period is two years, maximum is age 68. A two year non-compete agreement (Substantial Risk of Forfeiture Agreement) applies if termination of employment occurs prior to the vesting date. Certain participants had amounts vested and included as reportable compensation this year, as detailed below: David L. Ramsey - $123,219 Jeff Sandene- $70,997 E. Gail Pitchford- $19,310 X 2605 Cost or Selling Price X 2 53376 Cost or Selling Price X Miscellaneous 5 1500 Cost or Selling Pric 0 0 1 0 Part I, Column (b): The organization used the number of contributions received. Form 990, Part VI, Section A, line 2 E. Gail Pitchford, Robert B. Cummings, Marion S. Jones, David L. Ramsey, Jeff Sandene, Art Rubin, James P. Tierney and Nancy Tierney have a business relationship due to employment by a related company within the Health System. James P. Tierney and Nancy Tierney have a family relationship. Form 990, Part VI, Section A, line 6 CAMC Health System, Inc. ("CAMCHSI") is Foundation's sole voting member. Form 990, Part VI, Section A, line 7a CAMC Health System, Inc. ("CAMCHSI") is Foundation's sole voting member and has authority to elect all voting directors of Foundation other than ex-officio directors named in Foundation's governing documents. The sole voting member has the sole authority to amend Foundation's governing documents. Form 990, Part VI, Section A, line 7b CAMCHSI is Foundation's sole voting member and has reserved powers under Foundation's governing documents, which provide that decisions of Foundation's governing body such as election of officers, approval of annual budgets and borrowings are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law. Form 990, Part VI, Section B, line 11b The organization compiles necessary information for Form 990 with various officers and directors of the organization and its affiliates. The return is then prepared and reviewed by an external consultant firm. The CAMC Health System, Inc. Chief Financial Officer reviews the completed Form 990 with the CAMC Foundation, Inc. Board of Directors. Form 990, Part VI, Section B, line 12c Corporate officers, including the President and Secretary, develop the agendas for board meetings and identify and resolve potential conflict of interest issues relative to action items. Annual disclosure procedures are implemented and the President and the CAMC Health System, Inc. Board of Directors Governance Committee periodically review conflict situations. The organization's conflict of interest policy requires all disclosed conflicts to be reported by the Chief Compliance Officer to the CAMC Health System Management Compliance Committee. The Compliance Officer will inform the Board of Directors Audit Committee at their next scheduled meeting of all such activities approved by the CAMC Health System Management Compliance Committee. 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 CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of Foundation's President. The data is reviewed every two years. Form 990, Part VI, Section C, line 19 The organization's audit is part of a consolidated financial audit for CAMC Health System, Inc. and Subsidiaries. Consolidated audited financial statements are available online at CAMC.org. They are also filed with the WV Health Care Authority where they are available online and in person. There is no formal method of making the organization's bylaws and conflict of interest policy publicly available, but they are available upon request. The organization's Articles of Incorporation are on file at and publicly available through the West Virginia Secretary of State's Office. CAMC Health System Inc PO Box 1547 Charleston WV 253261547 550664138 Parent Company WV 501(c)(3) 12C, III-FI N/A 0 CAMC Health Education and Research Institute Inc PO Box 1547 Charleston WV 253261547 550753754 Medical Educational Research WV 501(c)(3) 12B, II CAMC Health System Inc 1 Charleston Area Medical Center Inc PO Box 1547 Charleston WV 253261547 550526150 Hospital WV 501(c)(3) 3 CAMC Health System Inc 1 Women and Children's Medical Office Building LLC PO Box 1547 Charleston WV 253261547 550669065 Medical Office Building WV N/A 0 0 General Division Medical Office Building LLC PO Box 1547 Charleston WV 253261547 550623949 Medical Office Building WV N/A 0 0 DASCO-CAMC Home Medical Equipment LLC 501 Morris Street Charleston WV 25301 844487189 Home Medical Equipment WV N/A 0 0 Vandalia Insurance Company 76 St Paul Street Ste 500 Burlington VT 05401 030308754 Insurance VT N/A C 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 Charleston Area Medical Center Inc B 3449035 Fair Market Value CAMC Health Education and Research Institute Inc B 325134 Fair Market Value Charleston Area Medical Center Inc J 591447 Contract Charleston Area Medical Center Inc M 281365 Fair Market Value Charleston Area Medical Center Inc P 282860 Fair Market Value