2022-11-10T08:45:19-00:00 2021-12-31 990 2021-01-01 264058719 Camden-Clark Physician Corporation CAMD 3044242817 604 Ann Street Parkersburg WV 26101 Kyle Pierson VP Finance 3044242817 2022-11-10 false Kyle Pierson XXX-XX-XXXX 2 AAL1 IAL1 2021 2022-09-23 18:48:47Z Steve Altmiller 800 Garfield Avenue Parkersburg WV 26101 63031492 false X X 2008 WV To support, manage, and furnish facilities, personnel, and medical services to individuals in need. 5 2 230 2 0 640 0 54456412 62716780 0 304609 314712 54761661 63031492 0 0 31685303 40124664 0 0 23076355 22868572 54761658 62993236 3 38256 8121439 7022477 4853231 3911560 3268208 3110917 X The general purposes of the corporation are as follows to establish, support, manage, and furnish facilities, personnel, and services to provide diagnostic, therapeautic, wellness, health promotion, surgical, and other professional medical services to sick, injured, or disabled persons false false 11699117 4559141 Camden Clark Physician Corporation offers Hospitalist coverage through a term of employed physicians and in collaboration with Camden Clark Medical Center. In 2021, Hospitalists reported 97,338 work relative value units wRVUs. 10675137 5721951 Camden Clark Physician Corporation offers Cardiac Services through Parkersburg Cardiology. This specialization works with top of the line heart care. In 2021, Cardiac Services reported 100,542 work relative value units wRVUs and had a total of 25,524 visits. 9945368 7208819 Camden Clark Physician Corporation offers 7 Primary Care clinics across Parkersburg, WV and into Belpre, OH. These clinics work with the general public to provide patient well being. In 2021, Primary Care reported 101,579 work relative value units wRVUs and had a total of 55,490 visits. 28762162 45541510 61081784 true false false false false false false false false false true false false false true true false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 41 0 117 true false false false false false false false false false false false false false X 5 2 false false false false true true true true true false false true true true true true true false false false WV X Mary F Russell 3044242817 800 Garfield Avenue Parkersburg WV 26101 X Patrick Dugan MD Physician 040.00 X 894830 0 41336 David Mendoza MD Physician 040.00 X 862332 0 41336 Galal Gargodhi MD Physician 040.00 X 854299 0 39883 Abiy Kelil MD Physician 040.00 X 778302 0 41323 Steve Altmiller Ex Offico Director/ President CEO - CCMC 001.00 039.00 X X 0 757638 34097 Matthew Yoak MD Physician 040.00 X 715075 0 29700 Bairava Kuppuswamy MD Director - Vice Chairman 040.00 X X 658698 0 40983 Heather Irvin MD Director 040.00 X 386574 0 40996 John Forester VP of Provider Network Services 001.00 039.00 X 0 321147 38095 Kyle Pierson Board Treasurer - non voting, CCHS CFO 001.00 039.00 X X 0 275035 63273 Brandon Koehler VP of Finance - Provider Network Services 005.00 035.00 X 0 273977 33659 Sean Smith Board Secretary -non voting, VP Physician Enterprises Clinical Integration 001.00 039.00 X X 0 153502 30570 Joe Campbell Director - Chairman 001.00 X X 0 0 0 Orton Armstrong MD Director 001.00 X 0 0 0 5150110 1781299 475251 89 false true false Parkersburg Cardiology Assoc Inc 600 18th St Suite 512 Parkersburg WV 261013236 Cardiac Diagnostic Contracted Services 9587311 CHG Companies Inc PO Box 972651 Dallas TX 753972651 Healthcare Staffing Services 686914 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Healthcare Staffing Services 317704 All Star Recruiting Locums LLC 800 Fairway Dr Ste 300 Deerfield Beach FL 334411824 Healthcare Staffing Services 244101 Hayes Locum LLC PO Box 88122 Chicago IL 606801122 Healthcare Staffing Services 218210 6 Net Patient Revenue 621110 40281167 40281167 Hospital Support Revenue 621110 21523805 21523805 CARES Act Funding 900099 911808 911808 62716780 Other Miscellaneous Revenue 900099 314275 314275 Intercompany Revenue 900099 71 71 Cash Discounts 900099 366 366 314712 63031492 63031421 71 X 0 0 0 0 1127252 1127252 0 31796077 30653354 1142723 758962 730748 28214 5052224 4868643 183581 1390149 1340188 49961 0 0 373 373 0 0 13287598 13187416 100182 4850 1050 3800 418860 346641 72219 0 0 1269073 1190333 78740 4466 3024 1442 1239 690 549 0 0 2394172 2394172 299762 215829 83933 1042347 1038916 3431 Provision for Doubtful Accounts 2453220 2453220 Medical Supplies 1172924 1172924 Taxes, Licenses Fees 103550 11714 91836 Educational Training 229800 220567 9233 186338 124730 61608 62993236 61081784 1911452 0 2018854 662769 119561 108811 4657649 6954003 33000 45000 204676 249754 3330144 1573164 455744 1756980 631955 -2754840 8121439 7022477 1306171 1953085 1656279 428948 1890781 1529527 4853231 3911560 X 3268208 3110917 3268208 3110917 8121439 7022477 X 38256 -195547 X false true X true false X Part II Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170B1AIII as shown on Schedule A, Part I, Line III, the organization is not a licensed hospital in the state of West Virginia, and therefore, it is not required to complete Form 990, Schedule H. false 2707109 1573164 1133945 623035 623035 1756980 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits, vacation, fringes and payroll taxes 1264297 State income taxes payable Deferred FICA tax payable 203277 Long term lease liability 61953 1529527 X 60591026 -2440466 -2440466 63031492 63031492 60552769 60552769 2440466 2440466 62993235 X 2 Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2021 and 2020. XI 2d The amount shown on line 2d consists of 2,440,466 provision for doubtful accounts - patients. XI 4b The amount shown on line 4b consists of 2,440,466 provision for doubtful accounts - patients. false true false true false false false false false Heather Irvin MD Director 366708 9500 10365 13050 27946 427569 Steve Altmiller Ex Offico Director/ President CEO - CCMC 503093 131129 123417 13050 21047 791736 Bairava Kuppuswamy MD Director - Vice Chairman 415752 242567 379 13050 27933 699681 Sean Smith Board Secretary -non voting, VP Physician Enterprises Clinical Integration 131938 18971 2593 16751 13819 184072 Kyle Pierson Board Treasurer - non voting, CCHS CFO 234621 35638 4776 35167 28107 338309 Brandon Koehler VP of Finance - Provider Network Services 230946 38642 4389 32724 936 307637 Patrick Dugan MD Physician 746073 145515 3242 13050 28286 936166 Matthew Yoak MD Physician 646864 66968 1242 12000 17700 744774 David Mendoza MD Physician 748653 111357 2322 13050 28286 903668 Abiy Kelil MD Physician 525852 251910 540 13050 28273 819625 Galal Gargodhi MD Physician 465395 388364 540 11553 28330 894182 John Forester VP of Provider Network Services 255556 60383 5208 9968 28127 359242 Part I Line 3 Compensation for CEOs is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value. Part I Line 4b Brandon Koehler had 23,216 of deferred CAA contributions in 2021. John Forester had 39,339 of deferred CAA contributions in 2021. Sean Smith had deferred compensation contributions of 13,484 from a related organization. Steve Altmiller had cash distributions of 89,690 from a related party Part I Line 5 Some but not all physicians have a productivity bonus in their contract. This bonus is based on producing over a set relative value unit RVU during the year. Physician compensation is capped at the 90 MGMA or at an alternative amount as determined by an independent third party valuation firm. Form 990, Part III, Line 4d Program Service Expenses 28,762,162, Grants and allocations 0, Revenue 45,541,510 CCPC strives to offer a comprehensive range of inpatient, outpatient and outreach clinic services, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts as may be required to meet the health care needs of the community in which it serves. In addition to the Cardiac, Primary Care and Hospitalists program services described above, the organization employs physicians who specialize in surgery, diabetes and nutritional management, behavioral health. CCPC has started to grow a network of employed primary care physicians throughout the community in an effort to address what is believed to be a significant shortage of available primary care for the residents of the mid-ohio valley. Although reimbursement for services rendered is critica to the operation and stability of the organization, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission, in conjunction with Camden Clark Medical Hospital, is to serve the community by providing health care services and health care education. Form 990, Part III, Line 1 Without regard to race, creed, color, sex, national origin, or financial status, and to otherwise promote the quality, accessibility, and affordability of such professional medical services. Form 990, Part VI, Section A, Line 6 Camden-Clark Health Services, Inc. As of March 1, 2011, affiliated with West Virginia United Health System, a non-profit, tax-exempt corporation is the sole member of the organization. Form 990, Part VI, Section A, Line 7a Camden-Clark Health Services Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia Health System, WVUHS from the CCHS nominations. Form 990, Part VI, Section A, Line 7b Camden-Clark Health Services, Inc., the organizations sole member, approves certain reserved items regarding Camden-Clark Physician Corporation. Form 990, Part VI, Section B, Line 11b The VP of finance and the board of directors review the completed Form 990 prior to filing. 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 organizations code of ethics and business conduct also exists. Form 990, Part VI, Section B, Line 15a The compensation of the CEO if applicable is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2020 for 2021 compensation amounts. Form 990, Part VI, Section B, Line 15b The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. Form 990, Part VI, Section C, Line 19 The organizations governing documents, conflict of interest policy, and financial statements are made available upon request. The organizations financial statements are also available on the WV Healthcare Authoritys website. Form 990, Part VI, Section A, Line 1 Steve Altmiller was compensated for holding the position of CEO at Camden Clark Memorial Hospital. This individual is compensated for their work for their respective organization, not for serving on the board of directors. Form 990, Part IX, Line 11g Expenses reported on line 11g consist of the following items Consulting and Professional Fees of 3,290 of which 3,272 is considered program service expense and 18 is considered management and general expense Contracted Labor of 3,558,894 of which 3,458,730 is considered program service expense and 100,164 is considered management and general expense Contracted Labor - Patient Care of 35,350 all of which is considered program service expense Contracted Med Staff Expense of 6,434,669 all of which is considered program service expense Contracted Physician Expense of 2,063,023 all of which is considered program service expense and Collection Agency Fees of 1,192,372 all of which is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets includes 3 of rounding and 195,550 of related organization capitalization. Form 990, Part VII, Section A, Line 1-15 In accordance with IRS regulations and Form 990 instructions Former officers, key employees, and Board of Directors have been listed as appropriate. Form 990, Part I, Line 5 Camden-Clark Physician Corporation has common paymaster agreements with related parties. Therefore, total employee count may differ from the total W-2 count reported on Form W-3. Camden-Clark Health Services Inc 800 Garfield Avenue Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 12 Type I West Virginia United Health System false Camden-Clark Memorial Hospital Corporation 800 Garfield Avenue Parkersburg WV 26101 311524546 Patient Care WV 501c3 Line 3 Camden-Clark Health Services false Camden-Clark Foundation Inc 800 Garfield Avenue Parkersburg WV 26101 550667789 Hospital Support WV 501c3 Line 7 Camden-Clark Health Services false WV United Health System PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501c3 12 Type I N/A false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501c3 Line 3 West Virginia United Health System false West Virginia University Hospitals East 121 Administrative Drive Martinsburg WV 25401 202337985 Healthcare Access WV 501c3 12 Type I West Virginia University Hospitals Inc false City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501c3 Line 3 West Virginia University Hospitals East false Jefferson Memorial Hospital 300 S Preston St Ranson WV 25438 550359755 Patient Care WV 501c3 Line 3 West Virginia University Hospitals East false University Healthcare Foundation 121 Administrative Drive Martinsburg WV 25401 311118075 Hospital Support WV 501c3 12 Type I West Virginia University Hospitals Inc false United Hospital Center Inc 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care WV 501c3 Line 3 West Virginia United Health System false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care WV 501c3 Line 3 United Hospital Center Inc false United Health Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501c3 12 Type I United Hospital Center Inc false West Virginia Health Care Cooperative Inc 400 Fairview Heights Rd Summersville WV 26651 550650441 Patient Care WV 501c3 3 West Virginia University Hospitals Inc false United Summit Center Inc 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501c3 Line 3 West Virginia University Hospitals Inc false Potomac Valley Hospital of WVa Inc 100 Pin Oak Lane Keyser WV 26726 550420956 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false St Joseph's Hospital of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550356996 Patient Care WV 501c3 Line 3 West Virginia United Health System false Reynolds Memorial Hospital Inc 800 Wheeling Ave Glen Dale WV 26038 550357045 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false Reynolds Memorial Foundation 800 Wheeling Ave Glen Dale WV 26038 550710402 Hospital Support WV 501c3 12 Type I Reynolds Memorial Hospital Inc false St Josephs Foundation of Buckhannon 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 12 Type II St Joseph's Hospital of Buckhannon Inc false Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 26624 550611919 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false Community Health Association 122 Pinnell Street Ripley WV 25271 550462730 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false Wetzel County Hospital Inc 3 E Benjamin Drive New Martinsville WV 26155 843480493 Patient Care WV 501c3 Line 3 West Virginia University Hospitals Inc false WVUHS Home Care LLC PO Box 8059 Morgantown WV 26506 852915642 Home Health and Hospice WV 509a2 West Virginia United Health System false Uniontown Hospital 500 West Berkeley Street Uniontown PA 15401 250965588 Patient Care PA 501c3 Line 3 West Virginia University Hospitals Inc false Fayette Physician Network 500 West Berkeley Street Uniontown PA 15401 455440305 Patient Care PA 501c3 Line 3 Wheeling Hospital Inc false Fayette Regional Health System 500 West Berkeley Street Uniontown PA 15401 251451183 Healthcare Access PA 501c3 12 Type II N/A false Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550357057 Patient Care WV 501c3 Line 3 WV United Health System false Harrison Community Hospital 951 E Market Street Cadiz OH 43907 341571750 Patient Care OH 501c3 Line 3 Wheeling Hospital Inc false Harrison Community Hospital Foundation 951 E Market Street Cadiz OH 43907 341571749 Hospital Support OH 509a2 12 Type II Wheeling Hospital Inc false Barnesville Hospital Association 639 W Main Street Barnesville OH 43713 340719172 Patient Care OH 501c3 Line 3 WV United Health System false Belmont Community Hospital 4697 Harrison Street Bellaire OH 43906 340714643 Patient Care OH 501c3 Line 3 Wheeling Hospital Inc false Medical Park Foundation 1 Medical Park Wheeling WV 26003 550744690 Church WV 501c3 Line 1 Wheeling Hospital Inc false Self Insurance Trust Agreement of Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003 550676674 Insurance WV 501c3 12 Type I N/A false Allied Health Sourcing Solutions PO Box 8034 Morgantown WV 26506 842403526 Supply Chain Management WV NA false false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV WV United Health System C Corp false West Virginia United Insurance Services 3040 University Avenue Suite 3200 Morgantown WV 26505 550756055 Provider Network WV WV United Health System C Corp false false false false false false false false false true false true false false true false false false true true