2022-11-11T02:56:32-00:00 2021-12-31 990 2021-01-01 311524546 Camden-Clark Memorial Hospital Corporation CAMD 3044242202 800 Garfield Avenue Parkersburg WV 26101 Kyle Pierson VP Finance 3044242202 2022-11-10 false Kyle Pierson XXX-XX-XXXX 2 AAL1 IAL1 2021 2022-09-23 18:48:47Z Camden Clark Medical Center Kyle Pierson 800 Garfield Avenue Parkersburg WV 26101 379514411 false X https://wvumedicine.org/camden-clark/ X 1997 WV To operate an acute care and emergency hospital facility. 8 8 2206 52 760038 81916 0 335034426 373444013 342939 1751981 5671225 4267842 341048590 379463836 59142 92173 0 106361812 113839525 0 0 234552295 252687467 340973249 366619165 75341 12844671 285852885 276143723 341146077 315785650 -55293192 -39641927 X The mission of Camden-Clark Memorial Hospital is to meet the health care needs of our community for a lifetime. false false 146805374 92173 167409946 Camden Clark Memorial Hospital strives to supply a comprehensive range of inpatient, outpatient, outreach clinics, 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 hospitals 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 individuals need and/or an inability to pay coexist free care and/or subsidized care, and care provided to persons covered by governmental programs at or below cost. 18445015 31977071 Camden Clark Memorial Hospital offers emergency room services as part of the hospitals mission of meeting the healthcare needs of the community for a lifetime. Due to the community that it serves, the majority of patients visiting the ER are either underinsured or uninsured. For the reporting period, there were approximately 39,964 ER visits, of this total, 8,104 were ultimately admitted to the hospital. A significant portion of the hospitals inpatient volume comes directly from the ER. 7839995 25643996 Camden-Clark Memorial Hospital is a leader in cancer care for the mid-ohio valley, providing cancer care to patients in a 45 mile radius from the hospital. In addition to a wide range of treatment options provided, the hospital offers a number of related services to its patients. Through the hospitals collaboration with the American Cancer Society, the development of the organizations cancer resource center, a hair restoration salon, a patient navigator and an oncology social, the hospital has enhanced the education, navigation and social support of its cancer patients and families. The hospitals community and social services provide a holistic healing environment which includes support groups for patients/families. 129681625 149129719 302772009 true false false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 312 0 2498 true true true false false false false false false false false false false false false X 8 8 false false false false true true true true true false false true true true true true true false false true true X Kyle Pierson 3044242202 800 Garfield Avenue Parkersburg WV 26101 Steve Altmiller President CEO 038.00 002.00 X 757639 0 34097 Walter Kerschl Chief Medical Officer 039.00 001.00 X 382379 0 82380 Todd Kruger General Legal Counsel 039.00 001.00 X 409885 0 40600 Sean Smith CCMC VP Operations/WCH President 020.00 021.00 X 153502 153502 61140 Kyle Pierson VP, Finance 039.00 001.00 X 275035 0 63274 Christine Daniels VP, Nursing 039.00 001.00 X 272203 0 60902 Cynthia Kern Vice President, Quality 039.00 001.00 X 288281 0 10346 MarJean Kennedy Director of Marketing 039.00 001.00 X 197291 0 34935 Rhonda Boso-Suggs AVP Ancillary Services 040.00 X 161208 0 26929 Gene Sexton Pharmacy Manager 040.00 X 151748 0 33231 Christopher Childress Director of Pharmacy 040.00 X 159373 0 23078 Jane Calendine Service Line Coordinator RN 040.00 X 159238 0 18835 Michael Trimble Pharmacist 040.00 X 150564 0 26135 Mary Jo Shahan Former CCMC Interim CFO 2019 040.00 X 0 122335 0 Terry W Capel MD Chairman 001.00 001.00 X X 0 0 0 Kathy G Eddy Vice Chairman 001.00 001.00 X X 0 0 0 Randall E Snider Board Member, Secretary 001.00 001.00 X X 0 0 0 Michael A Morehead MD Board Member, January - February 001.00 001.00 X 0 0 0 Orton C Armstrong MD Board Member 001.00 001.00 X 0 0 0 Joe D Campbell Board Member 001.00 001.00 X 0 0 0 Lynford C Lovell Board Member 001.00 001.00 X 0 0 0 Sister Joan Kreyenbuhl Board Member 001.00 001.00 X 0 0 0 3518346 275837 515882 88 true true false United Anesthesia Inc 601 Avery St Suite 501 Parkersburg WV 26101 Anesthesia Services 5411155 Medical Solutions 1010 N 102nd Street Suite 300 Omaha NE 681142122 Healthcare Staffing Services 3042196 Health Carousel LLC 3805 Edwards Road Suite 700 Cincinnati OH 45209 Healthcare Staffing Services 1401713 Pars Neurosurgical Associates Inc 1212 Garfield Avenue Suite 300 Parkersburg WV 26101 Neurologist Services 1278625 AYA Healthcare 5930 Cornerstone Ct W Suite 300 San Diego CA 921213772 Healthcare Staffing Services 945264 35 Patient Service Revenue, Net 621110 348673037 347920693 752344 Pharmacy Sales - Patients 621110 15910384 15910384 COVID Relief Funding 621990 7972653 7972653 Health and Wellness Center 621990 607559 607559 Ambulance Services 621110 280380 280380 373444013 1667942 7694 1660248 1596567 50575 1545992 1545992 1545992 84039 84039 84039 84039 Cafeteria Income 624200 817940 817940 OVASC Revenue 900099 631959 631959 Rebate Revenue 900099 555232 555232 716719 716719 2721850 379463836 373408388 760038 5295410 X 92173 92173 0 0 0 3093314 1096491 1996823 0 82521418 73459785 9061633 3584473 3158776 425697 16411172 14411473 1999699 8229148 7166227 1062921 0 465920 5800 460120 28597 7442 21155 28305 28305 0 38023434 33646877 4376557 981882 22291 959591 10060959 6862290 3198669 16642 1675 14967 0 4241270 3559669 681601 622321 595504 26817 0 76725 68286 8439 8924442 7490223 1434219 62738626 33995821 28742805 17439757 14679515 2760242 891208 793146 98062 Medical Supplies Patient Chargables 73728024 73728024 Provision for Doubtful Accounts 15966609 15966609 Taxes, Licenses Fees 13102207 10803554 2298653 Dues, Education Training Recruiting 4476666 1058254 3418412 873873 73799 800074 366619165 302772009 63847156 0 233392 240426 47897435 38411024 49235517 50294120 84426 57979 6984437 7311412 5563046 4522310 382952332 247725309 142217308 135227023 26396192 32049080 5144629 6065551 2096503 1964798 285852885 276143723 36776770 50958958 37084472 22632784 73239276 70694039 163988111 141604708 30057448 29895161 341146077 315785650 X -55293192 -39641927 -55293192 -39641927 285852885 276143723 X 12844671 7287553 -4480959 X false true X true false X false false false false false false false false true 28305 28305 false II-B 1i The organization paid dues to the American Hospital Association AHA as well as the West Virginia Hospital Association WVHA. A portion of these dues, specifically 28,305, was related to lobbying activities of the AHA and WVHA. 3292190 3292190 171454631 86990435 84464196 188909579 155088972 33820607 19295932 5645902 13650030 135227023 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Malpractice Liability 1183644 Due to third party payors 1902896 Interest rate swaps 11630492 Self insurance liability 6512990 Debt Issuance Costs -1012184 Deferred Compensation 346302 Long Term Lease Liability 5353397 Line of Credit - Current 3977624 29895161 X 370926387 7287553 -15875577 -8588024 379514411 -50575 -50575 379463836 350794163 50575 50575 350743588 15875577 15875577 366619165 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 and WVUIS 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 This amount includes 15,875,577 provision for bad debts that was reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990. XI 4b This amount includes expenses associated with rental property of 50,575 that was reported in Part VIII line 6b as an offset to revenue revenue. XII 4b This amount includes provision for bad debts of 15,875,577 that were reported as an offset to revenue on the audited financial statements but are reported as an expense on the Form 990. XII 2d This amount includes rental expense of 50,575 that is an offset to revenue on Form 990 but an expense on the audited financial statements. true true X true X false true true true false true true 2632558 2632558 0.00750 96576679 52456418 44120261 0.12580 337007 337007 99546244 52793425 46752819 0.13330 328497 17425 311072 0.00090 2286437 1010731 1275706 0.00360 246573 246573 0.00070 2861507 1028156 1833351 0.00520 102407751 53821581 48586170 0.13850 true 4910316 517242 131134978 186402944 -55267966 X true true 1 1 Camden-Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26101 wvumedicine.org/camden-clark/ 102 X X X X Disproportionate Share Hospital A A 1 false false true X X X X X X X X 21 true false false true X https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Ne X true 22 true https//wvumedicine.org/wp-content/uploads/2022/05/2022-CCMC-Community-Health-Needs-Implementation-Pl false false true X 0000000200.000000000000 X X X X X true true X X X X true X https//wvumedicine.org/bill-pay/financial-assistance/ X https//wvumedicine.org/wp-content/uploads/2020/03/Financial-Assistance-Application-Form-3-17-2020.pd X https//wvumedicine.org/bill-pay/financial-assistance/ X X X X X X true X false X X X X true X false true Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 5 Two primary sources of data were utilized to inform the CHNA 1 a public input survey and 2 a community meeting. The public input survey Appendix C was developed by WVU OHA with the CCMC CHNA leadership team following an iterative process. Survey topics included questions about specific health issues, thoughts on overall health of the community, quality of life, access to health care and medical needs including specialist care, risky behaviors and personal choices, some questions specific to experiences during the COVID-19 pandemic, and demographic information including geographic location and income. Data was collected anonymously from residents age 18 and older. The survey was disseminated via a web-based platform and as hard copies in the community. In addition to a MyChart email blast to patient zip codes in the service area, as well as some more targeted efforts to close demographic gaps, collection efforts included CCMC Pastoral Care Services, Parkersburg-Wood County Area Development Corporation, Social media accounts of local entities, United Way Alliance of the Mid-Ohio Valley, Wood County Development Authority, Wood County Health Department, and WTAP. A full list of Community Partners can be found in the CHNA posted online here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Needs-AssessmentAdopted-12-7-21.pdf Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 The existing secondary data, new survey data, community meeting input, and lessons learned from the last CHNA cycle all factored into CCMC leaderships prioritization decisions. The group considered the degree to which the hospital can realistically affect health outcomes for each topic projects or programs already underway for each, as well as level of importance placed on each by the community relative to the reach of CCMCs impact. Leadership paid particular attention to the demographics of respondents compared to the community, feedback gathered about access to health care, how single women responded to questions about health concerns, as well as other areas and demographics they know to be of particular concern in their community. Within this discussion of where and how the hospital can realistically affect community wellbeing and health outcomes, what they could accomplish with collaboration with partners, and what topics to monitor and revist at a later time, the list of top health concerns was organized into five that will be the focus moving forward with implementation planning. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 Obesity, Chronic Disease, Physical Activity, and Nutrition - During the previous CHNA cycle, obesity and chronic disease appeared among the communitys top health concerns and were prioritized by hospital leadership to address through programming. CCMC implemented strategies to address these health topics, and leadership was not surprised to see these prevalent issues rise once again to the top of the list. This cycle, building on experiences from the last and in response to community requests and ideas collected through the survey data, CCMCs team has also included physical activity and nutrition among the facets of what will be addressed via prioritizing this topic. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 Substance Use and Mental Health - CCMC leadership is well-aware of ongoing issues related to drug and alcohol use in their service area, as well as a continued need for attention and resources to be directed toward mental health. In response to existing knowledge, community input, and a recent local policy decision limiting access to treatment services in CCMCs home county, the leadership team sees it necessary to prioritize these topcis. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 Cancer - Cancer continues to remain in the top health concerns for this hospitals area, and CCMC has a track record of programming and partnerships that allow them to prioritize and address this issue through community benefit strategies. They will continue to do so through implementation planning this cycle. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 COVID-19 - Leadership discussed the many reasons that COVID-19 remains a concern in their hospital service area. Acknowledging that a large amount of educational information exists already, CCMC still feels that there are strategies they could offer to benefit the community at this point in the COVID-19 pandemic and have chosen to prioritize it as a topic to address through upcoming implementation planning. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 11 Poverty - Issues surrounding poverty are clearly prevalent concerns in this community cost of care, lack of employment opportunities and health insurance, or income for necessitites came up repeatedly in CCMCs survey data this cycle, as they did last cycle as well. Though the hospital cannot solve this large systemic problem, leadership is willing to look for creative ways to work to bridge the gap. Discussion included avenues to connect with people where they may already be receiving food assistance or treatment services. Leadership has chosen to prioritize this topic among the list of health and disease concerns above. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 13b Camden-Clark Medical Center offers discounted care only to individuals who qualify for free care. Camden Clark Medical Center offers a Prompt Pay Discount Program. Patients who have no third party coverage uninsured or uninsurable may be eligible for a 50 self-pay discount while patients who have a guarantor balance may be eligible for a 20 discount. To be eligible for either prompt pay discount, the patient/guarantor must meet certain requirements. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 15e A state Medicaid representative was on site to help determine eligibility and help patients through the eligibility process. Group Camden-Clark Memorial Hospital Line Part V, Section B, Line 24 All patients are charged an amount equal to gross charges regardless of payment method. Once FAP eligibility is confirmed, charge amounts are moved to Charity Care and no longer charged to the patient. 3 Patriot Point Diagnostic 2838 Pike Street Parkersburg WV 26101 Radiology/Lab Garfield Diagnositc 2012 Garfield Ave Bdng 2 Ste 1 Parkersburg WV 26101 Radiology/Lab Sleep Lab 19th Street Campus Parkersburg WV 26101 Diagnostic Part I Line 3c Camden-Clark Medical Center CCMC uses 200 Federal Poverty Guideline FPG to determine free care eligibility. However, CCMC does not offer discounted care to individuals who fail the 200 FPG test. Part I Line 6a WVU Medicine prepared a System wide summary report of Community Benefits which can be found online - http//wvumedicine.org/about/community-benefit/. Part I Line 7 Total community benefit expense for 2021 is 102,407,751 and is 29.20 of total net expenses. To calculate net expense, bad debt - patient accounts of 15,875,577 was deducted from total expenses of 366,619,165 as shown in Part IX line 25 of the core Form 990, for a net expense of 350,743,588. Part I Line 7 Worksheet 2 from the IRS Schedule H instructions was used to derive the Cost-to-Charge ratio, which was used to calculate Charity Care, Unreimbursed Medicaid and other means-tested government programs at cost. Part II Camden-Clark Medical Center CCMC started a leadership program in 2007. Employees who are selected to participate in this leadership program are required to volunteer in the community or at hospital activities which benefit the broader community as a whole. The activities these individuals participated in during the current year included various health fairs, church community events, Wood County Telethon, National Healthcare Decision Day, Try-Again Homes work project and various local school activities and events. These individuals also worked with and supported various community organizations such as United Way of America, The Salvation Army, Boys and Girls Club of America, and various community boards. Part III Line 2 Bad Debt Expense at cost was calculated by multiplying bad debt expense - patient accounts of 15,875,577 by our cost to charge ratio of 30.93 derived from Worksheet 2 in the IRS Schedule H instructions for a toal of 4,910,316. Part III Line 3 Estimated bad debt attributable to patients eligible for charity care was calculated by running a report within our patient revenue software of all bad debt account balances greater than 25,000. The total of that report was 1,672,300 which we then multipled by our cost to charge ratio of 30.93 for a total of 517,242. Part III Line 3 We feel that, at a minimum, the estimated bad debt attributable to patients eligible for charity care of 517,242 should be considered community benefit due to the fact that a patient with an outstanding balance of 25,000 or greater usually qualifies as catastrophic if the patient completes the application process. In our Charity Care policy, we define catastrophic care as any illness or injury that will likely require continuous or frequent treatment for more than one year. Part III Line 4 Uniontown Hospitals financial statements are prepared on a consolidated basis as a member of the WV United Health System. The footnote for Accounts Receivable is as follows Patient accounts receivable are reported at net realizable value. For accounts receivable associated with services provided to patients who have third-party coverage, the System estimates net realizable value based on the estimated contractual reimbursement percentage, which in turn is based on current contract provisions and historical paid claims by payor. For self-pay accounts, including uninsured and patient responsibility accounts, the net realizable value is determined using historical collection experience, adjusted for estimated conversions of patient responsibility portions, expected recoveries and changes in trends to estimate implicit price concessions. Management continually reviews the estimated net realizable value of accounts receivable by monitoring cash collections, economic conditions and trends, changes in payor mix, changes in federal or state healthcare coverage and other matters. Part III Line 4 The System grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements, primarily with Medicare, Medicaid and various commercial insurance companies. The System records accounts receivable net of estimated price concessions and such amounts have historically been within managements expectations. Part III Line 4 The mix of accounts receivable at December 31, 2021 and 2020, from patients and third-party payors is as follows For the year-end December 31, 2021 Medicare - 31, Medicaid - 16, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 4, totaling 100. For the year-end December 31, 2020, Medicare - 29, Medicaid - 17, Blue Cross - 21, Commercial, managed care and other - 28, Patients - 5, totaling 100. Part III Line 8 The amount reported in Part III Line 6 186,402,944 was calculated using the total Medicare allowable cost from the Medicare cost report, less Medicare reimbursement of direct GME. Part III Line 8 CCMCs shortfall, 55,267,966 of Medicare program reimbursement should be considered a community benefit because we are relieving a government burden by providing care in excess of our costs to these patients. Part III Line 9b CCMC does have a debt collection policy. When a patient has been approved for financial assistance under our charity care policy, they will not be sent to bad debt. Additionally, if a patient is being evaluated for charity, the patient will not be sent to a bad debt agency pending charity guarantor status until the pending status has been finalized approved/denied. All other patients with outstanding balances will be processed through billing and collections pursuant to our Financial Policy. Part VI Line 2 Camden Clark Medical Center considers several components in assessing how the organization determines the need of the communities it serves. The CHNA utilized a robust community based process designed to engage a wide range of community members. CCMC conducted a Community Health Needs Assessment CHNA in 2021. The CHNA can be found here https//wvumedicine.org/camden-clark/wp-content/uploads/sites/6/2021/12/CCMC-2021-Community-Health-Needs-AssessmentAdopted-12-7-21.pdf. Part VI Line 3 CCMC provides, in writing, all options for possible financial assistance. This information is also available on CCMCs website. CCMC also has representatives that are available to discuss options with inpatients and outpatients on a daily basis. WV State Medicaid workers are onsite to help determine patient eligibility and to assist patients through the eligibility process. Part VI Line 4 CCMCs leadership defined the community served as a 7 county area comprised of Calhoun, Pleasants, Ritchie, Roane, Tyler, Wirt, and Wood in WV. CCMC, located in Parkersburg, WV is a part of Wood County. Wood County has a population of 83,518, median household income of 48,711 and an employment rate of 3.8. 14.1 of Wood County residents are living in poverty and 9.0 of residents reported they are without health care coverage. The remaining 6 counties considered to be in CCMCs defined service area had a combined total population of 52,223 and approximately 11.08 of residents reported they are without health care coverage. Population and demographic information was obtained from the United States Census Bureau https//data.census.gov/cedsci/. Part VI Line 5 A majority of the organizations governing body is comprised of persons who reside in the primary service area and who are neither employees nor independent contractors of the hospital, not family members thereof. The organization extends medical staff privileges to all qualified physicians in the community to many of its departments. Part VI Line 5 Any surplus of funds is used primarily to enhance patient care. While no research is done in this facility, a residency program was started in 2009. Part VI Line 6 CCMC is a part of the WV United Health System WVUHS. WVUHS is a not-for-profit corporation formed to serve as part of an integrated health science and healthcare delivery team. WVUHS serves as the parent corporation to an affiliated group of healthcare providing entities. The strategic plan of the System states intent to build a regional health care delivery system in its services area, while offering a variety of options for providers who want to participate. The System maintains a demonstrated commitment to assist rural communities in preserving and improving the health care available to the patients it serves. Part VI Line 6 System management is focused on recruitment of staff and employees to meet the growing needs of the aging population in the Systems service areas. Other hospitals in the System include West Virginia University Hospitals, Inc. in Morgantown, WV, United Hospital Center in Bridgeport, WV, City Hospital, Inc. in Martinsburg, WV, Jefferson Memorial Hospital in Ranson, WV, Potomac Valley Hospital located in Keyser, WV, St. Josephs Hospital of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Hospital, in Glen Dale, WV, Summersville Regional Medical Center in Summersville, WV, Braxton County Memorial Hospital in Gassaway WV, Community Health Association, doing business as, Jackson General Hospital in Ripley, WV, Wetzel County Hospital, Inc. in New Martinsville, WV, Uniontown Hospital in Uniontown, PA, Harrison Community Hospital in Cadiz, OH, Wheeling Hospital, Inc. in Wheeling, WV, and Barnesville Hospital Association in Barnesville, OH. Part VI Line 6 In addition to the above mentioned hospitals, the System includes physician practices of United Physicians Care, Inc. and Camden-Clark Physician Corp that operate in conjunction with the System hospitals along with United Summit Center, Inc. a behavioral health center located in Clarksburg, WV. The System also includes, WVUH-East, Inc. and Camden-Clark Health Services, Inc. which operate as management companies for their respective hospitals. University Healthcare Foundation, Inc. in Martinsburg, WV, United Health Foundation, Inc. in Bridgeport, WV, Camden-Clark Foundation, Inc. in Parkersburg, WV, St. Josephs Foundation of Buckhannon, Inc. in Buckhannon, WV, Reynolds Memorial Foundation, Inc. in Glen Dale, WV, Harrison Community Hospital Foundation in Cadiz, OH, and Wheeling Foundation in Wheeling, WV, which perform various fundraising activities for their respective hospitals. In 2020, the System formed WVUHS Home Care, LLC to provide Home Health and Hospice services to our service areas, supporting System hospitals by providing continuous care to our patients. Wheeling Hospital Ambulatory Surgical Center, LLC a surgical center located in Bridgeport, OH was acquired in 2021. true Greater Parkersburg Chamber of Commerce 501 Avery Street FL 9 Parkersburg WV 26101 550249560 501c6 13500 Support Wood County Development Authority 409 1/2 Market Street Parkersburg WV 26102 550575873 501c4 11500 Support American Heart Association PO Box 841390 Dallas TX 752841390 135613797 501c3 5000 Support Wood County Society PO Box 1325 Parkersburg WV 261021325 550458587 501c3 5000 Support United Way Alliance of the Mid-Ohio Valley Inc 935 Market Street Parkersburg WV 261014791 550403123 501c3 5000 Sponsor 3 2 Part I Line 2 Contributions are discretionary and decisions on which organizations Camden-Clark Memorial Hospital supports are made by the President in conjunction with the Director of Marketing. Typically, local organizations are supported throughout the year and the donations are typically not specifically restricted, so there is no follow up process for monitoring the use of the funds. X true true false true false false false true false false false Todd Kruger General Legal Counsel 315273 48740 45872 12610 27990 450485 Cynthia Kern Vice President, Quality 220852 34750 32679 9824 522 298627 Christopher Childress Director of Pharmacy 158316 750 307 7283 15795 182451 Michael Trimble Pharmacist 134454 2250 13860 6385 19750 176699 Jane Calendine Service Line Coordinator RN 149602 9332 305 2675 16159 178073 Rhonda Boso-Suggs AVP Ancillary Services 151558 8950 700 7194 19735 188137 Sean Smith CCMC VP Operations/WCH President 131938 131938 18971 18971 2593 2593 16751 16751 13819 13819 184072 184072 Christine Daniels VP, Nursing 229613 35985 6605 34336 26566 333105 Steve Altmiller President CEO 503093 131129 123417 13050 21047 791736 MarJean Kennedy Director of Marketing 169247 23949 4095 24747 10188 232226 Gene Sexton Pharmacy Manager 147353 750 3645 6327 26904 184979 Kyle Pierson VP, Finance 234621 35638 4776 35167 28107 338309 Mary Jo Shahan Former CCMC Interim CFO 2019 122335 122335 Walter Kerschl Chief Medical Officer 369967 12412 55514 26866 464759 Part I Line 1a Memberships at the health and wellness center are offered to each member of the senior leadership team. These are covered in the applicable employment contracts and are included in taxable income. Part I Line 3 Compensation for the CEO 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 responsibile for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value. Part I Line 4b The following individuals received deferred compensation contributions in 2021 Sean Smith in the amount of 26,967 Kyle Pierson in the amount of 24,253 Christine Daniels in the amount of 23,680 MarJean Kennedy in the amount of 17,067, and Walter Kerschl in the amount of 44,333. These amounts were properly recorded in deferred compensation on the Form 990 Schedule J. Part I Line 6a Per the WVUHS Incentive Plan incentives are contingent on meeting a net earning target. Part II Line 13 Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2021 she was compensated for consulting work and interim CFO for related party, West Virginia University Hospitals - East. A West Virginia Hospital Finance Authority 621256910 956622L85 2016-06-15 19440924 2016 A - Refunding of 2007 A Bonds false false false B West Virginia Hospital Finance Authority 621256910 956622P40 2018-07-31 56880000 2018C Series - Refund 2004 BC Bonds false false false C false false false A 2008905 19440924 149889 19291033 2 2016 true true true true B 6390000 56880000 422708 56457292 2018 true false true true A false true true true false false false true B false true true true false false false true A false false false true false false true Cantor Fitzgerald true false true B false true false false true false false false true A true B true Part I Line A 2016 A Bond - The 2016 A Bonds were issued on behalf of the West Virginia United Health System Obligated Group with an issue price of 288,869,596 per Form 8038. The 2016 A Bonds were issued to refund certain outstanding bonds. Per internal allocations based on the balance of the refunded bonds in the general ledger CCMC received 19,440,924 in proceeds to refund the 2007A bond issuance as an advanced refunding. The remaining amounts allocated from this issuance are reported on Form 990 for WVUH and UHC. Part I Schedule K - For purposes of reporting bond issuance allocations on Schedule K to the Internal Revenue Service, West Virginia University Hospitals, Inc. WVUH as parent company to City Hospital, Inc. CHI, The Charles Town General Hospital dba Jefferson Medical Center JMC, University Healthcare Foundation, Inc. UHF, and Potomac Valley Hospital is reporting bond issuances allocated to WVUH and its subsidiaries on a consolidated basis on Schedule K attached to their tax return. United Hospital Center, Inc. UHC EIN 55-0525724 and Camden-Clark Memorial Hospital Corporation CCMH EIN 31-1524546 are reporting bond allocations issued to them on the return filed by such taxpayer. Part I Several bond issuances were issued in multiple series and each series is reported in this tax return separately. For each series identified in Schedule K, Part I, the taxpayer will reconcile the series amount reported in this tax return and the tax return filed by UHC and CCMC to the applicable 8038 filed with the IRS for each bond issuance. Each bond series is reported on the appropriate Form 990, Schedule K, only once in this manner. Part I Line 2 Column B - The CUSIP shown on the Form 8038 956622P65 is for another bond in the 2018 issue - 2018 A D which are reported on the Schedule Ks for WVUH and UHC respectively. Part II Line 12 The amount reported in Line 12 Column A is a result of a balance that remained in the account that is used to fund principal and interest payments on this issuance. We are provided an amount to fund prior to the payment date, once funds that are sold/redeemed to make our payment there is occisaionally a residual amount. That amount is left in the account to apply to future payments. Part IV Line 2c Column A - Rebate calculation was prepared for the period June 15, 2016 to June 15, 2021, per the report and underlying assumptions, no IRS payment or filing is otherwise currently required. The next rebate calculation is due June 15, 2026. Column B - Rebate calculation for the 2018 Series C issuance is not due until 2023. Part IV Line 5c Column A - The securities for the 2016 A Bonds were purchased on June 15, 2016 and the last one matured on May 31, 2019. Form 990, Part III, Line 4d Program Service Expenses 10,176,050, Grants and allocations 0, Revenue 19,639,224 Camden-Clark Memorial Hospital offers heart and vascular services for its immediate service area directly through the hospital. In addition, services are provided to underserved counties throughout the area via physicians that are employed by Camden Clark Physician Corporation, a related entity. Form 990, Part III, Line 4d Program Service Expenses 119,505,575, Grants and allocations 0, Revenue 129,490,495 Camden Clark offers a wide range of other medical services that include Nephrology, OBGYN services, Neurosurgery, Orthopedics, Pediatrics, General Surgery, Vascular Surgery and various other services that can be found on our website https//wvumedicine.org/camden-clark/. Form 990, Part IV, Line 20b The organization must attach a copy of its most recent audited financial statements. Attached are the consolidated financial statements of West Virginia United Health System, Inc. WVUHS and controlled entities. WVUHS became the sole member of Camden Clark Health Services, Inc., the parent corporation of Camden-Clark Memorial Hospital on March 1, 2011. The financial position, results of operations, and cash flows of Camden-Clark Memorial Hospital are included in the aforementioned consolidated audited financial statements. 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 Camden-Clark Health Services, Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia United Health System WVUHS from the CCHS nominations. WVUHS elects all CCHS, CCMC, CCPC, and CCF board members from a slate of Director Nominees submitted to them by CCHS. CCHS will consider the underlying nominations of CCMC, CCPC, and CCF before they submit their nominations. Form 990, Part VI, Section A, Line 7b As the sole member of Camden Clark Health Services, Inc., WVUHS through its affiliation agreement, holds power to approve certain decisions such as annual budget, capital expenditures over 1 million, new debt over 1 million, new programs, and extraordinary filings. Form 990, Part VI, Section B, Line 11 The Form 990 is prepared by the WVUHS Tax Team and is provided for review to the VP of Finance, General Counsel, and Accounting Director. It is also reviewed by the non-profit tax manager of our independent auditing firm. It is then reviewed by the Finance Committee. After being presented to the committee, it is provided to all board members for comments prior to filing with the IRS. 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 15 a b The compensation of the CEO 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. 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 financial statements are made available on request and are also available on the West Virginia Healthcare Authority website. The organizations governing documents and conflict of interest policy are made available upon request. Form 990, Part XI, Line 9 Changes in Net Assets Transfers to related organizations of 4,480,959. Form 990, Part IX, Line 11g Other service expenses consist of the following items Consulting Professional fees, Contracted Labor, Contract Labor - Patient Care, Contracted Physician Expense, Non-Hospital Lab Fees, and Collection Agency Fees. Consulting and Professional fees of 608,190, 40,334 is considered program service and 567,856 is considered management and general expense. Contracted Labor fees of 12,086,872 of which 9,184,589 is considered program service and 2,902,283 is considered management and general. Contract Labor - Patient Care of 10,835,534 of which all is considered program service. Contracted Physician Expense of 14,217,224 of which 13,485,674 is considered program service and 731,550 management and general expense. Lab Fees of 40 of which all is considered program service expense. Lastly, Collection Agency Fees of 275,574 of which 100,706 is considered program service and 174,868 is considered management and general expense. 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 Foundation 800 Garfield Avenue Parkersburg WV 26101 550667789 Hospital Support WV 501c3 Line 7 Camden-Clark Health Services false Auxiliary of Camden-Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26101 550386283 Patient Care WV 501c3 Line 3 N/A false Camden-Clark Physician Corporation 604 Ann Street Parkersburg WV 26101 264058719 Patient Care WV 501c3 Line 3 Camden-Clark Health Services false West Virginia 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 Line 3 West Virginia University Hospitals Inc false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501c3 Line 3 West Virginia University Hospitals Inc false Potomac Valley Hospital 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 Joseph's Foundation of Buckhannon Inc 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 12 Type II St Joseph's Hospital of Buckhannon 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 East 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 WV 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 Ohio Valley Ambulatory Surgery Center 608 Washington Blvd Belpre OH 45714 208671724 Outpatient Surgical Services OH Camden-Clark Memorial Hospital Inc Related 631959 false true 0.67500 Allied Health Sourcing Solutions PO Box 8034 Morgantown WV 26506 842403526 Supply Chain Management WV AHS LLC 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 true false false false false false false true true true false false true true true true true true