2020-11-14T03:47:32-00:00 2019-12-31 990 2019-01-01 264058719 Camden-Clark Physician Corporation CAMD 3044242817 604 Ann Street Parkersburg WV 26101 Kyle Pierson CFO 2020-11-13 false 157.182.216.2 2020-11-14 20:43:51 ES P 870EFB8F4D4B335661AFD9F3B52637157C2F45F8 961A8E11061A341FA9665A68F3B1FFC5AE12E713 2019 2021-01-29 14:40:06Z Steve Altmiller 800 Garfield Avenue Parkersburg WV 26101 51434665 false X X 2008 WV To support, manage, and furnish facilities, personnel, and medical services to individuals in need. 5 3 265 3 0 0 44798677 51366235 0 460865 68430 45259542 51434665 0 0 29536633 30888654 0 0 15722907 20546010 45259540 51434664 2 1 4903721 5867794 3169240 2599588 1734481 3268206 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 9264780 17951136 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 2019, Primary Care reported 104,784 work relative value units wRVUs and had a total of 60,163 visits. 8502161 14054205 Camden Clark Physician Corporation offers Cardiac Services through Parkersburg Cardiology. This specialization works with top of the line heart care. In 2019, Cardiac Services reported 83,398 work relative value units wRVUs and had a total of 19,471 visits. 9326898 13750564 Camden Clark Physician Corporation offers Hospitalist coverage through a term of employed physicians and in collaboration with Camden Clark Medical Center. In 2019, Hospitalists reported 120,374 work relative value units wRVUs. 22562014 5657237 49655853 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 32 0 94 true false false false false false false false false false false false false false X 5 3 false false false false true true true true true false false true true true true true true true true false WV X X Mary F Russell 3044242817 800 Garfield Avenue Parkersburg WV 26101 Anil Singh MD Physician 040.00 X 806772 0 38683 Nik Shah MD Physician 040.00 X 777719 0 39533 Patrick Dugan MD Physician 040.00 X 739330 0 38576 David Mendoza MD Physician 040.00 X 728334 0 38576 Abiy Kelil MD Physician 040.00 X 697291 0 38576 Bairava Kuppuswamy MD Board Member 040.00 X X 671384 0 38224 Steve Altmiller President CEO - CCMC, Ex- Officio 001.00 039.00 X X 0 660930 32020 Brandon Koehler VP Finance - UPC, CCPC UHP 020.00 015.00 X 0 238666 55161 Terry Capel MD Board Member, Chairman 001.00 X X 0 0 0 Joe Campbell Board Member, Vice Chairman 001.00 X 0 0 0 Orton Armstrong MD Board Member 001.00 X 0 0 0 4420830 899596 319349 65 false true false Parkersburg Cardiology Associates Inc 600 18th St Suite 512 Parkersburg WV 261013236 Healthcare Staffing Services 8228683 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Healthcare Staffing Services 917607 CHG Companies Inc PO Box 972651 Dallas TX 753972651 Healthcare Staffing Services 672857 Locumtenenscom LLC PO Box 405547 Atlanta GA 303845547 Healthcare Staffing Services 668773 All Star Recruiting Locums LLC 800 Fairway Drive Suite 300 Deerfield Beach FL 334411824 Healthcare Staffing Services 540639 6 Net Patient Revenue 621110 33611744 33611744 Hospital Support Revenue 621110 17754491 17754491 51366235 21254 21254 21254 21254 Other Miscellaneous Revenue 900099 46907 46907 Cash Discounts 900099 269 269 47176 51434665 51413142 21523 X 0 0 0 0 709608 709608 0 27203712 26217508 986204 692613 667047 25566 1307436 1259109 48327 975285 939928 35357 0 0 0 0 0 13340497 13136010 204487 208 208 432431 397749 34682 2030 1834 196 0 1200505 1167325 33180 3024 212 2812 0 299 299 0 284360 284360 196020 142768 53252 641511 641346 165 Provision for Doubtful Accounts 2754561 2754561 Medical Supplies 1327162 1327162 Educational Training 215412 214768 644 Taxes, Licenses Fees 97471 32627 64844 50519 46083 4436 51434664 49655853 1778811 0 264742 131204 672291 525580 3604132 4575041 1500 1500 181394 305955 1633500 1385913 185721 247587 -6059 80927 4903721 5867794 1418841 1153112 1750399 1446476 3169240 2599588 X 1734481 3268206 1734481 3268206 4903721 5867794 X 1 1533724 X false true X true false X 0.00000 0.00000 0.00000 Part I 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. 1633500 1385913 247587 247587 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits, and payroll taxes 1346585 Accrued pension benefits 94328 State income taxes 5563 1446476 X 48680104 -2754561 -2754561 51434665 51434665 48680103 48680103 2754561 2754561 51434664 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, 2019 and 2018. XI 2d The amount shown on line 2d consists of 2,754,561 provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on Form 990. XII 4b The amount shown on line 4b consists of 2,754,561, provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on Form 990. false false true false true false false false false false Bairava Kuppuswamy MD Board Member 410347 260659 378 12600 25624 709608 Steve Altmiller President CEO - CCMC, Ex- Officio 505717 97126 58087 12600 19420 692950 129452 Anil Singh MD Physician 639721 164729 2322 12600 26083 845455 Nik Shah MD Physician 770861 6858 12600 26933 817252 Patrick Dugan MD Physician 655532 82556 1242 12600 25976 777906 David Mendoza MD Physician 654482 72610 1242 12600 25976 766910 Abiy Kelil MD Physician 562639 131343 3309 12600 25976 735867 Brandon Koehler VP Finance - UPC, CCPC UHP 196320 22224 20122 29448 25713 293827 Part I Line 3 Compensation for Camden-Clark Memorial Hospital Corporation CEO is established by West Virginia United Health System WVUHS. WVUHS utilizes compensation consultants, who review 990s of related organizations, review employment contracts for similar positions and compensation surveys. The results of the mentioned research above are provided to the System Compensation Committee for review and approval. Part I Line 4b During 2019, certain individuals reported in Part VII participated in a nonqualified retirement plan. Steve Altmiller, Ex-Officio and CCMC CEO, received cash distributions under the CAA plan of 40,385, which were reported as wages in W-2 Box 5. He also received vesting payments of previously deferred CAA funds of 129,452. These funds were paid out by our TPA. The TPA is responsible for tax reporting on those payments. 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 22,562,014, Grants and allocations 0, Revenue 5,657,237 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 chief financial officer, director 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 systems CEO and top management officials are employed by Camden-Clark Memorial Hospital CCMH and have roles throughout Camden-Clark Health Services CCHS which is also affiliated with West Virginia United Health System WVUHS. This organization does not have a CEO. The top management officials pay is reviewed and approved by the CCMH/CCHS board of directors. Form 990, Part VI, Section B, Line 15b For the physicians, their contracts are based on individual fair market evaluations utilizing medical group management association standards and other data. 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 1,555 of which 400 is considered program service expense and 1,155 is considered management and general expense Contracted Labor of 4,621,684 of which 4,418,352 is considered program service expense and 203,332 is considered management and general expense Contracted Labor - Patient Care of 40,969 all of which is considered program service expense Contracted Physician Expense of 8,670,206 all of which is considered program service expense and Collection Agency Fees of 6,083 all of which is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets includes 1,533,725 of related organization capitalization and 1 of rounding. Camden-Clark Health Services Inc 800 Garfield Avenue Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 Line 12A 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 Auxiliary of Camden-Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26101 550386283 Promotes advancement and welfare of Camden-Clark Memorial Hospital. 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