2018-11-12T06:13:10-00:00 2017-12-31 990 2017-01-01 264058719 Camden-Clark Physician Corporation CAMD 3044242817 604 Ann Street Parkersburg WV 26101 Mary Jo Shahan Interim CFO 2018-11-12 false 157.182.216.2 2018-11-12 23:02:53 ES P 0A63003A2DC7132982EF3DF1E37B1510D6F938D3 714A1ACB7E7DEE539613438CC2220F9E5560AD5B 2017 2019-02-21 02:37:17Z Mary Jo Shahan 800 Garfield Avenue Parkersburg WV 26102 38763853 false X X 2008 WV To support, manage, and furnish facilities, personnel, and medical services to individuals in need. 5 3 83 0 10000 23123757 38617448 0 94549 136405 23218306 38763853 0 0 24260580 25457962 0 0 12937803 13305891 37198383 38763853 -13980077 0 4075245 2731805 2231837 2507306 1843408 224499 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 1525324 2082731 Camden Clark Physician Corporation employs two medical oncologists and two radiation oncologists, and in conjunction with Camden Clark Memorial Hospital Corporation, these physicians provide a wide variety of cancer treatment options as well as education to residents of the mid-ohio valley service area. 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 worker, these physicians are able to help provide a holistic healing environment that includes support groups for patients and their families. 2606003 5720765 Camden Clark Physician Corporation offers urological services through a team of employed physicians and in collaboration with Camden Clark Memorial Hospital Corporation. The team of physicians specializes in kidney stones, evaluation and treatment of prostate related issues, vasectomy, erectile dysfunction, kidney/bladder/prostate cancer, urinary tract infections, and male and female incontinence. 2733011 5361946 Camden Clark Physician Corporation offers OB/GYN services through a team of employed physicians and in collaboration with Camden Clark Memorial Hospital Corporation. 29403923 25587401 36268261 true false false false false false false false false false true false false false true true false true 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 24 0 83 true 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 26102 Kathy G Eddy Board Member, Chairman 001.00 001.00 X X 0 0 0 Terry Capel MD Board Member, Vice Chairman 001.00 001.00 X X 0 0 0 Joe Campbell Board Member 001.00 001.00 X 0 0 0 Daniel J McGraw MD Board Member, Physician 040.00 X X 927004 0 28698 David McClure Board Member, CCMC CEO 001.00 039.00 X X 0 600707 20202 Charles Morgan Executive Director 040.00 X 122838 0 4240 John Forester Executive Director 001.00 039.00 X 0 354386 63562 Carolyn Allen Treasurer, CCMC CFO 001.00 039.00 X 0 365594 16164 Dr Lisa Casalenuovo Physician 040.00 X 454380 0 27386 Dr Nik Shah Physician 040.00 X 770216 0 29986 Dr David Mendoza Physician 040.00 X 604726 0 28652 Dr Patrick Dugan Physician 040.00 X 603199 0 28652 Dr Barry Lifson Physician 040.00 X 601585 0 28652 Dr Eric Lowden Physician 040.00 X 591273 0 29965 4675221 1320687 306159 50 false true false Weatherby Locums PO Box 972633 Dallas TX 753972633 Staffing Services 1515426 Daniel & Yeager Inc 6767 Old Madison Pike Suite 690 Huntsville AL 35806 Staffing Services 238647 Medpower Staffing 22422 Dolomite Hills Dr Ashburn VA 201487168 Staffing Services 198716 3 10000 10000 Net Patient Revenue 621110 22535486 22535486 Hospital Support Revenue 621110 16081962 16081962 38617448 Rebates 900099 79983 79983 Medical Records 621110 4716 4716 Cash Discounts 900099 1010 1010 50696 50696 136405 38763853 38752843 1010 X 0 0 0 0 1564546 1437468 127078 0 21391175 19554969 1836206 336261 307397 28864 1401160 1279947 121213 764820 699168 65652 0 0 0 0 0 9952403 9912107 40296 954 954 344296 324155 20141 5874 5162 712 0 671221 647450 23771 18731 18731 0 3932 3932 0 0 105283 32561 72722 605877 551696 54181 Provision for Doubtful Accounts 481266 481266 Medical Supplies 764760 764760 Educational Training 150090 150090 Taxes, Licenses Fees 93099 14790 78309 108105 81658 26447 38763853 36268261 2495592 0 905277 110176 744696 462876 1446119 1691536 70500 15375 738937 224861 1509717 1282736 169716 226981 4075245 2731805 575657 544131 1656180 1963175 2231837 2507306 X 1843408 224499 1843408 224499 4075245 2731805 X 0 -1618909 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. 1509717 1282736 226981 226981 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits, and payroll taxes 1849925 Accrued pension benefits 72497 State income taxes 40753 1963175 X 38763853 38763853 38763853 38282587 38282587 481266 481266 38763853 X 2 WVUHS, WVUH, PVH, CCHS, CCMC, CCF, CCPC, University Healthcare, BMC, JMC, University Healthcare Foundation, UHC, USC, UHF, UPC, SJH, SJF, RMH and RMF 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, 2017 and 2016. X 2 The System accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2017 and 2016. The Systems policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. false false false false true false false false false false Daniel J McGraw MD Board Member, Physician 925198 1806 8100 20598 955702 Dr Lisa Casalenuovo Physician 359571 94420 389 6869 20517 481766 Dr Nik Shah Physician 764882 5334 8100 21886 800202 Dr David Mendoza Physician 603760 966 8100 20552 633378 Dr Patrick Dugan Physician 602569 630 8100 20552 631851 Dr Barry Lifson Physician 600619 966 8100 20552 630237 Dr Eric Lowden Physician 590307 966 8100 21865 621238 John Forester Executive Director 277575 76361 450 41738 21824 417948 Carolyn Allen Treasurer, CCMC CFO 303290 61004 1300 8100 8064 381758 David McClure Board Member, CCMC CEO 484347 110088 6272 8100 12102 620909 Part I Line 3 CCHS has no compensated employees. 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, compensation surveys. The results of the before mentioned research are provided to the System Compensation Committee for review and approval. 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 29,403,923, Grants and allocations 0, Revenue 25,587,401 Camden Clark Physician Corporation 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 cancer, urological and OB/GYN programs described above, the organization employs physicians who specialize in surgery, diabetes and nutritional management, behavioral health and has begun to build 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 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 executive directors pay and other 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 Dr. Daniel McGraw and David McClure are not independent and are voting board members. Dr. McGraw was compensated by CCPC. David McClure was compensated for holding the position of CEO at Camden Clark Memorial Hospital. These individuals are compensated for their work for their respective organizations, not for serving on the board of directors. Form 990, Part IX, Line 11g Other expenses consist of the following items Contracted Labor, Med Staff Expense, Contracted Physician Expense and Collection Agency Fees. Contracted Labor totaled 3,105,033, 3,064,737 of which was classified as program service expense and 40,296 as management and general expense. Med Staff expense of 1,600 was all classified as program service expense. Contracted Physician Expense of 6,834,881 was all classified as program service expense. Collection Agency Fees of 10,889 was all classified as program service expense. Form 990, Part XI, Line 9 Other changes in net assets includes 1,618,911 of related organization capitalization and 2 rounding. Camden-Clark Health Services Inc 800 Garfield Avenue Parkersburg WV 26102 550769602 Aids, strengthens, and supports Camden-Clark Memorial Hospital. WV 501c3 Line 12A, I West Virginia United Health System false Camden-Clark Memorial Hospital Corporation 800 Garfield Avenue Parkersburg WV 26102 311524546 Operates an acute care and emergency hospital facility. WV 501c3 Line 3 N/A false Auxiliary of Camden-Clark Memorial Hospital 800 Garfield Avenue Parkersburg WV 26102 550386283 Promotes advancement and welfare of Camden-Clark Memorial Hospital. WV 501c3 Line 12A N/A false Camden-Clark Foundation Inc 800 Garfield Avenue Parkersburg WV 26102 550667789 Raise and manage funds for Camden-Clark Memorial Hospital. WV 501c3 Line 12A N/A false WV United Health System 3040 University Avenue Morgantown WV 26505 550175471 Healthcare Access WV 501c3 Line 12A 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 2000 Foundation Way Martinsburg WV 25401 202337985 Healthcare Access WV 501c3 Line 12A West Virginia University Hospitals Inc false City Hospital Inc 2000 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501c3 Line 3 West Virginia University Hospitals East false Jefferson Memorial Hospital 2000 Foundation Way Martinsburg WV 25401 550359755 Patient Care WV 501c3 Line 3 West Virginia University Hospitals East false University Healthcare Foundation 2000 Foundation Way Martinsburg WV 25401 311118075 Hospital Support WV 501c3 Line 12A N/A 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 N/A false United Hospital Foundation 327 Medical Park Drive Bridgeport WV 26330 550621706 Hospital Support WV 501c3 Line 12A N/A false WV Healthcare Co-Op PO Box 8059 Morgantown WV 26506 550650441 Support WV 501c3 Line 12A West Virginia United Health System false United Summit Center 6 Hospital Plaza Clarksburg WV 26301 550752788 Behavioral Health WV 501c3 Line 3 N/A 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 Line 12A N/A false St Josephs Foundation of Buckhannon 1 Amalia Drive Buckhannon WV 26201 550727650 Hospital Support WV 501c3 Line 12b II N/A false Ohio Valley Ambulatory 608 Washington Blvd Belpre OH 45714 208671724 Outpatient Surgical Services WV NA false false Gateway Home Care LLC 1353 Edwin Miller Blvd Martinsburg WV 254043703 541965474 Durable Medical Equipment WV City Hospital Inc false false Allied Health Services Inc PO Box 782 Morgantown WV 26507 550652017 Medical Lab WV NA C Corp false West Virginia United Insurance Services 3040 University Avenue Suite 3040 Morgantown WV 26505 550756055 Provider Network WV NA C Corp false false false false false false false false false true false true false false true false false false false true