2017-11-15T11:55:33-00:00 2016-12-31 990 2016-01-01 264058719 Camden-Clark Physician Corporation CAMD 3044242817 604 Ann Street Parkersburg WV 26101 Carolyn Allen CFO 2017-11-10 false 157.182.216.2 2017-11-15 13:32:41 ES P 301490902228FB36277D3D3837D95EF666DC4F65 234EA096CFDA6C5369FDA0DB45BC1B6247EDF7C0 2016 2021-01-29 14:40:06Z Carolyn Allen 800 Garfield Avenue Parkersburg WV 26102 23218306 false X www.ccmh.org X 2008 WV To support, manage, and furnish facilities, personnel, and medical services to individuals in need. 5 3 206 0 0 19822951 23123757 169551 0 9237 94549 20001739 23218306 2500 0 0 22796169 24260580 0 0 8241456 12937803 31040125 37198383 -11038386 -13980077 2850612 4075245 2392154 2231837 458458 1843408 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 2668708 3788544 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 organiztions 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. 2708062 5752484 Camden Clark Physicians 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 track infections, and male and female incontinence. 2772712 6078951 Camden Clark Physician Corporation offers OB/GYN services through a team of employed physicians and in collaboration with Camden Clark Memorial Hospital Corporation. 25227163 7598316 33376645 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 26 0 206 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 928390 0 29486 Dave McClure Board Member 001.00 039.00 X X 0 636943 21900 Carolyn Allen CFO CCMC/Treasurer 001.00 039.00 X 0 357927 10138 Sean Smith Executive Director 040.00 X 56127 0 11261 Dr Lisa Casalenuovo Physician 040.00 X 438071 0 28163 Dr Steven Miller Physician 040.00 X 868592 0 17324 Dr Nik Shah Physician 040.00 X 770758 0 32714 Dr Abiy Kelil Physician 040.00 X 745399 0 17301 Dr Jose Cruzzavala Physician 040.00 X 721607 0 24306 Dr Sivamurthy Kyathari Physician 040.00 X 632792 0 29455 5161736 994870 222048 45 false true false Weatherby Locums PO Box 972633 Dallas TX 753972633 Staffing Services 1015490 1 Net Patient Revenue 621110 23123757 23123757 23123757 Cash Discounts 900099 11 11 Other Revenue 621110 94538 94538 94549 23218306 23218295 11 X 0 0 0 0 1491498 1424110 67388 0 19963615 19356769 606846 30 29 1 1918554 1868204 50350 886883 859390 27493 0 0 0 0 0 9389991 6413369 2976622 308 298 10 393743 381537 12206 0 0 631700 612117 19583 46683 45236 1447 0 1741 1687 54 0 0 120003 93608 26395 749786 726544 23242 Provision for Doubtful Accounts 576077 576077 Medical Supplies 701943 701943 Dues, Education, Taxes and Fees 175458 170019 5439 Recruiting 134049 129893 4156 16321 15815 506 37198383 33376645 3821738 0 1 905277 743916 744696 1699779 1446119 40000 70500 100597 738937 1379730 1210014 266319 169716 2850612 4075245 2392154 575657 1656180 2392154 2231837 X 458458 1843408 458458 1843408 2850612 4075245 X -13980077 15365027 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. 1379730 1210014 169716 169716 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued wages, benefits, and payroll taxes 1394319 Accrued pension benefits State income taxes 261861 1656180 X X 2 WVUHS, WVUH, PVH, CCHS, CCF, CCPC, University Healthcare, BMC, JMC, University Healthcare Foundation, UHC, USC, UHF, UPC, SJH, and STF 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. 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 2016 and 2015. The Systems policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. X true false false false false true false false false false false Daniel J McGraw MD Board Member. Physician 924211 4179 7950 21536 957876 Dave McClure Board Member 466232 107136 63575 7950 13950 658843 Carolyn Allen CFO CCMC/Treasurer 296949 43862 17116 7272 2866 368065 Dr Lisa Casalenuovo Physician 358780 77903 1388 6857 21306 466234 Dr Steven Miller Physician 645269 219883 3440 7950 9374 885916 Dr Nik Shah Physician 762621 8137 7950 24764 803472 Dr Abiy Kelil Physician 471210 271620 2569 7950 9351 762700 Dr Jose Cruzzavala Physician 397493 324114 7950 16356 745913 Dr Sivamurthy Kyathari Physician 413576 217564 1652 7950 21505 662247 Part I Line 1a Memberships at the health and wellness center are offered to each member of the senior leadership team. These dues are covered in the applicable employment contracts. Part I Line 3 Compensation is established by West Virginia Health System WVUHS for Camden-Clark Physician Corporation. Part I Line 5 Each physician has a productivity bonus in their contract. This bonus is based on producing over a set relative value unit RVU during the year. There is also a component for each physician based on collections. Physician compensation is capped at the 90 MGMA or at an alternative amount as determined by and independent third party valuation firm. Form 990, Part III, Line 4d Program Service Expenses 25,227,163, Grants and allocations 0, Revenue 7,598,316 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, behaviroal 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 critial 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, shall approve all matters regarding Camden-Clark Physician Corporation. Form 990, Part VI, Section B, Line 11 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. McGraw and David McClure are not independent. Dr. McGraw was compensated by CCPC, and David McClure was compensated as CEO by the related organization, Camden Clark Memorial Hospital. Dr. McGraw and David McClure 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 Consulting and Professional- Med Staff expense of 6,413,369 which is all program service expense, Contracted Labor of 2,964,216 as well as collection agency fees of 12,406 all of which is considered management and general expenses. Form 990, Part XI, Line 9 Other changes in net assets includes 15,365,029 of related organization capitalization and 2 for 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 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