2015-11-15T11:32:35-06:00 2014-12-31 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60601 990 2014-01-01 310887133 CAMC Foundation Inc CAMC 3043889860 PO Box 1547 Charleston WV 253261547 E Gail Pitchford President 3043889860 2015-11-12 1 Laura Gillespie P00855604 3129463000 2014 2016-02-25 16:41:14Z CAMC Foundation E Gail Pitchford 3412 Staunton Ave Charleston WV 253261547 133322294 0 X www.camcfoundation.org X 1976 WV Raise funds to assist Charleston Area Medical Center, Inc. in its healthcare mission.CAMC Foundation, Inc. is organized and operated exclusively for the purpose of receiving gifts, grants, contributions, devises and bequests, holding the same primarily as endowments funds, and making distributions of such funds, and the income received from the investment of the same, to or for the benefit of Charleston Area Medical Center, Inc. ("CAMC"), a not-for-profit corporation organized under the laws of the State of West Virginia. CAMC's primary exempt purpose is to provide hospital and health services for the people residing in the area of Charleston, West Virginia. 22 15 8 78 0 0 3007667 2932718 0 0 12755328 15697209 587364 939142 16350359 19569069 2546723 9535817 0 0 580683 644258 6676 0 526893 449372 581902 3583454 10761977 12766905 8807092 216720012 216384447 547403 1044562 216172609 215339885 X CAMC Foundation, Inc. ("CAMC Foundation") is organized and operated exclusively for the purpose of receiving gifts, grants, contributions, devises and bequests, holding the same primarily as endowment funds, and making distributions of such funds, and the income received from the investment of the same, to or for the benefit of Charleston Area Medical Center, Inc. ("CAMC"), a not-for-profit corporation organized under the laws of the State of West Virginia. CAMC's primary exempt purpose is to provide hospital and health services for the people residing in the area of Charleston, West Virginia. 0 0 9186358 9153250 CAMC Foundation, Inc. provides support to or for the benefit of Charleston Area Medical Center, Inc. Grants were approved for research, education, and medical assistance. 108679 124484 CAMC Foundation, Inc. provides support to or for the benefit of CAMC Health Education and Research Institute, Inc. Grants were approved for research and education 240780 258083 CAMC Foundation, Inc. provides support to, or for the benefit of, approximately 170 individuals and companies, particularly low-income individuals and families. 9535817 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 30 0 1 8 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 22 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X Larry C Hudson 3043887603 501 Morris Street Charleston WV 25301 E Gail Pitchford President 50.00 1.00 X X 255309 0 142277 Raye King-White Chairman 0.50 0.00 X X 0 0 0 Michael Graney Vice Chairman 0.50 0.00 X X 0 0 0 Ted H Brady Secretary 0.50 0.00 X X 0 0 0 Steven S Robey Treasurer 0.50 0.00 X X 0 0 0 James Bunn II Director 0.50 0.00 X 0 0 0 Stephen Bush MD Director 0.50 0.00 X 0 0 0 Dale Clowser Director 0.50 0.00 X 0 0 0 Jennifer Dial Director 0.50 0.00 X 0 0 0 Eva F Jones Director 0.50 0.00 X 0 0 0 Marion S Jones Sch O Director 0.50 0.00 X 0 194337 0 Matthew Kingery Director 0.50 0.00 X 0 0 0 Charles Loeb Director 0.50 0.00 X 0 0 0 Judith McJunkin Director 0.50 0.00 X 0 0 0 Ronald A Murad Director 0.50 0.00 X 0 0 0 Mary Payne Director 0.50 0.00 X 0 0 0 Nina Peyton Director 0.50 0.00 X 0 0 0 David L Ramsey Sch O Director and CAMCHSI CEO 0.50 56.00 X 0 1109204 332184 William Rice Jr Director 0.50 5.50 X 0 0 0 Bryan K Richmond Director 0.50 5.00 X 0 0 0 Lyle D Smith Director 0.50 0.00 X 0 0 0 John Ziebold Director 0.50 0.00 X 0 0 0 255309 1303541 474461 2 0 1 0 Southeastern Asset Management 6410 Poplar Avenue Suite 900 Memphis TN 38119 Financial Institution Fees 184010 Westfield Capital Management One Financial Center 24th Floor Boston MA 02111 Financial Institution Fees 145443 2 165430 2767288 86705 2932718 5424860 5424860 591447 24451 566996 566996 566996 121925365 1906292 112211215 1348093 9714150 558199 10272349 10272349 541612 165430 169466 372146 372146 19569069 0 0 16636351 9456316 9456316 79501 79501 397586 143131 254455 82038 29534 52504 13734 4944 8790 124424 44792 79632 26476 9531 16945 230025 230025 7655 7655 332 332 113240 113240 34436 34436 20980 20980 20466 20466 4554 4554 6967 2508 4459 5473 5473 28888 28888 Consulting 50496 50496 Fundraising 25176 25176 Donor Recognition 16990 16990 Dues and Subscriptions 5287 5287 10937 10937 10761977 9535817 699267 526893 770961 941213 8959236 11090010 3830111 2513134 9591 9648 7157863 309712 6872602 6848151 131330643 141315363 64876831 53592415 70037 74513 216720012 216384447 288401 307475 259002 737087 547403 1044562 X 143821974 149656936 50853096 42980465 21497539 22702484 216172609 215339885 216720012 216384447 X 8807092 -7528361 -2111455 X 0 1 X 1 0 X 3707356 7878454 2331916 3007667 2932718 19858111 3707356 7878454 2331916 3007667 2932718 19858111 167019 19691092 4185537 3641826 4060787 3910932 5991856 21790938 41649049 0.47280 0.47940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 72350634 1186406 2172285 9884074 142303 65682948 62348395 3432443 7814216 998348 246072 72350634 55960345 2807787 4847602 964000 303339 62348395 49591977 7943081 -224571 1138740 211402 55960345 41160129 4568933 4579278 554678 161685 49591977 0.34560 0.65440 0 0 5083625 5083625 2059719 295193 1764526 14519 14519 0 6848151 Financial Derivatives and Other Financial Products 38627156 F Closely-held Equity Interests 14965259 C 53592415 Affiliate payable-Charleston Area Medical Center, Inc. 734526 Annuity Payable 2561 737087 X Part V, Line 4: CAMC Foundation, Inc. has over 100 endowment funds, many of which have been established to support cancer, heart, diabetes, children, education, and research funds. These funds support various projects with CAMC as designated by the specific fund. Funds are set up throughout the year by individuals in the community to honor a member of their family who has survived an adverse medical situation and those who want to honor a deceased member of their family or someone in the community who has been a dedicated leader. Part X, Line 2: CAMC Foundation, Inc. financial statements are audited as part of the audit of the financial statements of CAMC Health System, Inc. and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the consolidated footnotes is as follows: "The IRS has determined that CAMC, the Foundation, and the Institute are exempt from income taxes under Section 501(c)(3) of the Code and applicable state statutes, but are subject to unrelated business income tax. The System does not have any material uncertain tax positions as of December 31, 2014." Gala 464406 129020 335386 61002 17800 33851 Golf 216000 36410 179590 3000 16120 7234 23506 1 26636 0 26636 4325 145 2483 707042 165430 541612 3000 4325 16120 68381 17800 59840 169466 372146 1 WVU Medical Corporation 3110 MacCorkle Avenue Charleston WV 25304 550779739 501(c)(3) 98774 General Support CAMC Health Education and Research Institute Inc P O Box 1547 Charleston WV 253261547 550753754 501(c)(3) 113879 General Support Charleston Area Medical Center Inc P O Box 1547 Charleston WV 253261547 550526150 501(c)(3) 9152846 Cancer Center 3 0 Assistance to CAMC Health System, Inc., and Subsidiaries' employees for personal financial emergencies such as funeral expenses or travel, replacement of essential personal items lost to theft, flood, fire or other disaster, illness, emergency housing or relocation to escape dangerous living conditions. 100 79501 Part I, Line 2: The Grantee of each approved grant is required to provide a mid-year report, as well as a year-end report, on the distribution and usage of grant funds. 0 1 0 0 0 0 0 1 0 E Gail Pitchford President 171948 0 43116 0 40245 0 129783 0 12494 0 397586 0 0 0 Marion S Jones Sch O Director 0 186864 0 7473 0 0 0 7881 0 22399 0 224617 0 0 David L Ramsey Sch O Director and CAMCHSI CEO 0 704106 0 278720 0 126378 0 295990 0 36194 0 1441388 0 0 Part I, Line 3 The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMCHSI companies and executives. The Committee uses the data to determine the total compensation of Foundation's President. The data is reviewed every two years. Part I, Line 4b Supplemental Executive Retirement Plan ("SERP"). Participants are key officers of CAMCHSI and subsidiaries. Terms & Conditions of SERP Plan: Defined Benefit. Vest at age 60, or later, if one time postponement is made prior to age 59. Deferred vesting date cannot be earlier than age 65 or later than age 68. Benefit at age 60 with 30 years of service is computed as the difference between 55% of Final Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan, Non-Qualified Retirement Security Benefit. Eligible to receive SERP benefits upon earliest of: normal retirement or date elected, if extended; death; disability; involuntary termination without cause. Early retirement at age 55 with at least 5 years of service reduced 1.83% for each year of service less than 30 and .5% reduction for each month prior to Normal Retirement Date (age 60). Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. CEO Supplemental Executive Retirement Plan ("SERP"): Participant-CEO Terms and Conditions of CEO SERP Plan: Defined Contribution. Vest at age 65. Benefit at age 65 projected as the difference between 60% of Final 5 Year Average Total compensation and sum of retirement benefits paid from: CAMC Health System, Inc. Qualified Retirement Plan and 50% of projected age 65 Primary Social Security Benefit. Actual benefits will depend upon simulated investment results based on investment options selected by participant. Eligible to receive SERP benefits upon earliest of: deferred vesting date; death; disability; involuntary termination without cause. Taxes due upon vesting. Subject to the Substantial Risk of Forfeiture. Neither contributions to nor distributions from the supplemental nonqualified plan were made in the current year. Part I, Line 7 The organization provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the CAMC Health System, Inc. Board of Directors Compensation Committee. X 5 2150 Cost or selling price X 1000 Cost or selling price X 295 Cost or selling price X 10 1870 Cost or selling price X 6 9975 Cost or selling price X Miscellaneous 23 54770 Cost or selling pric X Other: Travel 36 14345 Cost or selling pric X Gift Cards 51 1225 Cost or selling pric X Fitness 7 875 Cost or selling pric 0 1 0 Part I, Column (b): Column (b) refers to number of items contributed. Form 990, Part VI, Section A, line 2 Marion S. Jones, David L. Ramsey have a business relationship due to employment by a related company within the Health System. Form 990, Part VI, Section A, line 6 CAMC Health System, Inc. ("CAMCHSI") is Foundation's sole voting member. Form 990, Part VI, Section A, line 7a CAMC Health System, Inc. ("CAMCHSI") is Foundation's sole voting member and has authority to elect all voting directors of Foundation other than ex-officio directors named in Foundation's governing documents. The sole voting member has the sole authority to amend Foundation's governing documents. Form 990, Part VI, Section A, line 7b CAMCHSI is Foundation's sole voting member and has reserved powers under Foundation's governing documents, which provide that decisions of Foundation's governing body such as election of officers, approval of annual budgets and borrowings are subject to approval by the sole voting member. The sole voting member also has all approval powers provided to members of West Virginia nonprofit corporations under state law. Form 990, Part VI, Section B, line 11 The organization compiles necessary information for Form 990 with various officers and directors of the organization and its affiliates. The return is then prepared and reviewed by an external consultant firm. The CAMC Health System, Inc. Chief Financial Officer reviews the completed Form 990 with the CAMC Foundation, Inc. Board of Directors. Form 990, Part VI, Section B, line 12c Corporate officers, including the President and Secretary, develop the agendas for board meetings and identify and resolve potential conflict of interest issues relative to action items. Annual disclosure procedures are implemented and the President and the CAMC Health System, Inc. Board of Directors Nominating Committee periodically review conflict situations. The organization's conflict of interest policy requires all disclosed conflicts to be reported by the Chief Compliance Officer to the CAMCHSI Management Compliance Committee. The Compliance Officer will inform the Board of Trustees Audit Committee at their next scheduled meeting of all such activities approved by the Management Compliance Committee. The Manager (the direct supervisor of a company representative) may concur with the Compliance Officer's decision or may ask that the Management Compliance Committee review the Conflict of Interest Form in question. The Management Compliance Committee will then review the conflict of interest in questions at the next meeting and their decision is final. Form 990, Part VI, Section B, line 15 The CAMCHSI Board of Directors Compensation Committee selects and supervises an independent consultant who advises the Committee on compensation arrangements and transactions between CAMC Health System, Inc. subsidiaries (including Foundation) and executives (including Foundation's President). The Committee uses the data to determine the total compensation of Foundation's President and other executive officers. This data is reviewed every two years. Form 990, Part VI, Section C, line 19 The organization's audit is part of a consolidated financial audit for CAMC Health System, Inc. and Subsidiaries. Consolidated audited financial statements are available on-line at CAMC.org. They are also filed with the WV Health Care Authority where they are available on-line and in person. There is no formal method of making the organization's bylaws and conflict of interest policy publicly available, but they are available upon request. The organization's Articles of Incorporation are on file at and publicly available through the West Virginia Secretary of State's Office. Form 990, Part XI, line 9: Adjustments to pledge valuation -2,111,455. CAMC Health System Inc PO Box 1547 Charleston WV 253261547 550664138 Parent Company WV 501(c)(3) Line 11, Type III-FI CAMC Health System Inc 0 Charleston Area Medical Center Inc PO Box 1547 Charleston WV 253261547 550526150 Hospital WV 501(c)(3) Line 3: 170(b)(1)(a) CAMC Health System Inc 1 CAMC Health Education and Research Institute Inc PO Box 1547 Charleston WV 253261547 550753754 Medical Educational Research WV 501(c)(3) Line 11, Type II: 50 CAMC Health System Inc 1 CAMC Teays Valley Hospital Inc PO Box 1547 Charleston WV 253261547 550752636 Hospital WV 501(c)(3) Line 3: 170(b)(1)(a) CAMC Health System Inc 1 Women and Children's Medical Office Building Partnership PO Box 1547 Charleston WV 253261547 550669065 Medical Office Building WV N/A General Division Medical Office Building Partnership PO Box 1547 Charleston WV 253261547 550623949 Medical Office Building WV N/A Integrated Health Care Providers Inc PO Box 1547 Charleston WV 253261547 550751010 Specialty Physician Practices WV N/A C 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 Charleston Area Medical Center Inc B 9152846 FMV CAMC Health Education & Research Institute Inc B 113879 FMV Charleston Area Medical Center Inc J 591447 FMV Charleston Area Medical Center Inc M 230025 FMV Charleston Area Medical Center Inc P 269892 FMV