2011-11-14T13:06:44-06:00 2010-12-31 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2010-01-01 310887133 Charleston Area Medical Center Foundation Inc CHAR 3043889860 PO Box 1547 Charleston WV 253261547 Larry Hudson 3043889860 2011-11-11 1 3124861000 2010 2016-03-07 17:11:31Z CAMC Foundation E Gail Pitchford 3412 Staunton Ave Charleston WV 25326 72623166 0 X www.camcfoundation.org X 1976 WV Charleston Area Medical Center 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 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. 20 13 6 0 0 0 1659854 3707356 0 0 670586 9540591 984833 1048521 3315273 14296468 438950 403646 0 0 507957 431332 229047 84437 507084 1792657 1817933 2968611 2737348 346662 11559120 142365625 161247164 711262 691777 141654363 160555387 To support and promote CAMC's delivery of excellent and compassionate health services, and its contribution to the quality of life and economic vitality of the region. 0 0 536033 Charleston Area Medical Center Foundation, Inc. provides support to or for the benefit of Charleston Area Medical Center, Inc. Grants were approved for research, education, and medical assistance. 431140 Charleston Area Medical Center Foundation, Inc. provides support to or for the benefit of CAMC Health Education and Research Institute, Inc. Grants were approved for research and education. 403646 403646 Charleston Area Medical Center Foundation, Inc. provides support to or for the benefit of approximately 120 individuals and companies, particularly low-income individuals and families. 1370819 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 6 0 1 6 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WV X Larry Hudson 3043887603 501 Morris Street Charleston WV 253010000 Stephen H Bush MD 0.50 X 0 0 0 Mary Payne 0.50 X 0 0 0 Aslf Rahman MD 0.50 X 0 0 0 Eva F Jones 0.50 X 0 0 0 Marion S Jones 0.50 X 0 0 0 Andrew B Jordon 0.50 X 0 0 0 Matthew Kingery 0.50 X 0 0 0 John L Payne 0.50 X 0 0 0 William A Rice Jr 0.50 X 0 0 0 Steven S Robey 0.50 X 0 0 0 Charles E Ryan 0.50 X 0 0 0 James R Thomas III 0.50 X 0 0 0 J Randy Valentine 0.50 X 0 0 0 John F Ziebold 0.50 X 0 0 0 E Gail Pitchford 50.00 X X 204516 0 47514 David L Ramsey 0.50 X 0 824125 407533 Ted H Brady 0.50 X X 0 0 0 Jennifer Dial 0.50 X X 0 0 0 Jessica S Graney 0.50 X X 0 0 0 Steven F White 0.50 X X 0 0 0 204516 824125 455047 1 0 1 0 Ketchum Inc 5151 Belt Line Rd 900 Dallas TX 75254 Consulting 132418 Southeastern Asset Managemnt 6410 Poplar Ave Suite 900 Memphis TN 38119 Financial Institution Fees 114584 2 372900 3334456 25000 3707356 3170820 3170820 1014717 1014717 1014717 1014717 64599441 58229670 6369771 6369771 6369771 130832 372900 97028 33804 33804 14296468 0 0 10589112 319442 319442 84204 84204 252030 90731 161299 128225 46161 82064 9600 3456 6144 20011 7204 12807 21466 7728 13738 208898 208898 6732 6732 1089 1089 84437 84437 25678 25678 6219 6219 26762 26762 19817 19817 96596 96596 4640 1670 2970 7280 7280 967173 967173 252008 252008 20209 20209 Consulting 137406 137406 Dues and subscriptions 16942 16942 Other Expenses 13611 13611 Donor recognition 6873 6873 2737348 1370819 859445 507084 310843 95140 4916621 3859199 93380 1731534 7500 17605 12690490 1718797 9140120 10971693 66022022 79378208 61773981 65079138 101158 114647 142365625 161247164 289434 396431 421828 295346 711262 691777 X 100494234 110963410 21141892 28806594 20018237 20785383 141654363 160555387 142365625 161247164 X 11559120 7341904 X 0 1 1 X 0 X X X 0 0 0 CAMC 550526150 3 1 1 1 536033 1 536033 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 41160129 4568933 4579278 554678 161685 49591977 33192054 1680416 6898890 380965 230266 41160129 47367489 864206 -13404064 1514099 121478 33192054 0.42000 0.58000 0 0 5819957 5819957 6856014 1704295 5151719 14519 14502 17 10971693 Financial derivatives and other financial products 35851938 F Closely-held equity interests 29227200 C 65079138 Affiliate payable-Charleston Area Medical Center Inc. 228269 Affiliate payable-CAMC Health Education and Research Institute Inc. 52066 Annuity Payable 15011 295346 Description of Uncertain Tax Positions Under FIN 48: Part X: CAMC Foundation is part of the consolidated audit for CAMC Health System, Inc and Subsidiaries (collectively, the "System"). Language regarding ASC 740 (FIN 48) included in the consolidated footnotes is as follows: "CAMC, the Foundation, the Institute and CAMC Teays, are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code (the "Code") and applicable state statutes, but are subject to unrelated business income tax. The System does not have any material uncertain tax positions at December 31, 2010. X X X X X 1 Ketchum Inc 5151 Belt Line Rd 900 Dallas TX 75254 Fundraising 0 0 132418 -132418 132418 -132418 WV Gala 297235 214850 82385 37827 8200 7186 Golf Outing 206497 158050 48447 3000 25147 8014 7654 503732 372900 130832 3000 25147 45841 8200 14840 97028 33804 1 March of Dimes 208 Capitol Street Suite 100 Charleston WV 253010000 131846366 501(c)(3) 17940 Book General Program Support WVU Medical Corporation 3110 MacCorkle Avenue Charleston WV 253040000 550779739 501(c)(3) 262926 Book General Program Support University of Charleston 2300 MacCorkle Avenue charleston WV 253040000 550357039 501(c)(3) 25250 Book General Program Support 5 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. 107 84204 Book Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, 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 0 0 E Gail Pitchford 149715 0 23565 0 31236 0 38139 0 9375 0 252030 0 15085 0 David L Ramsey 0 581532 0 135748 0 106845 0 388321 0 19212 0 1231658 0 55420 Part I, Line 4b Terms & Conditions of SERP Plan: 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 Qualified Retirement Plan, Non-Qualified Retirement Benefit Restoration Plan, and 50% of projected age 62 Primary Social 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 five 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. Taxes due upon distribution. Subject to the Substantial Risk of Forfeiture. Supplemental Information Part III 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 and its subsidiaries and their executives. The Committee uses the data to determine the total compensation of the CEO and the executive officers. The data is reviewed every two years or when a new person comes into an executive role. Form 990, Part VI, Section A, line 2 James R. Thomas and J. Randy Valentine have a business relationship with each other. Form 990, Part VI, Section A, line 6 CAMC Health System, Inc. ("CAMCHSI") is the organization's sole voting member. Form 990, Part VI, Section A, line 7a CAMCHSI is the organization's sole voting member and has authority to elect all voting directors of the organization other than ex officio directors named in the organization's governing documents. The sole voting member has the sole authority to amend the organization's governing documents. Form 990, Part VI, Section A, line 7b CAMCHSI is the organization's sole voting member and has reserved powers under the organization's governing documents, which provide that decisions of the organization'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. The return is then prepared and reviewed by an external consultant firm. This firm then reviews the completed Form 990 with CAMCHSI Board of Directors and Audit Committee. Form 990, Part VI, Section B, line 12c Corporate officers including the President and Secretary develop the agendas for board meetings and identify potential conflict of interest issues relative to action items and assist the board chairs with resolution of same. Annual disclosure procedures are implemented and the board chair and CAMCHSI Board of Directors Nominating Committee periodically review conflict situations. Form 990, Part VI, Section B, line 15 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 companies (including the organization) and executives (including the CEO). The committee uses the data to determine the total compensation of the CEO and the executive officers. This data is reviewed every two years or when a new person comes into an executive role. 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 Articles of Incorporation are publicly available at the WV Secretary of State's Office. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 7,341,904. Form 990, Part VII, Section A: Some members of the Board were compensated by related organizations for other duties as follows: CAMC - David L. Ramsey 50 hours Charleston Area Medical Center Inc PO Box 1547 Charleston WV 253261547 550526150 Hospital WV 501(c)(3) Line 3 CAMC Health SystemInc 1 CAMC Health System Inc PO Box 1547 Charleston WV 253261547 550664138 Parent Company WV 501(c)(3) Line 11c, III-FI N/A 1 CAMC Health Education and Research Institute Inc PO Box 1547 Charleston WV 253261547 550753754 Medical Research WV 501(c)(3) Line 11b, II CAMC Health SystemInc 1 CAMC Teays Valley Hospital Inc PO Box 1547 Charleston WV 253261547 550752636 Hospital WV 501(c)(3) Line 3 CAMC Health SystemInc 1 1 Women and Children's Medical Office Building Partnership PO Box 1547 Charleston WV 253261547 550669065 Medical office Building WV N/A N/A 0 0 General Division Medical Office Building Partnership PO Box 1547 Charleston WV 253261547 550623949 Medical office Building WV N/A N/A 0 0 Integrated Health Care Providers Inc PO Box 1547 Charleston WV 253261547 550751010 Physicians Offices WV N/A C 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 Charleston Area Medical Center Inc B 534033 Contract Charleston Area Medical Center Inc I 1014717 Contract Charleston Area Medical Center Inc L 208898 Contract Charleston Area Medical Center Inc O 169608 FMV CAMC Health Education and Research Institute Inc B 431140 FMV Charleston Area Medical Center Inc P 20608 Contract