2023-11-14T14:09:55-06:00 2022-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2022-01-01 550526150 CHARLESTON AREA MEDICAL CENTER INC CHAR 3043887603 PO BOX 1547 CHARLESTON WV 253261547 JEFF SANDENE CHIEF FINANCIAL OFFICER 3043887603 2023-11-14 1 JEFF SANDENE 999009999 0 ANNE FULTON P00941863 6123974000 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEFF SANDENE 501 MORRIS STREET CHARLESTON WV 25301 1727375193 0 X WWW.CAMC.ORG X 1971 WV STRIVING TO PROVIDE THE BEST HEALTHCARE TO EVERY PATIENT, EVERY DAY. CAMC OWNS AND OPERATES FOUR SEPARATELY-LICENSED HOSPITALS AS A TERTIARY-CARE TEACHING HOSPITAL DESIGNED TO PROVIDE CARE FOR COMMUNITY RESIDENTS THROUGH EVERY STAGE OF LIFE. CAMC PATIENTS DEPEND ON CAMC TO PROVIDE CONVENIENT AND COMPASSIONATE CARE DELIVERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. 16 13 9758 109 12409959 540472 19020240 11934942 1397298706 1449665384 13890959 7973798 2213896 2124923 1432423801 1471699047 2771014 2854182 0 0 675094040 686713031 0 0 230726 704204977 773288407 1382070031 1462855620 50353770 8843427 1271029381 1238038247 683347375 676623893 587682006 561414354 X STRIVING TO PROVIDE THE BEST HEALTH CARE TO EVERY PATIENT, EVERY DAY. 0 0 984098506 123997 1451897834 CAMC IS ONE OF WEST VIRGINIA'S LARGEST MEDICAL CENTERS WITH OVER 9,700 EMPLOYEES AND 770 MEDICAL STAFF. CAMC IS LICENSED FOR 956 BEDS AT FOUR CAMPUSES AND OUR HEALTH CARE SERVICES DELIVERY FOCUSES ON PROVIDING A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES AS A TERTIARY REGIONAL REFERRAL CENTER, TEACHING AND SAFETY NET HOSPITAL. AS A REGIONAL REFERRAL CENTER, CAMC HAS ONE OF ONLY TWO STATE LEVEL 1 TRAUMA CENTERS, A LEVEL III NEONATAL ICU, A PEDIATRIC ICU, A DNV-CERTIFIED PRIMARY STROKE CENTER, AND A BARIATRIC CENTER OF EXCELLENCE. CAMC IS THE PRIMARY MEDICAL SAFETY NET PROVIDER OF WOMEN AND CHILDREN'S AND TRAUMA SERVICES IN CENTRAL AND SOUTHERN WEST VIRGINIA AND PROVIDES APPROXIMATELY 20% OF THE CHARITY CARE IN THE STATE. THERE WERE INPATIENT DAYS OF 189,152 OUTPATIENT VISITS OF 315,094, CLINIC VISITS OF 413,917, EMERGENCY DEPARTMENT VISITS OF 115,381 AND DELIVERIES OF 2,763 IN 2022. CAMC GIVES BACK TO THE COMMUNITY BECAUSE WE UNDERSTAND THE IMPACT THAT HIGH QUALITY MEDICAL CARE, CHARITY CARE, EDUCATION, CORPORATE CONTRIBUTIONS AND COMMUNITY PARTNERSHIPS HAVE ON THE LIVES OF REAL PEOPLE. 23799273 2489063 CAMC HAS ESTABLISHED MEDICAL AND ALLIED HEALTH EDUCATION EXCELLENCE AS A CORE COMPETENCY. PROVISION AND SUPPORT FOR EDUCATION INCLUDE TRAINING FOR INTERNS AND RESIDENTS, NURSES, ANESTHETISTS AND OTHER PERSONNEL. 183 WVU/WVSOM MEDICAL STUDENTS TRAINED AT CAMC HOSPITALS AND 198 MEDICAL RESIDENTS WERE EMPLOYED BY CAMC. CAMC PROVIDED FACULTY SUPPORT TO THE UNIVERSITY OF CHARLESTON HELPING EDUCATE PHARMACY STUDENTS, NURSING STUDENTS AND PHYSICIAN ASSISTANTS. CAMC ASSISTED 5 EMPLOYEES THROUGH STUDENT LOAN FORGIVENESS, AND PROVIDED EDUCATIONAL ASSISTANCE TO 367 INDIVIDUALS WHO INTEND TO PURSUE A CAREER IN HEALTHCARE. 102410852 241122 77128 CAMC DOES MUCH MORE THAN JUST PROVIDE HEALTH CARE, BEING INVOLVED IN NEARLY EVERY ASPECT OF THE HEALTH AND WELL BEING OF THE COMMUNITY. CAMC OFFERED 40 OUTREACH PROGRAMS WHICH SERVED AN ESTIMATED 40,000 PEOPLE. CAMC PROVIDED ACUTE INPATIENT AND OUTPATIENT HOSPITAL SERVICES INCLUDING UNREIMBURSED CHARITY CARE AT COST OF $12,308,800. CREATIVE, STATE-OF-THE-ART PROGRAMS AND SERVICES ARE PROVIDED TO OUR COMMUNITY TO SERVE OUR COMMUNITY - PARTICULARLY THE NEEDS OF THE LOW INCOME, ELDERLY AND OTHER VULNERABLE PERSONS. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT CRITERIA: 1) IMPROVES ACCESS TO HEALTH CARE SERVICES; 2) ENHANCES HEALTH OF THE COMMUNITY; 3) ADVANCES MEDICAL OR HEALTH CARE KNOWLEDGE; 4) RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. 1110308631 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0 0 0 1 0 0 1 1 1 0 0 0 0 1 1 1 0 0 1 537 0 1 9758 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 16 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WV X JEFF SANDENE 3043887603 501 MORRIS STREET CHARLESTON WV 25301 CHARLES L CAPITO JR TRUSTEE 2.50 2.50 X 0 0 0 DAVID L RAMSEY PRESIDENT CEO & TRUSTEE 50.00 7.00 X X 1488436 0 197739 EDWIN H WELCH PH D TRUSTEE 2.50 3.50 X 0 0 0 ERIC A HICKS TRUSTEE 2.50 2.50 X 0 0 0 FONDA ELLIOT TRUSTEE 2.50 2.50 X 0 0 0 JOHN LINTON PHD TRUSTEE 2.50 3.50 X 0 0 0 JOHN R HOBLITZELL ESQ TRUSTEE 2.50 2.50 X 0 0 0 KAREN S PRICE TRUSTEE 2.50 2.50 X 0 0 0 KENNETH L TACKETT TRUSTEE 2.50 2.50 X 0 0 0 MARK A CHANDLER VICE CHAIRMAN 3.00 5.00 X X 0 0 0 MELVIN JONES TRUSTEE 2.50 2.50 X 0 0 0 RICHARD K UMSTOT MD TRUSTEE 2.50 2.50 X 0 0 0 RYAN H FITZWATER MD TRUSTEE/CHIEF OF STAFF (START 1/1/22) 53.00 3.50 X 794062 0 61324 S SHAWN GROVES MD TRUSTEE 2.50 2.50 X 15000 0 0 STEFAN R MAXWELL MD TRUSTEE 2.50 3.00 X 0 0 0 WANDA HIGHTOWER TRUSTEE 2.50 2.50 X 0 0 0 WILLIAM RICE JR TRUSTEE 2.50 4.00 X 0 0 0 STEVEN L SMITH TRUSTEE (END 1/24/22) 2.50 2.50 X 0 0 0 ANGELA FENTON HILL SECRETARY & GEN COUNSEL 50.00 5.00 X 527849 0 294028 CHAD HOVIS VP FINANCE 50.00 0.00 X 134021 0 20569 DANIEL STROSS VP INFO SERVICES & CIO 50.00 5.00 X 516767 0 185442 GLENN CROTTY JR MD EXECUTIVE VP & COO 50.00 6.00 X 1036895 0 50910 HEATHER LEWIS VP CHIEF QUALITY OFFICER 50.00 0.00 X 211253 0 27513 HEIDI EDWARDS VP PROF PRAC & CNO 50.00 1.00 X 378044 0 222940 JEFF SANDENE EXECUTIVE VP & CFO 50.00 10.00 X 787964 0 243075 JEFFREY GOODE SENIOR VP AMBULATORY SERVICES 50.00 0.00 X 810412 0 274378 JEFFREY OSKIN SENIOR VP AND COO 50.00 5.00 X 946344 0 269193 KRISTI SNYDER VP HUMAN RESOURCES 50.00 6.00 X 500741 0 191961 MICHAEL WILLIAMS VP ADMINISTRATOR 50.00 0.00 X 323143 0 48528 MYRANDA PIKE VP CORPORATE COMPLIANCE (OCT - DEC) 50.00 5.00 X 60196 0 14736 RANDALL HODGES VP ADMINISTRATOR 50.00 0.00 X 431852 0 45988 REBECCA STEVENSON INTERIM VP CORPORATE COMPLIANCE (JAN - SEPT) 50.00 5.00 X 191176 0 56461 S ANDREW WEBER VP ADMINISTRATOR 50.00 0.00 X 468063 0 203795 STEPHEN Z BELL VP FINANCE 50.00 0.00 X 453865 0 18830 THOMAS P MCILWAIN MD VP CHIEF MEDICAL OFFICER 50.00 5.00 X 627219 0 45738 ELIE GHARIB MD PHYSICIAN 40.00 0.00 X 1491493 0 59026 HAZAIM ALWAIR MD PHYSICIAN 40.00 0.00 X 1346700 0 59026 MITCHELL RASHID MD PHYSICIAN 40.00 0.00 X 1354646 0 59026 NATHAN KISTER MD PHYSICIAN 40.00 0.00 X 1569550 0 58103 SANGEETA MANDAPAKA MD PHYSICIAN 40.00 0.00 X 1459820 0 28053 17925511 0 2736382 993 0 1 0 WVU PHYSICIANS OF CHARLESTON 3110 MACCORKLE AVE SE CHARLESTON WV 25304 GME/PHYSICIAN SERVICES 52853545 QUALIVIS LLC PO BOX 123847 DALLAS TX 753123847 NURSING SERVICES 35499354 CHARLESTON AREA RADIATION THERAPY CENTER PO BOX 19532 IRVINE CA 92623 RADIATION SERVICES 16156876 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT SERVICES 16112310 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 MEDICAL SERVICES 4887436 105 3630064 7906709 398169 398169 11934942 NET PATIENT REVENUE 621990 1335628925 1335628925 PHARMACY 900099 82594511 1277632 81316879 LAB SERVICES 621500 11571518 11571518 CAFETERIA/VENDING 722514 6031054 6031054 RENTAL (NON RESIDENTIA 531120 4428444 853067 3575377 9410932 4680440 33207 4697285 1449665384 7730975 184655 -472398 8018718 255689849 229120 255495896 180250 193953 48870 242823 242823 MANAGEMENT FEES 541610 1121160 1121160 LAUNDRY 812300 755051 755051 HOSPITALITY HOUSE 721110 14545 14545 234167 234167 2124923 1471699047 1343472010 12409959 103882136 X 365120 365120 2489062 2489062 14511192 14511192 787342 787342 522584523 412185738 110190106 208679 14434431 12357188 2071123 6120 99020549 76211491 22793131 15927 35374994 25553456 9821538 22890336 20293609 2596727 4955910 4955910 622117 622117 164086 164086 1732128 1732128 172494013 120908775 51585238 2195607 109695 2085912 11579366 4754335 6825031 22684971 206863 22478108 21096533 13265759 7830774 2135400 848217 1287183 158973 5063 153910 11919540 11919540 9979611 9979611 43085146 19261821 23823325 16941243 247089 16694154 MEDICAL SUPPLIES 295889105 295889105 UBI TAX 198604 198604 PROVISION FOR UNCOLLECT 53783059 53783059 PROVIDER TAX 37028749 37028749 41753910 4564826 37189084 1462855620 1110308631 352316263 230726 37639 38205 332550154 204737526 11100 258297741 304960666 2884250 2913093 22802319 24456298 9426626 10815998 1012332598 608452979 389973038 403879619 9913314 9100959 107124817 61360587 10852187 8361426 127167296 207402770 1271029381 1238038247 179103257 147183607 6443368 4450236 271020240 266520738 1882 7852 85208804 182449392 141569824 76012068 683347375 676623893 X 509139755 492144786 78542251 69269568 587682006 561414354 1271029381 1238038247 X 8843427 -28620930 -6490149 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 3457 0 0 1 64990 0 1 158016 226463 0 PART II-B, LINE 1: OCCASIONALLY, INDIVIDUALS ARE ASKED BY LEGISLATORS AT BOTH THE STATE AND NATIONAL LEVELS FOR OPINIONS ON CERTAIN ISSUES AND THE PROCESS OF HEALTH-RELATED LEGISLATION. AT SUCH TIME, CAMC REPRESENTATIVES MAY HOLD DISCUSSIONS WITH LEGISLATIVE OFFICIALS TO PRESENT THEIR INFORMATION AND PERSPECTIVES REGARDING VARIOUS HEALTH CARE ISSUES. SUCH INTERACTIONS DO NOT TYPICALLY INVOLVE CAMC EXPRESSING WHETHER OR NOT THEY SUPPORT A PARTICULAR BILL, BUT RATHER CONSIST OF GENERAL DISCUSSIONS RELATED TO THE PERTINENT HEALTH ISSUES. CAMC IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, AND 340B HEALTH FOR PHARMACEUTICAL ACCESS. A PERCENTAGE OF THE MEMBERSHIP DUES PAID ARE RELATED TO LOBBYING ACTIVITIES. 0 1 X 78542252 570268 -9301194 771758 69039568 67168856 3841086 8301863 769553 78542252 52835664 8393645 6721179 781632 67168856 44399161 1203066 8290644 1057207 52835664 47735117 1198091 -1872517 2661530 44399161 0.28000 0.72000 0 1 1 33299546 33299546 502766915 267442085 235324830 8287294 7185158 1102136 394024567 311583127 82441440 73954276 22242609 51711667 403879619 INTEREST IN NET ASSETS - CAMC FOUNDATION, INC. 69039568 BOND PROJECT FUNDS 111793042 BOND COLLATERAL 3610000 DERIVATIVE ASSET VALUE 3068987 AFFILIATE RECEIVABLE - CAMC FOUNDATION, INC. 1422598 AFFILIATE RECEIVABLE - CHERI 1647518 TRUSTEE FUNDS 15794366 AFFILIATE RECEIVABLE - WV HEALTH NETWORK 222505 AFFILIATE RECEIVABLE - VANDALIA PROVIDER HEALTH ORGANIZATION 804186 207402770 143888 ESTIMATED MALPRACTICE CLAIMS 28052000 ESTIMATED WORKERS COMPENSATION CLAIMS 1634155 SETTLEMENTS DUE TO 3RD PARTIES 19410553 AFFILIATE PAYABLE - CAMC FOUNDATION, INC. 55171 AFFILIATE PAYABLE - CAMC HEALTH AND RESEARCH INSTITUTE, INC. 979092 ESTIMATED RETIREE HEALTH 1617831 UMBRELLA TRUST AND SERP 19832216 AFFILIATE PAYABLE - WV HEALTH NETWORK 4256162 AFFILIATE PAYABLE - VANDALIA PROVIDER AND HEALTH ORGANIZATION 31000 76012068 X PART IV, LINE 2B: CAMC OPERATES HEALTHCARE FINANCIAL SERVICES, WHICH PROVIDES COLLECTIONS SERVICES TO OUTSIDE CLIENTS. PAYMENTS THAT ARE NOT RECOVERED BY THE COLLECTION DEPARTMENT INCLUDE BOTH THE COMMISSION PORTION AND THE AMOUNT DUE TO THE OUTSIDE CLIENT. THE AMOUNT LISTED IN PART X LINE 21 REFLECTS THE AMOUNT PAYABLE BY CAMC TO THE CLIENTS. PART V, LINE 4: TO FURTHER THE MISSION OF THE ORGANIZATION. PART X, LINE 2: CAMC'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE FINANCIAL STATEMENTS OF VANDALIA HEALTH, 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 THE SYSTEM ENTITIES ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C)(3) OF THE CODE AND APPLICABLE STATE STATUTES. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022." 1 1 X 1 X 1 X 1 1 0 1 1 12308800 12308800 0.00870 325448269 215984000 109464269 0.07750 274089 122304 151785 0.00010 338031158 216106304 121924854 0.08630 998833 77128 921705 0.00070 27187517 7935607 19251910 0.01360 971657 790439 181218 0.00010 86984 86984 0.00010 29244991 8803174 20441817 0.01450 367276149 224909478 142366671 0.10080 1200 1200 0.00000 507754 507754 0.00040 5040 5040 0.00000 720 720 0.00000 1850 1850 0.00000 516564 516564 0.00040 0 50764573 30225227 303343822 566866574 -263522752 X 1 1 1 GENERAL DIVISION MEDICAL OFFICE BUILDING LLC MEDICAL OFFICE SPACE RENTAL 0.80850 0.19150 2 CHARLESTON AREA RADIATION THERAPY CENTERS LLC RADIATION THERAPY 0.20000 0.30000 4 1 CAMC MEMORIAL HOSPITAL 3200 MACCORKLE AVENUE CHARLESTON WV 25304 WWW.CAMC.ORG 20 X X X X A 2 CAMC GENERAL HOSPITAL 501 MORRIS STREET CHARLESTON WV 25301 WWW.CAMC.ORG 20 X X X X A 3 CAMC WOMEN AND CHILDREN'S HOSPITAL 800 PENNSYLVANIA AVENUE CHARLESTON WV 253025302 WWW.CAMC.ORG 20 X X X X A 4 CAMC TEAYS VALLEY HOSPITAL 1400 HOSPITAL DRIVE HURRICANE WV 25526 WWW.CAMC.ORG 20 X X X X B FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 20 1 1 1 1 X HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS X 1 20 1 HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 0 0 1 X X X X X X X X X 21 1 0 1 1 X HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS X 1 21 1 HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CAMC MEMORIAL HOSPITAL, - FACILITY 2: CAMC GENERAL HOSPITAL, - FACILITY 3: CAMC WOMEN AND CHILDREN'S HOSPITAL FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT AND THEY SERVE IN AN ADVISORY CAPACITY FOR THE COALITION. THE STEERING COMMITTEE FOLLOWS A SET OF GUIDING PRINCIPLES AS IT PROMOTES AND SAFEGUARDS THE INTEGRITY OF THE COLLABORATIVE PROCESS AS EACH ASSUMES THE ROLE OF AN EQUAL PARTNER IN THE PROCESS. THEY MAKE TANGIBLE COMMITMENTS OF RESOURCES TO THE COALITION AND BELIEVE THAT THE PROCESS IS THE PRODUCT AND SERVES AS THE VEHICLE TO PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. EXPERT (KEY INFORMANT) SURVEYING PROCESS: THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT'S LEADERSHIP TEAM IDENTIFIED 283 INDIVIDUAL SUBJECT EXPERTS ACROSS THE SOCIAL DETERMINANTS OF HEATH AND INVITED THEM TO PARTICIPATE IN AN EXPERT OPINION SURVEY PROCESS. TWO HUNDRED AND EIGHTEEN EXPERTS PARTICIPATED IN THIS PROCESS. THIS PROCESS INCLUDED THREE-STEPS. SEVENTY EXPERTS PARTICIPATED IN STEP ONE BY TAKING AN ONLINE SURVEY THAT ASKED THEIR OPINIONS ACROSS A BROAD LIST OF TOPICS THAT AFFECT HEALTH. THESE TOPICS WERE CATEGORIZED UNDER LIVE: HEALTH AND SOCIAL; LIVE: SAFETY AND INFRASTRUCTURE; LEARN; WORK; AND PLAY. TWENTY-FIVE EXPERTS ATTENDED A CONVENING TO FURTHER DISCUSS AND DECIDE WHICH TOP CHALLENGES UNDER EACH CATEGORY SHOULD MOVE FORWARD TO THE FINAL RANKING. DURING THIS CONVENING EXPERTS WERE PROVIDED THE RESULTS OF THE FIRST ONLINE EXPERT SURVEY, HELD ROUND TABLE DISCUSSIONS AND RANKED THE TOP 5 CHALLENGES UNDER LIVE: HEALTH AND SOCIAL; LIVE: SAFETY AND INFRASTRUCTURE; LEARN; WORK; AND PLAY. IN STEP-THREE, EXPERTS WERE INVITED TO PARTICIPATE IN THE FINAL RANKING OF THE TOP CHALLENGES FROM THE CHALLENGES DEFINED IN STEP-TWO. THE FINAL RANKING CRITERIA CONSIDERED WHETHER CHALLENGES APPEARED TO BE: A. GREATER IN CERTAIN PARTS OF THE COUNTY OR SPECIFIC POPULATIONS; B. HAD BASELINE DATA THAT WOULD HELP US MEASURE OUR IMPACT C. OTHER COMMUNITIES HAD BEEN ABLE TO OVERCOME THIS CHALLENGE D. COULD BE RESOLVED IN 3-5 YEARS OR LESS E. HAD NO ONE CURRENTLY WORKING TO ADDRESS THEM F. WOULD CREATE A MAJOR IMPROVEMENT IN THE QUALITY OF LIFE G. REDUCE LONG-TERM COST TO THE COMMUNITY. EXPERTS RANKED THE FOLLOWING AS TOP PRIORITIES: LIVE: HEALTH AND SOCIAL ACCESS TO HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION LIVE: SAFETY AND INFRASTRUCTURE SAFE ROADS LEARN: ACCESS TO CHILDCARE (EARLY CHILDHOOD EDUCATION) WORK: BARRIERS TO EMPLOYMENT PLAY: LACK OF SAFE AND ADEQUATE RECREATIONAL SPACE IN NEIGHBORHOODS COMMUNITY SURVEY PROCESS (RESIDENTS AND EMPLOYEES IN KANAWHA COUNTY) THE TOP PRIORITY AREAS RANKED BY EXPERTS WERE SHARED WITH PEOPLE WHO LIVE AND/OR WORK IN KANAWHA COUNTY. THE FEEDBACK COLLECTED THROUGH THIS SURVEY VALIDATED THE PRIORITIES RANKED THROUGH THE EXPERT SURVEY. THIS FEEDBACK RESULTED IN "SAFE ROADS" BEING EXPANDED TO INCLUDE "ACCESS TO TRANSPORTATION", AND "ACCESS TO CHILDCARE" BEING EXPANDED TO "ACCESS TO EARLY CHILDHOOD DEVELOPMENT". EMPLOYEES AT 18 WORKSITES PARTICIPATED IN OUR COMMUNITY-BASED SURVEY. KCCHI CONDUCTED 15 LISTENING SESSIONS THAT DREW A LOW ATTENDANCE. THEREFORE, KCCHI EXPANDED ITS OUTREACH TO INCLUDE PAPER AND ONLINE SURVEYING. BELOW IS THE BREAKDOWN FOR NUMBER OF PARTICIPANTS IN THE COMMUNITY SURVEY PROCESS. 15 LISTENING SESSIONS (30 ATTENDEES) 91 CLIP BOARD SURVEYS 165 PAPER SURVEYS (642 RESPONSES) 1235 ONLINE SURVEY RESPONSES: O LIVE HEALTH & SOCIAL = 330 O LIVE SAFETY & INFRASTRUCTURE = 242 O LEARN = 207 O WORK = 234 O PLAY = 222 INCLUSION OF VULNERABLE POPULATIONS: O HOMELESS O PEOPLE WITH SUBSTANCE USE DISORDER O LOW INCOME O SINGLE PARENTS O DOMESTIC VIOLENCE SURVIVORS O SENIOR CITIZENS EMPLOYEE SURVEYS: O CABIN CREEK HEALTH CENTER O CHARLESTON AREA ALLIANCE O CHARLESTON AREA MEDICAL CENTER O COVENANT HOUSE O DOW CHEMICAL O FAMILYCARE O FIRST CHOICE/ 211 O HIGHLAND HOSPITAL O KANAWHA COUNTY COMMISSION O KANAWHA COUNTY SCHOOLS O KANAWHA COUNTY SHERIFF'S DEPARTMENT O MANNA MEAL O REGION 3 WORKFORCE INVESTMENT BOARD O THOMAS MEMORIAL HOSPITAL O UNIVERSITY OF CHARLESTON O WV ATTORNEY GENERAL'S OFFICE O WV HEALTH RIGHT O YWCA FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL) FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: CHARLESTON AREA ALLIANCE, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: UNDER LIVE: HEALTH AND SOCIAL CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD, HEART DISEASE, COPD, CANCER, SUBSTANCE USE DISORDER, HIV/AIDS, HEPATITIS A/B/C, MENTAL HEALTH AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM AND GESTATIONAL DIABETES CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE CAMC GET PHYSICAL PROGRAM, CAMC MALL WALKERS, HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), AND PLAY PATCH AT THE CHARLESTON TOWN CENTER MALL. LIMITED ACCESS TO FOOD WAS ADDRESSED WITH OUR BUILD THE BASE OF LOCAL GROWERS AND ARTISANS PROGRAM. HEART DISEASE WAS ADDRESS VIA OUR ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE RELAY FOR LIFE, RUN FOR YOUR LIFE, BIKE TREK, THE GREAT AMERICAN SMOKEOUT. OUR MANY CANCER CENTER SUPPORT GROUPS, THE HEALTHY STEPS PROGRAM, THE PROVISION OF MENTAL HEALTH SERVICES FOR CHILDREN WITH CANCER ARE ALL RESOURCES THE COMMUNITY RELIES ON. WE ALSO PROVIDE FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED AND UNDERINSURED RESIDENTS, TREATMENT OF DEMENTIA, AND MENTAL HEALTH SERVICES FOR CHILDREN WITH CANCER. WELLNESS PROMOTION IS PROVIDED THROUGH THE HEALTH INFORMATION CENTER, DISCOUNTED LAB WORK, FLU VACCINES AND COVID19 VACCINES WITH THE HEALTH DEPARTMENT. UNDER LIVE: SAFETY AND INFRASTRUCTURE SAFE ROADS AND TRANSPORTATION CAMC TARGETED HOMELESSNESS, SAFE/DISTRACTED DRIVING, AND ACCESS TO TRANSPORTATION. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. SAFE/DISTRACTED DRIVING WAS ADDRESSED VIA DONATIONS TO PROJECT GRADUATION HOWEVER THE NORMAL DISTRACTED DRIVING OUTREACH PROGRAM COULD NOT BE PERFORMED DUE TO COVID19. ACCESS TO TRANSPORTATION WAS ADDRESSED VIA TRANSPORTATION RESOURCES FOR ADULTS WITH CANCER, CAMC UBER AND DONATIONS TO FAITH IN ACTION VIA CIVIC AFFAIRS. UNDER LEARN: ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES DONATIONS TO THE GRANDFAMILIES PROGRAM, THE CHILDHOOD LANGUAGE CENTER, AND THE CHILDREN'S THERAPY CLINIC VIA CIVIC AFFAIRS. THE IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE PROGRAM ALSO TARGETED THIS GROUP. UNDER WORK: BARRIERS TO WORK CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, CAMC CAREER ROAD MAP, AND PARTICIPATES ON THE WORKFORCE INNOVATION AND OPPORTUNITIES ACT BOARD. FOR LACK OF JOB OPPORTUNITIES CAMC PROVIDES IMAGINE U, JUNIOR NURSE ACADEMY AND THE BUILD THE BASE LOCAL GROWERS AND ARTISANS PROGRAM. SOME OF THESE WERE LIMITED IN 2020 DUE TO COVID19. UNDER PLAY: ACCESS TO SAFE AND ADEQUATE RECREATION, EXERCISE, AND PLAY OPPORTUNITIES CAMC PROVIDES THE PLAY PATCH AT THE CHARLESTON TOWN CENTER MALL, WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND THE THINK FIRST FOR KIDS PROGRAM. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: OTHER CRITERIA CONSIDERED FOR FINANCIAL ASSISTANCE ELIGIBILITY: A FINANCIAL ASSISTANCE ESTIMATION TOOL THAT UTILIZES PUBLIC RECORDS; AND WHETHER OR NOT A PATIENT RECEIVES ASSISTANCE FROM CERTAIN STATE AGENCIES. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: CAMC TEAYS VALLEY HOSPITAL FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 5: CAMC TEAYS VALLEY HOSPITAL CONDUCTED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS UTILIZING DATA FROM THE UNITED WAY OF CENTRAL WEST VIRGINIA (2019 COMMUNITY NEEDS ASSESSMENT), THE PUTNAM COUNTY HEALTH DEPARTMENT (PUTNAM COUNTY COMMUNITY HEALTH ASSESSMENT 2018-2019 AND PUTNAM COUNTY COMMUNITY HEALTH ASSESSMENT PRIORITIZATION AND DEVELOPMENT OF HEALTH IMPROVEMENT PRIORITIES 2020) , THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES (REGION 5 NEEDS ASSESSMENT) AND THE PUTNAM COUNTY HEALTH INDICATOR REPORT (MARCH 2021). THE ASSESSMENT PROCESS ENCOMPASSED THE FOLLOWING: PUTNAM COUNTY SURVEY RESULTS; UNITED WAY OF CENTRAL WV COMMUNITY NEEDS ASSESSMENT; PUTNAM COUNTY HEALTH DEPARTMENT COMMUNITY NEEDS ASSESSMENT; WV DEPARTMENT OF HEALTH AND HUMAN RESOURCES REGION 5 NEEDS ASSESSMENT; DEPARTMENT OF HEALTH AND HUMAN SERVICES ENPOWER EMERGENCY PLANNING DE-IDENTIFIED DATA SET; OBJECTIVE DATA-SECONDARY COUNTY HEALTH DATA AND SOCIAL SERVICE AGENCY UTILIZATION. SURVEY DATA-THE UNITED WAY OF CENTRAL WV COMPLETED AN ASSESSMENT OF HEALTH AND SOCIAL SERVICES NEEDS IN BOONE, CLAY, KANAWHA, LOGAN AND PUTNAM COUNTIES. THE ASSESSMENT UTILIZED A VARIETY OF DATA COLLECTION TECHNIQUES IN ORDER TO OBTAIN RELIABLE AND UNBIASED DATA ON THE DEMOGRAPHIC, SOCIAL AND ECONOMIC CONDITIONS OF THE AREA. THE QUANTITATIVE SURVEY WAS DEVELOPED THAT GARNERED RESULTS FROM MORE THAN 600 RESPONDENTS ACROSS THE REGION. THE WEB-BASED AND HARD COPY SURVEYS SOUGHT THE PERCEPTIONS OF UNITED WAY OF CENTRAL WV DONORS, LOCAL SERVICE PROVIDERS (I.E. SOCIAL SERVICE PROVIDERS, COUNSELORS, DAYCARE TEACHERS, NURSES) AND SERVICE CONSUMERS/RECIPIENTS ON THE MOST CRITICAL NEEDS OF OUR CENTRAL WV COMMUNITY. SURVEY DATA COLLECTION OCCURRED OVER A THREE-MONTH TIMEFRAME FROM NOVEMBER 2018 THROUGH JANUARY 2019. SURVEY RESPONDENTS INCLUDED 297 DONORS, 189 SERVICE PROVIDERS, AND 131 SERVICE CONSUMERS/RECIPIENTS. THE PRIMARY FOCUS AREAS FOR THE SURVEY WERE: HEALTH-IMPROVING PEOPLE'S HEALTH BY ENSURING INDIVIDUALS HAVE ACCESS TO MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE; EDUCATION-ENSURING EVERY CHILD GETS A STRONG START IN LIFE, TEENAGERS HAVE THE TOOLS TO LEARN AND GROWN AND ADULTS RECEIVE EDUCATION TO BETTER THEIR LIVES; FINANCIAL STABILITY- HELPING PEOPLE USE THEIR RESOURCES EFFECTIVELY, PROVIDING JOB TRAINING, IMPROVING FINANCIALS LITERACY AND STRENGTHENING SELF-SUFFICIENCY; SAFETY NET (BASIC NEEDS)- HELPING PEOPLE MEET THEIR BASIC NEEDS SUCH AS SHELTER, EMERGENCY SERVICES AND FOOD. THE MOST IMPORTANT ISSUE FOR EACH CATEGORY IN THE FIVE COUNTY SERVICE AREA IS AS FOLLOWS: AFFORDABLE ACCESS TO QUALITY DAYCARE/CHILDREN (EDUCATION); SUBSTANCE USE/ABUSE/ADDICTION (HEALTH); VOCATIONAL TRAINING/EMPLOYMENT SKILLS (FINANCIAL STABILITY); SHELTER/EMERGENCY BEDS/TRANSITIONAL HOUSING (SAFETY NET). FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 6B: KEY LEADERS FROM THE FOLLOWING ORGANIZATIONS, IN PUTNAM COUNTY IDENTIFIED AND PRIORITIZED COMMUNITY HEALTH NEEDS. THE UNITED WAY OF CENTRAL WV, PUTNAM COUNTY WELLNESS COALITION, PUTNAM COUNTY HEALTH DEPARTMENT, MEDICAL DIRECTOR FOR PUTNAM COUNTY HEALTH DEPARTMENT, PUTNAM COUNTY OFFICE OF EMERGENCY SERVICES, PUTNAM COUNTY HOMELAND SECURITY, AND PUTNAM COUNTY LAW ENFORCEMENT. FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 11: THE FOLLOWING COMMUNITY NEEDS ARE IDENTIFIED AS COMMUNITY PRIORITIES AND BEING ADDRESSED BY CAMC TEAYS: 1) HEALTHY LIVING TO INCLUDE CHRONIC DISEASE PREVENTION, FITNESS AND HEALTHY LIFESTYLE HABITS WHICH IS BEING ADDRESSED BY PUTNAM WELLNESS COALITION; CAMP KNO KOMA; SPORTS PHYSICALS TO STUDENTS; FREE ORTHOPEDIC COVERAGE FOR AREA SCHOOL AND COLLEGE SPORTS EVENTS; DONATIONS FOR SPORTING EQUIPMENT, TRANSPORTATION AND SPONSORSHIPS FOR AREA SCHOOLS; PLACE AND MAINTAIN AED UNITS FOR ALL SCHOOLS IN PUTNAM COUNTY AND CONTIGUOUS COUNTIES; SUPPORT CHARLESTON AND HUNTINGTON HEART WALKS; PUTNAM COUNTY HOMECOMING HEALTH FAIR; EDUCATION MATERIALS FOR BACKPACK BUDDY PROGRAM; LEVEL III CARDIAC SERVICES; STOP THE BLEED PROGRAM; SUPPORT YMCA; INFANT SIMULATORS FOR HIGH SCHOOL STUDENTS; BICYCLE RODEO AND FREE STUDENT HELMETS AND FAMILY FUN TIMES WITH TEAYS VALLEY CHURCH OF GOD. 2) SUBSTANCE USE/ABUSE/ADDICTION WHICH IS BEING ADDRESSED BY THE FOLLOWING: PUTNAM COUNTY HOMECOMING FAIR; PUTNAM COUNTY HEALTH DEPARTMENT ADVISORY COMMITTEE; PUTNAM COUNTY JUVENILE DRUG COURT BOARD OF TRUSTEES; 911 ADVISORY COMMITTEE; MEDICAL EXPLORERS; OPIOID TREATMENT NAVIGATION TEAM AVAILABLE; SMOKE FREE CAMPUS FOR EMPLOYEES; SMOKING CESSATION TO PATIENTS AND EMPLOYEES; PUTNAM WELLNESS COALITION AND CAMC WELLNESS CENTER. 3) ACCESS TO AFFORDABLE HEALTH CARE TO INCLUDE MENTAL HEALTH, TRAUMA CARE AND PRESCRIPION MEDICATION WHICH IS BEING ADDRESSED BY REDUCED COST LAB WORK; SPORTS PHYSICALS; PUTNAM COUNTY HOMECOMING FAIR; CHARITY CARE; ENROLLMENT ASSISTANCE FOR PATIENTS AND FAMILIES FOR HEALTH COVERAGE; PROVIDING SURGERY, NEUROLOGY, UROLOGY, ORTHOPEDICS, ONCOLOGY, VASCULAR, LEVEL III CARDIAC REHAB AND PAIN MANAGEMENT. 4) ACCESS TO HEALTHY FOOD, NUTRITION, AND/OR HEALTHY MEALS WHICH IS BEING ADDRESSED BY BACKPACK BUDDY PROGRAM WHICH PROVIDES FOOD TO STUDENTS BOTH DURING THE SCHOOL YEAR AND THE SUMMER. 5) SHELTER/EMERGENCY BEDS AND SERVICES INCLUDING TRANSITIONAL HOUSING ASSISTANCE WHICH IS BEING ADDRESSED BY BAMBOO BRIDGE WHICH PROVIDES HOUSING FOR HOMELESS YOUNG ADULTS BETWEEN THE AGES OF EIGHTEEN AND TWENTY ONE YEARS OLD IN A SAFE, STABLE AND STRUCTURED ENVIRONMENT. THESE YOUNG ADULTS WILL BE PROVIDED NECESSARY LIFE SKILLS AND ASSISTANCE TO TRANSITION TO LIVING A PRODUCTIVE ADULT LIFE IN THE COMMUNITY. 6) EDUCATION AND SKILLS PREPARATION TO INCLUDE LOW INCOME ADULTS, HIGHER EDUCATION TUITION ASSISTANCE, VOCATIONAL/TRADE SCHOOL, REDUCING TRUANCY AND GRADUATING ON TIME WHICH IS BEING ADDRESSED BY WOMAN UP CONFERENCE; PUTNAM COUNTY SCHOOLS HEALTH SERVICES CLUSTER CAREER CONFERENCE; VOLUNTEER AT WV HEALTH RIGHT; HOSA-HEALTH OCCUPATIONS STUDENTS ASSOCIATION; ENROLLMENT ASSISTANCE FOR PATIENTS AND FAMILIES FOR HEALTH COVERAGE; CHARITY CARE; 24 EMERGENCY DEPARTMENT; BACKPACK BUDDY PROGRAM; PUTNAM WELLNESS COALITION; STAFF ON THE LPN & NURSING ASSISTANT ADVISORY COMMITTEE; PROVIDE CLINICAL SITE AND VOCATIONAL TRADE SCHOOL LPN & NURSING ASSISTANTS PROGRAMS; PROVIDE CLINICAL TRAINING FOR NURSING, RADIOLOGY, RESPIRATORY AND DIETITIAN STUDENTS AND BAMBOO BRIDGE. 7) DOMESTIC VIOLENCE AND CHILD ABUSE SERVICES WHICH ARE BEING ADDRESSED BY PUTNAM WELLNESS COALITION; OFFICER PHIL PROGRAM-PUTNAM COUNTY SHERRIFF'S DEPARTMENT; MANDATORY REPORTS TO DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR CHILD ABUSE; PROVIDE TRAINED NURSE FOR THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THE FOLLOWING COMMUNITY NEEDS ARE NOT ADDRESSED BY CAMC TEAYS. 1) AFFORDABLE ACCESS TO QUALITY DAYCARE FOR CHILDREN & ADULTS TO INCLUDE AFTER SCHOOL AND EXTRACURRICULAR ACTIVITIES FOR YOUTH AND GRANDPARENT/KINSHIP CARE. CAMC TEAYS DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. 2) ACCESS TO TRANSPORTATION. CAMC TEAYS DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. 3) SERVICES FOR INDIVIDUALS WITH DISABILITIES AND SENIOR ASSISTANCE TO INCLUDE HOME MODIFICATIONS FOR DISABLED/ELDERLY. CAMC TEAYS DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. 4) PERSONAL FINANCIAL MANAGEMENT. THIS ISSUE IS BEING ADDRESSED BY OTHER ORGANIZATIONS IN OUR COMMUNITY. 5) MORTGAGE/RENT AND UTILITY PAYMENT ASSISTANCE. THIS ISSUE IS BEING ADDRESSED BY OTHER ORGANIZATIONS IN OUR COMMUNITY. FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 13H: OTHER CRITERIA CONSIDERED FOR FINANCIAL ASSISTANCE ELIGIBILITY: A FINANCIAL ASSISTANCE ESTIMATION TOOL THAT UTILIZES PUBLIC RECORDS; AND WHETHER OR NOT A PATIENT RECEIVES ASSISTANCE FROM CERTAIN STATE AGENCIES. 30 1 - CAMC IMAGING CENTER SOUTHRIDGE 60 RHL BOULEVARD SOUTH CHARLESTON WV 25309 OUTPATIENT IMAGING CENTER 2 - CAMC URGENT CARE CENTER 314 GOFF MOUNTAIN ROAD SUITE 3 CROSS LANES WV 25313 URGENT CARE FACILITY 3 - CAMC PHYSICAL THERAPY CENTER 600 TRACY WAY CHARLESTON WV 253111258 REHABILITATION FACILITY 4 - CAMC SOLUTIONS 2568 PENNSYLVANIA AVENUE CHARLESTON WV 253024907 PHARMACY COMPOUNDING CENTER 5 - ST MARY'S LABORATORY SERVICES 2900 FIRST AVE SUITE 607 HUNTINGTON WV 25702 LABORATORY SERVICES 6 - CAMC WEIGHT LOSS CENTER 600 TRACY WAY SUITE 2 CHARLESTON WV 25311 WEIGHT LOSS CENTER 7 - CAMC PRIMARY CARE-NITRO 4111 FIRST AVENUE 3 NITRO WV 25143 FAMILY PRACTICE 8 - CAMC PRIMARY CARE-WINFIELD 12576 WINFIELD ROAD WINFIELD WV 25526 FAMILY PRACTICE 9 - CAMC PLASTIC SURGERY CENTER 210 BROOKS STREET SUITE 200 CHARLESTON WV 25301 PLASTIC SURGERY 10 - CAMC ORTHOPEDICS TEAYS VALLEY 3703 TEAYS VALLEY ROAD HURRICANE WV 25526 ORTHOPEDIC CENTER 11 - CAMC UROLOGIC SURGICAL CENTER 11 COURTNEY DRIVE CHARLESTON WV 25304 UROLOGICAL CENTER 12 - CAMC CARDIOLOGY-SOUTH CHARLESTON 4610 KANAWHA AVE SW SOUTH CHARLESTON WV 25309 CARDIOLOGY 13 - CAMC CARDIOLOGY-SUMMERSVILLE 702 PROFESSIONAL PARK DR SUMMERSVILLE WV 26651 CARDIOLOGY 14 - CAMC CARDIOLOGY 3100 MACCORKLE AVENUE SE SUITE 205 CHARLESTON WV 25304 CARDIOLOGY 15 - CAMC PRIMARY CARE-TEAYS VALLEY 3248 TEAYS VALLEY RD HURRICANE WV 25526 FAMILY PRACTICE 16 - CAMC EMPLOYEE WELLNESS CENTER 3418 STAUNTON AVENUE CHARLESTON WV 25304 EMPLOYEE WELLNESS 17 - CAMC CARDIOLOGY BECKLEY 1836 HARPER ROAD BECKLEY WV 258013366 CARDIOLOGY 18 - CAMC CARDIOLOGYUROLOGY 50 VERES DRIVE CHAPMANVILLE WV 25508 CARDIOLOGY AND UROLOGY 19 - CAMC RYAN WHITE PROGRAM-BECKLEY 1838 HARPER ROAD BECKLEY WV 25801 HIV/AIDS CLINIC 20 - CAMC GYNECOLOGY ONCOLOGY 1 COURTNEY DR SEDGELY OFFICE PARK CHARLESTON WV 25304 GYNECOLOGY/ONCOLOGY 21 - CAMC HEARTFIT (CARDIOPULMONARY REHAB) 130 57TH STREET SE CHARLESTON WV 25304 CARDIO REHAB 22 - CAMC TELEMEDICINE LEWISBURG 1464 JEFFERSON STREET N LEWISBURG WV 249011380 TELEMEDICINE 23 - CAMC PRIMARY CARE PRINCETON 150 COURTHOUSE ROAD PRINCETON WV 247402450 CLINIC 24 - CAMC PRIMARY CARE SUMMERSVILLE 702 PROFESSIONAL PARK DRIVE SUITE 102 SUMMERSVILLE WV 266512018 PRIMARY CARE 25 - CAMC GASTROENTEROLOGY 2930 CHESTERFIELD AVE CHARLESTON WV 25304 GASTROENTEROLOGY 26 - CAMC PRIMARY CARE CHARLESTON 8 COURTNEY DRIVE CHARLESTON WV 25304 PRIMARY CARE 27 - CAMC TELEMEDICINE - JACKSON 300 CLAY LICK RD RIPLEY WV 25271 TELEMEDICINE 28 - CAMC TELEMEDICINE SUMMERSVILLE 702 PROF PARK DRIVE SUMMERSVILLE WV 26651 TELEMEDICINE 29 - CAME TELEMEDICINE- PRINCETON 150 COURTHOUSE RD PRINCETON WV 24740 TELEMEDICINE 30 - CAMC TELEMEDICINE - PLATEAU 430 MAIN ST OAK HILL WV 25901 TELEMEDICINE PART I, LINE 3C: CAMC MAY SCREEN PRIVATE PAY BALANCES FOR PRE-QUALIFIED ELIGIBILITY BY USING FINANCIAL ASSISTANCE ESTIMATION TOOLS THAT ACCESS PUBLIC RECORDS. USING A PROPRIETARY ALGORITHM (LOOKING AT TAX RECORDS, BANKRUPTCIES, ETC), THE TOOL RETURNS WHETHER THE PATIENT IS LIKELY TO QUALIFY FOR THE FINANCIAL ASSISTANCE POLICY. IN CASES WHERE PRE-QUALIFIED ELIGIBILITY DOES NOT QUALIFY A PATIENT FOR FINANCIAL ASSISTANCE, THE PATIENT MAY COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHERE APPLICATION MATERIAL IS EVALUATED TO DETERMINE IF THE PATIENT CAN QUALIFY BASED ON INCOME AND ASSETS. IF THE PATIENT MEETS INCOME CRITERIA FOR ELIGIBILITY AN INVENTORY OF AVAILABLE ASSETS IS EVALUATED. IF THE PATIENTS AVAILABLE ASSETS FALL BELOW $50,000 EXCLUDING THE PATIENTS PRIMARY RESIDENCE AND PRIMARY VEHICLE, THE PATIENT WILL QUALIFY FOR FINANCIAL ASSISTANCE. IF A PATIENT IS FOUND TO BE RECEIVING CERTAIN STATE AGENCY ASSISTANCE (I.E. WIC, SNAP, ETC.), SUCH PATIENT WILL BE PRESUMED ELIGIBLE FOR CAMC FINANCIAL ASSISTANCE, AND THEY WILL BE ASKED TO SUBMIT AN ABBREVIATED APPLICATION CONTAINING ONLY THE INFORMATION REGARDING THEIR STATE AGENCY ASSISTANCE. PART I, LINE 7: UTILIZED WORKSHEET 2 TO DETERMINE COST-TO-CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 50,764,573. PART II, COMMUNITY BUILDING ACTIVITIES: CAMC MEMORIAL, GENERAL AND WOMEN AND CHILDREN'S HOSPITALS COMMUNITY BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. CAMC IS A MEMBER OF THE PARTNER'S IN HEALTH NETWORK, INC. ("PARTNERS"), WHICH IS COMPRISED OF A NETWORK OF MOSTLY SMALL AND RURAL HOSPITALS, CLINICS AND HEALTH DEPARTMENTS WHO WORK TOGETHER TO ADDRESS QUALITY AND EDUCATIONAL NEEDS FOR IMPROVING THE CARE MANAGEMENT, ASSISTANCE WITH NCQA ACCREDITATION FOR PATIENT CENTERED MEDICAL HOMES AND IMPROVED QUALITY THROUGH ADDRESSING SEPSIS AND OTHER HEALTH ISSUES. ACCESS TO HEALTH CARE FOR 5,000 WORKING UNINSURED INDIVIDUALS IN CENTRAL AND SOUTHERN WEST VIRGINIA IS PROVIDED THROUGH PARTNER'S COMMUNITY ACCESS PROGRAM. ADDITIONALLY, CAMC PROVIDES STUDENTS ENROLLED IN POST-SECONDARY EDUCATION WITH RELATED ON-THE-JOB TRAINING THAT IS REQUIRED FOR THEIR GRADUATION. HEALTH FAIRS FOR THE COMMUNITY FOCUSING ON ADULTS AND CHILDREN PROVIDE SCREENING AND HEALTH INFORMATION TO IDENTIFY AND ADDRESS HEALTH ISSUES. CAMC ALSO PARTNERS WITH THE GREATER KANAWHA VALLEY FOUNDATION TO CREATE A VALUE CHAIN FOOD SYSTEM TO SUPPORT WEALTH CREATION FOR LOCAL GROWERS.KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT (KCCHI) DRUGS:O SECURED ADDITIONAL FUNDING FOR THE PURCHASE OF UPDATED TOO GOOD FOR DRUGS CURRICULUM FOR ALL GRADES K-8.O PROVIDED TOO GOOD FOR DRUGS INSTRUCTOR TRAINING FOR ELEMENTARY AND MIDDLE SCHOOL PERSONNEL.O TOO GOOD FOR DRUGS IMPLEMENTED IN GRADES K-8, SCHOOL YEAR 2018-2019 (PRE/POST SURVEY COMPLETED AND SUBMITTED BY SCHOOLS)O PARTNERED WITH KANAWHA COUNTY SCHOOLS ON GENERATION RX PROGRAM DELIVERED BY UNIVERSITY OF CHARLESTON SCHOOL OF PHARMACY STUDENTS FOR ALL THIRD GRADE CLASS ROOMS IN KANAWHA COUNTY, FUNDED BY CARDINAL HEALTH.O KCCHI FACILITATED A SUBSTAINABILITY RETREAT FOR THE KANAWHA COMMUNITIES THAT CARE BOARD OF DIRECTORS.O KCCHI AND THE KANAWHA COMMUNITIES THAT CARE BOARD PARTNERED WITH UNITED WAY OF CENTRAL WEST VIRGINIA TO TRANSFER KANAWHA COMMUNITIES THAT CARE AS A NEW PROGRAM OF THE UNITED WAY AS A MEANS OF SUSTAINING IT'S WORK (OCTOBER 2019). DIABETES:O ESTABLISHED FIRST EVER KANAWHA DIABETES COALITION (KDC). IT HAS MET MONTHLY SINCE MAY 2017.O KDC HAS 140 INDIVIDUAL MEMBERS, REPRESENTING 60 ORGANIZATIONS.O COMPLETED INVENTORY OF KANAWHA COUNTY DIABETES AND PRE-DIABETES PROGRAMS.O THE KANAWHA DIABETES COALITION CONTINUALLY WORKS WITH WVU SCHOOL OF PUBLIC HEALTH ON HEALTH CONNECT TO REGULARLY UPDATE.O KANAWHA COUNTY RESOURCES FOR WV HEALTH CONNECT WEBSITE. HTTPS://WWW..HEALTHCONNECTION.COM/KANWHA-DIABETES-COALITIONRESOURCE.O SURVEYED KANAWHA COUNTY CLINICS REGARDING THEIR USAGE OF THE CDC PREDIABETES SCREENING TEST.O CONVENED MAJOR PAYER TO DISCUSS RETURN ON INVESTMENT FOR PREDIABETES PROGRAMS.O CONDUCTED COMMUNITY ASSESSMENT, INCLUDING AN ENVIRONMENTAL SCAN, OF PRE-DIABETES RESOURCES, ACCESS TO HEALTHY FOODS, AND PHYSICAL ACTIVITY OPPORTUNITIES FOR RESIDENTS IN OF THE FLOOD RAVAGED CLENDENIN, WV AREA. PRESENTED FINDINGS AND RECOMMENDATIONS TO MAYOR OF CLENDENIN AND MEMBERS OF CLENDENIN CITY COUNCIL.O DEVELOPED INTERNSHIP OPPORTUNITIES FOR KCCHI KCD WORK.O DEVELOPED WRITTEN GOALS AND OBJECTIVES FOR KDC 2019-2020.O DEVELOPED COMMITTEE AND LEADERSHIP STRUCTURE FOR THE KDC.O PARTNERED WITH QUALITY INSIGHTS TO DEVELOP A TOOLKIT ON HOW TO START A DIABETES COALITION.O PRESENTED ON THE DIABETES COALITION TOOLKIT AT THE 2019 TRY THIS WV CONFERENCE.OBESITY:O INCLUDED KANAWHA COUNTY PHYSICAL ACTIVITY OPPORTUNITIES IN THE HEALTH CONNECTION DATABASE.O RECRUITED COMMUNITY-BASED (NON-PROFIT AND FOR PROFIT) PHYSICAL ACTIVITY SERVICES TO THE KANAWHA DIABETES COALITION. FITNESS INSTRUCTORS AT LOCAL BUSINESSES HAVE BECOME CERTIFIED IN THE NATIONAL PRE-DIABETES PREVENTION PROGRAM. O KCCHI CONTINUES TO SERVE AS A MEMBER OF THE KEYS 4 HEALTHY KIDS STEERING COMMITTEE TO ADDRESS CHILDHOOD OBESITY.COMMUNITIES OF EXCELLENCE UPDATE:O THE KANAWHA COALITION IS A COHORT ONE COMMUNITY FOR THE COMMUNITIES OF EXCELLENCE PROGRAM, MADE POSSIBLE THROUGH SUPPORT OF CAMC. THIS COHORT OF COMMUNITIES FROM THROUGHOUT THE NATION IS WORKING TO APPLY THE BALDRIGE PRINCIPLES FOR PERFORMANCE EXCELLENCE AT THE COMMUNITY LEVEL.O AS A RESULT OF OUR COMMUNITIES OF EXCELLENCE WORK, KCCHI HAS CHANGED ITS COMMUNITY ASSESSMENT MODEL TO INCLUDE COMMUNITY HEALTH AND SOCIAL FACTORS, COMMUNITY SAFETY AND INFRASTRUCTURE, EDUCATION, EMPLOYMENT, AND LOCAL ATTRACTIONS (ARTS, ENTERTAINMENT, SPORTS, RECREATION).CAMC TEAYS VALLEY HOSPITAL'S COMMUNITY BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. CAMC TEAYS VALLEY SUPPORTS MEDICAL EXPLORERS, A PROGRAM DESIGNED TO INTRODUCE YOUTH IN PUTNAM COUNTY WHO HAVE DESIGNATED HEALTH CARE AS THEIR HEALTH CLUSTER TO THE HEALTH CARE ENVIRONMENT. THIS HELPS TO ADDRESS A LACK OF PARENTAL OVERSIGHT. TEAYS ALSO SUPPORTS THE PUTNAM COUNTY CAREER FAIR, HEALTH SERVICES CAREER CONFERENCE, AND PORTFOLIO EXPOSITIONS WHERE AREA HIGH SCHOOL STUDENTS AND ADULTS ARE PROVIDED INFORMATION ON THE EDUCATIONAL REQUIREMENT FOR HEALTH CARE CAREERS. PART III, LINE 2: THIS IS THE BAD DEBT EXPENSE FROM THE AUDITED FINANCIAL STATEMENTS. BAD DEBT IS THE NET OF DISCOUNTS, PAYMENTS AND RECOVERIES. PART III, LINE 3: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WOULD BE 30,225,227 FOR 2022. PART III, LINE 4: THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGE 14 OF VANDALIA HEALTH'S AUDITED FINANCIAL STATEMENTS. IN SUMMARY, PRIVATE PAY ACCOUNTS AND AMOUNTS FOR DEDUCTIBLES AND CO-INSURANCE THAT ARE DEEMED UNCOLLECTIBLE THAT DO NOT APPEAR TO MEET THE CHARITY CARE GUIDELINES ARE WRITTEN OFF AS BAD DEBT EXPENSE AND APPEAR AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: CAMC TREATS ANY GOVERNMENT REIMBURSEMENT THAT IS INSUFFICIENT TO COVER ALLOCATED COSTS AS BEING A COMMUNITY BENEFIT. CAMC CHOOSES TO SERVE THE COMMUNITY BY PARTICIPATING IN THE MEDICARE PROGRAM AND ACCEPTING MEDICARE REIMBURSEMENT. PART III, LINE 8: COST TO CHARGE RATIO FROM THE MEDICARE COSTS REPORT IS USED. PART III, LINE 9B: CAMC'S COLLECTION POLICY MAKES PROVISIONS FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS WHO RECEIVE FINANCIAL ASSISTANCE MUST HAVE INCOME AT 300% OR LESS OF FEDERAL POVERTY GUIDELINES, INSUFFICIENT ASSETS TO PAY FOR THE CARE, AND MAY NOT BE ELIGIBLE FOR ANY PUBLIC PROGRAMS. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WITH INCOME UNDER 200% FPG ARE GIVEN A 100% DISCOUNT. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WITH INCOME BETWEEN 201-300% FPG RECEIVE A 53% DISCOUNT. ALL PATIENT RESPONSIBILITY DEBT NOT APPROVED FOR FINANCIAL ASSISTANCE IS REVIEWED WITH A FINANCIAL ASSISTANCE ESTIMATOR. THIS FINANCIAL ASSISTANCE ESTIMATOR PROCESS IS ONLY USED TO APPROVE ASSISTANCE. IT IS NOT USED TO DENY ASSISTANCE. ACCOUNTS ARE ONLY REVIEWED FOR FINANCIAL ASSISTANCE AT THE 100% DISCOUNT CATEGORY. THIS PROCESS IS PERFORMED BEFORE EXTRAORDINARY COLLECTION EFFORTS. PATIENTS WITHOUT THIRD-PARTY COVERAGE WHO DO NOT QUALIFY FOR CHARITY ARE GIVEN A 53% DISCOUNT FROM CHARGES (WHICH IS GREATER THAN ANY COMMERCIAL DISCOUNT). IN ADDITION TO CHARITY AND UNINSURED DISCOUNTS, CAMC PROVIDES ASSISTANCE WITH PAYMENT PLANS, GOVERNMENT PROGRAMS, AND AN EMPLOYEE ASSISTANCE PROGRAM. PART VI, LINE 2: CAMC SUPPORTS AND STRENGTHENS ITS KEY COMMUNITIES THROUGH A SYSTEMATIC APPROACH THAT BEGINS WITH OUR MISSION, VISION AND VALUES. ANNUALLY DURING OUR STRATEGIC PLANNING PROCESS WE REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND PRIORITIES TO DEVELOP OUR COMMUNITY STRATEGY. THIS STRATEGY IS BASED ON ISSUES IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS AND SUPPLEMENTED WITH FINDINGS FROM OUR INTERNAL ENVIRONMENTAL ANALYSIS. COMMUNITIES ARE IDENTIFIED, STRATEGIES ARE IDENTIFIED AND PLANS ARE FUNDED, IMPLEMENTED, TRACKED AND MEASURE. OUR BOARD APPROVES THE PLAN AND REVIEWS PLAN PROGRESS ANNUALLY. BECAUSE OF THE SIZE AND SCOPE OF OUR SERVICES, THE APPROACH WE USE TO IDENTIFY OUR KEY COMMUNITIES IS BASED ON THE STRATEGY, KEY STAKEHOLDERS NEEDS, AND OUR CAPACITY. OUR COMMUNITY FOR THE KCCHI WORK GROUPS IS KANAWHA COUNTY AS DETERMINED BY THE KCCHI MISSION. FOR OUR CAMC COMMUNITY STRATEGY, COMMUNITY IS BASED ON THE NEED IDENTIFIED AND POPULATION TO BE ADDRESSED. WE DEVELOP HEALTH INDICATOR DATA SHEETS FOR EACH OF OUR SERVICE AREA COUNTIES AND IDENTIFY KEY ISSUES TO ADDRESS FOR ALL OR PART OF OUR SERVICE AREA. FOR EXAMPLE, OUR PERINATAL TELEMEDICINE PROJECT INCLUDES 14 RURAL COUNTIES AND OUR CHILD ADVOCACY CENTER AND HIV PROGRAM SERVE OUR ENTIRE SERVICE AREA. EACH STRATEGY IS DEPLOYED THROUGH A PLANNING PROCESS THAT ADDRESSES KEY STAKEHOLDER NEEDS AND IS EVALUATED BASED ON PREDETERMINED CRITERIA FOR OUTCOMES EXPECTED. CYCLES OF LEARNING HAVE ENSURED THE CIVIC AFFAIRS COUNCIL MONETARY CONTRIBUTIONS SUPPORT COMMUNITY ORGANIZATIONS IN THE SERVICE AREA THAT ARE CLEARLY ALIGNED WITH OUR COMMUNITY STRATEGY. IN ADDITION TO ADDRESSING COMMUNITY NEEDS AND CONTRIBUTING FINANCIALLY, OUR LEADERSHIP TEAM SERVES IN KEY LEADERSHIP ROLES FOR COMMUNITY ACTIVITIES, PROGRAMS AND ORGANIZATIONS AS WELL AS SUPPORTS THE WORKFORCE IN PARTICIPATING IN MANY COMMUNITY BENEFIT ACTIVITIES SUCH AS DAY OF CARING AND HEALTHFEST. CAMC TEAYS VALLEY HOSPITAL SUPPORTS AND STRENGTHENS THE PUTNAM COUNTY COMMUNITY THROUGH ITS ANNUAL PLANNING PROCESS WHERE THE NEEDS ASSESSMENT FINDINGS AND PRIORITIES ARE REVIEWED TO DEVELOP ITS COMMUNITY STRATEGY AND THE COMMUNITY(IES) WITHIN PUTNAM COUNTY THAT ARE IMPACTED. THIS STRATEGY IS BASED ON ISSUES IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS AND SUPPLEMENTED WITH FINDINGS FROM REVIEW OF INTERNAL DATA. STRATEGIES ARE IDENTIFIED AND PLANS ARE FUNDED, IMPLEMENTED, TRACKED AND MEASURED. THE CAMC BOARD PLANNING AND PUBLIC POLICY COMMITTEE AND THE CAMC BOARD OF TRUSTEES APPROVE THE PLAN AND REVIEW PLAN PROGRESS ANNUALLY. IN ADDITION TO ADDRESSING COMMUNITY NEEDS AND CONTRIBUTING FINANCIALLY, CAMC TEAYS' VICE PRESIDENT AND ASSOCIATE ADMINISTRATOR SERVE IN KEY LEADERSHIP ROLES FOR COMMUNITY ACTIVITIES, PROGRAMS AND ORGANIZATIONS AS WELL AS SUPPORT THE WORKFORCE IN PARTICIPATING IN MANY COMMUNITY BENEFIT ACTIVITIES. AS PART OF THE STRATEGIC PLANNING PROCESS, CAMC TEAYS DETERMINES IF THERE ARE ADDITIONAL AREAS OF SUPPORT THAT CAN BE PROVIDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS ASSESSMENT ISSUES. PART VI, LINE 3: CAMC INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER CAMC'S FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS. INFORMATION IS AVAILABLE THROUGH SIGNAGE AND A PLAIN LANGUAGE SUMMARY OF THE POLICY IS GIVEN TO EACH PATIENT. IN ADDITION, FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE AT EACH REGISTRATION LOCATION. CAMC FINANCIAL COUNSELORS ARE LOCATED IN EACH ADMITTING AREA. DURING REGISTRATION, IF A PATIENT IS UNINSURED, THEY MAY BE REFERRED TO A FINANCIAL COUNSELOR WHO PROVIDES EDUCATION ABOUT CHARITY CARE, MEDICAID ELIGIBILITY AND FEDERAL DISABILITY. WV STATE EMPLOYEES FROM DEPARTMENT OF HEALTH AND HUMAN RESOURCES ARE ALSO ON SITE AT EACH HOSPITAL TO ACCEPT AND PROCESS MEDICAID APPLICATIONS AND NOTIFY PATIENTS IF THEY QUALIFY. PART VI, LINE 4: CAMC'S COMMUNITY AREA OF FOCUS INCLUDES OUR PRIMARY AND SECONDARY SERVICE AREA. OUR PRIMARY SERVICE AREA (PSA) INCLUDES: KANAWHA, PUTNAM, FAYETTE, BOONE, AND RALEIGH COUNTIES. OUR SECONDARY SERVICE AREA (SSA) IS CLAY, JACKSON, LINCOLN, LOGAN, MERCER, NICHOLAS, AND ROANE COUNTIES. KANAWHA COUNTY CONSTITUTES A POPULATION OF 175,515 WITH A MEDIAN AGE OF 43.5 AND A HOUSEHOLD INCOME OF $50,574. THE PSA/SSA POPULATION IS 518,167 WITH A MEDIAN AGE OF 43.9 AND A HOUSEHOLD INCOME OF $47,361. TEAYS' COMMUNITY AND PRIMARY AREA OF FOCUS IS PUTNAM COUNTY. PUTNAM COUNTY HAS A POPULATION OF 57,015 WITH A MEDIAN AGE OF 42.1 AND A HOUSEHOLD INCOME OF $68,740. DEMOGRAPHIC, HEALTH AND SOCIOECONOMIC INFORMATION IS PROVIDED IN DETAIL IN THE 2022 COMMUNITY BENEFIT REPORTS FOUND ON WWW.CAMC.ORG. PART VI, LINE 5: CAMC'S GOVERNING BOARD IS ITS BOARD OF TRUSTEES, A 16 MEMBER VOLUNTEER COMMUNITY BOARD THAT MEETS WV STATE LAW REQUIREMENTS FOR NONPROFIT BOARD MEMBERSHIP INCLUDING COMMUNITY REPRESENTATION. ADMISSION TO THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE FACILITY. EACH CAMC HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM OPEN TO EVERYONE, REGARDLESS OF ABILITY TO PAY. CAMC SERVES A BROAD CROSS-SECTION OF THE COMMUNITY THROUGH RESEARCH AND CHARITY CARE. CAMC APPLIES ANY SURPLUS FUNDS TOWARD IMPROVING FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, RESEARCH AND EDUCATION. CAMC'S COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, FINANCIAL AND IN-KIND CONTRIBUTIONS, COMMUNITY AND BUILDING ACTIVITIES ARE DETAILED IN THE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.CAMC.ORG. IN ADDITION TO PUBLIC SERVICE MESSAGING ON COVID19 CAMC RECONFIGURED THE HOSPITAL FACILITIES BOTH INTERNALLY AND EXTERNALLY TO LIMIT EXPOSURE AND PREVENT THE SPREAD OF THE DISEASE WITHIN THE WALLS OF OUR FACILITIES. OUTPATIENT DRIVE THRU COVID19 TESTING LOCATIONS WERE SET UP AT MULTIPLE LOCATIONS TO DECOMPRESS OUR FOUR EMERGENCY DEPARTMENTS. CAMC SOUGHT AND RECEIVED PERMISSION FROM THE STATE TO SET UP AN OUTPATIENT SITE TO PROVIDE INFUSION PHARMACEUTICALS FOR THE TREATMENT OF COVID PATIENTS WHO DID NOT REQUIRE INPATIENT ADMISSION. CAMC ALSO DEVELOPED AN OUTPATIENT SITE TO PROVIDE FOLLOW-UP CARE TO COVID19 PATIENTS RECOVERING FROM THE DISEASE. THE COST OF THESE ACTIVITIES WAS COVERED BY CARES ACT FUNDING BUT THEY ARE WORTH MENTIONING AS COMMUNITY BENEFIT AS A GREAT DEAL OF WORK WAS UNDERTAKEN TO MINIMIZE THE CHANCE THAT OUR FACILITIES WOULD BE OVERWHELMED BY PATIENTS SEEKING CARE FOR THE DISEASE. SETTING UP THESE OFF CAMPUS CARE POINTS LIMITED THE EXPOSURE OF THE DISEASE TO OUR PATIENTS AND CONTAINED ITS SPREAD. PART VI, LINE 6: CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE SERVES AS THE EDUCATION AND RESEARCH ARM OF THE VANDALIA HEALTH. THE INSTITUTE PROMOTES THE HEALTH OF THE COMMUNITY BY SPONSORING HEALTH PROFESSIONAL TRAINING PROGRAMS TRAINING THE REGION'S HEALTH PROFESSIONALS IN THE COMMUNITY, REGION AND STATE SPONSORING MANAGEMENT AND LEADERSHIP DEVELOPMENT PROGRAMS, SPONSORING COMMUNITY HEALTH EDUCATION AND PREVENTION EDUCATION PROGRAMS FOR THE COMMUNITY, CONDUCTING CLINICAL AND HEALTH SERVICES RESEARCH TARGETED TO IMPROVE HEALTH AND HEALTH SERVICES DELIVERY OF OUR PATIENTS AND COMMUNITY, PURSUING SPECIAL PROGRAM FUNDING AND GRANTS TO SUPPORT EDUCATION AND RESEARCH PROGRAMS, PROMOTING ECONOMIC DEVELOPMENT THROUGH ITS EMPLOYMENT OF APPROXIMATELY 80 FULL-TIME EDUCATION, RESEARCH AND SUPPORT STAFF AND THROUGH ITS EXTRAMURAL AND EXTERNALLY FUNDED SPONSORED PROGRAMS, PROMOTING TELEHEALTH OPPORTUNITIES THAT LINK PROVIDERS FOR HEALTH CONSULTATION AND THAT IMPROVES ACCESS TO HEALTH SERVICES TO PATIENTS, CREATING LINKAGES TO EDUCATION AFFILIATES ALLOWING APPROXIMATELY 800 LEARNERS TO RECEIVE CLINICAL TRAINING EXPERIENCES AT CAMC, SPONSORING SIMULATION TRAINING EXPERIENCES FOR REGIONAL EDUCATION AFFILIATES, AND PROMOTING AND SUSTAINING NETWORKS AND PARTNERSHIPS THAT IMPROVE ACCESS TO CLINICAL TRIALS AND RESEARCH FUNDING OPPORTUNITIES. THE CAMC FOUNDATIONS' MISSION IS TO SUPPORT AND PROMOTE CAMC'S DELIVERY OF EXCELLENT AND COMPASSIONATE HEALTH SERVICES AND CAMC'S CONTRIBUTION TO THE QUALITY OF LIFE AND ECONOMIC VITALITY OF THE REGION. THIS IS ACCOMPLISHED THROUGH SUPPORT OF MANY SERVICES TO CAMC PATIENTS AND EMPLOYEES. EACH YEAR, THE FOUNDATION SUPPORTS THE PREVENTION FIRST PROGRAM AT CAMC WOMEN AND CHILDREN'S HOSPITAL. THE PREVENTION FIRST PROGRAM SEEKS TO REDUCE MEDICAL COSTS, FACILITATE ALL ASPECTS OF HEALTH CARE, INCLUDING SUPPORT OF THE MEDICAL PLAN ESTABLISHED BY THE PRIMARY CARE PHYSICIAN, WHILE MEETING THE SPECIAL NEEDS OF LOW-INCOME CHILDREN AND FAMILIES IN THE HOME ENVIRONMENT. SPECIFICALLY, THE PREVENTION FIRST PROGRAM PROMOTES HEALTHY OUTCOMES THAT WILL DECREASE PRE-TERM LABOR, INFANT MORTALITY, UNPLANNED C-SECTION RATE, NICU/PICU LENGTH OF STAY AND INCREASE INFANT BIRTH WEIGHT WHILE PROMOTING WELL-CHILD CARE AND IMMUNIZATIONS. THE FOUNDATION ALSO HELPS KEEP PHYSICIANS AND ALLIED HEALTH CARE EMPLOYEES UP-TO-DATE BY PROVIDING FUNDING FOR MANY CONTINUING EDUCATION PROGRAMS. PART VI, LINE 7, REPORTS FILED WITH STATES WV 1 WV HEALTH RIGHT INC 1520 WASHINGTON STREET CHARLESTON WV 25311 311066881 501(C)(3) 214396 0 GENERAL PROGRAM SUPPORT RONALD MCDONALD HOUSE OF CHARITIES OF SOUTHERN WEST VIRGINIA INC 910 PENNSYLVANIA AVENUE CHARLESTON WV 25302 550631080 501(C)(3) 26726 0 GENERAL PROGRAM SUPPORT WEST VIRGINIA MEDICAL FOUNDATION 2018 KANAWHA BLVD E CHARLESTON WV 25311 020543681 501(C)(3) 12500 0 GENERAL PROGRAM SUPPORT THE BALDRIGE FOUNDATION 1717 PENNSYLVANIA AVE NW SUITE 102 WASHINGTON DC 20006 592891462 501(C)(3) 12500 0 GENERAL PROGRAM SUPPORT UNITED WAY OF CENTRAL WV 1 UNITED WAY SQUARE CHARLESTON WV 25301 550402755 501(C)(3) 10000 0 GENERAL PROGRAM SUPPORT HOSPICE CARE 1606 KANAWHA BLVD W CHARLESTON WV 25387 341337316 501(C)(3) 7000 0 GENERAL PROGRAM SUPPORT HEALTHCARE EDUCATION FOUNDATION OF WEST VIRGINIA 100 ASSOCIATION DRIVE CHARLESTON WV 253111571 556028466 501(C)(3) 5500 0 GENERAL PROGRAM SUPPORT 7 NURSING EDUCATIONAL ASSISTANCE 121 2096888 EMPLOYEE EDUCATIONAL ASSISTANCE 212 232744 EMPLOYEE DEPENDENT EDUCATIONAL ASSISTANCE 17 37500 ALLIED HEALTH EDUCATIONAL ASSISTANCE 17 121930 PART I, LINE 2: CAMC PROVIDES NURSING, ALLIED HEALTH AND EDUCATIONAL ASSISTANCE FUNDED BY THE CAMC FOUNDATION. AN APPLICATION PORTFOLIO IS SUBMITTED BY THE CANDIDATE AND REVIEWED AND SCORED ANONYMOUSLY BY THE FOUNDATION'S NURSING AND ALLIED HEALTH STUDENT EDUCATIONAL ASSISTANCE COMMITTEE CO-CHAIRS FOR SUBSEQUENT EDUCATIONAL ASSISTANCE AWARD BY THE COMMITTEE. CAMC PROVIDES EMPLOYEE AND EMPLOYEE DEPENDENT EDUCATIONAL ASSISTANCE. CANDIDATES SUBMIT AN APPLICATION AND REQUIRED MATERIALS AND A COMMITTEE REVIEWS APPLICATIONS BASED ON EDUCATIONAL ASSISTANCE GUIDELINES AND CRITERIA AND AWARDS EDUCATIONAL ASSISTANCE. EDUCATIONAL ASSISTANCE PAYMENTS ARE SUBMITTED DIRECTLY TO THE COLLEGE OR UNIVERSITY ON BEHALF OF THE RECIPIENT. CAMC PROVIDES ASSISTANCE TO VARIOUS COMMUNITY PROGRAMS WHICH ARE REVIEWED BY THE CIVIC AFFAIRS COUNCIL FOR AWARD OR AT THE DISCRETION OF THE CHIEF EXECUTIVE OFFICER. 0 1 0 0 0 0 0 1 0 DAVID L RAMSEY PRESIDENT CEO & TRUSTEE 962283 0 312916 0 213237 0 155200 0 42539 0 1686175 0 0 0 NATHAN KISTER MD PHYSICIAN 1564325 0 1250 0 3975 0 12200 0 45903 0 1627653 0 0 0 ELIE GHARIB MD PHYSICIAN 1490075 0 1250 0 168 0 12200 0 46826 0 1550519 0 0 0 SANGEETA MANDAPAKA MD PHYSICIAN 1437718 0 1250 0 20852 0 12200 0 15853 0 1487873 0 0 0 MITCHELL RASHID MD PHYSICIAN 1332149 0 1250 0 21247 0 12200 0 46826 0 1413672 0 0 0 HAZAIM ALWAIR MD PHYSICIAN 1321475 0 750 0 24475 0 12200 0 46826 0 1405726 0 0 0 JEFFREY OSKIN SENIOR VP AND COO 445654 0 417064 0 83626 0 253811 0 15382 0 1215537 0 363727 0 GLENN CROTTY JR MD EXECUTIVE VP & COO 684800 0 245070 0 107025 0 12200 0 38710 0 1087805 0 0 0 JEFFREY GOODE SENIOR VP AMBULATORY SERVICES 359018 0 368817 0 82577 0 226726 0 47652 0 1084790 0 325741 0 JEFF SANDENE EXECUTIVE VP & CFO 547318 0 196189 0 44457 0 209423 0 33652 0 1031039 0 0 0 RYAN H FITZWATER MD TRUSTEE/CHIEF OF STAFF (START 1/1/22 757990 0 1000 0 35072 0 12200 0 49124 0 855386 0 0 0 ANGELA FENTON HILL SECRETARY & GEN COUNSEL 377159 0 92454 0 58236 0 262556 0 31472 0 821877 0 43831 0 DANIEL STROSS VP INFO SERVICES & CIO 386467 0 97138 0 33162 0 136789 0 48653 0 702209 0 0 0 KRISTI SNYDER VP HUMAN RESOURCES 356558 0 89312 0 54871 0 185336 0 6625 0 692702 0 42510 0 THOMAS P MCILWAIN MD VP CHIEF MEDICAL OFFICER 458087 0 84078 0 85054 0 12200 0 33538 0 672957 0 0 0 S ANDREW WEBER VP ADMINISTRATOR 308081 0 81871 0 78111 0 156692 0 47103 0 671858 0 44532 0 HEIDI EDWARDS VP PROF PRAC & CNO 272110 0 62974 0 42960 0 176557 0 46383 0 600984 0 26917 0 RANDALL HODGES VP ADMINISTRATOR 249945 0 70025 0 111882 0 12200 0 33788 0 477840 0 0 0 STEPHEN Z BELL VP FINANCE 178129 0 117744 0 157992 0 12200 0 6630 0 472695 0 50000 0 MICHAEL WILLIAMS VP ADMINISTRATOR 177642 0 81048 0 64453 0 29041 0 19487 0 371671 0 31925 0 REBECCA STEVENSON INTERIM VP CORPORATE COMPLIANCE (JAN 170356 0 20770 0 50 0 8007 0 48454 0 247637 0 0 0 HEATHER LEWIS VP CHIEF QUALITY OFFICER 173550 0 30000 0 7703 0 17875 0 9638 0 238766 0 0 0 CHAD HOVIS VP FINANCE 90688 0 40000 0 3333 0 12919 0 7650 0 154590 0 0 0 PART I, LINE 3 THE VANDALIA BOARD OF DIRECTORS COMPENSATION COMMITTEE SELECTS AND SUPERVISES AN INDEPENDENT CONSULTANT WHO ADVISES THE COMMITTEE ON COMPENSATION ARRANGEMENTS AND TRANSACTIONS BETWEEN VANDALIA HEALTH , INC. SUBSIDIARIES (INCLUDING CAMC) AND EXECUTIVES (INCLUDING CAMC'S CEO). THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC'S CEO AND OTHER EXECUTIVE OFFICERS. THIS DATA IS REVIEWED EVERY TWO YEARS OR WHEN A NEW PERSON COMES INTO AN EXECUTIVE ROLE. PART I, LINE 4B TARGET BENEFIT SERP - A TARGET BENEFIT SERP IS OFFERED TO THREE EXECUTIVES, WITH AN ANNUAL EMPLOYER CONTRIBUTION THAT TARGETS PROVIDING 55% OF FINAL AVERAGE COMPENSATION AT AGE 60 FOR 30 YEARS OF SERVICE. THE TARGET BENEFIT IS OFFSET BY THE FROZEN DEFINED BENEFIT SERP ACCRUED BENEFIT, THE FROZEN RESTORATION PLAN BALANCE, EMPLOYER-PROVIDED QUALIFIED RETIREMENT BENEFITS, EMPLOYER-PROVIDED 457(B) PLAN BENEFITS, AND 50% OF AGE 62 SOCIAL SECURITY. EACH ANNUAL FUNDING CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 60. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. DEFINED CONTRIBUTION SERP - A DEFINED CONTRIBUTION SERP IS OFFERED TO SELECT EXECUTIVES, WITH AN ANNUAL 10% OF SALARY CONTRIBUTION. EACH ANNUAL CONTRIBUTION VESTS THE EARLIER OF 5 YEARS OR AGE 65. TAXES ARE ADVANCED FROM VESTED ACCOUNTS, WITH THE REMAINING BALANCE HELD UNTIL TERMINATION. ALL CONTRIBUTIONS ARE VESTED IN THE EVENT OF DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR VOLUNTARY TERMINATION FOR GOOD REASON FOLLOWING CHANGE OF CONTROL. UNVESTED CONTRIBUTIONS ARE FORFEITED FOR VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE. UNDER THE EXECU-FLEX BENEFIT PLAN (409A), EXECUTIVES RECEIVE 11% OF THEIR SALARY IN FLEX ALLOWANCE. THIS FLEX ALLOWANCE IS USED TO ELECT EXECUTIVE BENEFITS. ANY REMAINING FLEX ALLOWANCE IS CREDITED TO A TAX-DEFERRED CAPITAL ACCUMULATION ACCOUNT. THE MINIMUM VESTING PERIOD IS TWO YEARS, MAXIMUM AGE IS 68. A TWO YEAR NON-COMPETE AGREEMENT (SUBSTANTIAL RISK OF FORFEITURE AGREEMENT) APPLIES IF TERMINATION OF EMPLOYMENT OCCURS PRIOR TO THE VESTING DATE. CERTAIN PARTICIPANTS HAD AMOUNTS VESTED AND INCLUDED AS REPORTABLE COMPENSATION THIS YEAR, AS DETAILED BELOW: STEPHEN Z. BELL - $23,142 EILEEN CLARK - $63,972 MICHELLE COON - $21,102 GLENN CROTTY JR., M.D. - $73,427 HEIDI EDWARDS - $26,925 JEFFREY H. GOODE - $49,286 ANGELA FENTON HILL - $43,844 RANDALL H. HODGES - $36,122 THOMAS P. MCILWAIN - $54,554 JEFFREY OSKIN - $48,814 DAVID L. RAMSEY - $142,017 KRISTI SNYDER - $42,875 S. ANDREW WEBER - $44,545 MICHAEL WILLIAMS - $31,935 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 VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE. A WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956624AQ3 2008-06-19 127355000 SEE PART VI 0 0 0 B WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956622F74 2014-07-24 50641160 SEE PART VI 0 0 0 C WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 956622T95 2019-06-04 103903458 SEE PART VI 0 0 0 D WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 000000000 2019-06-04 16031818 SEE PART VI 0 0 0 A 19360000 130398907 2071347 773024 94470515 33084021 2015 1 0 1 1 B 50641160 640714 50000446 1 0 1 1 C 104784681 1328174 18634602 72570414 12251492 1 0 0 1 D 4473996 16031818 16031818 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 MERRILL LYNCH CAPITAL 29.200000000000 0 0 0 1 1 B 0 0 1 0 0 0 1 WACHOVIA 10.000000000000 1 0 1 C 0 1 0 0 0 0 1 PNC CAPITAL MARKETS 0.200000000000 1 1 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: WEST VIRGINIA HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2018 PART I LINE A (F) DESCRIPTION OF PURPOSE: THE PROCEEDS FOR THE 2008A BONDS WERE USED TO (I) CURRENTLY REFUND THE SERIES 1995A BONDS ORIGINALLY ISSUED ON 9/26/95, (II) PAY THE COSTS OF CERTAIN CAPITAL EXPENDITURES MADE, OR TO BE MADE, BY CAMC, REFINANCE A BANK LOAN, AND (III) PAY THE COSTS OF ISSUING THE SERIES 2008A BONDS, INCLUDING CERTAIN FEES OF THE BANK. DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART I LINE B (F) DESCRIPTION OF PURPOSE: DESCRIPTION OF PURPOSE: THE PROCEEDS FOR THE 2014A BONDS WERE USED TO (I) CURRENTLY REFUND AND EXTINGUISH A PORTION OF THE SERIES 2009A BONDS ISSUED 9/10/2009 AND (II) PAY THE COSTS OF ISSUING THE 2014A BONDS. PART I LINE C (F) DESCRIPTION OF PURPOSE: DESCRIPTION OF PURPOSE: THE PROCEEDS FOR THE 2019A BONDS WERE USED TO (I) TO FUND CERTAIN CAPITAL PROJECTS AT VARIOUS CAMC FACILITIES (II) REFUND ON A CURRENT BASIS A PORTION OF THE ISSUER'S OUTSTANDING $179,925,000 HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS (CHARLESTON AREA MEDICAL CENTER, INC.) 2009 SERIES A (ISSUED 9/10/2009); AND (III) PAY THE COSTS OF ISSUANCE OF THE BONDS. PART I LINE D (F) DESCRIPTION OF PURPOSE: THE PROCEEDS OF THE 2019B BONDS WERE USED TO PROVIDE MONEY WHICH WAS USED TO REFUND ON A CURRENT BASIS THE ISSUER'S OUTSTANDING HOSPITAL REVENUE BONDS (CAMC TEAYS VALLEY HOSPITAL PROJECT) ISSUED 6/29/2017 PART IV, LINE 6, COLUMN A: SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED. PART IV, LINE 6, COLUMN C: SUCH AMOUNTS WILL BE APPROPRIATELY YIELD RESTRICTED, USING YIELD REDUCTION PAYMENTS IF NECESSARY. DAVID L RAMSEY OFFICER SPLIT DOLLAR LIFE INSURANCE X 2848591 2913093 0 1 1 2913093 RICK CROTTY FAMILY MEMBER OF GLENN CROTTY, JR. MD, OFFICER 53682 EMPLOYED BY ORGANIZATION 0 DONNA BELL FAMILY MEMBER OF STEPHEN Z. BELL, OFFICER 206402 EMPLOYED BY ORGANIZATION 0 JOHN SNYDER FAMILY MEMBER OF KRISTI SNYDER, OFFICER 110382 EMPLOYED BY ORGANIZATION 0 CHRISTINE OSKIN FAMILY MEMBER OF JEFFREY L. OSKIN, OFFICER 168944 EMPLOYED BY ORGANIZATION 0 ERIK REEDER FAMILY MEMBER OF GLENN CROTTY, JR., MD, OFFICER 45679 EMPLOYED BY ORGANIZATION 0 KELLIE TEEL FAMILY MEMBER OF S. ANDREW WEBER, OFFICER 102006 EMPLOYED BY ORGANIZATION 0 MATTHEW GRIFFITH FAMILY MEMBER OF JAMES P. GRIFFITH, FORMER TRUSTEE 30983 EMPLOYED BY ORGANIZATION 0 SUZANNE GHARIB FAMILY MEMBER OF ELIE G. GHARIB, MD, DIRECTOR 33421 EMPLOYED BY ORGANIZATION 0 HEATHER PENNINGTON FAMILY MEMBER OF HEIDI EDWARDS, OFFICER 94141 EMPLOYED BY ORGANIZATION 0 AUDREY KISER FAMILY MEMBER OF JEFFREY GOODE, DIRECTOR 56740 EMPLOYED BY ORGANIZATION 0 HALEY EDWARDS TAYLOR FAMILY MEMBER OF HEIDI EDWARDS, OFFICER 56129 EMPLOYED BY ORGANIZATION 0 JAMES TAYLOR FAMILY MEMBER OF HEIDI EDWARDS, OFFICER 46688 EMPLOYED BY ORGANIZATION 0 ROY KUHL SPORTS CONTROLLED ENTITY OF FAMILY MEMBER OF RANDY HODGES, OFFICER 298703 SERVICES RENDERED IN THE ORDINARY COURSE OF BUSINESS 0 X MEDICAL ANALYZERS 1 230464 FMV X OR VIDEO CART 1 126205 FMV X DAVINCI CONSOLE 1 25000 FMV X CATH LAB EQUIPMENT 1 16500 FMV 0 0 0 PART I, COLUMN (B): COLUMN (B) REFERS TO NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 4 ON SEPTEMBER 1, 2022, CAMC HEALTH SYSTEM, INC. CHANGED ITS NAME TO VANDALIA HEALTH, INC. ("VANDALIA"). THE ARTICLES OF INCORPORATION AND BYLAWS OF CHARLESTON AREA MEDICAL CENTER, INC. WERE AMENDED AND RESTATED ON SEPTEMBER 1, 2022, TO ADD CERTAIN RESERVED POWERS TO VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.), THE CORPORATION'S SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 6 VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.) IS CAMC'S SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.) IS CAMC'S SOLE VOTING MEMBER AND HAS AUTHORITY TO ELECT ALL VOTING TRUSTEES OF CAMC OTHER THAN EX-OFFICIO TRUSTEES NAMES IN CAMC'S GOVERNING DOCUMENTS. THE SOLE VOTING MEMBER HAS THE SOLE AUTHORITY TO AMEND CAMC'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 7B VANDALIA HEALTH, INC. IS CAMC'S SOLE VOTING MEMBER AND HAS RESERVED POWERS UNDER CAMC'S GOVERNING DOCUMENTS, WHICH PROVIDE THAT DECISIONS OF CAMC'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 11B CAMC COMPILES NECESSARY INFORMATION FOR FORM 990 THROUGH THE EFFORTS OF VARIOUS OFFICERS AND TRUSTEES OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THIS FIRM THEN REVIEWS THE COMPLETED FORM 990 WITH THE CAMC BOARD OF TRUSTEES AND ITS 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 AND RESOLVE POTENTIAL CONFLICT OF INTEREST ISSUES RELATIVE TO ACTION ITEMS. ANNUAL DISCLOSURE PROCEDURES ARE IMPLEMENTED AND THE PRESIDENT AND THE VANDALIA HEALTH, INC. BOARD OF DIRECTOR GOVERNANCE 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 CAMC HEALTH SYSTEM MANAGEMENT COMPLIANCE COMMITTEE. THE COMPLIANCE OFFICER WILL INFORM THE CAMCHSI BOARD OF DIRECTORS AUDIT COMMITTEE AT THEIR NEXT SCHEDULED MEETING OF ALL SUCH ACTIVITIES APPROVED BY THE CAMC HEALTH SYSTEM MANAGEMENT COMPLIANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE SELECTS AND SUPERVISES AN INDEPENDENT CONSULTANT WHO ADVISES THE COMMITTEE ON COMPENSATION ARRANGEMENTS AND TRANSACTIONS BETWEEN VANDALIA HEALTH, INC. COMPANIES AND EXECUTIVES. THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC'S CEO AND THE OTHER EXECUTIVES. THE 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 VANDALIA HEALTH , 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 ONLINE 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 IX, LINE 11G HEALTHCARE CONTRACTORS: PROGRAM SERVICE EXPENSES 120,908,775. MANAGEMENT AND GENERAL EXPENSES 51,585,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,494,013. FORM 990, PART XI, LINE 9: INCREASE/DECREASE IN BENEFICIAL INTEREST IN CAMC FOUNDATION -9,502,682. CHANGE IN AFFILIATE RECEIVABLE 1,160,392. AFFILIATE TRANSFERS: VANDALIA HEALTH , INC. AND SUBSIDIARIES -1,008,957. CHANGE IN RETIREMENT OBLIGATION 2,282,759. CHANGE IN NON-CONTROLLING INTEREST -61,331. NET ASSET TRANSFER OF DISREGARDED ENTITIES 639,670. 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