2023-11-14T12:13:23-00:00 2022-12-31 990 2022-01-01 550769602 Camden-Clark Health Services Inc CAMD 3044242817 800 Garfield Avenue Parkersburg WV 26101 Kyle Pierson VP Finance 3044242817 2023-11-13 false Kyle Pierson XXX-XX-XXXX true 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Steve Altmiller 800 Garfield Avenue Parkersburg WV 26101 0 false X X 1999 WV To aid, strengthen, support, benefit and further the work of Camden-Clark Memorial Hospital Corporation. 8 8 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 The purpose of Camden-Clark Health Services CCHS is to aid, strengthen, support, benefit and further in every proper and useful way the work and services of Camden-Clark Memorial Hospital Corporation CCMH. false false CCHS is a WV nonprofit corporation. It is the parent company of Camden Clark Memorial Hospital Corporation, which provides inpatient, outpatient and emergency services for residents of the mid-ohio valley. It is also a parent to Camden Clark Foundation and Camden Clark Physicians Corporation. CCHS has no operations or activities of its own. There are no employees of CCHS. There is a board of directors that meets periodically throughout the year. true false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 0 0 true 0 false false false false false false false false false false false false X 8 8 false false false false true true true true false false false true true true true true true false false false X Mary F Russell 3044242817 800 Garfield Avenue Parkersburg WV 26101 X Doug Coffman Director April 2022-Present 001.00 041.00 X 0 952288 25308 Steve Altmiller CCMC President CEO 001.00 041.50 X 0 801758 35213 Walter Kerschl CCMC CMO 001.00 039.00 X 0 469400 71112 Kyle Pierson CCMC VP Finance - West Region 001.00 039.00 X 0 307174 66101 Christine Daniels CCMC VP, Nursing 001.00 039.00 X 0 315336 32804 Cynthia Kern CCMC VP Quality Patient Safety 001.00 039.00 X 0 311904 11473 MarJean Kennedy CCMC VP Mktg Dev Strat Init 001.00 039.00 X 0 227432 18773 Sean Smith CCMC VP Operations/WCH President 001.00 040.00 X 0 175575 32083 Carlie Lacy CCMC VP General Counsel, March - Present 001.00 039.00 X 0 121570 34412 Mary Jo Shahan CCMC Interim CFO 2019 040.00 X 0 149600 0 Todd Kruger CCMC General Counsel Jan - March 001.00 039.00 X 0 115570 24858 Terry Capel MD Chairman 001.00 001.00 X X 0 0 0 Kathy Eddy Vice Chairman 001.00 001.00 X X 0 0 0 Randy Snider Secretary 001.00 001.00 X X 0 0 0 Lynford Lovell Director 001.00 001.00 X 0 0 0 Orton Armstrong MD Director 001.00 001.00 X 0 0 0 Joe Campbell Director 001.00 001.00 X 0 0 0 Sister Joan Kreyenbuhl Director 001.00 001.00 X 0 0 0 3947607 352137 11 true true false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X false true X true false X X 3 Camden-Clark Memorial Hospital 311524546 3 true 0 0 Camden-Clark Foundation 550667789 7 true 0 0 Camden-Clark Physician Corporation 264058719 3 true 0 0 3 0 true false false false false false false false false false false false false false false true false false true false false false false false false false Doug Coffman Director April 2022-Present 659493 193194 99601 13725 11583 977596 Cynthia Kern CCMC VP Quality Patient Safety 235594 51087 25223 10264 1209 323377 Kyle Pierson CCMC VP Finance - West Region 251567 54181 1426 37277 28824 373275 Mary Jo Shahan CCMC Interim CFO 2019 149600 149600 Steve Altmiller CCMC President CEO 497031 177816 126911 13725 21488 836971 Sean Smith CCMC VP Operations/WCH President 142625 29880 3070 17895 14188 207658 Christine Daniels CCMC VP, Nursing 129875 52901 132560 18063 14741 348140 Walter Kerschl CCMC CMO 307006 84892 77502 48624 22488 540512 MarJean Kennedy CCMC VP Mktg Dev Strat Init 188034 38127 1271 18773 246205 Carlie Lacy CCMC VP General Counsel, March - Present 121305 265 18229 16183 155982 Part I Line 3 CCHS has no compensated employees. Compensation for Camden-Clark Memorial Hospital Corporation CEO is established by West Virginia United Health System WVUHS. WVUHS utilizes compensation consultants, who review 990s of related organizations, review employment contracts for similar positions, and compensation surveys. The results of the before mentioned research are provided to the System Compensation Committee for review and approval. Part I Line 4b Kyle Pierson received deferred compensation contributions in the amount of 25,708. Walter Kerschl received deferred compensation contributions in the amount of 39,140. Sean Smith received deferred compensation contributions in the amount of 29,125 which was paid in equal portions between CCMC and Wetzel County Hospital. Christine Daniel received deferred compensation contributions in the amount of 12,195. MarJean Kennedy received deferred compensation contributions in the amount of 18,773. Carlie Lacy received deferred compensation contributions in the amount of 12,615. The amount was properly recorded in deferred compensation on the Form 990 Schedule J and reported on their W2s. Part II Line 4 Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2020 she was compensated for consulting work and interim CFO for related party, United Summit Center, Inc.. In 2021 and 2022 she was compensated for assisting the VP of Finance of related party, WVUH-East. Form 990, Part VI, Section A, Line 6 West Virginia United Health System WVUHS is the sole member of Camden-Clark Health Services, Inc. CCHS. Form 990, Part VI, Section A, Line 7a All of the members of the board of directors are nominated by CCHS. Board members are then elected by WVUHS board of directors based on the nominations. Form 990, Part VI, Section A, Line 7b CCHS has an affiliation agreement with WVUHS which holds power to approve certain decisions such as annual budget, capital expenditures over 1 million, new debt over 1 million, new programs, and extraordinary filings. Form 990, Part VI, Section A, Line 8b While minutes are documented for the board of directors, CCHS maintains an executive and nominating committee, however, CCHS did not hold any committee meetings during 2022. Form 990, Part VI, Section B, Line 11 The Form 990 is prepared by the WVUHS Tax Team and is provided for review to the VP of Finance and Director of Accounting. It is then presented to/reviewed by the Finance Committee. After being presented to the committee, it is provided to all board members for comments prior to filing with the IRS. Form 990, Part VI, Section B, Line 12 To identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy/bylaws for addressing the conflict of interest. Nothing of concern was found during the review in 2022. Form 990, Part VI, Section B, Line 15 All board members are volunteer directors and are not compensated. The entity has 0 employees therefore, no compensation of key employees is approved. Compensation reported for those listed is paid for their work for related organizations and not for board duties/service. Form 990, Part VI, Section C, Line 19 The organizations governing documents, Form 990, and conflict of interest policy are made available upon request. The organization does not have any financial accounts or transactions, therefore, do not have any financial statements to be made available. Form 990, Part VII, Section A, Line 6 In accordance with IRS Form 990 instructions Individuals listed as Former served as an Officer, Director, or Key Employee in the previous 5 years. These individuals are still employees of a related organization. The compensation reported in Part VII is for services rendered in their roles at the related entity and is in no way related to serving on the Board of Directors. Form 990, Part VI, Section B, Line 15 a b The compensation of the CEO is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2021 for 2022 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained. West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care Services WV 501C3 3 WV United Health System false United Hospital Center 327 Medical Park Drive Bridgeport WV 26330 550525724 Patient Care Services WV 501C3 3 WV United Health System false United Physicians Care Inc 686 South Pike Street Shinnston WV 26431 550638563 Patient Care Services WV 501C3 3 United Hospital Center Inc false WVUH East Inc 2000 Foundation Way Martinsburg WV 25401 202337985 Healthcare Support WV 501C3 12 Type I WV United Health System false City Hospital Inc 2000 Foundation Way Martinsburg WV 25401 550383321 Patient Care Services WV 501C3 3 West Virginia University Hospitals - East Inc false Jefferson Memorial Hospital Inc 2000 Foundation Way Martinsburg WV 25401 550359755 Patient Care Services WV 501C3 3 West Virginia University Hospitals - East Inc false University Healthcare Foundation 2000 Foundation Way Martinsburg WV 25401 311118075 Healthcare Support WV 501C3 12 Type I West Virginia University Hospitals - 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