2023-11-13T01:08:47-00:00 2022-12-31 990 2022-01-01 264058719 Camden-Clark Physician Corporation CAMD 3044242817 604 Ann Street Parkersburg WV 26101 Kyle Pierson VP Finance 3044242817 2023-05-09 false Kyle Pierson XXX-XX-XXXX 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Steve Altmiller 800 Garfield Avenue Parkersburg WV 26101 70241046 false X X 2008 WV To support, manage, and furnish facilities, personnel, and medical services to individuals in need. 6 2 232 2 0 0 62716780 69815306 0 314712 401740 63031492 70217046 0 0 40124664 50047283 0 0 22868572 20169767 62993236 70217050 38256 -4 7022477 14372228 3911560 11457705 3110917 2914523 X The general purposes of the corporation are as follows to establish, support, manage, and furnish facilities, personnel, and services to provide diagnostic, therapeautic, wellness, health promotion, surgical, and other professional medical services to sick, injured, or disabled persons false false 10655116 3800705 Camden Clark Physician Corporation offers Hospitalist coverage through a term of employed physicians and in collaboration with Camden Clark Medical Center. In 2022, Hospitalists reported 85,907 work relative value units wRVUs. 11525411 6138538 Camden Clark Physician Corporation offers Cardiac Services through Parkersburg Cardiology. This specialization works with top of the line heart care. In 2022, Cardiac Services reported 105,454 work relative value units wRVUs and had a total of 27,232 visits. 7985117 6841751 Camden Clark Physician Corporation offers 6 Primary Care clinics across Parkersburg, WV and into Belpre, OH. These clinics work with the general public to provide patient well being. In 2022, Primary Care reported 105,941 work relative value units wRVUs and had a total of 51,255 visits. 37749887 53406861 67915531 true false false false false false false false false false true false false true true true 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 false false false true 38 0 true 121 true false false false false false false false false false false false false false X 6 2 false false true false true true true true true false false true true true true true true false false false WV X Mary F Russell 3044242817 800 Garfield Avenue Parkersburg WV 26101 X Michael Shockley MD Physician 040.00 X 980019 0 31601 David Mendoza MD Physician 040.00 X 875412 0 42654 Patrick Dugan MD Physician 040.00 X 824170 0 42654 Steve Altmiller Ex Offico Director/ CCMC President CEO 001.00 041.50 X X 0 801758 35213 Bairava Kuppuswamy MD Director - Vice Chairman 040.00 X X 768964 0 42350 Abiy Kelil MD Physician 040.00 X 739041 0 42641 Matthew Yoak MD Physician 040.00 X 716219 0 29299 Heather Irvin MD Director 040.00 X 387589 0 42320 Kyle Pierson Board Treasurer - non voting, CCMC VP Finance - West Region 001.00 039.00 X X 0 307174 66101 John Forester VP of Provider Network Services 001.00 039.00 X 0 334142 39033 Brandon Koehler VP of Finance - Provider Network Services through August 2022 006.00 034.00 X 33597 190382 19727 Sean Smith Board Secretary -non voting, CCMC VP Operations/WCH President 001.00 039.00 X X 0 175578 32083 Orton Armstrong MD Director - Chairman 001.00 X 0 0 0 Lindsey Anderson Director 001.00 X 0 0 0 Sister Joan Kreyenbuhl Director 001.00 X 0 0 0 5325011 1809034 465676 84 false true false Parkersburg Cardiology Assoc Inc 600 18th St Suite 512 Parkersburg WV 261013236 Healthcare Staffing Services 3644494 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Healthcare Staffing Services 371411 2 Net Patient Revenue 621110 44536746 44536746 Hospital Support Revenue 621110 11612887 11612887 CARES Act Funding 900099 2276720 2276720 Contracted Services 621110 11388953 11388953 69815306 52669 24000 28669 28669 28669 Other Miscellaneous Revenue 900099 372131 372131 Rebate Revenue 900099 522 522 Cash Discounts 900099 418 418 373071 70217046 70187855 29191 X 0 0 0 0 1241224 1241224 0 41103756 39621118 1482638 794800 765141 29659 5563523 5360779 202744 1343980 1295502 48478 0 0 50 50 0 0 5567563 5447299 120264 40 40 240434 199868 40566 5440 5110 330 0 628601 532895 95706 5984 1678 4306 0 27325 27000 325 24343 24343 8102949 8101106 1843 473823 351529 122294 871422 866783 4639 Provision for Doubtful Accounts 2655711 2655711 Medical Supplies 799134 799134 Taxes, Licenses Fees 97919 4875 93044 Educational Training 269578 263153 6425 399451 351193 48258 70217050 67915531 2301519 0 662769 1132204 108811 6954003 8601976 45000 16500 249754 139048 4708627 1967396 1756980 2741231 -2754840 1741269 7022477 14372228 1953085 8386678 428948 653090 1529527 2417937 3911560 11457705 X 3110917 2914523 3110917 2914523 7022477 14372228 X -4 -196390 X false true X true false X Part II Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170B1AIII as shown on Schedule A, Part I, Line III, the organization is not a licensed hospital in the state of West Virginia, and therefore, it is not required to complete Form 990, Schedule H. 3090080 1785122 1304958 1618547 182274 1436273 2741231 Financial derivatives and other financial products Closely-held equity interests Due from third party payors 1631574 Due from Related Organization - Accr 109695 1741269 Federal income taxes Accrued wages, benefits, vacation, fringes and payroll taxes 2382803 Deferred FICA tax payable Long term lease liability 35134 2417937 X 67591915 -2649132 -2649132 70241047 -24000 -24000 70217047 67591916 24000 24000 67567916 2649132 2649132 70217048 X 2 Most of the entities that comprise the System are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2022 and 2021 XI 2d The amount shown on line 2d consists of 2,649,132 provision for doubtful accounts - patients. XI 4b The amount shown on line 4b consists of 2,649,132 provision for doubtful accounts - patients. XI 4b The amount shown on line 4b consists of 24,000 rental expenses reported an as offset to rental revenue but not on the financial statements. XII 2d The amount shown on line 2d consists of 24,000 rental expenses reported an as offset to rental revenue but not on the financial statements. false true false true false false false false false Heather Irvin MD Director 377704 9000 885 13725 28595 429909 Steve Altmiller Ex Offico Director/ CCMC President CEO 497031 177816 126911 13725 21488 836971 Bairava Kuppuswamy MD Director - Vice Chairman 476426 291232 1306 13725 28625 811314 Sean Smith Board Secretary -non voting, CCMC VP Operations/WCH President 142625 29880 3073 17895 14188 207661 Kyle Pierson Board Treasurer - non voting, CCMC VP Finance - West Region 251567 54181 1426 37277 28824 373275 Brandon Koehler VP of Finance - Provider Network Services through August 2022 23875 135290 8987 50927 735 4165 2858 16195 101 573 36556 207150 Patrick Dugan MD Physician 731361 91567 1242 13725 28929 866824 Matthew Yoak MD Physician 646691 67131 2397 11250 18049 745518 David Mendoza MD Physician 741861 131154 2397 13725 28929 918066 Abiy Kelil MD Physician 519905 218251 885 13725 28916 781682 Michael Shockley MD Physician 562814 412708 4497 1973 29628 1011620 John Forester VP of Provider Network Services 268698 64253 1191 10285 28748 373175 Part I Line 3 Compensation for CEOs is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the 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 offered does not exceed fair market value. Part I Line 4b Brandon Koehler had 12,100 of deferred CAA contributions in 2022. John Forester had 40,519 of deferred CAA contributions in 2022. Sean Smith had deferred compensation contributions of 29,125 from a related organization. Steve Altmiller had cash distributions of 89,690 from a related party. Part I Line 5 Some but not all physicians have a productivity bonus in their contract. This bonus is based on producing over a set relative value unit RVU during the year. Physician compensation is capped at the 90 MGMA or at an alternative amount as determined by an independent third party valuation firm. Form 990, Part III, Line 4d Program Service Expenses 37,749,887, Grants and allocations 0, Revenue 53,406,861 CCPC strives to offer a comprehensive range of inpatient, outpatient and outreach clinic services, including prevention, guidance, diagnosis, treatment, restoration, rehabilitation and other efforts as may be required to meet the health care needs of the community in which it serves. In addition to the Cardiac, Primary Care and Hospitalists program services described above, the organization employs physicians who specialize in surgery, diabetes and nutritional management, behavioral health. CCPC has started to grow a network of employed primary care physicians throughout the community in an effort to address what is believed to be a significant shortage of available primary care for the residents of the mid-ohio valley. Although reimbursement for services rendered is critica to the operation and stability of the organization, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission, in conjunction with Camden Clark Medical Hospital, is to serve the community by providing health care services and health care education. Form 990, Part I, Line 5 Camden-Clark Physician Corporation has common paymaster agreements with related parties. Therefore, total employee count may differ from the total W-2 count reported on Form W-3. Form 990, Part III, Line 1 Without regard to race, creed, color, sex, national origin, or financial status, and to otherwise promote the quality, accessibility, and affordability of such professional medical services. Form 990, Part VI, Section A, Line 4 The organizations articles and bylaws were updated during 2022 to reflect that Camden Clark Health Services CCHS has sole right to vote at any meeting of the members of the Corporation and shall have all rights granted to members of nonstock, nonprofit corporations by the laws of the State of West Virginia. West Virginia United Health System, Inc., a 501c3 charitable organization WVUHS, is the sole member of the organization, is the sole member of CCHS. WVUHS has certain reserved powers with respect to both the Corporation and CCHS, and the following corporate powers of the Corporation shall be reserved to and exercisable by the board of directors of WVUHS, subject to prior approval of CCHS as reflected in the organizations articles of incorporation and bylaws, and update the organizations rules and regulations to be consistent with the governance processess followed by the other tax-exempt hospitals of which WVUHS is the sole member. Form 990, Part VI, Section A, Line 6 Camden-Clark Health Services, Inc. As of March 1, 2011, affiliated with West Virginia United Health System, a non-profit, tax-exempt corporation is the sole member of the organization. Form 990, Part VI, Section A, Line 7a Camden-Clark Health Services Inc., the organizations sole member, nominates all board members of the organization. Board members are elected by West Virginia Health System, WVUHS from the CCHS nominations. Form 990, Part VI, Section A, Line 7b Camden-Clark Health Services, Inc., the organizations sole member, approves certain reserved items regarding Camden-Clark Physician Corporation. Form 990, Part VI, Section B, Line 11b 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 12c To identify and monitor any conflicts, a signed conflict of interest statement is required from board members of the organization and key individuals that are in a position to make or influence decisions. If an actual or possible conflict of interest is observed or disclosed, the organization invokes the procedures set out in the policy/bylaws for addressing the conflict of interest. For key individuals employees, a specific conflict of interest standard in the organizations code of ethics and business conduct also exists. Form 990, Part VI, Section 5, Line 15a The compensation of the CEO if applicable 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. Form 990, Part VI, Section 5, Line 15b 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. Form 990, Part VI, Section C, Line 19 The organizations governing documents, conflict of interest policy, and financial statements are made available upon request. The organizations financial statements are also available on the WV Healthcare Authoritys website. Form 990, Part VII, Section A, Line 1 In accordance with IRS regulations and Form 990 instructions Former officers, key employees, and Board of Directors have been listed as appropriate. Form 990, Part IX, Line 11g Expenses reported on line 11g consist of the following items Contracted Labor of 4,188,760 of which 4,068,496 is considered program service expense and 120,264 is considered management and general expense Contracted Labor - Patient Care of 53,954 all of which is considered program service expense and Collection Agency Fees of 1,324,849 all of which is considered program service expense. Form 990, Part XI, Line 9 Other changes in net assets includes 196,392 of related organization capitalization and 2 rounding. Camden-Clark Health Services Inc 800 Garfield Avenue Parkersburg WV 26101 550769602 Healthcare Access WV 501c3 12 Type I West Virginia United Health System false Camden-Clark Memorial Hospital Corporation 800 Garfield Avenue Parkersburg WV 26101 311524546 Patient Care WV 501c3 Line 3 Camden-Clark Health Services false Camden-Clark Foundation Inc 800 Garfield Avenue Parkersburg WV 26101 550667789 Hospital Support WV 501c3 Line 7 Camden-Clark Health Services false WV United Health System PO Box 8034 Morgantown WV 26506 550754713 Healthcare Access WV 501c3 12 Type I N/A false West Virginia University Hospitals Inc PO Box 8034 Morgantown WV 26506 550643304 Patient Care WV 501c3 Line 3 West Virginia United Health System false West Virginia University Hospitals East 121 Administrative Drive Martinsburg WV 25401 202337985 Healthcare Access WV 501c3 12 Type I WV United Health System false City Hospital Inc 2500 Foundation Way Martinsburg WV 25401 550383321 Patient Care WV 501c3 Line 3 West 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