2025-11-17T17:13:05-06:00 2024-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2024-01-01 921715117 CAMC PLATEAU MEDICAL CENTER INC CAMC 3043887603 501 MORRIS ST CHARLESTON WV 25301 JEFF SANDENE CHIEF FINANCIAL OFFICER 3043887603 2025-11-17 1 0 ANGELA M MOORE P00244342 3174648600 2024 2025-03-06 01:10:19Z JEFF SANDENE 501 MORRIS ST CHARLESTON WV 25301 54592722 0 X WWW.CAMC.ORG/PLATEAU-MEDICAL-CENTER X 2022 WV CAMC PLATEAU MEDICAL CENTER, INC. (CAMC PMC) OWNS AND OPERATES A CRITICAL CARE ACCESS HOSPITAL DESIGNED TO PROVIDE CARE FOR COMMUNITY RESIDENTS THROUGH EVERY STAGE OF LIFE. CAMC PMC PATIENTS DEPEND ON CAMC PMC TO PROVIDE CONVENIENT AND COMPASSIONATE CARE DELIVERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. 5 0 0 6 0 0 0 0 32858680 54534611 160334 1380 59427 56731 33078441 54592722 0 0 0 0 12029215 19783148 0 0 0 21713911 28746256 33743126 48529404 -664685 6063318 102148038 112661322 102812723 107262689 -664685 5398633 STRIVING TO PROVIDE THE BEST HEALTHCARE TO EVERY PATIENT, EVERY DAY. 0 0 29703176 54534614 CAMC PLATEAU MEDICAL CENTER, INC. (CAMC PMC) IS A CRITICAL ACCESS HOSPITAL LOCATED IN OAK HILL, WEST VIRGINIA. IT HAS 25 LICENSED BEDS AND OFFERS THE FOLLOWING SPECIALTY SERVICES: CARDIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, PATHOLOGY, PODIATRY AND MEDICAL IMAGING. IT HAS 17 EMPLOYED PHYSICIANS AND 9 EMPLOYED NON-PHYSICIAN PROVIDERS. THERE WERE 3,581 INPATIENT DAYS, 24,039 OUTPATIENT VISITS, 42,200 CLINIC VISITS AND 13,146 ER VISITS IN 2024. 6074174 CAMC PLATEAU MEDICAL CENTER, INC. (CAMC PMC) DOES MUCH MORE THAN JUST PROVIDE HEALTH CARE, BEING INVOLVED IN NEARLY EVERY ASPECT OF THE HEALTH AND WELL BEING OF THE COMMUNITY. CAMC PMC PROVIDED ACUTE INPATIENT AND OUTPATIENT HOSPITAL SERVICES INCLUDING UNREIMBURSED CHARITY CARE AT COST OF $1,695,719. 35777350 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 49 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WV X JEFF SANDENE 3043887603 501 MORRIS STREET CHARLESTON WV 25301 DAVID L RAMSEY PRESIDENT /CHAIR 5.00 62.00 X X 0 1926954 131607 GLENN CROTTY JR MD TRUSTEE 1.00 57.50 X 0 1156127 58825 JEFF SANDENE TRUSTEE 1.00 66.00 X 0 960798 250403 CHRISTOPHER R KILIANY TRUSTEE 1.00 40.00 X 0 261862 66465 VINCENT L NICOLAU TRUSTEE 1.00 40.00 X 0 252764 32022 CHAD HOVIS TREASURER 5.00 58.00 X 0 360988 130760 REBECCA STEVENSON SECRETARY 5.00 59.00 X 0 191854 66073 JUSTUS SMITH VP AND CHIEF NURSING OFFICER 50.00 0.00 X 0 291443 96807 TODD LARES EMERGENCY MEDICINE PHYSICIAN 40.00 0.00 X 0 518648 14831 HOWARD NEWMARK EMERGENCY MEDICINE PHYSICIAN 40.00 0.00 X 0 409063 1871 RAJESH NANDA EMERGENCY MEDICINE PHYSICIAN 40.00 0.00 X 0 297581 13175 HEATHER HYLTON VP FINANCE 40.00 0.00 X 0 259046 13158 BRENT GLOVER EMERGENCY MEDICINE PHYSICIAN 40.00 0.00 X 0 252919 0 ANGELA HILL FORMER SECRETARY 0.00 55.00 X 0 1000360 307203 0 8140407 1183200 0 1 1 0 MEDSTREAM ANESTHESIA PLLC PO BOX 63467 CHARLOTTE NC 282633467 HEALTHCARE SERVICES 1691056 CHSPSC LLC 4000 MERIDIAN BLVD FRANKLIN TN 37068 CONSULTING SERVICES 749450 PEACHTREE INPATIENT CONSULTING 324 LESLIE COURT BRISTOL TN 376205596 CONSULTING SERVICES 549000 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 753734606 HEALTHCARE SERVICES 515028 PREMIER HEALTHCARE SOLUTION 5882 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HEALTHCARE SERVICES 446465 8 NET PATIENT REVENUE 621990 54534611 54534611 54534611 1380 1380 CAFETERIA/VENDING 722514 56728 56728 FEE HEALTH INFO REQSTS 900099 3 3 56731 54592722 54534614 0 58108 X 356490 356490 14289157 11662636 2626521 513168 430047 83121 3540752 2826125 714627 1083581 866865 216716 753077 753077 300359 300359 7152100 6443002 709098 15382 15382 1908029 1532177 375852 1025044 764721 260323 79264 71991 7273 5688557 5688557 2103239 1682591 420648 727066 727066 MEDICAL SUPPLIES 6549098 6513173 35925 PROVIDER TAX 1466765 1466765 REPAIRS & MAINTENANCE 926012 740810 185202 ALL OTHER EXPENSES 52264 33999 18265 48529404 35777350 12752054 0 525 525 9397782 11439017 1026555 1380263 278924 290267 62920181 5744762 57764255 57175419 32269757 32302992 1410240 10072839 102148038 112661322 3438366 3080919 318731 31875 99055626 104149895 102812723 107262689 X -664685 5398633 0 0 -664685 5398633 102148038 112661322 6063318 0 X 0 1 X 1 0 X 300000 300000 54996888 2395423 52601465 4661825 1153378 3508447 2961468 2195961 765507 57175419 AFFILIATE RECEIVABLE - CHARLESTON AREA MEDICAL CENTER, INC. 9835240 AFFILIATE RECEIVABLE - CAMC GREENBRIER VALLEY MEDICAL CENTER, INC. 11352 AFFILIATE RECEIVABLE - VANDALIA, INC. 226247 10072839 AP - MEDICARE 72100 AFFILIATE PAYABLE - CAMC, INC. 100568968 AFFILIATE PAYABLE - CHERI, INC. 1632 AFFILIATE PAYABLE - CAMC GVMC, INC. 14349 AP-MEDICAID 6325 AFFILIATE PAYABLE- VANDALIA, INC. 3486521 104149895 X PART X, LINE 2: CAMC PLATEAU MEDICAL CENTER'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, EXCEPT FOR MHC, FHE, CMC AND HFI, WHICH ARE CORPORATIONS SUBJECT TO INCOME TAX. THE SYSTEM DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2020, ARE OPEN FOR THE MHS ENTITIES AND TAX RETURNS FOR THE YEAR ENDED DECEMBER 31, 2021, ARE OPEN FOR CAMC ENTITIES. 1 1 X 1 X 1 X 1 1 1 0 1 1 1695719 1695719 0.03460 11497902 7080217 4417685 0.09000 160640 111668 48972 0.00100 13354261 7191885 6162376 0.12560 13354261 7191885 6162376 0.12560 0 -534744 0 17094409 21797807 -4703398 X 1 1 1 1 CAMC PLATEAU MEDICAL CENTER INC 430 MAIN STREET W OAK HILL WV 259013414 WWW.CAMC.ORG 176 X X X X CAMC PLATEAU MEDICAL CENTER INC 1 1 1 1 X X X X X X X X X 24 1 0 1 1 X HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS X 1 24 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 CAMC PLATEAU MEDICAL CENTER, INC. PART V, SECTION B, LINE 2: ON DECEMBER 22, 2022, CHARLESTON AREA MEDICAL CENTER, INC. (CAMC) FORMED A NEW SUBSIDIARY, CAMC PLATEAU MEDICAL CENTER, INC. (PMC), TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF PLATEAU MEDICAL CENTER IN OAK HILL, WEST VIRGINIA. THIS ACQUISITION CLOSED ON APRIL 1, 2023. CAMC PLATEAU MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: KEY LEADERS, FROM ORGANIZATIONS LISTED BELOW, IN FAYETTE COUNTY IDENTIFIED AND PRIORITIZED COMMUNITY HEALTH NEEDS. THROUGH CAMC PLATEAU MEDICAL CENTER'S STRATEGIC PLANNING PROCESS, THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZED COMMUNITY HEALTH NEEDS ARE USED TO SET COMMUNITY HEALTH IMPLEMENTATION STRATEGIES FOR CAMC PLATEAU CENTER. INPUT WAS GOTTEN FROM THE FOLLOWING ORGANIZATIONS: FAYETTE COUNTY HEALTH DEPARTMENT; CAMC PLATEAU MEDICAL CENTER; ENACT COMMUNITY ACTION; UNITED FOR ALICE RESEARCH CENTER; OAK HILL COMMUNITY ENGAGEMENT TEAM; HOUSED-UP, INC.; FAYETTE COUNTY OFFICE OF EMERGENCY SERVICES; FAYETTE COUNTY HOMELAND SECURITY; AND WV DEPARTMENT OF NATURAL RESOURCES CAMC PLATEAU MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: -FAYETTE COUNTY HEALTH DEPARTMENT-ENACT COMMUNITY ACTION-UNITED FOR ALICE RESEARCH CENTER-OAK HILL COMMUNITY ENGAGEMENT TEAM-HOUSED-UP, INC.-FAYETTE COUNTY OFFICE OF EMERGENCY SERVICES-FAYETTE COUNTY HOMELAND SECURITY-WV DEPARTMENT OF NATURAL RESOURCES CAMC PLATEAU MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE FOLLOWING COMMUNITY HEALTH STRATEGIES HAVE BEEN FUNDED AND ARE BEING IMPLEMENTED. THE CAMC PLATEAU MEDICAL CENTER BOARD OF TRUSTEES APPROVED THE IMPLEMENTATION STRATEGIES AND REVIEWS PLAN PROGRESS ANNUALLY.1.) PROVIDE ACCESS TO PRIMARY AND SPECIALTY HEALTH CARE FOR THE SERVICE AREA THROUGH MEDICAL STAFF RECRUITMENT AND ESTABLISHMENT OF A PRIMARY SITE FOR ALL SPECIALISTS BY-RECRUIT MEDICAL STAFF FOR HIGH PRIORITY COMMUNITY NEEDS-INCREASED PRIMARY CARE SERVICES BY PLACING ADDITIONAL PRIMARY CARE LOCATIONS IN RALEIGH, FAYETTE AND NICHOLAS COUNTIES-IMPROVE ACCESS BY PROVIDING AN ADDITIONAL LOCATION THAT WILL HOUSE SPECIALISTS IN ONE LOCATION.2.) PROVIDE PHYSICAL ACTIVITY OPPORTUNITIES FOR THE AT RISK CARDIAC POPULATION AND ACCESS TO CARDIOLOGY SPECIALTY SERVICES BY - RECRUIT CARDIOLOGIST-PROVIDE A CARDIAC REHAB PROGRAM- PROVIDE EXERCISE PROGRAM FOR PATIENTS AFTER THEY COMPLETE PRESCRIBED CARDIAC REHAB PROGRAM- INCREASE CAPACITY FOR CARDIAC RELATED SERVICES3.) PROVIDE AFFORDABLE MEDICATION TO OUR COMMUNITY SERVED BY-EXPAND OUTPATIENT INFUSION SERVICES-OPEN INHOUSE OUTPATIENT PHARMACY-CREATE "MEDS TO BEDS" SERVICE-POTENTIAL OFFSITE OUTPATIENT PHARMACY LOCATION (S)4.) INCREASE IDENTIFICATION AND AWARENESS OF CARDIOVASCULAR DISEASE; INCREASE PHYSICAL ACTIVITY FOR THE AT RISK POPULATION BY-PROVIDE COMMUNITY-WIDE AND OFFICE-BASED INFORMATION ON MODIFYING CARDIOVASCULAR DISEASE RISK-WORK WITH COMMUNITY PARTNERS TO FOCUS ON MODIFIABLE RISK FACTORS (TOBACCO, OBESITY, DIET, EXERCISE).-EXPANSION OF STRESS TEST HOURS5.) PROVIDE FOOD TO LOW INCOME CHILDREN DURING THE SUMMER THROUGH THE BACKPACK PROGRAM BY-SUPPORT LOCAL CHURCH WITH THE BACKPACK PROGRAMTHE FOLLOWING COMMUNITY NEEDS ARE NOT ADDRESSED BY CAMC PLATEAU MEDICAL CENTER AND THE RATIONALE IS PROVIDED FOR EACH. - SUFFICIENT, SAFE AND AFFORDABLE HOUSING / HOMELESSNESS. THIS ISSUE IS ADDRESSED BY OTHER ORGANIZATIONS IN OUR COMMUNITY.- LOW INCOME / POVERTY GOOD PAYING JOBS FOR ADULTS & YOUTH - OPPORTUNITIES TO OPEN BUSINESSES IN THE COMMUNITY. CAMC PLATEAU MEDICAL CENTER DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE.- QUALITY OF PUBLIC SCHOOL EDUCATION & ACCESS TO COLLEGE PROGRAMS. CAMC PLATEAU MEDICAL CENTER DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE.- LACK OF BROADBAND / COMPUTER & TECHNOLOGY SKILLS. CAMC PLATEAU MEDICAL CENTER DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE.- PUBLIC SAFETY. CAMC PLATEAU MEDICAL CENTER DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. CAMC PLATEAU MEDICAL CENTER, INC. 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. 2 1 - PMC PHYSICAL THERAPY 501 MAIN ST OAK HILL WV 25901 PHYSICAL THERAPY 2 - PMC GERIATRIC INTENSE DAY THERAPY 201 JONES AVE OAK HILL WV 25901 PSYCHIATRIC SERVICES PART I, LINE 3C: CAMC PLATEAU MEDICAL CENTER 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 PLATEAU MEDICAL CENTER 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 $ -534,744. 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 4: THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGE 14 OF VANDALIA HEALTH'S AUDITED FINANCIAL STATEMENTS. PATIENT RECEIVABLES, INCLUDING BILLED ACCOUNTS AND UNBILLEDACCOUNTS FOR WHICH WE HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROMTHIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF OUR RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE. FOR CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, THE SYSTEM WILL PROSPECTIVELY RECOGNIZE THOSE AMOUNTS IN NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. PART III, LINE 8: CAMC PMC TREATS ANY GOVERNMENT REIMBURSEMENT THAT IS INSUFFICIENT TO COVER ALLOCATED COSTS AS BEING A COMMUNITY BENEFIT. CAMC PMC CHOOSES TO SERVE THE COMMUNITY BY PARTICIPATING IN THE MEDICARE PROGRAM AND ACCEPTING MEDICARE REIMBURSEMENT. COST TO CHARGE RATIO FROM THE MEDICARE COSTS REPORT IS USED. PART III, LINE 9B: CAMC PMC'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 PMC PROVIDES ASSISTANCE WITH PAYMENT PLANS, GOVERNMENT PROGRAMS, AND AN EMPLOYEE ASSISTANCE PROGRAM. PART VI, LINE 2: CAMC PLATEAU MEDICAL CENTER SUPPORTS AND STRENGTHENS THE FAYETTE COUNTY COMMUNITY THROUGH OUR ANNUAL PLANNING PROCESS WHERE WE REVIEW THE NEEDS ASSESSMENT FINDINGS AND PRIORITIES TO DEVELOP OUR COMMUNITY STRATEGY AND THE COMMUNITY(IES) WITHIN FAYETTE COUNTY THAT ARE IMPACTED. THIS STRATEGY IS BASED ON ISSUES IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS AND SUPPLEMENTED WITH FINDINGS FROM REVIEW OF OUR INTERNAL DATA. STRATEGIES ARE IDENTIFIED AND PLANS ARE FUNDED, IMPLEMENTED, TRACKED AND MEASURED. THE CAMC PLATEAU MEDICAL CENTER BOARD OF TRUSTEES APPROVE THE PLAN AND REVIEWS PLAN PROGRESS ANNUALLY. IN ADDITION TO ADDRESSING COMMUNITY NEEDS AND CONTRIBUTING FINANCIALLY, PLATEAU MEDICAL CENTER'S 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 PLATEAU MEDICAL CENTER DETERMINES IF THERE ARE ADDITIONAL AREAS OF SUPPORT THAT CAN BE PROVIDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS ASSESSMENT ISSUES. THE FOLLOWING TABLE LISTS PROGRAMS AND SUPPORT ALREADY IN PLACE PROVIDED BY CAMC PLATEAU MEDICAL CENTER THAT ADDRESS THESE COMMUNITY PRIORITIES, AND ARE IDENTIFIED AND FUNDED AS PART OF OPERATIONAL AND COMMUNITY BENEFIT PLANNING BY THE CAMC PLATEAU MEDICAL CENTER BOARD OF TRUSTEES. PART VI, LINE 3: CAMC PMC 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 PMC'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 PMC 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 PLATEAU MEDICAL CENTER'S SERVES FAYETTE COUNTY, WEST VIRGINIA IN ITS ROLE AS A CRITICAL ACCESS HOSPITAL. FAYETTE COUNTY HAS A TOTAL POPULATION OF 40,545 AND A MEDIAN AGE OF 45 AND MEDIAN INCOME OF $50,090, PART VI, LINE 7, REPORTS FILED WITH STATES WV 0 1 0 0 0 0 0 0 0 DAVID L RAMSEY PRESIDENT /CHAIR 0 1051150 0 619074 0 256730 0 79545 0 52062 0 2058561 0 106038 ANGELA HILL FORMER SECRETARY 0 441508 0 88839 0 470013 0 268155 0 39048 0 1307563 0 449309 GLENN CROTTY JR MD TRUSTEE 0 779502 0 262109 0 114516 0 13800 0 45025 0 1214952 0 0 JEFF SANDENE TRUSTEE 0 621095 0 217144 0 122559 0 240058 0 10345 0 1211201 0 57462 TODD LARES EMERGENCY MEDICINE PHYSICIAN 0 518648 0 0 0 0 0 13800 0 1031 0 533479 0 0 CHAD HOVIS TREASURER 0 266813 0 52797 0 41378 0 68629 0 62131 0 491748 0 25838 HOWARD NEWMARK EMERGENCY MEDICINE PHYSICIAN 0 409063 0 0 0 0 0 854 0 1017 0 410934 0 0 JUSTUS SMITH VP AND CHIEF NURSING OFFICER 0 225158 0 51891 0 14394 0 60109 0 36698 0 388250 0 0 CHRISTOPHER R KILIANY TRUSTEE 0 256576 0 300 0 4986 0 10590 0 55875 0 328327 0 0 RAJESH NANDA EMERGENCY MEDICINE PHYSICIAN 0 297581 0 0 0 0 0 11913 0 1262 0 310756 0 0 VINCENT L NICOLAU TRUSTEE 0 247478 0 300 0 4986 0 10128 0 21894 0 284786 0 0 HEATHER HYLTON VP FINANCE 0 223344 0 35702 0 0 0 10388 0 2770 0 272204 0 0 REBECCA STEVENSON SECRETARY 0 172346 0 15547 0 3961 0 7921 0 58152 0 257927 0 0 BRENT GLOVER EMERGENCY MEDICINE PHYSICIAN 0 252919 0 0 0 0 0 0 0 0 0 252919 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 PLATEAU MEDICAL CENTER) AND EXECUTIVES (INCLUDING CAMC PLATEAU MEDICAL CENTER'S PRESIDENT). THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC PLATEAU MEDICAL CENTER'S PRESIDENT 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: GLENN CROTTY, JR. M.D. - $80,919 ANGELA F. HILL - $452,281 DAVID L. RAMSEY - $154,224 JEFF SANDENE - $72,258 CHAD HOVIS - $29,414 FORM 990, PART VI, SECTION A, LINE 2 DAVID RAMSEY, GLENN CROTTY JR., MD, JEFFREY SANDENE, REBECCA STEVENSON AND CHAD HOVIS HAVE A BUSINESS RELATIONSHIP DUE TO EMPLOYMENT BY A RELATED COMPANY WITHIN THE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 CHARLESTON AREA MEDICAL CENTER, INC. (CAMC) IS CAMC PLATEAU MEDICAL CENTER'S SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A CHARLESTON AREA MEDICAL CENTER, INC. (CAMC), IS CAMC PLATEAU MEDICAL CENTER'S (CAMC PMC) SOLE VOTING MEMBER AND HAS AUTHORITY TO ELECT ALL VOTING TRUSTEES OF CAMC PMC OTHER THAN EX-OFFICIO DIRECTORS NAMED IN CAMC PMC'S GOVERNING DOCUMENTS. THE SOLE VOTING MEMBER HAS THE SOLE AUTHORITY TO AMEND CAMC PMC'S GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 7B CAMC IS CAMC PMC'S SOLE VOTING MEMBER AND HAS RESERVED POWERS UNDER CAMC PMC'S GOVERNING DOCUMENTS, WHICH PROVIDE THAT DECISIONS OF CAMC PMC'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 THE ORGANIZATION COMPILES NECESSARY INFORMATION FOR FORM 990 WITH VARIOUS OFFICERS AND DIRECTORS OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THE VANDALIA HEALTH INC. CHIEF FINANCIAL OFFICER REVIEWS THE COMPLETED FORM 990 WITH THE CAMC PLATEAU MEDICAL CENTER, INC. BOARD OF TRUSTEES. 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 DIRECTORS 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 VANDALIA HEALTH'S MANAGEMENT COMPLIANCE COMMITTEE. THE COMPLIANCE OFFICER WILL INFORM THE BOARD OF DIRECTORS AUDIT COMMITTEE AT THEIR NEXT SCHEDULED MEETING OF ALL SUCH ACTIVITIES APPROVED BY THE VANDALIA HEALTH 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 COMPANIES AND EXECUTIVES. THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF PRESIDENT. THE DATA IS REVIEWED EVERY TWO YEARS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDIT IS PART OF A CONSOLIDATED FINANCIAL AUDIT FOR VANDALIA HEALTH, INC. AND SUBSIDIARIES. CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ONLINE 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 6,443,002. MANAGEMENT AND GENERAL EXPENSES 709,098. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,152,100. VANDALIA HEALTH INC PO BOX 1547 CHARLESTON WV 253261547 550664138 PARENT COMPANY WV 501(C)(3) 12C, III-FI N/A 0 CAMC FOUNDATION INC PO BOX 1547 CHARLESTON WV 253261547 310887133 FUNDRAISING WV 501(C)(3) 12A, I CHARLESTON AREA MEDICAL CENTER INC 1 CHARLESTON AREA MEDICAL CENTER INC PO BOX 1547 CHARLESTON WV 253261547 550526150 HOSPITAL WV 501(C)(3) 3 VANDALIA HEALTH INC 0 MONONGALIA HEALTH SYSTEM INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550621551 PARENT COMPANY WV 501(C)(3) 12C, III-FI VANDALIA HEALTH INC 0 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 237441353 HOSPITAL WV 501(C)(3) 3 MONONGALIA HEALTH SYSTEM INC 1 MON ELDER SERVICES INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 311520863 CONTINUING CARE RETIREMENT CENTER WV 501(C)(3) 10 MONONGALIA HEALTH SYSTEM INC 1 THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550570338 RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL WV 501(C)(3) 7 MONONGALIA COUNTY GENERAL HOSPITAL CO 1 PRESTON MEMORIAL HOSPITAL 150 MEMORIAL DRIVE KINGWOOD WV 26537 311097818 HOSPITAL WV 501(C)(3) 3 MONONGALIA HEALTH SYSTEM INC 1 PRESTON MEMORIAL MEDICAL GROUP 300 SOUTH PRICE STREET KINGWOOD WV 26537 550717988 PRIMARY AND URGENT CARE WV 501(C)(3) 3 PRESTON MEMORIAL HOSPITAL CORPORATION 1 PRESTON MEMORIAL HOSPITAL FOUNDATION 300 SOUTH PRICE STREET KINGWOOD WV 26537 550740121 RAISE FUNDS FOR PRESTON HOSPITAL WV 501(C)(3) 12B, II PRESTON MEMORIAL HOSPITAL CORPORATION 1 AUXILIARY OF MONONGALIA GENERAL HOSPITAL INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550362965 RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL WV 501(C)(3) 12A, I MONONGALIA COUNTY GENERAL HOSPITAL CO 1 LIABILITY INSURANCE TRUST FOR MONONGALIA HEALTH SYSTEM 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550689535 LIABILITY INSURANCE TRUST WV 501(C)(3) 12A, I MONONGALIA HEALTH SYSTEM INC 1 STONEWALL JACKSON MEMORIAL HOSPITAL 230 HOSPITAL PLAZA WESTON WV 26452 550422958 HOSPITAL WV 501(C)(3) 3 MONONGALIA HEALTH SYSTEM INC 1 MON HEALTH MARION NEIGHBORHOOD HOSPITAL INC 140 MIDDLETOWN LOOP WHITEHALL WV 26554 853994078 HOSPITAL WV 501(C)(3) 3 MONONGALIA HEALTH SYSTEM INC 1 CAMC GREENBRIER VALLEY MEDICAL CENTER INC 1320 MAPLEWOOD AVENUE RONCEVERTE WV 24970 884128022 HOSPITAL WV 501(C)(3) 3 CHARLESTON AREA MEDICAL CENTER INC 1 CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC PO BOX 1547 CHARLESTON WV 253261547 550753754 MEDICAL EDUCATIONAL RESEARCH WV 501(C)(3) 12A, I CHARLESTON AREA MEDICAL CENTER INC 1 DAVIS HEALTH SYSTEM INC PO BOX 1484 ELKINS WV 26241 550737655 HEALTH SYSTEM WV 501(C)(3) 12B, II MONONGALIA HEALTH SYSTEM INC 1 DAVIS MEMORIAL HOSPITAL INC PO BOX 1484 ELKINS WV 26241 550375433 HOSPITAL WV 501(C)(3) 3 DAVIS HEALTH SYSTEM INC 1 BROADDUS HOSPITAL ASSOCIATION INC PO BOX 930 PHILLIPI WV 26416 550379108 HOSPITAL WV 501(C)(3) 3 DAVIS HEALTH SYSTEM INC 1 DAVIS HEALTH SYSTEM FOUNDATION INC PO BOX 1188 ELKINS WV 26241 320185772 PROVIDES SUPPORT TO DAVIS HEALTH SYSTEM ENTITIES WV 501(C)(3) 10 DAVIS HEALTH SYSTEM INC 1 WEBSTER MEMORIAL HOSPITAL 812 GORMAN AVENUE ELKINS WV 26241 871759588 HOSPITAL WV 501(C)(3) 3 DAVIS HEALTH SYSTEM INC 1 GENERAL DIVISION MEDICAL OFFICE BUILDING LLC PO BOX 1547 CHARLESTON WV 253261547 550623949 MEDICAL OFFICE BUILDING WV N/A 0 0 DASCO-CAMC HOME MEDICAL EQUIPMENT LLC 501 MORRIS STREET CHARLESTON WV 25301 844487189 HOME MEDICAL EQUIPMENT WV N/A 0 0 MGH SURGERY LLC 2000 MON HEALTH MEDICAL PARK DRIVE MORGANTOWN WV 26505 472736896 SURGERY CENTER WV N/A 0 0 MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC 375 N WEST ST WESTERVILLE OH 43082 871577276 HOME MEDICAL EQUIPMENT OH N/A 0 0 CHARLESTON SURGICAL HOSPITAL LLC 1306 KANAWHA BLVD E CHARLESTON WV 25301 550526191 SURGERY CENTER WV N/A 0 0 VANDALIA INSURANCE COMPANY 76 ST PAUL STREET STE 500 BURLINGTON VT 05401 030308754 INSURANCE VT N/A C 1 MON HEALTH CARE INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550654973 MEDICAL EQUIPMENT WV N/A C 1 STONEWALL HOME OXYGEN THERAPY INC 100 MARKET PLACE MALL SUITE 8 WESTON WV 26452 550754278 OXYGEN THERAPY SERVICES WV N/A C 1 HEALTH FACILITIES INC 909 GORMAN AVENUE ELKINS WV 26241 550516937 HEALTH CARE WV N/A C 1 CENTRAL WV MEDCORP INC PO BOX 2630 ELKINS WV 26241 550739314 PHYSICIAN SERVICES WV N/A C 1 DAVIS REGIONAL HEALTH PARTNERS INC PO BOX 2632 ELKINS WV 26241 550746206 CONTRACT NEGOTIATIONS WV N/A C 1 XERCOR RE SEGREGATED PORTFOLIO #2 DAVIS 18 FORUM LANE 2ND FLOOR GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 CAPTIVE INSURANCE CJ N/A C 1 FAIRMONT HOME EQUIPMENT AND SUPPLY 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 550763259 EQUIPMENT RENT & SVC WV N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 CAMC GREENBRIER VALLEY MEDICAL CENTER INC P 179046 FAIR MARKET VALUE CAMC GREENBRIER VALLEY MEDICAL CENTER INC Q 171350 FAIR MARKET VALUE