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Nonprofiteer
← CAMDEN-CLARK PHYSICIAN CORPORATION

Form 990 for tax year 2022

Filed by CAMDEN-CLARK PHYSICIAN CORPORATION.

Totals

Total revenue
$70,217,046
Total expenses
$70,217,050
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$69,815,306
Investment income
$0
Other revenue
$401,740
Total assets, end of year
$14,372,228
Total liabilities, end of year
$11,457,705
Net assets or fund balances, end of year
$2,914,523
Program services expenses (Part IX)
$67,915,531
Management and general expenses
$2,301,519
Fundraising expenses
$0
Program service expenses (Part III)
$67,915,531

Program services were 96.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Net Patient Revenue

    total $44,536,746 · related or exempt $44,536,746

  • 2b · Program service revenue: Hospital Support Revenue

    total $11,612,887 · related or exempt $11,612,887

  • 2c · Program service revenue: CARES Act Funding

    total $2,276,720 · related or exempt $2,276,720

  • 2d · Program service revenue: Contracted Services

    total $11,388,953 · related or exempt $11,388,953

  • 6a · Gross rents

    real property $52,669

  • 6b · Less rental expenses

    real property $24,000

  • 6c · Rental income or loss

    real property $28,669

  • 6d · Net rental income or loss

    total $28,669 · excluded $28,669

  • 11a · Other revenue: Other Miscellaneous Revenue

    total $372,131 · related or exempt $372,131

  • 11b · Other revenue: Rebate Revenue

    total $522 · excluded $522

  • 11c · Other revenue: Cash Discounts

    total $418 · related or exempt $418

  • 11e · Other revenue, total

    $373,071

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $1,241,224 · program services $1,241,224

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $41,103,756 · program services $39,621,118 · management and general $1,482,638

  • 8 · Pension plan contributions

    total $794,800 · program services $765,141 · management and general $29,659

  • 9 · Other employee benefits

    total $5,563,523 · program services $5,360,779 · management and general $202,744

  • 10 · Payroll taxes

    total $1,343,980 · program services $1,295,502 · management and general $48,478

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $50 · program services $50

  • 11d · Fees: lobbying

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $5,567,563 · program services $5,447,299 · management and general $120,264

  • 12 · Advertising and promotion

    total $40 · program services $40

  • 13 · Office expenses

    total $240,434 · program services $199,868 · management and general $40,566

  • 14 · Information technology

    total $5,440 · program services $5,110 · management and general $330

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $628,601 · program services $532,895 · management and general $95,706

  • 17 · Travel

    total $5,984 · program services $1,678 · management and general $4,306

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $27,325 · program services $27,000 · management and general $325

  • 20 · Interest

    total $24,343 · program services $24,343

  • 21 · Payments to affiliates

    total $8,102,949 · program services $8,101,106 · management and general $1,843

  • 22 · Depreciation, depletion and amortization

    total $473,823 · program services $351,529 · management and general $122,294

  • 23 · Insurance

    total $871,422 · program services $866,783 · management and general $4,639

  • 24a · Other expenses: Provision for Doubtful Accounts

    total $2,655,711 · program services $2,655,711

  • 24b · Other expenses: Medical Supplies

    total $799,134 · program services $799,134

  • 24c · Other expenses: Taxes, Licenses Fees

    total $97,919 · program services $4,875 · management and general $93,044

  • 24d · Other expenses: Educational Training

    total $269,578 · program services $263,153 · management and general $6,425

  • 24e · All other expenses

    total $399,451 · program services $351,193 · management and general $48,258

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $662,769 · end of year $1,132,204

  • 2 · Savings and temporary cash investments

    beginning of year $108,811

  • 4 · Accounts receivable

    beginning of year $6,954,003 · end of year $8,601,976

  • 7 · Other notes and loans receivable

    beginning of year $45,000 · end of year $16,500

  • 9 · Prepaid expenses and deferred charges

    beginning of year $249,754 · end of year $139,048

  • 10a · Land, buildings and equipment: cost or other basis

    $4,708,627

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,967,396

  • 10c · Land, buildings and equipment, net

    beginning of year $1,756,980 · end of year $2,741,231

  • 15 · Other assets

    beginning of year -$2,754,840 · end of year $1,741,269

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,953,085 · end of year $8,386,678

  • 19 · Deferred revenue

    beginning of year $428,948 · end of year $653,090

  • 25 · Other liabilities

    beginning of year $1,529,527 · end of year $2,417,937

  • 27 · Net assets without donor restrictions

    beginning of year $3,110,917 · end of year $2,914,523

Mission and programs · 2022

Mission

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

Activities or mission (Part I)

To support, manage, and furnish facilities, personnel, and medical services to individuals in need.

  • 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.

    Expenses $10,655,116 · Revenue $3,800,705

  • 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.

    Expenses $11,525,411 · Revenue $6,138,538

  • 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.

    Expenses $7,985,117 · Revenue $6,841,751

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael Shockley MD

    Physician

    Total calculated
    $1,011,620
    From this org
    $980,019
    From related orgs
    $0
    Other
    $31,601
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $562,814
    Bonus
    $412,708
    Other
    $4,497
    Deferred
    $1,973
    Nontaxable benefits
    $29,628
    Filer's total
    $1,011,620

  • David Mendoza MD

    Physician

    Total calculated
    $918,066
    From this org
    $875,412
    From related orgs
    $0
    Other
    $42,654
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $741,861
    Bonus
    $131,154
    Other
    $2,397
    Deferred
    $13,725
    Nontaxable benefits
    $28,929
    Filer's total
    $918,066

  • Patrick Dugan MD

    Physician

    Total calculated
    $866,824
    From this org
    $824,170
    From related orgs
    $0
    Other
    $42,654
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $731,361
    Bonus
    $91,567
    Other
    $1,242
    Deferred
    $13,725
    Nontaxable benefits
    $28,929
    Filer's total
    $866,824

  • Steve Altmiller

    Ex Offico Director/ CCMC President CEO

    Total calculated
    $836,971
    From this org
    $0
    From related orgs
    $801,758
    Other
    $35,213
    Hours/week
    1 + 41.5 related

    Schedule J breakdown matched by us

    Base
    not reported + $497,031 related
    Bonus
    not reported + $177,816 related
    Other
    not reported + $126,911 related
    Deferred
    not reported + $13,725 related
    Nontaxable benefits
    not reported + $21,488 related
    Filer's total
    not reported + $836,971 related

  • Bairava Kuppuswamy MD

    Director - Vice Chairman

    Total calculated
    $811,314
    From this org
    $768,964
    From related orgs
    $0
    Other
    $42,350
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $476,426
    Bonus
    $291,232
    Other
    $1,306
    Deferred
    $13,725
    Nontaxable benefits
    $28,625
    Filer's total
    $811,314

  • Abiy Kelil MD

    Physician

    Total calculated
    $781,682
    From this org
    $739,041
    From related orgs
    $0
    Other
    $42,641
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $519,905
    Bonus
    $218,251
    Other
    $885
    Deferred
    $13,725
    Nontaxable benefits
    $28,916
    Filer's total
    $781,682

  • Matthew Yoak MD

    Physician

    Total calculated
    $745,518
    From this org
    $716,219
    From related orgs
    $0
    Other
    $29,299
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $646,691
    Bonus
    $67,131
    Other
    $2,397
    Deferred
    $11,250
    Nontaxable benefits
    $18,049
    Filer's total
    $745,518

  • Heather Irvin MD

    Director

    Total calculated
    $429,909
    From this org
    $387,589
    From related orgs
    $0
    Other
    $42,320
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $377,704
    Bonus
    $9,000
    Other
    $885
    Deferred
    $13,725
    Nontaxable benefits
    $28,595
    Filer's total
    $429,909

  • Kyle Pierson

    Board Treasurer - non voting, CCMC VP Finance - West Region

    Total calculated
    $373,275
    From this org
    $0
    From related orgs
    $307,174
    Other
    $66,101
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $251,567 related
    Bonus
    not reported + $54,181 related
    Other
    not reported + $1,426 related
    Deferred
    not reported + $37,277 related
    Nontaxable benefits
    not reported + $28,824 related
    Filer's total
    not reported + $373,275 related

  • John Forester

    VP of Provider Network Services

    Total calculated
    $373,175
    From this org
    $0
    From related orgs
    $334,142
    Other
    $39,033
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $268,698 related
    Bonus
    not reported + $64,253 related
    Other
    not reported + $1,191 related
    Deferred
    not reported + $10,285 related
    Nontaxable benefits
    not reported + $28,748 related
    Filer's total
    not reported + $373,175 related

  • Brandon Koehler

    VP of Finance - Provider Network Services through August 2022

    Total calculated
    $243,706
    From this org
    $33,597
    From related orgs
    $190,382
    Other
    $19,727
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    $23,875 + $135,290 related
    Bonus
    $8,987 + $50,927 related
    Other
    $735 + $4,165 related
    Deferred
    $2,858 + $16,195 related
    Nontaxable benefits
    $101 + $573 related
    Filer's total
    $36,556 + $207,150 related

  • Sean Smith

    Board Secretary -non voting, CCMC VP Operations/WCH President

    Total calculated
    $207,661
    From this org
    $0
    From related orgs
    $175,578
    Other
    $32,083
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $142,625 related
    Bonus
    not reported + $29,880 related
    Other
    not reported + $3,073 related
    Deferred
    not reported + $17,895 related
    Nontaxable benefits
    not reported + $14,188 related
    Filer's total
    not reported + $207,661 related

  • Orton Armstrong MD

    Director - Chairman

    Total calculated
    $0
    Hours/week
    1

  • Lindsey Anderson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sister Joan Kreyenbuhl

    Director

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
9 May 2023
IRS schema version
2022v5.0
Source object
202333179349309743

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