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Nonprofiteer
← CAMDEN-CLARK HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by CAMDEN-CLARK HEALTH SERVICES INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

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.

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 $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24e · All other expenses

    total $0

Mission and programs · 2023

Mission

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.

Activities or mission (Part I)

To aid, strengthen, support, benefit and further the work of Camden-Clark Memorial Hospital Corporation.

  • 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.

As filed on the 2023 return.

Listed in Part VII

  • Steve Altmiller

    CCMC President CEO

    Total calculated
    $849,847
    From this org
    $0
    From related orgs
    $812,945
    Other
    $36,902
    Hours/week
    1 + 42.5 related

    Schedule J breakdown matched by us

    Base
    not reported + $521,783 related
    Bonus
    not reported + $182,029 related
    Other
    not reported + $109,133 related
    Deferred
    not reported + $14,850 related
    Nontaxable benefits
    not reported + $22,052 related
    Filer's total
    not reported + $849,847 related

  • Doug Coffman

    Director through 08.01.23

    Total calculated
    $800,899
    From this org
    $0
    From related orgs
    $775,026
    Other
    $25,873
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    not reported + $489,050 related
    Bonus
    not reported + $198,611 related
    Other
    not reported + $87,365 related
    Deferred
    not reported + $14,850 related
    Nontaxable benefits
    not reported + $11,023 related
    Filer's total
    not reported + $800,899 related

  • Matthew Yoak MD

    Director

    Total calculated
    $722,057
    From this org
    $0
    From related orgs
    $687,989
    Other
    $34,068
    Hours/week
    1 + 1 related

    Schedule J breakdown matched by us

    Base
    not reported + $646,998 related
    Bonus
    not reported + $35,669 related
    Other
    not reported + $5,322 related
    Deferred
    not reported + $14,850 related
    Nontaxable benefits
    not reported + $19,218 related
    Filer's total
    not reported + $722,057 related

  • Sean Smith

    CCMC VP Operations/WCH President

    Total calculated
    $451,172
    From this org
    $0
    From related orgs
    $377,039
    Other
    $74,133
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $302,054 related
    Bonus
    not reported + $68,303 related
    Other
    not reported + $6,682 related
    Deferred
    not reported + $44,643 related
    Nontaxable benefits
    not reported + $29,490 related
    Filer's total
    not reported + $451,172 related

  • Kyle Pierson

    CCMC VP Finance - West Region

    Total calculated
    $422,270
    From this org
    $0
    From related orgs
    $348,846
    Other
    $73,424
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    not reported + $283,018 related
    Bonus
    not reported + $60,167 related
    Other
    not reported + $5,661 related
    Deferred
    not reported + $42,301 related
    Nontaxable benefits
    not reported + $31,123 related
    Filer's total
    not reported + $422,270 related

  • Carlie Lacy

    CCMC VP General Counsel

    Total calculated
    $354,033
    From this org
    $0
    From related orgs
    $275,237
    Other
    $78,796
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $225,999 related
    Bonus
    not reported + $45,183 related
    Other
    not reported + $4,055 related
    Deferred
    not reported + $49,573 related
    Nontaxable benefits
    not reported + $29,223 related
    Filer's total
    not reported + $354,033 related

  • Walter Kerschl

    CCMC Chief Medical Officer 2022

    Total calculated
    $349,654
    From this org
    $0
    From related orgs
    $349,654
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported
    Bonus
    not reported
    Other
    not reported + $349,654 related
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $349,654 related

  • Cynthia Kern

    CCMC VP Quality Patient Safety

    Total calculated
    $345,274
    From this org
    $0
    From related orgs
    $323,992
    Other
    $21,282
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $242,725 related
    Bonus
    not reported + $55,125 related
    Other
    not reported + $26,142 related
    Deferred
    not reported + $12,128 related
    Nontaxable benefits
    not reported + $9,154 related
    Filer's total
    not reported + $345,274 related

  • MarJean Kennedy

    CCMC VP Mktg Dev Strat Init

    Total calculated
    $307,051
    From this org
    $0
    From related orgs
    $264,401
    Other
    $42,650
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $214,896 related
    Bonus
    not reported + $43,937 related
    Other
    not reported + $5,568 related
    Deferred
    not reported + $31,306 related
    Nontaxable benefits
    not reported + $11,344 related
    Filer's total
    not reported + $307,051 related

  • Christine Daniels

    CCMC VP, Nursing 2022

    Total calculated
    $150,207
    From this org
    $0
    From related orgs
    $150,207
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported
    Bonus
    not reported
    Other
    not reported + $150,207 related
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $150,207 related

  • Mary Jo Shahan

    CCMC Interim CFO 2019

    Total calculated
    $104,451
    From this org
    $0
    From related orgs
    $104,451
    Other
    $0

    Schedule J breakdown matched by us

    Base
    not reported + $102,872 related
    Bonus
    not reported + $1,500 related
    Other
    not reported + $79 related
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $104,451 related

  • Terry Capel MD

    Chairman

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kathy Eddy

    Vice Chairman

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Randall E Snider

    Director - Secretary

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Lynford Lovell

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Orton Armstrong MD

    Director - Chairman

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Joe Campbell

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sister Joan Kreyenbuhl

    Director through 11.10.23

    Total calculated
    $0
    Hours/week
    1 + 1 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 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
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 4a
Both Walter Kerschl and Christine Daniels received severance pay in 2023 which is reported in Column iii of Schedule J Part II and on Form W2.
Part I Line 4b
Kyle Pierson received deferred compensation contributions in the amount of 29,173. Sean Smith received deferred compensation contributions in the amount of 15,376 which was paid in equal portions between CCMC and Wetzel County Hospital. MarJean Kennedy received deferred compensation contributions in the amount of 21,590. Carlie Lacy received deferred compensation contributions in the amount of 39,160. The amount was properly recorded in deferred compensation on the Form 990 Schedule J and reported on their Kyle Pierson received deferred compensation contributions in the amount of 29,173. Sean Smith received deferred compensation contributions in the amount of 30,752 which was paid in equal portions between CCMC and Wetzel County Hospital. MarJean Kennedy received deferred compensation contributions in the amount of 21,590. Carlie Lacy received deferred compensation contributions in the amount of 39,160. The amount was properly recorded in deferred compensation on the Form 990 Schedule J and reported on their W2s.
Part I Line 4b
During 2023, certain individuals reported in Part VII participated in a nonqualified retirement plan and received direct cash payments instead of deferral of income. Douglas Coffman received cash distributions of 58,370 and Steve Altmiller received cash distributions of 93,275.
Part II Line 4
Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2023 she was compensated for consulting work and interim CFO for related party, Uniontown Hospital.

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 corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202433179349304538

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