Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $10,000

• 1f · All other contributions, gifts and grants

  $453,000

• 11a · Other revenue: VALUE BASED PAYMENTS

  total $2,666,300 · related or exempt $2,666,300

• 11b · Other revenue: AFFILIATE SUPPORT

  total $797,717 · related or exempt $797,717

• 11e · Other revenue, total

  $3,464,017

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $455,000 · program services $455,000

• 7 · Other salaries and wages

  total $2,164,232 · program services $2,164,232

• 8 · Pension plan contributions

  total $63,856 · program services $63,856

• 9 · Other employee benefits

  total $764,536 · program services $10,627 · management and general $753,909

• 10 · Payroll taxes

  total $168,261 · program services $168,261

• 11a · Fees: management

  total $1,047,469 · management and general $1,047,469

• 11b · Fees: legal

  total -$26,297 · management and general -$26,297

• 11c · Fees: accounting

  total $35,498 · management and general $35,498

• 11f · Fees: investment management

  total $10,610 · management and general $10,610

• 11g · Fees: other

  total $1,584,326 · management and general $1,584,326

• 12 · Advertising and promotion

  total $47,268 · program services $47,268

• 13 · Office expenses

  total $11,807 · program services $11,807

• 14 · Information technology

  total $541,361 · program services $541,361

• 16 · Occupancy

  total $129,723 · program services $107,692 · management and general $22,031

• 17 · Travel

  total $15,789 · management and general $15,789

• 19 · Conferences, conventions and meetings

  total $14,795 · program services $14,795

• 23 · Insurance

  total $2,922 · management and general $2,922

• 24a · Other expenses: MINOR DURABLES

  total $12,110 · program services $12,110 · management and general $0

• 24b · Other expenses: DIETARY

  total $11,803 · program services $11,803 · management and general $0

• 24c · Other expenses: DUES BOOKS

  total $292 · program services $292 · management and general $0

Balance sheet

Part X, book values.

• 4 · Accounts receivable

  beginning of year $123,876 · end of year $111,650

• 9 · Prepaid expenses and deferred charges

  beginning of year $0 · end of year $41,250

• 12 · Investments: other securities

  beginning of year $108,875 · end of year $108,875

• 13 · Investments: program-related

  beginning of year $1,062,871,241 · end of year $1,179,118,496

• 15 · Other assets

  beginning of year $4,287,162 · end of year $3,218,790

• 17 · Accounts payable and accrued expenses

  beginning of year $3,166,680 · end of year $1,683,270

• 19 · Deferred revenue

  beginning of year $1,250,000 · end of year $2,500,000

• 25 · Other liabilities

  beginning of year $12,944,935 · end of year $13,891,839

• 27 · Net assets without donor restrictions

  beginning of year $946,769,889 · end of year $1,095,558,888

• 28 · Net assets with donor restrictions

  beginning of year $103,259,650 · end of year $68,965,064

The filer's explanations (Part III)

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 IS AGE 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: DAVID L. RAMSEY - $135,173 GLENN CROTTY JR., M.D. - $66,114 KRISTI SNYDER - $43,658 ANGELA FENTON HILL - $44,997 MICHELLE COON - $59,642

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• CAMC HEALTH NETWORK LLC

  INTEGRATOR OF CARE · WV · income $2,699,075 · assets $3,302,122

  Directly controlled by VANDALIA HEALTH INC

• VANDALIA PROVIDER & HOSPITAL ORGANIZATION LLC

  INTEGRATOR OF CARE · WV · income $485,500 · assets $69,569

  Directly controlled by VANDALIA HEALTH INC

Related partnerships

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

• WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC

  MEDICAL OFFICE BUILDING · WV

• GENERAL DIVISION MEDICAL OFFICE BUILDING LLC

  MEDICAL OFFICE BUILDING · WV

• DASCO-CAMC HOME MEDICAL EQUIPMENT LLC

  HOME MEDICAL EQUIPMENT · WV

• MGH SURGERY LLC

  SURGERY CENTER · WV

• MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC

  HOME MEDICAL EQUIPMENT · OH

• CHARLESTON SURGICAL HOSPITAL LLC

  SURGERY CENTER · WV

Related corporations and trusts

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

• VANDALIA INSURANCE COMPANY

  C · INSURANCE · VT · controlled entity

• MON HEALTH CARE INC

  C · MEDICAL EQUIPMENT · WV · controlled entity

• STONEWALL HOME OXYGEN THERAPY INC

  C · OXYGEN THERAPY SERVICES · WV · controlled entity

• FAIRMONT HOME EQUIPMENT AND SUPPLY

  C · EQUIPMENT RENT & SVC · WV · controlled entity

• MORGANTOWN PHYSICAL THERAPY ASSOC INC

  C · REHABILITATION SERVICES · WV · controlled entity

• HEALTH FACILITIES INC

  C · HEALTH CARE · WV · controlled entity

• CENTRAL WV MEDCORP INC

  C · PHYSICIAN SERVICES · WV · controlled entity

• DAVIS REGIONAL HEALTH PARTNERS INC

  C · CONTRACT NEGOTIATIONS · WV · controlled entity

• ZERCOR RE SEGREGATED PORTFOLIO #2 DAVIS

  C · CAPTIVE INSURANCE · CJ · controlled entity