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Nonprofiteer
← CAMDEN-CLARK HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by CAMDEN-CLARK HEALTH SERVICES INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$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

Listed in Part VII

  • Doug Coffman

    Director April 2022-Present

    Total calculated
    $977,596
    From this org
    $0
    From related orgs
    $952,288
    Other
    $25,308
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    not reported + $659,493 related
    Bonus
    not reported + $193,194 related
    Other
    not reported + $99,601 related
    Deferred
    not reported + $13,725 related
    Nontaxable benefits
    not reported + $11,583 related
    Filer's total
    not reported + $977,596 related

  • Steve Altmiller

    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

  • Walter Kerschl

    CCMC CMO

    Total calculated
    $540,512
    From this org
    $0
    From related orgs
    $469,400
    Other
    $71,112
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $307,006 related
    Bonus
    not reported + $84,892 related
    Other
    not reported + $77,502 related
    Deferred
    not reported + $48,624 related
    Nontaxable benefits
    not reported + $22,488 related
    Filer's total
    not reported + $540,512 related

  • Kyle Pierson

    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

  • Christine Daniels

    CCMC VP, Nursing

    Total calculated
    $348,140
    From this org
    $0
    From related orgs
    $315,336
    Other
    $32,804
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $129,875 related
    Bonus
    not reported + $52,901 related
    Other
    not reported + $132,560 related
    Deferred
    not reported + $18,063 related
    Nontaxable benefits
    not reported + $14,741 related
    Filer's total
    not reported + $348,140 related

  • Cynthia Kern

    CCMC VP Quality Patient Safety

    Total calculated
    $323,377
    From this org
    $0
    From related orgs
    $311,904
    Other
    $11,473
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $235,594 related
    Bonus
    not reported + $51,087 related
    Other
    not reported + $25,223 related
    Deferred
    not reported + $10,264 related
    Nontaxable benefits
    not reported + $1,209 related
    Filer's total
    not reported + $323,377 related

  • MarJean Kennedy

    CCMC VP Mktg Dev Strat Init

    Total calculated
    $246,205
    From this org
    $0
    From related orgs
    $227,432
    Other
    $18,773
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $188,034 related
    Bonus
    not reported + $38,127 related
    Other
    not reported + $1,271 related
    Deferred
    not reported + $18,773 related
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $246,205 related

  • Sean Smith

    CCMC VP Operations/WCH President

    Total calculated
    $207,658
    From this org
    $0
    From related orgs
    $175,575
    Other
    $32,083
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $142,625 related
    Bonus
    not reported + $29,880 related
    Other
    not reported + $3,070 related
    Deferred
    not reported + $17,895 related
    Nontaxable benefits
    not reported + $14,188 related
    Filer's total
    not reported + $207,658 related

  • Carlie Lacy

    CCMC VP General Counsel, March - Present

    Total calculated
    $155,982
    From this org
    $0
    From related orgs
    $121,570
    Other
    $34,412
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $121,305 related
    Bonus
    not reported
    Other
    not reported + $265 related
    Deferred
    not reported + $18,229 related
    Nontaxable benefits
    not reported + $16,183 related
    Filer's total
    not reported + $155,982 related

  • Mary Jo Shahan

    CCMC Interim CFO 2019

    Total calculated
    $149,600
    From this org
    $0
    From related orgs
    $149,600
    Other
    $0

    Schedule J breakdown matched by us

    Base
    not reported + $149,600 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $149,600 related

  • Todd Kruger

    CCMC General Counsel Jan - March

    Total calculated
    $140,428
    From this org
    $0
    From related orgs
    $115,570
    Other
    $24,858
    Hours/week
    1 + 39 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

  • Randy Snider

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Lynford Lovell

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Orton Armstrong MD

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Joe Campbell

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sister Joan Kreyenbuhl

    Director

    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 — 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

Answered no

  • 4a · Severance or change-of-control payment
  • 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 4b
Kyle Pierson received deferred compensation contributions in the amount of 25,708. Walter Kerschl received deferred compensation contributions in the amount of 39,140. Sean Smith received deferred compensation contributions in the amount of 29,125 which was paid in equal portions between CCMC and Wetzel County Hospital. Christine Daniel received deferred compensation contributions in the amount of 12,195. MarJean Kennedy received deferred compensation contributions in the amount of 18,773. Carlie Lacy received deferred compensation contributions in the amount of 12,615. The amount was properly recorded in deferred compensation on the Form 990 Schedule J and reported on their W2s.
Part II Line 4
Mary Jo Shahan was interim CFO in 2019 for Camden-Clark Memorial Hospital Corporation. However, in 2020 she was compensated for consulting work and interim CFO for related party, United Summit Center, Inc.. In 2021 and 2022 she was compensated for assisting the VP of Finance of related party, WVUH-East.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202323189349306902

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