TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DAVID L RAMSEY...................................................................... TRUSTEE & VANDALIA HEALTH CEO	50.00 ................. 15.00	X	X	1,993,785	166,947
(2) GLENN CROTTY JR MD...................................................................... PRESIDENT & CEO	50.00 ................. 8.50	X	X	1,011,030	57,089
(3) RYAN FITZWATER DO...................................................................... TRUSTEE/PAST CHIEF OF STAFF	42.50 ................. 0.00	X		917,805	70,142
(4) BARRY M MITCHELL MD...................................................................... TRUSTEE/CHIEF OF STAFF	3.00 ................. 0.50	X		696,215	15,154
(5) JOHN R HOBLITZELL ESQ...................................................................... CHAIRMAN	3.00 ................. 3.00	X	X	0	0
(6) MARK A CHANDLER...................................................................... VICE CHAIR	3.00 ................. 2.50	X	X	0	0
(7) CHARLES L CAPITO JR...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(8) EDWIN H WELCH PH D...................................................................... TRUSTEE	2.50 ................. 3.00	X		0	0
(9) ERIC A HICKS...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(10) FONDA ELLIOT...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(11) KAREN S PRICE...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(12) KENNETH L TACKETT...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(13) MELVIN JONES...................................................................... TRUSTEE	2.50 ................. 2.50	X		0	0
(14) S SHAWN GROVES MD...................................................................... TRUSTEE (UNTIL 2/2023)	2.50 ................. 0.00	X		0	0
(15) STEFAN MAXWELL MD...................................................................... TRUSTEE	2.50 ................. 0.00	X		0	0
(16) WILLIAM A RICE JR...................................................................... TRUSTEE	2.50 ................. 3.00	X		0	0
(17) JEFF SANDENE...................................................................... EXECUTIVE VP & CFO	50.00 ................. 17.00		X	776,511	254,822

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) JEFFREY L OSKIN........................................................................ SENIOR VP & COO	50.00 .......................0.00	X			655,852	258,011
(19) JEFFREY L GOODE........................................................................ SENIOR VP AMBULATORY SERVICES	50.00 .......................0.00	X			543,975	318,932
(20) ANGELA FENTON HILL........................................................................ SECRETARY & GENERAL COUNSEL	50.00 .......................7.00	X			550,811	295,138
(21) DANIEL STROSS........................................................................ VP INFO SVCS & CIO	50.00 .......................5.00	X			656,277	154,346
(22) KRISTI SNYDER........................................................................ VP HUMAN RESOURCES	50.00 .......................6.00	X			519,922	215,477
(23) S ANDREW WEBER........................................................................ VP ADMINISTRATOR	50.00 .......................0.00	X			463,987	220,555
(24) THOMAS P MCILWAIN MD........................................................................ VP CHIEF MEDICAL OFFICER	50.00 .......................0.00	X			620,147	51,917
(25) GEORGE FARRIS........................................................................ VP ADMINISTRATOR	50.00 .......................0.00	X			529,810	111,872
(26) HEIDI EDWARDS........................................................................ VP & CNO	50.00 .......................1.00	X			419,179	208,616
(27) HEATHER LEWIS........................................................................ VP CHIEF QUALITY & SAFETY OFFICER	50.00 .......................0.00	X			378,481	127,163
(28) D MICHELLE COON........................................................................ VP MANAGED CARE CONTRACTING	50.00 .......................5.00	X			378,734	117,006
(29) RANDALL HODGES........................................................................ VP ADMINISTRATOR	50.00 .......................0.00	X			388,550	52,267
(30) CHRISTINE STURTEVANT........................................................................ VP REVENUE CYCLE	50.00 .......................5.00	X			350,488	58,562
(31) CHAD HOVIS........................................................................ VP FINANCE	50.00 .......................0.00	X			274,671	121,770
(32) ELIZABETH PELLEGRIN........................................................................ VP & CHIEF MARKETING OFFICER	50.00 .......................5.00	X			279,550	82,653
(33) MYRANDA PIKE........................................................................ VP & CCO	50.00 .......................5.00	X			267,594	71,334
(34) STEVE PERRY........................................................................ VP SUPPLY CHAIN & CPO	50.00 .......................5.00	X			251,809	60,264
(35) TAMARA FULLER........................................................................ VP & CHIEF STRATEGY OFFICER	50.00 .......................5.00	X			217,588	75,498
(36) NATHAN KISTER........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,779,770	66,822
(37) HAZAIM ALWAIR........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,725,434	67,745
(38) SANGEETA MANDAPAKA........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,711,183	31,519
(39) MITCHELL RASHID........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,646,676	67,745
(40) ROBERT SHIN........................................................................ PHYSICIAN	40.00 .......................0.00		X		1,623,991	66,822
(41) REBECCA STEVENSON........................................................................ CHIEF COMPLIANCE OFFICER (END 2022)	50.00 .......................5.00			X	174,592	63,590

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS LLC PO BOX 123847 DALLAS,TX753123847	NURSING SERVICES	60,816,816
WVU PHYSICIANS OF CHARLESTON 3110 MACCORKLE AVE SE CHARLESTON,WV25304	GME/PHYSICIAN SERVICES	52,085,028
CHARLESTON AREA RADIATION THERAPY CENTER PO BOX 19532 IRVINE,CA92623	RADIATION SERVICES	16,733,093
SPILMAN THOMAS & BATTLE 300 KANAWHA BLVD E CHARLESTON,WV25301	LEGAL SERVICES	10,401,470
COMPHEALTH PO BOX 972651 DALLAS,TX753972651	MEDICAL SERVICES	10,157,711
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 87

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization CHARLESTON AREA MEDICAL CENTER INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization CHARLESTON AREA MEDICAL CENTER INC		Employer identification number 55-0526150

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization CHARLESTON AREA MEDICAL CENTER INC			Employer identification number 55-0526150
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

3,810

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

157,871

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

96,181

Total. Add lines 1c through 1i ....................................................................................................

257,862

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	OCCASIONALLY, INDIVIDUALS ARE ASKED BY LEGISLATORS AT BOTH THE STATE AND NATIONAL LEVELS FOR OPINIONS ON CERTAIN ISSUES AND THE PROCESS OF HEALTH-RELATED LEGISLATION. AT SUCH TIME, CAMC REPRESENTATIVES MAY HOLD DISCUSSIONS WITH LEGISLATIVE OFFICIALS TO PRESENT THEIR INFORMATION AND PERSPECTIVES REGARDING VARIOUS HEALTH CARE ISSUES. SUCH INTERACTIONS DO NOT TYPICALLY INVOLVE CAMC EXPRESSING WHETHER OR NOT THEY SUPPORT A PARTICULAR BILL, BUT RATHER CONSIST OF GENERAL DISCUSSIONS RELATED TO THE PERTINENT HEALTH ISSUES. CAMC IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, AND 340B HEALTH FOR PHARMACEUTICAL ACCESS. A PERCENTAGE OF THE MEMBERSHIP DUES PAID ARE RELATED TO LOBBYING ACTIVITIES.

Return Reference

Explanation

PART II-B, LINE 1:

OCCASIONALLY, INDIVIDUALS ARE ASKED BY LEGISLATORS AT BOTH THE STATE AND NATIONAL LEVELS FOR OPINIONS ON CERTAIN ISSUES AND THE PROCESS OF HEALTH-RELATED LEGISLATION. AT SUCH TIME, CAMC REPRESENTATIVES MAY HOLD DISCUSSIONS WITH LEGISLATIVE OFFICIALS TO PRESENT THEIR INFORMATION AND PERSPECTIVES REGARDING VARIOUS HEALTH CARE ISSUES. SUCH INTERACTIONS DO NOT TYPICALLY INVOLVE CAMC EXPRESSING WHETHER OR NOT THEY SUPPORT A PARTICULAR BILL, BUT RATHER CONSIST OF GENERAL DISCUSSIONS RELATED TO THE PERTINENT HEALTH ISSUES. CAMC IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION, ASSOCIATION OF AMERICAN MEDICAL COLLEGES, AND 340B HEALTH FOR PHARMACEUTICAL ACCESS. A PERCENTAGE OF THE MEMBERSHIP DUES PAID ARE RELATED TO LOBBYING ACTIVITIES.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	69,039,568	78,542,252	67,168,856	52,835,664	44,399,161
b	Contributions ...	855,371	570,268	3,841,086	8,393,645	1,203,066
c	Net investment earnings, gains, and losses	2,676,937	-9,301,194	8,301,863	6,721,179	8,290,644
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	38,012,873	771,758	769,553	781,632	1,057,207
f	Administrative expenses ....
g	End of year balance ......	34,559,003	69,039,568	78,542,252	67,168,856	52,835,664

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

57.000 %

Term endowment right arrow

43.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	36,834,838		36,834,838
b	Buildings ....	544,097,598	283,727,896	260,369,702
c	Leasehold improvements	7,969,092	7,085,513	883,579
d	Equipment ....	412,392,073	326,313,529	86,078,544
e	Other .....	87,775,797	27,846,194	59,929,603
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				444,096,266

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INTEREST IN NET ASSETS - CAMC FOUNDATION, INC.				34,559,000
(2)BOND PROJECT FUNDS				104,455,920
(3)BOND COLLATERAL				240,000
(4)DERIVATIVE ASSET VALUE				1,990,679
(5)AFFILIATE RECEIVABLE - CAMC FOUNDATION, INC.				2,247,061
(6)AFFILIATE RECEIVABLE - CHERI				4,144,730
(7)TRUSTEE FUNDS				19,917,640
(8)AFFILIATE RECEIVABLE - WV HEALTH NETWORK				502,420
(9)AFFILIATE RECEIVABLE - VANDALIA PROVIDER HEALTH ORGANIZATION				2,692,168
(10)AFFILIATE RECEIVABLE - CAMC GREENBRIER MEDICAL CENTER, INC.				129,998,654
(11)AFFILIATE RECEIVABLE - CAMC PLATEAU MEDICAL CENTER, INC.				98,567,488
(12)AFFILIATE RECEIVABLE - MHS				2,752,548
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				402,068,308

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	198,875
ESTIMATED MALPRACTICE CLAIMS	27,833,000
ESTIMATED WORKERS COMPENSATION CLAIMS	1,724,288
SETTLEMENTS DUE TO 3RD PARTIES	18,470,690
AFFILIATE PAYABLE - CAMC FOUNDATION, INC.	50,583
AFFILIATE PAYABLE - CHERI	1,190,844
ESTIMATED RETIREE HEALTH	1,829,000
UMBRELLA TRUST AND SERP	23,158,050
AFFILIATE PAYABLE - WV HEALTH NETWORK	3,166,531
AFFILIATE PAYABLE - VANDALIA PROVIDER AND HEALTH ORGANIZATION	30,794
AFFILIATE PAYABLE - CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.	639,883
AFFILIATE PAYABLE - CAMC PLATEAU MEDICAL CENTER, INC.	1,407,590
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	79,700,128
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART IV, LINE 2B:	CAMC OPERATES HEALTHCARE FINANCIAL SERVICES, WHICH PROVIDES COLLECTIONS SERVICES TO OUTSIDE CLIENTS. PAYMENTS THAT ARE NOT RECOVERED BY THE COLLECTION DEPARTMENT INCLUDE BOTH THE COMMISSION PORTION AND THE AMOUNT DUE TO THE OUTSIDE CLIENT. THE AMOUNT LISTED IN PART X LINE 21 REFLECTS THE AMOUNT PAYABLE BY CAMC TO THE CLIENTS.
PART V, LINE 4:	TO FURTHER THE MISSION OF THE ORGANIZATION.
PART X, LINE 2:	CAMC'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, 2023. TAX RETURNS FOR THE YEAR ENDED JUNE 30, 2019, ARE OPEN FOR THE MHS ENTITIES AND TAX RETURNS FOR THE YEAR ENDED DECEMBER 31, 2020, ARE OPEN FOR CAMC ENTITIES.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	18,824,051	0	18,824,051	1.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .	364,673,638	245,109,938	119,563,700	7.510 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	767,909	317,636	450,273	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	384,265,598	245,427,574	138,838,024	8.720 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,220,678	131,509	1,089,169	0.070 %
f	Health professions education (from Worksheet 5) . . .	30,819,278	9,246,318	21,572,960	1.350 %
g	Subsidized health services (from Worksheet 6) . . . .	1,050,083	858,437	191,646	0.010 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	84,545	0	84,545	0.010 %
j	Total. Other Benefits . .	33,174,584	10,236,264	22,938,320	1.440 %
k	Total. Add lines 7d and 7j .	417,440,182	255,663,838	161,776,344	10.160 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support			368,036		368,036	0.020 %
4	Environmental improvements			16,125		16,125	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development			2,634		2,634	0 %
9	Other			6,500		6,500	0 %
10	Total			393,295		393,295	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

51,387,928

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

30,596,372

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

329,248,458

Enter Medicare allowable costs of care relating to payments on line 5.....

658,926,010

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-329,677,552

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 GENERAL DIVISION MEDICAL OFFICE BUILDING LLC	MEDICAL OFFICE SPACE RENTAL	90.540 %	9.460 %
22 CHARLESTON AREA RADIATION THERAPY CENTERS LLC	RADIATION THERAPY	20.000 %	30.000 %
33 CHARLESTON SURGICAL HOSPITAL	SURGICAL HOSPITAL	69.490 %	30.510 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?4Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	CAMC MEMORIAL HOSPITAL 3200 MACCORKLE AVENUE CHARLESTON,WV25304 WWW.CAMC.ORG 20	X	X	X	X	A
2	CAMC GENERAL HOSPITAL 501 MORRIS STREET CHARLESTON,WV25301 WWW.CAMC.ORG 20	X	X	X	X	A
3	CAMC WOMEN AND CHILDREN'S HOSPITAL 800 PENNSYLVANIA AVENUE CHARLESTON,WV253025302 WWW.CAMC.ORG 20	X	X	X	X	A
4	CAMC TEAYS VALLEY HOSPITAL 1400 HOSPITAL DRIVE HURRICANE,WV25526 WWW.CAMC.ORG 20	X	X	X	X	B

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN

The FAP application form was widely available on a website (list url):

HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.CAMC.ORG/ABOUT-CAMC/COMMUNITY-BENEFIT-REPORTS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN

The FAP application form was widely available on a website (list url):

HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.CAMC.ORG/CHARITY-UNINSURED-PLAN

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - B
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: CAMC MEMORIAL HOSPITAL, - FACILITY 2: CAMC GENERAL HOSPITAL, - FACILITY 3: CAMC WOMEN AND CHILDREN'S HOSPITAL
GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 5:	STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA-CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, SPILMAN THOMAS & BATTLE, PLCC, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT AND THEY SERVE IN AN ADVISORY CAPACITY FOR THE COALITION. THE STEERING COMMITTEE FOLLOWS A SET OF GUIDING PRINCIPLES AS IT PROMOTES AND SAFEGUARDS THE INTEGRITY OF THE COLLABORATIVE PROCESS AS EACH ASSUMES THE ROLE OF AN EQUAL PARTNER IN THE PROCESS. THEY MAKE TANGIBLE COMMITMENTS OF RESOURCES TO THE COALITION AND BELIEVE THAT THE PROCESS IS THE PRODUCT AND SERVES AS THE VEHICLE TO PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. THE PROCESS WAS DESIGNED TO ENGAGE THE LOCAL GOVERNMENTS AND MAJOR EMPLOYERS IN THE AREA AND THE RESIDENTS OF KANAWHA. THE FOLLOWING ARE THOSE WHO AIDED IN THE DISSEMINATION OF THE SURVEY:- KANAWHA COUNTY COMMISSIONERS OFFICE- CITY OF CHARLESTON MAYORS OFFICE- CITY OF SAINT ALBANS MAYORS OFFICE- CITY OF DUNBAR MAYORS OFFICE- CITY OF SOUTH CHARLESTON MAYORS OFFICE- CITY OF ELKVIEW MAYORS OFFICE- CITY OF MONTGOMERY MAYORS OFFICE- CITY OF SMITHERS MAYORS OFFICE- CHARLESTON PARKS & RECREATION- CHARLESTON AREA MEDICAL CENTER- THOMAS HEALTH SYSTEMS- KANAWHA COUNTY BOARD OF EDUCATIONFROM JULY 1, 2022 THROUGH OCTOBER 31, 2022, THE KCCHI LEADERSHIP ASSESSED THE HEALTH NEEDS OF THE COMMUNITY. KANAWHA COUNTY RESIDENTS WHO WERE 18 AND OLDER WERE THE INTENDED AUDIENCE. TO ALLOW ALL KANAWHA COUNTY RESIDENTS TO PARTICIPATE, THE SURVEY WAS WIDELY DISSEMINATED. EMAIL, SOCIAL MEDIA AND PUBLICATIONS FROM LOCAL COMMUNITIES WERE USED TO PUBLICIZE THE SURVEY. SOCIAL MEDIA GROUPS, CHURCH GROUPS, AND OTHER PUBLIC SPACES WERE USED TO DISSEMINATE SOCIAL MEDIA FLYERS THROUGHOUT THE COUNTY. THROUGH AN ONLINE LINK, THE MAIN SURVEY WAS CARRIED OUT. THE SURVEY ASKED 69 QUESTIONS COVERING THE FOLLOWING TOPICS: LIVE, LEARN, WORK AND PLAY. IN TOTAL, 1,191 REPLIED WERE OBTAINED.FOLLOWING THE COMPLETION OF THE SURVEY, THE INFORMATION WAS GATHERED BY THE KCCHI EXECUTIVE DIRECTORY AND SHARED WITH THE CAMC STRATEGIC PLANNING DEPARTMENT TO ASSESS THE RESULTS AND ESTABLISH THE INITIAL OBJECTIVES THAT WOULD BE PRESENTED AND DISCUSSED AT THE KCCHI STEERING COMMITTEE IN THE COMING MONTHS.THE KANAWHA COALITION INVESTIGATED MANY AVENUES FOR INVOLVING IMPORTANT STAKEHOLDERS AND SECTOR SPECIALISTS IN OUR EFFORTS TO ENHANCE THE HEALTH OF KANAWHA COUNTY. THE MEMBERS OF OUR LEADERSHIP TEAM INVITED PROFESSIONALS IN THE FIELDS OF LIVE, LEARN, WORK, AND PLAY TO TAKE PART IN OUR EXPERT OPINION SURVEY. THERE WERE 52 PARTICIPANTS.STEP 1:EXPERT OPINION SURVEY: THE KANAWHA COALITION'S STEERING COMMITTEE DESIGNATED KEY EXPERTS, AND 52 OF THE 60 IDENTIFIED COMPLETED THE ONLINE POLL. TO ELICIT A WIDE RANGE OF RELIES, THE SURVEY CONTAINED BOTH STANDARDIZED AND OPEN-ENDED QUESTIONS.STEP 2: CONVENING OF EXPERTSTHE KANAWHA COALITION IMPROVED THE WAY INTERESTED PARTIES AND PROFESSIONALS FROM IMPORTANT SECTORS CAN PARTICIPATE IN OUR EFFORTS TO IMPROVE THE HEALTH IN KANAWHA COUNTY. IN ADDITION TO THE KEY EXPERTS ONLINE POLL, PARTICIPANTS WERE ASKED TO DISCUSS THE MAIN ISSUES THAT THEY BELIEVED TO EXIST IN KANAWHA COUNTY WITH REFERENCE TO RISKY BEHAVIORS FOR HEALTH, MEDICAL TREATMENT, SOCIAL AND ECONOMIC ASPECTS AND THE PHYSICAL ENVIRONMENT.THEY WERE REQUESTED TO DISCUSS THE DIFFICULTIES AND IMPEDIMENTS THEY SEE, AS WELL AS THEIR IDEAS FOR HOW TO GET THROUGH THEM. WE QUESTIONED THESE PROFESSIONALS ABOUT THE MAJOR ISSUES THEY SAW IN KANAWHA COUNTY.STEP 3 AND 4: TOP CHALLENGE RANKING SURVEY AND CUSTOMER FEEDBACK (COMMUNITY INPUT)FOCUS GROUPS:IN OCTOBER 2022, FOCUS GROUPS WERE HELD IN KANAWHA COUNTY TO BETTER UNDERSTAND LOCAL NEEDS. FOCUS GROUPS PROVIDE INSIGHT INTO THE NEEDS, CONCERNS AND EXPERIENCES OF PEOPLE WHOSE VOICES ARE NOT FREQUENTLY HEARD AS PART OF THE COALITION'S ASSESSMENT. FOCUS GROUPS TYPICALLY CONSIST OF SMALL NUMBER OF PEOPLE FROM A TARGET OR VULNERABLE COMMUNITY. RESIDENTS FROM TOWNS SPREAD ACROSS THE COUNTY'S MANY GEOGRAPHIC REGIONS PARTICIPATED IN THE FOCUS GROUPS THAT WERE CREATED IN THIS INSTANCE. IT IS CRUCIAL TO REMEMBER THAT WHILE THE FINDINGS MAY REFLECT THE OPINIONS OF CERTAIN COMMUNITY MEMBERS IN KANAWHA COUNTY, THEY MAY NOT NECESSARILY BE REPRESENTATIVE OF ALL OF THEM.THREE FOCUS GROUPS WERE ORGANIZED IN SUCCESSION. DISCUSSION TOPICS THAT MIGHT INFLUENCE COMMUNITY MEMBERS' HEALTH WERE THE FOCUS OF THE GATHERING. FOCUS GROUP IN THE COMMUNITY INCLUDED A TOTAL OF 30 PARTICIPANTS. IN THESE THREE GROUPS RESIDENTS FROM THE FOLLOWING AREAS ATTENDED: ELKVIEW, CLENDENIN, DUNBAR, WESTSIDE OF CHARLESTON, MALDEN, MARMET , CHARLESTON AND ST. ALBANS.FOR EACH CATEGORY (LIVE HEALTH AND SOCIAL, LIVE SAFETY AND INFRASTRUCTURE, LEARN, WORK, AND PLAY) INPUT FOR EACH OF THE TOP CHALLENGES WAS GIVEN ON TOP CONTRIBUTING FACTORS, POTENTIAL RESOLUTIONS, AND HOW OTHER COMMUNITIES SUCCESSFULLY ADDRESSED THE CHALLENGES.STEP 5 AND 6, PLANNING AND IMPLEMENTATIONTHIS WILL OCCUR ONCE OUR NEW COMMUNITY HEALTH IMPROVEMENT COUNCILS ARE FORMED FOR EACH NEW PRIORITY. COUNCILS WILL BE COMPRISED OF BOTH SUBJECT EXPERTS AND COMMUNITY RESIDENTS.
GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A:	THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL)
GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B:	CHARLESTON AREA ALLIANCE, KANAWHA - CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT.
GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL PART V, SECTION B, LINE 11:	UNDER LIVE: HEALTH AND SOCIAL WELLNESS PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION. CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD/FOOD INSECURITY, HEART DISEASE, COPD, CANCER, DENTAL, SUBSTANCE ABUSE/ADDICTION, HIV/AIDS, HEPATITIS A/B/C, AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, AND PREVENT DIABETES PROGRAM CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE GENESIS 5K PROGRAM AND HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), LIMITED ACCESS TO FOOD WAS ADDRESSED WITH THE FARMACY PROGRAM, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE SOW & GROW AND SOCIAL DETERMINANTS OF HEALTH - COORDINATED CARE NETWORK. HEART DISEASE WAS ADDRESSED BY BUILD A SUSTAINABLE RESEARCH INFRASTRUCTURE THAT SUBSTANTIVELY CONTRIBUTES TO IMPROVING WV HEALTH OUTCOMES, ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE CANCER CENTER FASHION SHOW, CANCER CENTER SUPPORT GROUP, BREAST CANCER AWARENESS ACTIVITIES, BREAST CANCER SURVIVORSHIP GROUP, RUN FOR YOUR LIFE, SCREEN 2 INTERVENE, HEALTHY STEPS EXERCISE PROGRAM. WE ALSO PROVIDE THROUGH THE CAMC FOUNDATION GRANT - CAMC BREAST CENTER FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN; CAMC CANCER CENTER FOR ASSISTANCE WITH MEDS, CHEMO, SUPPLIES, ETC. DENTAL: CAMC PROVIDES A MOBILE UNIT FOR EASY ACCESS FOR DENTAL CARE. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, RMOMS, WCH WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. WELLNESS PROMOTION IS ADDRESSED VIA DISCOUNTED LAB WORK, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, HEALTHY KANAWHA WELLNESS PROGRAM, DRIVE THRU HEALTH FAIRS, RMOMS, AND VACCINE INITIATIVES.UNDER LIVE: SAFETY AND INFRASTRUCTURE CAMC TARGETED MENTAL HEALTH, HOMELESSNESS, AND CRIME. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED/UNDERINSURED RESIDENTS, EDUCATION FOR MEDICAL DIRECTION TO EMS AGENCIES, PROGRAMS AT FAMILY RESOURCE CENTER, AND THE HEALING HOUSE. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. CRIME WAS ADDRESSED THROUGH EDUCATION OF MEDICAL DIRECTION TO THE EMS AGENCIES. UNDER LEARN: EDUCATE FAMILIES ON THE IMPORTANCE OF EARLY CHILDHOOD EDUCATION. ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES A TEDDY BEAR FAIR, KEYS4 HEALTHYKIDS-REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM, DRIVE THRU HEALTH FAIRS. UNDER WORK: EMPLOYER WELLNESS PROGRAMS CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, AND CAMC CAREER ROAD MAP. LACK OF DIVERSE JOB OPPORTUNITIES WORKFORCE DEVELOPMENT ADDRESSED BY BUILD THE BASE OF LOCAL GROWERS AND ARTISANS, IMAGINE U, JUNIOR NURSE ACADEMY, TUITION ASSISTANCE AND A TEACHING INSTITUTIONS. UNDER PLAY: EXPAND USE/KNOWLEDGE OF COMMUNITY CENTER FOR SOCIAL AND RECREATIONAL ACTIVITIES IN KANAWHA COUNTY. ACCESS TO ARTS, CULTURE AND ENTERTAINMENT OPPORTUNITIES AND SHOPPING/BUSINESS OPPORTUNITIES CAMC ADDRESSED WITH OFFERING A CAMC PRIDE CARD WHICH OFFERS DISCOUNTS FOR VARIOUS ACTIVITIES/RESTAURANTS AND SHOPPING. ACCESS TO RECREATIONAL SPACES IN NEIGHBORHOODS CAMC WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND PROVIDES THE CAMC PRIDE CARD AND SPONSORS A CAMC EVENT AT THE GOMART BALLPARK.
GROUP A-FACILITY 1 -- CAMC MEMORIAL HOSPITAL 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.
GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 5:	STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA-CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, SPILMAN THOMAS & BATTLE, PLCC, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT AND THEY SERVE IN AN ADVISORY CAPACITY FOR THE COALITION. THE STEERING COMMITTEE FOLLOWS A SET OF GUIDING PRINCIPLES AS IT PROMOTES AND SAFEGUARDS THE INTEGRITY OF THE COLLABORATIVE PROCESS AS EACH ASSUMES THE ROLE OF AN EQUAL PARTNER IN THE PROCESS. THEY MAKE TANGIBLE COMMITMENTS OF RESOURCES TO THE COALITION AND BELIEVE THAT THE PROCESS IS THE PRODUCT AND SERVES AS THE VEHICLE TO PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. THE PROCESS WAS DESIGNED TO ENGAGE THE LOCAL GOVERNMENTS AND MAJOR EMPLOYERS IN THE AREA AND THE RESIDENTS OF KANAWHA. THE FOLLOWING ARE THOSE WHO AIDED IN THE DISSEMINATION OF THE SURVEY:- KANAWHA COUNTY COMMISSIONERS OFFICE- CITY OF CHARLESTON MAYORS OFFICE- CITY OF SAINT ALBANS MAYORS OFFICE- CITY OF DUNBAR MAYORS OFFICE- CITY OF SOUTH CHARLESTON MAYORS OFFICE- CITY OF ELKVIEW MAYORS OFFICE- CITY OF MONTGOMERY MAYORS OFFICE- CITY OF SMITHERS MAYORS OFFICE- CHARLESTON PARKS & RECREATION- CHARLESTON AREA MEDICAL CENTER- THOMAS HEALTH SYSTEMS- KANAWHA COUNTY BOARD OF EDUCATIONFROM JULY 1, 2022 THROUGH OCTOBER 31, 2022, THE KCCHI LEADERSHIP ASSESSED THE HEALTH NEEDS OF THE COMMUNITY. KANAWHA COUNTY RESIDENTS WHO WERE 18 AND OLDER WERE THE INTENDED AUDIENCE. TO ALLOW ALL KANAWHA COUNTY RESIDENTS TO PARTICIPATE, THE SURVEY WAS WIDELY DISSEMINATED. EMAIL, SOCIAL MEDIA AND PUBLICATIONS FROM LOCAL COMMUNITIES WERE USED TO PUBLICIZE THE SURVEY. SOCIAL MEDIA GROUPS, CHURCH GROUPS, AND OTHER PUBLIC SPACES WERE USED TO DISSEMINATE SOCIAL MEDIA FLYERS THROUGHOUT THE COUNTY. THROUGH AN ONLINE LINK, THE MAIN SURVEY WAS CARRIED OUT. THE SURVEY ASKED 69 QUESTIONS COVERING THE FOLLOWING TOPICS: LIVE, LEARN, WORK AND PLAY. IN TOTAL, 1,191 REPLIED WERE OBTAINED.FOLLOWING THE COMPLETION OF THE SURVEY, THE INFORMATION WAS GATHERED BY THE KCCHI EXECUTIVE DIRECTORY AND SHARED WITH THE CAMC STRATEGIC PLANNING DEPARTMENT TO ASSESS THE RESULTS AND ESTABLISH THE INITIAL OBJECTIVES THAT WOULD BE PRESENTED AND DISCUSSED AT THE KCCHI STEERING COMMITTEE IN THE COMING MONTHS.THE KANAWHA COALITION INVESTIGATED MANY AVENUES FOR INVOLVING IMPORTANT STAKEHOLDERS AND SECTOR SPECIALISTS IN OUR EFFORTS TO ENHANCE THE HEALTH OF KANAWHA COUNTY. THE MEMBERS OF OUR LEADERSHIP TEAM INVITED PROFESSIONALS IN THE FIELDS OF LIVE, LEARN, WORK, AND PLAY TO TAKE PART IN OUR EXPERT OPINION SURVEY. THERE WERE 52 PARTICIPANTS.STEP 1:EXPERT OPINION SURVEY: THE KANAWHA COALITION'S STEERING COMMITTEE DESIGNATED KEY EXPERTS, AND 52 OF THE 60 IDENTIFIED COMPLETED THE ONLINE POLL. TO ELICIT A WIDE RANGE OF RELIES, THE SURVEY CONTAINED BOTH STANDARDIZED AND OPEN-ENDED QUESTIONS.STEP 2: CONVENING OF EXPERTSTHE KANAWHA COALITION IMPROVED THE WAY INTERESTED PARTIES AND PROFESSIONALS FROM IMPORTANT SECTORS CAN PARTICIPATE IN OUR EFFORTS TO IMPROVE THE HEALTH IN KANAWHA COUNTY. IN ADDITION TO THE KEY EXPERTS ONLINE POLL, PARTICIPANTS WERE ASKED TO DISCUSS THE MAIN ISSUES THAT THEY BELIEVED TO EXIST IN KANAWHA COUNTY WITH REFERENCE TO RISKY BEHAVIORS FOR HEALTH, MEDICAL TREATMENT, SOCIAL AND ECONOMIC ASPECTS AND THE PHYSICAL ENVIRONMENT.THEY WERE REQUESTED TO DISCUSS THE DIFFICULTIES AND IMPEDIMENTS THEY SEE, AS WELL AS THEIR IDEAS FOR HOW TO GET THROUGH THEM. WE QUESTIONED THESE PROFESSIONALS ABOUT THE MAJOR ISSUES THEY SAW IN KANAWHA COUNTY.STEP 3 AND 4: TOP CHALLENGE RANKING SURVEY AND CUSTOMER FEEDBACK (COMMUNITY INPUT)FOCUS GROUPS:IN OCTOBER 2022, FOCUS GROUPS WERE HELD IN KANAWHA COUNTY TO BETTER UNDERSTAND LOCAL NEEDS. FOCUS GROUPS PROVIDE INSIGHT INTO THE NEEDS, CONCERNS AND EXPERIENCES OF PEOPLE WHOSE VOICES ARE NOT FREQUENTLY HEARD AS PART OF THE COALITION'S ASSESSMENT. FOCUS GROUPS TYPICALLY CONSIST OF SMALL NUMBER OF PEOPLE FROM A TARGET OR VULNERABLE COMMUNITY. RESIDENTS FROM TOWNS SPREAD ACROSS THE COUNTY'S MANY GEOGRAPHIC REGIONS PARTICIPATED IN THE FOCUS GROUPS THAT WERE CREATED IN THIS INSTANCE. IT IS CRUCIAL TO REMEMBER THAT WHILE THE FINDINGS MAY REFLECT THE OPINIONS OF CERTAIN COMMUNITY MEMBERS IN KANAWHA COUNTY, THEY MAY NOT NECESSARILY BE REPRESENTATIVE OF ALL OF THEM.THREE FOCUS GROUPS WERE ORGANIZED IN SUCCESSION. DISCUSSION TOPICS THAT MIGHT INFLUENCE COMMUNITY MEMBERS' HEALTH WERE THE FOCUS OF THE GATHERING. FOCUS GROUP IN THE COMMUNITY INCLUDED A TOTAL OF 30 PARTICIPANTS. IN THESE THREE GROUPS RESIDENTS FROM THE FOLLOWING AREAS ATTENDED: ELKVIEW, CLENDENIN, DUNBAR, WESTSIDE OF CHARLESTON, MALDEN, MARMET , CHARLESTON AND ST. ALBANS.FOR EACH CATEGORY (LIVE HEALTH AND SOCIAL, LIVE SAFETY AND INFRASTRUCTURE, LEARN, WORK, AND PLAY) INPUT FOR EACH OF THE TOP CHALLENGES WAS GIVEN ON TOP CONTRIBUTING FACTORS, POTENTIAL RESOLUTIONS, AND HOW OTHER COMMUNITIES SUCCESSFULLY ADDRESSED THE CHALLENGES.STEP 5 AND 6, PLANNING AND IMPLEMENTATIONTHIS WILL OCCUR ONCE OUR NEW COMMUNITY HEALTH IMPROVEMENT COUNCILS ARE FORMED FOR EACH NEW PRIORITY. COUNCILS WILL BE COMPRISED OF BOTH SUBJECT EXPERTS AND COMMUNITY RESIDENTS.
GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 6A:	THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL)
GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 6B:	CHARLESTON AREA ALLIANCE, KANAWHA - CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT.
GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL PART V, SECTION B, LINE 11:	UNDER LIVE: HEALTH AND SOCIAL WELLNESS PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION. CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD/FOOD INSECURITY, HEART DISEASE, COPD, CANCER, DENTAL, SUBSTANCE ABUSE/ADDICTION, HIV/AIDS, HEPATITIS A/B/C, AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, AND PREVENT DIABETES PROGRAM CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE GENESIS 5K PROGRAM AND HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), LIMITED ACCESS TO FOOD WAS ADDRESSED WITH THE FARMACY PROGRAM, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE SOW & GROW AND SOCIAL DETERMINANTS OF HEALTH - COORDINATED CARE NETWORK. HEART DISEASE WAS ADDRESSED BY BUILD A SUSTAINABLE RESEARCH INFRASTRUCTURE THAT SUBSTANTIVELY CONTRIBUTES TO IMPROVING WV HEALTH OUTCOMES, ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE CANCER CENTER FASHION SHOW, CANCER CENTER SUPPORT GROUP, BREAST CANCER AWARENESS ACTIVITIES, BREAST CANCER SURVIVORSHIP GROUP, RUN FOR YOUR LIFE, SCREEN 2 INTERVENE, HEALTHY STEPS EXERCISE PROGRAM. WE ALSO PROVIDE THROUGH THE CAMC FOUNDATION GRANT - CAMC BREAST CENTER FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN; CAMC CANCER CENTER FOR ASSISTANCE WITH MEDS, CHEMO, SUPPLIES, ETC. DENTAL: CAMC PROVIDES A MOBILE UNIT FOR EASY ACCESS FOR DENTAL CARE. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, RMOMS, WCH WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. WELLNESS PROMOTION IS ADDRESSED VIA DISCOUNTED LAB WORK, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, HEALTHY KANAWHA WELLNESS PROGRAM, DRIVE THRU HEALTH FAIRS, RMOMS, AND VACCINE INITIATIVES.UNDER LIVE: SAFETY AND INFRASTRUCTURE CAMC TARGETED MENTAL HEALTH, HOMELESSNESS, AND CRIME. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED/UNDERINSURED RESIDENTS, EDUCATION FOR MEDICAL DIRECTION TO EMS AGENCIES, PROGRAMS AT FAMILY RESOURCE CENTER, AND THE HEALING HOUSE. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. CRIME WAS ADDRESSED THROUGH EDUCATION OF MEDICAL DIRECTION TO THE EMS AGENCIES. UNDER LEARN: EDUCATE FAMILIES ON THE IMPORTANCE OF EARLY CHILDHOOD EDUCATION. ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES A TEDDY BEAR FAIR, KEYS4 HEALTHYKIDS-REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM, DRIVE THRU HEALTH FAIRS. UNDER WORK: EMPLOYER WELLNESS PROGRAMS CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, AND CAMC CAREER ROAD MAP. LACK OF DIVERSE JOB OPPORTUNITIES WORKFORCE DEVELOPMENT ADDRESSED BY BUILD THE BASE OF LOCAL GROWERS AND ARTISANS, IMAGINE U, JUNIOR NURSE ACADEMY, TUITION ASSISTANCE AND A TEACHING INSTITUTIONS. UNDER PLAY: EXPAND USE/KNOWLEDGE OF COMMUNITY CENTER FOR SOCIAL AND RECREATIONAL ACTIVITIES IN KANAWHA COUNTY. ACCESS TO ARTS, CULTURE AND ENTERTAINMENT OPPORTUNITIES AND SHOPPING/BUSINESS OPPORTUNITIES CAMC ADDRESSED WITH OFFERING A CAMC PRIDE CARD WHICH OFFERS DISCOUNTS FOR VARIOUS ACTIVITIES/RESTAURANTS AND SHOPPING. ACCESS TO RECREATIONAL SPACES IN NEIGHBORHOODS CAMC WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND PROVIDES THE CAMC PRIDE CARD AND SPONSORS A CAMC EVENT AT THE GOMART BALLPARK.
GROUP A-FACILITY 2 -- CAMC GENERAL HOSPITAL 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.
GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5:	STEERING COMMITTEE: STEERING COMMITTEE MEMBERS ARE FROM THE CAMC, THOMAS HEALTH SYSTEM, CHARLESTON AREA ALLIANCE, KANAWHA-CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, SPILMAN THOMAS & BATTLE, PLCC, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT AND THEY SERVE IN AN ADVISORY CAPACITY FOR THE COALITION. THE STEERING COMMITTEE FOLLOWS A SET OF GUIDING PRINCIPLES AS IT PROMOTES AND SAFEGUARDS THE INTEGRITY OF THE COLLABORATIVE PROCESS AS EACH ASSUMES THE ROLE OF AN EQUAL PARTNER IN THE PROCESS. THEY MAKE TANGIBLE COMMITMENTS OF RESOURCES TO THE COALITION AND BELIEVE THAT THE PROCESS IS THE PRODUCT AND SERVES AS THE VEHICLE TO PUT PEOPLE TOGETHER TO EXPLORE AND ADDRESS CHALLENGES AND OPPORTUNITIES TO IMPROVE THE HEALTH OF THE PEOPLE OF KANAWHA COUNTY. THE STEERING COMMITTEE IS COMMITTED TO INCLUDING ALL MEMBERS OF THE COMMUNITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AS IT CULTIVATES A COMMUNITY-WIDE SENSE OF OWNERSHIP, NOT ORGANIZATIONAL OWNERSHIP. IT PROVIDES ENCOURAGEMENT AND SUPPORT TO KEEP COALITION VOLUNTEERS ENGAGED AND MOTIVATED WHILE REMAINING FLEXIBLE IN ITS APPROACH TO MEETING COMMUNITY NEEDS. IT BELIEVES IN CONTINUOUS QUALITY IMPROVEMENT AND SUPPORTS AN ONGOING PROCESS TO EVALUATE AND IMPROVE OUTCOMES AND IT CELEBRATES SUCCESSES ALONG THE WAY. MEMBERS OF THE KANAWHA COALITION STEERING COMMITTEE ACTIVELY PARTICIPATE IN THE SURVEY PLANNING PROCESS TO PROVIDE PUBLIC HEALTH INSIGHT AND ENSURE DATA INTEGRITY. ADDITIONALLY, EPIDEMIOLOGISTS FROM THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES WORK WITH THE COALITION FOR QUESTION DESIGN FOR CONSISTENCY WITH OTHER SURVEYS TO ALLOW BENCHMARKS AND COMPARISONS. IN ADDITION, EXPERT INTERVIEWS PROVIDE IN-DEPTH INFORMATION ON THE COMMUNITY ACROSS ALL AREAS OF SOCIAL DETERMINANTS OF HEALTH. THE STEERING COMMITTEE ALSO PROVIDES CONTACT INFORMATION FOR SUBJECT EXPERTS (KEY INFORMANTS) IN THE COMMUNITY. THE PROCESS WAS DESIGNED TO ENGAGE THE LOCAL GOVERNMENTS AND MAJOR EMPLOYERS IN THE AREA AND THE RESIDENTS OF KANAWHA. THE FOLLOWING ARE THOSE WHO AIDED IN THE DISSEMINATION OF THE SURVEY:- KANAWHA COUNTY COMMISSIONERS OFFICE- CITY OF CHARLESTON MAYORS OFFICE- CITY OF SAINT ALBANS MAYORS OFFICE- CITY OF DUNBAR MAYORS OFFICE- CITY OF SOUTH CHARLESTON MAYORS OFFICE- CITY OF ELKVIEW MAYORS OFFICE- CITY OF MONTGOMERY MAYORS OFFICE- CITY OF SMITHERS MAYORS OFFICE- CHARLESTON PARKS & RECREATION- CHARLESTON AREA MEDICAL CENTER- THOMAS HEALTH SYSTEMS- KANAWHA COUNTY BOARD OF EDUCATIONFROM JULY 1, 2022 THROUGH OCTOBER 31, 2022, THE KCCHI LEADERSHIP ASSESSED THE HEALTH NEEDS OF THE COMMUNITY. KANAWHA COUNTY RESIDENTS WHO WERE 18 AND OLDER WERE THE INTENDED AUDIENCE. TO ALLOW ALL KANAWHA COUNTY RESIDENTS TO PARTICIPATE, THE SURVEY WAS WIDELY DISSEMINATED. EMAIL, SOCIAL MEDIA AND PUBLICATIONS FROM LOCAL COMMUNITIES WERE USED TO PUBLICIZE THE SURVEY. SOCIAL MEDIA GROUPS, CHURCH GROUPS, AND OTHER PUBLIC SPACES WERE USED TO DISSEMINATE SOCIAL MEDIA FLYERS THROUGHOUT THE COUNTY. THROUGH AN ONLINE LINK, THE MAIN SURVEY WAS CARRIED OUT. THE SURVEY ASKED 69 QUESTIONS COVERING THE FOLLOWING TOPICS: LIVE, LEARN, WORK AND PLAY. IN TOTAL, 1,191 REPLIED WERE OBTAINED.FOLLOWING THE COMPLETION OF THE SURVEY, THE INFORMATION WAS GATHERED BY THE KCCHI EXECUTIVE DIRECTORY AND SHARED WITH THE CAMC STRATEGIC PLANNING DEPARTMENT TO ASSESS THE RESULTS AND ESTABLISH THE INITIAL OBJECTIVES THAT WOULD BE PRESENTED AND DISCUSSED AT THE KCCHI STEERING COMMITTEE IN THE COMING MONTHS.THE KANAWHA COALITION INVESTIGATED MANY AVENUES FOR INVOLVING IMPORTANT STAKEHOLDERS AND SECTOR SPECIALISTS IN OUR EFFORTS TO ENHANCE THE HEALTH OF KANAWHA COUNTY. THE MEMBERS OF OUR LEADERSHIP TEAM INVITED PROFESSIONALS IN THE FIELDS OF LIVE, LEARN, WORK, AND PLAY TO TAKE PART IN OUR EXPERT OPINION SURVEY. THERE WERE 52 PARTICIPANTS.STEP 1:EXPERT OPINION SURVEY: THE KANAWHA COALITION'S STEERING COMMITTEE DESIGNATED KEY EXPERTS, AND 52 OF THE 60 IDENTIFIED COMPLETED THE ONLINE POLL. TO ELICIT A WIDE RANGE OF RELIES, THE SURVEY CONTAINED BOTH STANDARDIZED AND OPEN-ENDED QUESTIONS.STEP 2: CONVENING OF EXPERTSTHE KANAWHA COALITION IMPROVED THE WAY INTERESTED PARTIES AND PROFESSIONALS FROM IMPORTANT SECTORS CAN PARTICIPATE IN OUR EFFORTS TO IMPROVE THE HEALTH IN KANAWHA COUNTY. IN ADDITION TO THE KEY EXPERTS ONLINE POLL, PARTICIPANTS WERE ASKED TO DISCUSS THE MAIN ISSUES THAT THEY BELIEVED TO EXIST IN KANAWHA COUNTY WITH REFERENCE TO RISKY BEHAVIORS FOR HEALTH, MEDICAL TREATMENT, SOCIAL AND ECONOMIC ASPECTS AND THE PHYSICAL ENVIRONMENT.THEY WERE REQUESTED TO DISCUSS THE DIFFICULTIES AND IMPEDIMENTS THEY SEE, AS WELL AS THEIR IDEAS FOR HOW TO GET THROUGH THEM. WE QUESTIONED THESE PROFESSIONALS ABOUT THE MAJOR ISSUES THEY SAW IN KANAWHA COUNTY.STEP 3 AND 4: TOP CHALLENGE RANKING SURVEY AND CUSTOMER FEEDBACK (COMMUNITY INPUT)FOCUS GROUPS:IN OCTOBER 2022, FOCUS GROUPS WERE HELD IN KANAWHA COUNTY TO BETTER UNDERSTAND LOCAL NEEDS. FOCUS GROUPS PROVIDE INSIGHT INTO THE NEEDS, CONCERNS AND EXPERIENCES OF PEOPLE WHOSE VOICES ARE NOT FREQUENTLY HEARD AS PART OF THE COALITION'S ASSESSMENT. FOCUS GROUPS TYPICALLY CONSIST OF SMALL NUMBER OF PEOPLE FROM A TARGET OR VULNERABLE COMMUNITY. RESIDENTS FROM TOWNS SPREAD ACROSS THE COUNTY'S MANY GEOGRAPHIC REGIONS PARTICIPATED IN THE FOCUS GROUPS THAT WERE CREATED IN THIS INSTANCE. IT IS CRUCIAL TO REMEMBER THAT WHILE THE FINDINGS MAY REFLECT THE OPINIONS OF CERTAIN COMMUNITY MEMBERS IN KANAWHA COUNTY, THEY MAY NOT NECESSARILY BE REPRESENTATIVE OF ALL OF THEM.THREE FOCUS GROUPS WERE ORGANIZED IN SUCCESSION. DISCUSSION TOPICS THAT MIGHT INFLUENCE COMMUNITY MEMBERS' HEALTH WERE THE FOCUS OF THE GATHERING. FOCUS GROUP IN THE COMMUNITY INCLUDED A TOTAL OF 30 PARTICIPANTS. IN THESE THREE GROUPS RESIDENTS FROM THE FOLLOWING AREAS ATTENDED: ELKVIEW, CLENDENIN, DUNBAR, WESTSIDE OF CHARLESTON, MALDEN, MARMET , CHARLESTON AND ST. ALBANS.FOR EACH CATEGORY (LIVE HEALTH AND SOCIAL, LIVE SAFETY AND INFRASTRUCTURE, LEARN, WORK, AND PLAY) INPUT FOR EACH OF THE TOP CHALLENGES WAS GIVEN ON TOP CONTRIBUTING FACTORS, POTENTIAL RESOLUTIONS, AND HOW OTHER COMMUNITIES SUCCESSFULLY ADDRESSED THE CHALLENGES.STEP 5 AND 6, PLANNING AND IMPLEMENTATIONTHIS WILL OCCUR ONCE OUR NEW COMMUNITY HEALTH IMPROVEMENT COUNCILS ARE FORMED FOR EACH NEW PRIORITY. COUNCILS WILL BE COMPRISED OF BOTH SUBJECT EXPERTS AND COMMUNITY RESIDENTS.
GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A:	THOMAS HEALTH SYSTEM (THOMAS MEMORIAL HOSPITAL AND ST. FRANCIS HOSPITAL)
GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B:	CHARLESTON AREA ALLIANCE, KANAWHA - CHARLESTON HEALTH DEPARTMENT, UNITED WAY OF CENTRAL WEST VIRGINIA, KANAWHA COUNTY SCHOOLS, WV BUREAU FOR PUBLIC HEALTH, PARTNERSHIP OF AFRICAN AMERICAN CHURCHES AND THE KANAWHA COALITION FOR COMMUNITY HEALTH IMPROVEMENT.
GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:	UNDER LIVE: HEALTH AND SOCIAL WELLNESS PROMOTION AND CHRONIC DISEASE PREVENTION EDUCATION. CAMC IDENTIFIED THE FOLLOWING AS COMMUNITY PRIORITIES AND FUNDED AS PART OF OPERATIONAL PLANNING BY THE CAMC BOARD OF TRUSTEES: DIABETES, OBESITY, LIMITED ACCESS TO FOOD/FOOD INSECURITY, HEART DISEASE, COPD, CANCER, DENTAL, SUBSTANCE ABUSE/ADDICTION, HIV/AIDS, HEPATITIS A/B/C, AND WELLNESS PROMOTION. DIABETES WAS ADDRESSED VIA THE KEYS 4 HEALTHYKIDS REDUCE CHILDHOOD OBESITY, AND PREVENT DIABETES PROGRAM CLASSES AT THE FAMILY RESOURCE CENTER. OBESITY WAS ADDRESSED VIA KEYS FOR HEALTHYKIDS- IMPROVE ACCESS AND CONSUMPTION OF LOCAL PRODUCE, THE HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE GENESIS 5K PROGRAM AND HEALTHY WAGE CHALLENGES (WEIGHT LOSS/HEALTHY STEPS), LIMITED ACCESS TO FOOD WAS ADDRESSED WITH THE FARMACY PROGRAM, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, THE SOW & GROW AND SOCIAL DETERMINANTS OF HEALTH - COORDINATED CARE NETWORK. HEART DISEASE WAS ADDRESSED BY BUILD A SUSTAINABLE RESEARCH INFRASTRUCTURE THAT SUBSTANTIVELY CONTRIBUTES TO IMPROVING WV HEALTH OUTCOMES, ADVANCED LIFE SUPPORT TRAINING PROVIDED TO LOCAL HEALTH CARE PROVIDERS. CAMC ADDRESSES THE PROBLEM THROUGH ITS HEART FAILURE READMISSION REDUCTION EFFORTS AND CMS INDICATOR COMPLIANCE. WE SPONSOR THE AMERICAN HEART ASSOCIATION AND PROVIDE INFORMATION AT THEIR EVENTS. OUR WOMEN HEART SUPPORT GROUP AND CHARLESTON WV HEART WALK EVENT ALSO EXPANDS HEART DISEASE EDUCATION IN THE COMMUNITY. COPD IS ADDRESSED THROUGH CMS INDICATOR COMPLIANCE AND THE REDUCTION IN COPD READMISSION RATES. WE ALSO PARTICIPATE IN THE TOBACCO FREE DAY AND HAVE SMOKE FREE CAMPUSES. CANCER IS ADDRESSED VIA OPPORTUNITIES TO EDUCATE AT EVENTS SUCH AS THE CANCER CENTER FASHION SHOW, CANCER CENTER SUPPORT GROUP, BREAST CANCER AWARENESS ACTIVITIES, BREAST CANCER SURVIVORSHIP GROUP, RUN FOR YOUR LIFE, SCREEN 2 INTERVENE, HEALTHY STEPS EXERCISE PROGRAM. WE ALSO PROVIDE THROUGH THE CAMC FOUNDATION GRANT - CAMC BREAST CENTER FREE MAMMOGRAMS TO UNINSURED/UNDERINSURED WOMEN; CAMC CANCER CENTER FOR ASSISTANCE WITH MEDS, CHEMO, SUPPLIES, ETC. DENTAL: CAMC PROVIDES A MOBILE UNIT FOR EASY ACCESS FOR DENTAL CARE. SUBSTANCE USE DISORDER, HIV AIDS, HEPATITIS A/B/C ARE ADDRESSED THROUGH OUR RYAN WHITE PROGRAM, RMOMS, WCH WECARE, BABY FIRST PROGRAM ADDICTION SERVICES PEER RECOVERY SUPPORT SPECIALISTS, AND DONATIONS TO REA OF HOPE FELLOWSHIP HOME THROUGH CIVIC AFFAIRS. WELLNESS PROMOTION IS ADDRESSED VIA DISCOUNTED LAB WORK, HEALTHY NEIGHBORHOOD PARTNERSHIP WITH DOLLAR GENERAL, HEALTHY KANAWHA WELLNESS PROGRAM, DRIVE THRU HEALTH FAIRS, RMOMS, AND VACCINE INITIATIVES.UNDER LIVE: SAFETY AND INFRASTRUCTURE CAMC TARGETED MENTAL HEALTH, HOMELESSNESS, AND CRIME. MENTAL HEALTH IS ADDRESSED VIA OUTPATIENT MENTAL HEALTH SERVICES FOR UNINSURED/UNDERINSURED RESIDENTS, EDUCATION FOR MEDICAL DIRECTION TO EMS AGENCIES, PROGRAMS AT FAMILY RESOURCE CENTER, AND THE HEALING HOUSE. HOMELESSNESS WAS ADDRESSED VIA OUR SUPPORT AND THE PROVISION OF PHARMACY SERVICES AT WV HEALTHRIGHT AND CASH DONATIONS TO COVENANT HOUSE THROUGH CIVIC AFFAIRS. CRIME WAS ADDRESSED THROUGH EDUCATION OF MEDICAL DIRECTION TO THE EMS AGENCIES. UNDER LEARN: EDUCATE FAMILIES ON THE IMPORTANCE OF EARLY CHILDHOOD EDUCATION. ACCESS TO AFFORDABLE AND ADEQUATE EARLY CHILDHOOD EDUCATION CAMC PROVIDES A TEDDY BEAR FAIR, KEYS4 HEALTHYKIDS-REDUCE CHILDHOOD OBESITY, PREVENT DIABETES PROGRAM, DRIVE THRU HEALTH FAIRS. UNDER WORK: EMPLOYER WELLNESS PROGRAMS CAMC ADDRESSED LOW WAGES WITH ITS MEDICAL EXPLORERS PROGRAM, THE HEALTHCARE CAREER SHOWCASE, AND CAMC CAREER ROAD MAP. LACK OF DIVERSE JOB OPPORTUNITIES WORKFORCE DEVELOPMENT ADDRESSED BY BUILD THE BASE OF LOCAL GROWERS AND ARTISANS, IMAGINE U, JUNIOR NURSE ACADEMY, TUITION ASSISTANCE AND A TEACHING INSTITUTIONS. UNDER PLAY: EXPAND USE/KNOWLEDGE OF COMMUNITY CENTER FOR SOCIAL AND RECREATIONAL ACTIVITIES IN KANAWHA COUNTY. ACCESS TO ARTS, CULTURE AND ENTERTAINMENT OPPORTUNITIES AND SHOPPING/BUSINESS OPPORTUNITIES CAMC ADDRESSED WITH OFFERING A CAMC PRIDE CARD WHICH OFFERS DISCOUNTS FOR VARIOUS ACTIVITIES/RESTAURANTS AND SHOPPING. ACCESS TO RECREATIONAL SPACES IN NEIGHBORHOODS CAMC WORKS ON VARIOUS PROJECTS DURING THE UNITED WAY DAY OF CARING, AND PROVIDES THE CAMC PRIDE CARD AND SPONSORS A CAMC EVENT AT THE GOMART BALLPARK.
GROUP A-FACILITY 3 -- CAMC WOMEN AND CHILDREN'S HOSPITAL 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.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 4: CAMC TEAYS VALLEY HOSPITAL
GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL PART V, SECTION B, LINE 5:	CAMC TEAYS VALLEY HOSPITAL CONDUCTED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS UTILIZING DATA FROM THE UNITED WAY OF CENTRAL WEST VIRGINIA (2019 COMMUNITY NEEDS ASSESSMENT), THE PUTNAM COUNTY HEALTH DEPARTMENT (PUTNAM COUNTY COMMUNITY HEALTH ASSESSMENT 2018-2019 AND PUTNAM COUNTY COMMUNITY HEALTH ASSESSMENT PRIORITIZATION AND DEVELOPMENT OF HEALTH IMPROVEMENT PRIORITIES 2020) , THE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN SERVICES (REGION 5 NEEDS ASSESSMENT) AND THE PUTNAM COUNTY HEALTH INDICATOR REPORT (MARCH 2021). THE ASSESSMENT PROCESS ENCOMPASSED THE FOLLOWING: PUTNAM COUNTY SURVEY RESULTS; UNITED WAY OF CENTRAL WV COMMUNITY NEEDS ASSESSMENT; PUTNAM COUNTY HEALTH DEPARTMENT COMMUNITY NEEDS ASSESSMENT; WV DEPARTMENT OF HEALTH AND HUMAN RESOURCES REGION 5 NEEDS ASSESSMENT; DEPARTMENT OF HEALTH AND HUMAN SERVICES ENPOWER EMERGENCY PLANNING DE-IDENTIFIED DATA SET; OBJECTIVE DATA-SECONDARY COUNTY HEALTH DATA AND SOCIAL SERVICE AGENCY UTILIZATION. SURVEY DATA-THE UNITED WAY OF CENTRAL WV COMPLETED AN ASSESSMENT OF HEALTH AND SOCIAL SERVICES NEEDS IN BOONE, CLAY, KANAWHA, LOGAN AND PUTNAM COUNTIES. THE ASSESSMENT UTILIZED A VARIETY OF DATA COLLECTION TECHNIQUES IN ORDER TO OBTAIN RELIABLE AND UNBIASED DATA ON THE DEMOGRAPHIC, SOCIAL AND ECONOMIC CONDITIONS OF THE AREA. THE QUANTITATIVE SURVEY WAS DEVELOPED THAT GARNERED RESULTS FROM MORE THAN 600 RESPONDENTS ACROSS THE REGION. THE WEB-BASED AND HARD COPY SURVEYS SOUGHT THE PERCEPTIONS OF UNITED WAY OF CENTRAL WV DONORS, LOCAL SERVICE PROVIDERS (I.E. SOCIAL SERVICE PROVIDERS, COUNSELORS, DAYCARE TEACHERS, NURSES) AND SERVICE CONSUMERS/RECIPIENTS ON THE MOST CRITICAL NEEDS OF OUR CENTRAL WV COMMUNITY. SURVEY DATA COLLECTION OCCURRED OVER A THREE-MONTH TIMEFRAME FROM NOVEMBER 2018 THROUGH JANUARY 2019. SURVEY RESPONDENTS INCLUDED 297 DONORS, 189 SERVICE PROVIDERS, AND 131 SERVICE CONSUMERS/RECIPIENTS. THE PRIMARY FOCUS AREAS FOR THE SURVEY WERE: HEALTH-IMPROVING PEOPLE'S HEALTH BY ENSURING INDIVIDUALS HAVE ACCESS TO MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE; EDUCATION-ENSURING EVERY CHILD GETS A STRONG START IN LIFE, TEENAGERS HAVE THE TOOLS TO LEARN AND GROWN AND ADULTS RECEIVE EDUCATION TO BETTER THEIR LIVES; FINANCIAL STABILITY- HELPING PEOPLE USE THEIR RESOURCES EFFECTIVELY, PROVIDING JOB TRAINING, IMPROVING FINANCIALS LITERACY AND STRENGTHENING SELF-SUFFICIENCY; SAFETY NET (BASIC NEEDS)- HELPING PEOPLE MEET THEIR BASIC NEEDS SUCH AS SHELTER, EMERGENCY SERVICES AND FOOD. THE MOST IMPORTANT ISSUE FOR EACH CATEGORY IN THE FIVE COUNTY SERVICE AREA IS AS FOLLOWS: AFFORDABLE ACCESS TO QUALITY DAYCARE/CHILDREN (EDUCATION); SUBSTANCE USE/ABUSE/ADDICTION (HEALTH); VOCATIONAL TRAINING/EMPLOYMENT SKILLS (FINANCIAL STABILITY); SHELTER/EMERGENCY BEDS/TRANSITIONAL HOUSING (SAFETY NET).
GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL PART V, SECTION B, LINE 6B:	KEY LEADERS FROM THE FOLLOWING ORGANIZATIONS, IN PUTNAM COUNTY IDENTIFIED AND PRIORITIZED COMMUNITY HEALTH NEEDS. THE UNITED WAY OF CENTRAL WV, PUTNAM COUNTY WELLNESS COALITION, PUTNAM COUNTY HEALTH DEPARTMENT, MEDICAL DIRECTOR FOR PUTNAM COUNTY HEALTH DEPARTMENT, PUTNAM COUNTY OFFICE OF EMERGENCY SERVICES, PUTNAM COUNTY HOMELAND SECURITY, AND PUTNAM COUNTY LAW ENFORCEMENT.
GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL PART V, SECTION B, LINE 11:	THE FOLLOWING COMMUNITY NEEDS ARE IDENTIFIED AS COMMUNITY PRIORITIES AND BEING ADDRESSED BY CAMC TEAYS: 1) HEALTHY LIVING TO INCLUDE CHRONIC DISEASE PREVENTION, FITNESS AND HEALTHY LIFESTYLE HABITS WHICH IS BEING ADDRESSED BY PUTNAM WELLNESS COALITION; CAMP KNO KOMA; SPORTS PHYSICALS TO STUDENTS; FREE ORTHOPEDIC COVERAGE FOR AREA SCHOOL AND COLLEGE SPORTS EVENTS; DONATIONS FOR SPORTING EQUIPMENT, TRANSPORTATION AND SPONSORSHIPS FOR AREA SCHOOLS; PLACE AND MAINTAIN AED UNITS FOR ALL SCHOOLS IN PUTNAM COUNTY AND CONTIGUOUS COUNTIES; SUPPORT CHARLESTON AND HUNTINGTON HEART WALKS; PUTNAM COUNTY HOMECOMING HEALTH FAIR; EDUCATION MATERIALS FOR BACKPACK BUDDY PROGRAM; LEVEL III CARDIAC SERVICES; STOP THE BLEED PROGRAM; SUPPORT YMCA; INFANT SIMULATORS FOR HIGH SCHOOL STUDENTS; BICYCLE RODEO AND FREE STUDENT HELMETS AND FAMILY FUN TIMES WITH TEAYS VALLEY CHURCH OF GOD. 2) SUBSTANCE USE/ABUSE/ADDICTION WHICH IS BEING ADDRESSED BY THE FOLLOWING: PUTNAM COUNTY HOMECOMING FAIR; PUTNAM COUNTY HEALTH DEPARTMENT ADVISORY COMMITTEE; PUTNAM COUNTY JUVENILE DRUG COURT BOARD OF TRUSTEES; 911 ADVISORY COMMITTEE; MEDICAL EXPLORERS; OPIOID TREATMENT NAVIGATION TEAM AVAILABLE; SMOKE FREE CAMPUS FOR EMPLOYEES; SMOKING CESSATION TO PATIENTS AND EMPLOYEES; PUTNAM WELLNESS COALITION AND CAMC WELLNESS CENTER. 3) ACCESS TO AFFORDABLE HEALTH CARE TO INCLUDE MENTAL HEALTH, TRAUMA CARE AND PRESCRIPION MEDICATION WHICH IS BEING ADDRESSED BY REDUCED COST LAB WORK; SPORTS PHYSICALS; PUTNAM COUNTY HOMECOMING FAIR; CHARITY CARE; ENROLLMENT ASSISTANCE FOR PATIENTS AND FAMILIES FOR HEALTH COVERAGE; PROVIDING SURGERY, NEUROLOGY, UROLOGY, ORTHOPEDICS, ONCOLOGY, VASCULAR, LEVEL III CARDIAC REHAB AND PAIN MANAGEMENT. 4) ACCESS TO HEALTHY FOOD, NUTRITION, AND/OR HEALTHY MEALS WHICH IS BEING ADDRESSED BY BACKPACK BUDDY PROGRAM WHICH PROVIDES FOOD TO STUDENTS BOTH DURING THE SCHOOL YEAR AND THE SUMMER. 5) SHELTER/EMERGENCY BEDS AND SERVICES INCLUDING TRANSITIONAL HOUSING ASSISTANCE WHICH IS BEING ADDRESSED BY BAMBOO BRIDGE WHICH PROVIDES HOUSING FOR HOMELESS YOUNG ADULTS BETWEEN THE AGES OF EIGHTEEN AND TWENTY ONE YEARS OLD IN A SAFE, STABLE AND STRUCTURED ENVIRONMENT. THESE YOUNG ADULTS WILL BE PROVIDED NECESSARY LIFE SKILLS AND ASSISTANCE TO TRANSITION TO LIVING A PRODUCTIVE ADULT LIFE IN THE COMMUNITY. 6) EDUCATION AND SKILLS PREPARATION TO INCLUDE LOW INCOME ADULTS, HIGHER EDUCATION TUITION ASSISTANCE, VOCATIONAL/TRADE SCHOOL, REDUCING TRUANCY AND GRADUATING ON TIME WHICH IS BEING ADDRESSED BY WOMAN UP CONFERENCE; PUTNAM COUNTY SCHOOLS HEALTH SERVICES CLUSTER CAREER CONFERENCE; VOLUNTEER AT WV HEALTH RIGHT; HOSA-HEALTH OCCUPATIONS STUDENTS ASSOCIATION; ENROLLMENT ASSISTANCE FOR PATIENTS AND FAMILIES FOR HEALTH COVERAGE; CHARITY CARE; 24 EMERGENCY DEPARTMENT; BACKPACK BUDDY PROGRAM; PUTNAM WELLNESS COALITION; STAFF ON THE LPN & NURSING ASSISTANT ADVISORY COMMITTEE; PROVIDE CLINICAL SITE AND VOCATIONAL TRADE SCHOOL LPN & NURSING ASSISTANTS PROGRAMS; PROVIDE CLINICAL TRAINING FOR NURSING, RADIOLOGY, RESPIRATORY AND DIETITIAN STUDENTS AND BAMBOO BRIDGE. 7) DOMESTIC VIOLENCE AND CHILD ABUSE SERVICES WHICH ARE BEING ADDRESSED BY PUTNAM WELLNESS COALITION; OFFICER PHIL PROGRAM-PUTNAM COUNTY SHERRIFF'S DEPARTMENT; MANDATORY REPORTS TO DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR CHILD ABUSE; PROVIDE TRAINED NURSE FOR THE SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. THE FOLLOWING COMMUNITY NEEDS ARE NOT ADDRESSED BY CAMC TEAYS. 1) AFFORDABLE ACCESS TO QUALITY DAYCARE FOR CHILDREN & ADULTS TO INCLUDE AFTER SCHOOL AND EXTRACURRICULAR ACTIVITIES FOR YOUTH AND GRANDPARENT/KINSHIP CARE. CAMC TEAYS DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. 2) ACCESS TO TRANSPORTATION. CAMC TEAYS DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. 3) SERVICES FOR INDIVIDUALS WITH DISABILITIES AND SENIOR ASSISTANCE TO INCLUDE HOME MODIFICATIONS FOR DISABLED/ELDERLY. CAMC TEAYS DOES NOT HAVE THE CAPABILITY OR FUNDING TO ADDRESS THIS ISSUE. 4) PERSONAL FINANCIAL MANAGEMENT. THIS ISSUE IS BEING ADDRESSED BY OTHER ORGANIZATIONS IN OUR COMMUNITY. 5) MORTGAGE/RENT AND UTILITY PAYMENT ASSISTANCE. THIS ISSUE IS BEING ADDRESSED BY OTHER ORGANIZATIONS IN OUR COMMUNITY.
GROUP B-FACILITY 4 -- CAMC TEAYS VALLEY HOSPITAL 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.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?49
Name and address		Type of Facility (describe)
1	1 - CAMC IMAGING CENTER SOUTHRIDGE 60 RHL BOULEVARD SOUTH CHARLESTON,WV25309	OUTPATIENT IMAGING CENTER
2	2 - CAMC URGENT CARE CENTER 314 GOFF MOUNTAIN ROAD SUITE 3 CROSS LANES,WV25313	URGENT CARE FACILITY
3	3 - CAMC PHYSICAL THERAPY CENTER 600 TRACY WAY CHARLESTON,WV253111258	REHABILITATION FACILITY
4	4 - CAMC SOLUTIONS 2568 PENNSYLVANIA AVENUE CHARLESTON,WV253024907	PHARMACY COMPOUNDING CENTER
5	5 - ST MARY'S LABORATORY SERVICES 2900 FIRST AVE SUITE 607 HUNTINGTON,WV25702	LABORATORY SERVICES
6	6 - CAMC WEIGHT LOSS CENTER 600 TRACY WAY SUITE 2 CHARLESTON,WV25311	WEIGHT LOSS CENTER
7	7 - CAMC PRIMARY CARE-NITRO 4111 FIRST AVENUE 3 NITRO,WV25143	FAMILY PRACTICE
8	8 - CAMC PRIMARY CARE-WINFIELD 12576 WINFIELD ROAD WINFIELD,WV25526	FAMILY PRACTICE
9	9 - CAMC PLASTIC SURGERY CENTER 210 BROOKS STREET SUITE 200 CHARLESTON,WV25301	PLASTIC SURGERY
10	10 - CAMC ORTHOPEDICS TEAYS VALLEY 3703 TEAYS VALLEY ROAD HURRICANE,WV25526	ORTHOPEDIC CENTER
11	11 - CAMC UROLOGIC SURGICAL CENTER 11 COURTNEY DRIVE CHARLESTON,WV25304	UROLOGICAL CENTER
12	12 - CAMC CARDIOLOGY-SOUTH CHARLESTON 4610 KANAWHA AVE SW SOUTH CHARLESTON,WV25309	CARDIOLOGY
13	13 - CAMC CARDIOLOGY-SUMMERSVILLE 702 PROFESSIONAL PARK DR SUMMERSVILLE,WV26651	CARDIOLOGY
14	14 - CAMC CARDIOLOGY 3100 MACCORKLE AVENUE SE SUITE 205 CHARLESTON,WV25304	CARDIOLOGY
15	15 - CAMC PRIMARY CARE-TEAYS VALLEY 3248 TEAYS VALLEY RD HURRICANE,WV25526	FAMILY PRACTICE
16	16 - CAMC EMPLOYEE WELLNESS CENTER 3418 STAUNTON AVENUE CHARLESTON,WV25304	EMPLOYEE WELLNESS
17	17 - CAMC CARDIOLOGY BECKLEY 1836 HARPER ROAD BECKLEY,WV258013366	CARDIOLOGY
18	18 - CAMC CARDIOLOGYUROLOGY 50 VERES DRIVE CHAPMANVILLE,WV25508	CARDIOLOGY AND UROLOGY
19	19 - CAMC RYAN WHITE PROGRAM-BECKLEY 1838 HARPER ROAD BECKLEY,WV25801	HIV/AIDS CLINIC
20	20 - CAMC GYNECOLOGY ONCOLOGY 1 COURTNEY DR SEDGELY OFFICE PARK CHARLESTON,WV25304	GYNECOLOGY/ONCOLOGY
21	21 - CAMC HEARTFIT (CARDIOPULMONARY REHAB) 130 57TH STREET SE CHARLESTON,WV25304	CARDIO REHAB
22	22 - CAMC TELEMEDICINE LEWISBURG 1464 JEFFERSON STREET N LEWISBURG,WV249011380	TELEMEDICINE
23	23 - CAMC PRIMARY CARE PRINCETON 150 COURTHOUSE ROAD PRINCETON,WV247402450	CLINIC
24	24 - CAMC PRIMARY CARE SUMMERSVILLE 702 PROFESSIONAL PARK DRIVE SUITE 102 SUMMERSVILLE,WV266512018	PRIMARY CARE
25	25 - CAMC GASTROENTEROLOGY 2930 CHESTERFIELD AVE CHARLESTON,WV25304	GASTROENTEROLOGY
26	26 - CAMC PRIMARY CARE CHARLESTON 8 COURTNEY DRIVE CHARLESTON,WV25304	PRIMARY CARE
27	27 - CAMC TELEMEDICINE - JACKSON 300 CLAY LICK RD RIPLEY,WV25271	TELEMEDICINE
28	28 - CAMC TELEMEDICINE SUMMERSVILLE 702 PROF PARK DRIVE SUMMERSVILLE,WV26651	TELEMEDICINE
29	29 - CAME TELEMEDICINE- PRINCETON 150 COURTHOUSE RD PRINCETON,WV24740	TELEMEDICINE
30	30 - CAMC ADULT AND PEDIATRIC ENT 1311 VIRGINIA ST E SUITE 100 CHARLESTON,WV25301	EAR, NOSE & THROAT
31	31 - CAMC PLASTIC SURGERY TEAYS 3948 TEAYS VALLEY ROAD HURRICANE,WV25526	PLASTIC SURGERY
32	32 - CAMC PEDIATRIC RHEUMATOLOGY TEAYS 3948 TEAYS VALLEY ROAD HURRICANE,WV25526	PEDIATRICS
33	33 - CAMC CANCER CENTER BECKLEY 275 DRY HILL ROAD BECKLEY,WV25801	ONCOLOGY
34	34 - CAMC NEUROSURGERY 415 MORRIS ST SUITE 400 CHARLESTON,WV25301	SURGERY
35	35 - CAMC ORTHOPEDICS NORTH GATE 100 TRACY WAY CHARLESTON,WV25311	ORTHOPEDICS
36	36 - CAMC TELEMEDICINE- MORGANTOWN 1188 PINEVIEW DR SUITE 100 MORGANTOWN,WV26505	TELEMEDICINE
37	37 - CAMC GENERAL SURGERY 9 COURTNEY DRIVE CHARLESTON,WV25304	GENERAL SURGERY
38	38 - CAMC INTERNAL MEDICINE OAK HILL 320 JONES AVE OAK HILL,WV25901	PRIMARY CARE
39	39 - CAMC PRIMARY CARE BECKLEY 230 GEORGES ST SUITE 2 BECKLEY,WV25801	PRIMARY CARE
40	40 - CAMC PRIMARY CARE OAK HILL 119 MAIN ST W OAK HILL,WV25901	PRIMARY CARE
41	41 - CAMC ENT BECKLEY 230 GEORGES ST SUITE 2 BECKLEY,WV25801	EAR, NOSE & THROAT
42	42 - CAMC PRIMARY CARE FAYETTEVILLE 131 W MAPLE AVE FAYETTEVILLE,WV25840	PRIMARY CARE
43	43 - CAMC SPECIALTY GROUP FAYETTEVILLE 211 W MAPLE AVE FAYETTEVILLE,WV25840	EAR, NOSE & THROAT
44	44 - CAMC GENERAL SURGERY BECKLEY 102 BROOKSHIRE LANE BECKLEY,WV25801	GENERAL SURGERY
45	45 - CAMC SLEEP LAB RIPLEY 137 CLAYLICK RD RIPLEY,WV25271	SLEEP CLINIC
46	46 - CAMC CARDIOPULMONARY REHAB SC 4610 KANAWHA AVE SW SOUTH CHARLESTON,WV25309	CARDIOLOGY
47	47 - CAMC TELENEPHROLOGY 2945 CHESTERFIELD AVE CHARLESTON,WV25304	TELEMEDICINE
48	48 - CAMC TELEMEDICINE- POCAHONTAS 150 DUNCAN RD BUCKEYE,WV24924	TELEMEDICINE
49	49 - CAMC PRIMARY CARE POCA 2851 CHARLESTON RD POCA,WV25159	PRIMARY CARE

Schedule H (Form 990) 2023

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization 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 the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	CAMC 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 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 $ 51,387,928.
PART II, COMMUNITY BUILDING ACTIVITIES:	CAMC MEMORIAL, GENERAL AND WOMEN AND CHILDREN'S HOSPITALS COMMUNITY BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. CAMC IS A MEMBER OF THE PARTNER'S IN HEALTH NETWORK, INC. ("PARTNERS"), WHICH IS COMPRISED OF A NETWORK OF MOSTLY SMALL AND RURAL HOSPITALS, CLINICS AND HEALTH DEPARTMENTS WHO WORK TOGETHER TO ADDRESS QUALITY AND EDUCATIONAL NEEDS FOR IMPROVING THE CARE MANAGEMENT, ASSISTANCE WITH NCQA ACCREDITATION FOR PATIENT CENTERED MEDICAL HOMES AND IMPROVED QUALITY THROUGH ADDRESSING SEPSIS AND OTHER HEALTH ISSUES. ACCESS TO HEALTH CARE FOR 5,000 WORKING UNINSURED INDIVIDUALS IN CENTRAL AND SOUTHERN WEST VIRGINIA IS PROVIDED THROUGH PARTNER'S COMMUNITY ACCESS PROGRAM. ADDITIONALLY, CAMC PROVIDES STUDENTS ENROLLED IN POST-SECONDARY EDUCATION WITH RELATED ON-THE-JOB TRAINING THAT IS REQUIRED FOR THEIR GRADUATION. HEALTH FAIRS FOR THE COMMUNITY FOCUSING ON ADULTS AND CHILDREN PROVIDE SCREENING AND HEALTH INFORMATION TO IDENTIFY AND ADDRESS HEALTH ISSUES. CAMC ALSO PARTNERS WITH THE GREATER KANAWHA VALLEY FOUNDATION TO CREATE A VALUE CHAIN FOOD SYSTEM TO SUPPORT WEALTH CREATION FOR LOCAL GROWERS.CAMC EMPLOYEES VOLUNTEERED TO PARTICIPATE IN THE UNITED WAY'S DAY OF CARING PERFORMING COMMUNITY SERVICE PROJECTS FOR THE COMMUNITY.CAMC TEAYS VALLEY HOSPITAL'S COMMUNITY BUILDING ACTIVITIES IMPROVE THE COMMUNITY'S HEALTH AND SAFETY BY ADDRESSING THE ROOT CAUSES OF HEALTH PROBLEMS. CAMC TEAYS VALLEY SUPPORTS MEDICAL EXPLORERS, A PROGRAM DESIGNED TO INTRODUCE YOUTH IN PUTNAM COUNTY WHO HAVE DESIGNATED HEALTH CARE AS THEIR HEALTH CLUSTER TO THE HEALTH CARE ENVIRONMENT. THIS HELPS TO ADDRESS A LACK OF PARENTAL OVERSIGHT. TEAYS ALSO SUPPORTS THE PUTNAM COUNTY CAREER FAIR, HEALTH SERVICES CAREER CONFERENCE, AND PORTFOLIO EXPOSITIONS WHERE AREA HIGH SCHOOL STUDENTS AND ADULTS ARE PROVIDED INFORMATION ON THE EDUCATIONAL REQUIREMENT FOR HEALTH CARE CAREERS.
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 3:	THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WOULD BE 30,596,372 FOR 2023.
PART III, LINE 4:	THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGE 13 OF VANDALIA HEALTH'S AUDITED FINANCIAL STATEMENTS. IN SUMMARY, PRIVATE PAY ACCOUNTS AND AMOUNTS FOR DEDUCTIBLES AND CO-INSURANCE THAT ARE DEEMED UNCOLLECTIBLE THAT DO NOT APPEAR TO MEET THE CHARITY CARE GUIDELINES ARE WRITTEN OFF AS BAD DEBT EXPENSE AND APPEAR AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	CAMC TREATS ANY GOVERNMENT REIMBURSEMENT THAT IS INSUFFICIENT TO COVER ALLOCATED COSTS AS BEING A COMMUNITY BENEFIT. CAMC 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'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 PROVIDES ASSISTANCE WITH PAYMENT PLANS, GOVERNMENT PROGRAMS, AND AN EMPLOYEE ASSISTANCE PROGRAM.
PART VI, LINE 2:	CAMC SUPPORTS AND STRENGTHENS ITS KEY COMMUNITIES THROUGH A SYSTEMATIC APPROACH THAT BEGINS WITH OUR MISSION, VISION AND VALUES. ANNUALLY DURING OUR STRATEGIC PLANNING PROCESS WE REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS AND PRIORITIES TO DEVELOP OUR COMMUNITY STRATEGY. THIS STRATEGY IS BASED ON ISSUES IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS AND SUPPLEMENTED WITH FINDINGS FROM OUR INTERNAL ENVIRONMENTAL ANALYSIS. COMMUNITIES ARE IDENTIFIED, STRATEGIES ARE IDENTIFIED AND PLANS ARE FUNDED, IMPLEMENTED, TRACKED AND MEASURE. OUR BOARD APPROVES THE PLAN AND REVIEWS PLAN PROGRESS ANNUALLY. BECAUSE OF THE SIZE AND SCOPE OF OUR SERVICES, THE APPROACH WE USE TO IDENTIFY OUR KEY COMMUNITIES IS BASED ON THE STRATEGY, KEY STAKEHOLDERS NEEDS, AND OUR CAPACITY. OUR COMMUNITY FOR THE KCCHI WORK GROUPS IS KANAWHA COUNTY AS DETERMINED BY THE KCCHI MISSION. FOR OUR CAMC COMMUNITY STRATEGY, COMMUNITY IS BASED ON THE NEED IDENTIFIED AND POPULATION TO BE ADDRESSED. WE DEVELOP HEALTH INDICATOR DATA SHEETS FOR EACH OF OUR SERVICE AREA COUNTIES AND IDENTIFY KEY ISSUES TO ADDRESS FOR ALL OR PART OF OUR SERVICE AREA. FOR EXAMPLE, OUR PERINATAL TELEMEDICINE PROJECT INCLUDES 14 RURAL COUNTIES AND OUR CHILD ADVOCACY CENTER AND HIV PROGRAM SERVE OUR ENTIRE SERVICE AREA. EACH STRATEGY IS DEPLOYED THROUGH A PLANNING PROCESS THAT ADDRESSES KEY STAKEHOLDER NEEDS AND IS EVALUATED BASED ON PREDETERMINED CRITERIA FOR OUTCOMES EXPECTED. CYCLES OF LEARNING HAVE ENSURED THE CIVIC AFFAIRS COUNCIL MONETARY CONTRIBUTIONS SUPPORT COMMUNITY ORGANIZATIONS IN THE SERVICE AREA THAT ARE CLEARLY ALIGNED WITH OUR COMMUNITY STRATEGY. IN ADDITION TO ADDRESSING COMMUNITY NEEDS AND CONTRIBUTING FINANCIALLY, OUR LEADERSHIP TEAM SERVES IN KEY LEADERSHIP ROLES FOR COMMUNITY ACTIVITIES, PROGRAMS AND ORGANIZATIONS AS WELL AS SUPPORTS THE WORKFORCE IN PARTICIPATING IN MANY COMMUNITY BENEFIT ACTIVITIES SUCH AS DAY OF CARING.CAMC TEAYS VALLEY HOSPITAL SUPPORTS AND STRENGTHENS THE PUTNAM COUNTY COMMUNITY THROUGH ITS ANNUAL PLANNING PROCESS WHERE THE NEEDS ASSESSMENT FINDINGS AND PRIORITIES ARE REVIEWED TO DEVELOP ITS COMMUNITY STRATEGY AND THE COMMUNITY(IES) WITHIN PUTNAM COUNTY THAT ARE IMPACTED. THIS STRATEGY IS BASED ON ISSUES IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS AND SUPPLEMENTED WITH FINDINGS FROM REVIEW OF INTERNAL DATA. STRATEGIES ARE IDENTIFIED AND PLANS ARE FUNDED, IMPLEMENTED, TRACKED AND MEASURED. THE CAMC BOARD PLANNING AND PUBLIC POLICY COMMITTEE AND THE CAMC BOARD OF TRUSTEES APPROVE THE PLAN AND REVIEW PLAN PROGRESS ANNUALLY. IN ADDITION TO ADDRESSING COMMUNITY NEEDS AND CONTRIBUTING FINANCIALLY, CAMC TEAYS' 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 TEAYS DETERMINES IF THERE ARE ADDITIONAL AREAS OF SUPPORT THAT CAN BE PROVIDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS ASSESSMENT ISSUES.
PART VI, LINE 3:	CAMC 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'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 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'S COMMUNITY AREA OF FOCUS INCLUDES OUR PRIMARY AND SECONDARY SERVICE AREA. OUR PRIMARY SERVICE AREA (PSA) INCLUDES: KANAWHA, PUTNAM, FAYETTE, BOONE, AND RALEIGH COUNTIES. OUR SECONDARY SERVICE AREA (SSA) IS CLAY, JACKSON, LINCOLN, LOGAN, MERCER, NICHOLAS, AND ROANE COUNTIES. KANAWHA COUNTY CONSTITUTES A POPULATION OF 174,805 WITH A MEDIAN AGE OF 43.7 AND A HOUSEHOLD INCOME OF $55,226. THE PSA/SSA POPULATION IS 514,817 WITH A MEDIAN AGE OF 44.5 AND A HOUSEHOLD INCOME OF $51,835. TEAYS' COMMUNITY AND PRIMARY AREA OF FOCUS IS PUTNAM COUNTY. PUTNAM COUNTY HAS A POPULATION OF 56,962 WITH A MEDIAN AGE OF 43.3 AND A HOUSEHOLD INCOME OF $75,725. DEMOGRAPHIC, HEALTH AND SOCIOECONOMIC INFORMATION IS PROVIDED IN DETAIL IN THE 2023 COMMUNITY BENEFIT REPORTS FOUND ON WWW.CAMC.ORG.
PART VI, LINE 5:	CAMC'S GOVERNING BOARD IS ITS BOARD OF TRUSTEES, A 16 MEMBER VOLUNTEER COMMUNITY BOARD THAT MEETS WV STATE LAW REQUIREMENTS FOR NONPROFIT BOARD MEMBERSHIP INCLUDING COMMUNITY REPRESENTATION. ADMISSION TO THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF THE FACILITY. EACH CAMC HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM OPEN TO EVERYONE, REGARDLESS OF ABILITY TO PAY. CAMC SERVES A BROAD CROSS-SECTION OF THE COMMUNITY THROUGH RESEARCH AND CHARITY CARE. CAMC APPLIES ANY SURPLUS FUNDS TOWARD IMPROVING FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, RESEARCH AND EDUCATION. CAMC'S COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, FINANCIAL AND IN-KIND CONTRIBUTIONS, COMMUNITY AND BUILDING ACTIVITIES ARE DETAILED IN THE COMMUNITY BENEFIT REPORT ON OUR WEBSITE AT WWW.CAMC.ORG.
PART VI, LINE 6:	CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE SERVES AS THE EDUCATION AND RESEARCH ARM OF THE VANDALIA HEALTH. THE INSTITUTE PROMOTES THE HEALTH OF THE COMMUNITY BY SPONSORING HEALTH PROFESSIONAL TRAINING PROGRAMS TRAINING THE REGION'S HEALTH PROFESSIONALS IN THE COMMUNITY, REGION AND STATE SPONSORING MANAGEMENT AND LEADERSHIP DEVELOPMENT PROGRAMS, SPONSORING COMMUNITY HEALTH EDUCATION AND PREVENTION EDUCATION PROGRAMS FOR THE COMMUNITY, CONDUCTING CLINICAL AND HEALTH SERVICES RESEARCH TARGETED TO IMPROVE HEALTH AND HEALTH SERVICES DELIVERY OF OUR PATIENTS AND COMMUNITY, PURSUING SPECIAL PROGRAM FUNDING AND GRANTS TO SUPPORT EDUCATION AND RESEARCH PROGRAMS, PROMOTING ECONOMIC DEVELOPMENT THROUGH ITS EMPLOYMENT OF APPROXIMATELY 80 FULL-TIME EDUCATION, RESEARCH AND SUPPORT STAFF AND THROUGH ITS EXTRAMURAL AND EXTERNALLY FUNDED SPONSORED PROGRAMS, PROMOTING TELEHEALTH OPPORTUNITIES THAT LINK PROVIDERS FOR HEALTH CONSULTATION AND THAT IMPROVES ACCESS TO HEALTH SERVICES TO PATIENTS, CREATING LINKAGES TO EDUCATION AFFILIATES ALLOWING APPROXIMATELY 800 LEARNERS TO RECEIVE CLINICAL TRAINING EXPERIENCES AT CAMC, SPONSORING SIMULATION TRAINING EXPERIENCES FOR REGIONAL EDUCATION AFFILIATES, AND PROMOTING AND SUSTAINING NETWORKS AND PARTNERSHIPS THAT IMPROVE ACCESS TO CLINICAL TRIALS AND RESEARCH FUNDING OPPORTUNITIES. THE CAMC FOUNDATIONS' MISSION IS TO SUPPORT AND PROMOTE CAMC'S DELIVERY OF EXCELLENT AND COMPASSIONATE HEALTH SERVICES AND CAMC'S CONTRIBUTION TO THE QUALITY OF LIFE AND ECONOMIC VITALITY OF THE REGION. THIS IS ACCOMPLISHED THROUGH SUPPORT OF MANY SERVICES TO CAMC PATIENTS AND EMPLOYEES. EACH YEAR, THE FOUNDATION SUPPORTS THE PREVENTION FIRST PROGRAM AT CAMC WOMEN AND CHILDREN'S HOSPITAL. THE PREVENTION FIRST PROGRAM SEEKS TO REDUCE MEDICAL COSTS, FACILITATE ALL ASPECTS OF HEALTH CARE, INCLUDING SUPPORT OF THE MEDICAL PLAN ESTABLISHED BY THE PRIMARY CARE PHYSICIAN, WHILE MEETING THE SPECIAL NEEDS OF LOW-INCOME CHILDREN AND FAMILIES IN THE HOME ENVIRONMENT. SPECIFICALLY, THE PREVENTION FIRST PROGRAM PROMOTES HEALTHY OUTCOMES THAT WILL DECREASE PRE-TERM LABOR, INFANT MORTALITY, UNPLANNED C-SECTION RATE, NICU/PICU LENGTH OF STAY AND INCREASE INFANT BIRTH WEIGHT WHILE PROMOTING WELL-CHILD CARE AND IMMUNIZATIONS. THE FOUNDATION ALSO HELPS KEEP PHYSICIANS AND ALLIED HEALTH CARE EMPLOYEES UP-TO-DATE BY PROVIDING FUNDING FOR MANY CONTINUING EDUCATION PROGRAMS.
PART VI, LINE 7, REPORTS FILED WITH STATES	WV

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
CHARLESTON AREA MEDICAL CENTER INC

Employer identification number
55-0526150

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) WV HEALTH RIGHT INC 1520 WASHINGTON STREET CHARLESTON,WV25311	31-1066881	501(C)(3)	235,150	GENERAL PROGRAM SUPPORT
(2) RONALD MCDONALD HOUSE OF CHARITIES OF SOUTHERN WEST VIRGINIA INC 910 PENNSYLVANIA AVENUE CHARLESTON,WV25302	55-0631080	501(C)(3)	43,980	GENERAL PROGRAM SUPPORT
(3) WEST VIRGINIA MEDICAL PROFESSIONALS HEALTH PROGRAM INC 4013 BUCKHANNON PIKE MOUNT CLARE,WV26408	74-3226821	501(C)(3)	20,000	GENERAL PROGRAM SUPPORT
(4) YWCA OF CHARLESTON 1426 KANAWHA BLVD E CHARLESTON,WV25301	55-0357060	501(C)(3)	10,410	GENERAL PROGRAM SUPPORT
(5) THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505	55-0570338	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(6) THE BALDRIGE FOUNDATION 1717 PENNSYLVANIA AVE NW SUITE 102 WASHINGTON,DC20006	59-2891462	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(7) BUCKSKIN COUNCIL BOY SCOUTS OF AMERICA 2829 KANAWHA BOULEVARD E CHARLESTON,WV25311	55-0357013	501(C)(3)	10,000	GENERAL PROGRAM SUPPORT
(8) PUTNAM COUNTY FAIR INC PO BOX 955 ELEANOR,WV25070	31-1140523	501(C)(3)	9,008	GENERAL PROGRAM SUPPORT
(9) ALZHEIMER'S ASSOCIATION WV CHAPTER PO BOX 18485 SOUTH CHARLESTON,WV25303	13-3039601	501(C)(3)	7,500	GENERAL PROGRAM SUPPORT
(10) UNITED WAY OF CENTRAL WV 1 UNITED WAY SQUARE CHARLESTON,WV25301	55-0402755	501(C)(3)	5,750	GENERAL PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) NURSING EDUCATIONAL ASSISTANCE	192	2,629,338
(2) EMPLOYEE EDUCATIONAL ASSISTANCE	198	236,521
(3) EMPLOYEE DEPENDENT EDUCATIONAL ASSISTANCE	22	42,500
(4) ALLIED HEALTH EDUCATIONAL ASSISTANCE	29	206,313
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

CAMC PROVIDES NURSING, ALLIED HEALTH AND EDUCATIONAL ASSISTANCE FUNDED BY THE CAMC FOUNDATION. AN APPLICATION PORTFOLIO IS SUBMITTED BY THE CANDIDATE AND REVIEWED AND SCORED ANONYMOUSLY BY THE FOUNDATION'S NURSING AND ALLIED HEALTH STUDENT EDUCATIONAL ASSISTANCE COMMITTEE CO-CHAIRS FOR SUBSEQUENT EDUCATIONAL ASSISTANCE AWARD BY THE COMMITTEE. CAMC PROVIDES EMPLOYEE AND EMPLOYEE DEPENDENT EDUCATIONAL ASSISTANCE. CANDIDATES SUBMIT AN APPLICATION AND REQUIRED MATERIALS AND A COMMITTEE REVIEWS APPLICATIONS BASED ON EDUCATIONAL ASSISTANCE GUIDELINES AND CRITERIA AND AWARDS EDUCATIONAL ASSISTANCE. EDUCATIONAL ASSISTANCE PAYMENTS ARE SUBMITTED DIRECTLY TO THE COLLEGE OR UNIVERSITY ON BEHALF OF THE RECIPIENT. CAMC PROVIDES ASSISTANCE TO VARIOUS COMMUNITY PROGRAMS WHICH ARE REVIEWED BY THE CIVIC AFFAIRS COUNCIL FOR AWARD OR AT THE DISCRETION OF THE CHIEF EXECUTIVE OFFICER.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DAVID L RAMSEY TRUSTEE & VANDALIA HEALTH CEO	(i) (ii)	1,014,266 ------------- 0	770,782 ------------- 0	208,737 ------------- 0	119,238 ------------- 0	47,709 ------------- 0	2,160,732 ------------- 0	369,417 ------------- 0
2NATHAN KISTER PHYSICIAN	(i) (ii)	1,779,770 ------------- 0	0 ------------- 0	0 ------------- 0	13,200 ------------- 0	53,622 ------------- 0	1,846,592 ------------- 0	0 ------------- 0
3HAZAIM ALWAIR PHYSICIAN	(i) (ii)	1,702,934 ------------- 0	0 ------------- 0	22,500 ------------- 0	13,200 ------------- 0	54,545 ------------- 0	1,793,179 ------------- 0	0 ------------- 0
4SANGEETA MANDAPAKA PHYSICIAN	(i) (ii)	1,688,629 ------------- 0	0 ------------- 0	22,554 ------------- 0	13,200 ------------- 0	18,319 ------------- 0	1,742,702 ------------- 0	0 ------------- 0
5MITCHELL RASHID PHYSICIAN	(i) (ii)	1,623,278 ------------- 0	0 ------------- 0	23,398 ------------- 0	13,200 ------------- 0	54,545 ------------- 0	1,714,421 ------------- 0	0 ------------- 0
6ROBERT SHIN PHYSICIAN	(i) (ii)	1,623,991 ------------- 0	0 ------------- 0	0 ------------- 0	13,200 ------------- 0	53,622 ------------- 0	1,690,813 ------------- 0	0 ------------- 0
7GLENN CROTTY JR MD PRESIDENT & CEO	(i) (ii)	739,746 ------------- 0	171,573 ------------- 0	99,711 ------------- 0	13,200 ------------- 0	43,889 ------------- 0	1,068,119 ------------- 0	0 ------------- 0
8JEFF SANDENE EXECUTIVE VP & CFO	(i) (ii)	589,727 ------------- 0	139,678 ------------- 0	47,106 ------------- 0	215,991 ------------- 0	38,831 ------------- 0	1,031,333 ------------- 0	0 ------------- 0
9RYAN FITZWATER DO TRUSTEE/PAST CHIEF OF STAFF	(i) (ii)	839,733 ------------- 0	0 ------------- 0	78,072 ------------- 0	13,200 ------------- 0	56,942 ------------- 0	987,947 ------------- 0	0 ------------- 0
10JEFFREY L OSKIN SENIOR VP & COO	(i) (ii)	482,924 ------------- 0	74,860 ------------- 0	98,068 ------------- 0	240,162 ------------- 0	17,849 ------------- 0	913,863 ------------- 0	57,215 ------------- 0
11JEFFREY L GOODE SENIOR VP AMBULATORY SERVICES	(i) (ii)	392,955 ------------- 0	64,625 ------------- 0	86,395 ------------- 0	263,310 ------------- 0	55,622 ------------- 0	862,907 ------------- 0	49,419 ------------- 0
12ANGELA FENTON HILL SECRETARY & GENERAL COUNSEL	(i) (ii)	421,541 ------------- 0	69,326 ------------- 0	59,944 ------------- 0	253,647 ------------- 0	41,491 ------------- 0	845,949 ------------- 0	43,749 ------------- 0
13DANIEL STROSS VP INFO SVCS & CIO	(i) (ii)	410,605 ------------- 0	210,256 ------------- 0	35,416 ------------- 0	98,324 ------------- 0	56,022 ------------- 0	810,623 ------------- 0	96,667 ------------- 0
14KRISTI SNYDER VP HUMAN RESOURCES	(i) (ii)	392,683 ------------- 0	70,856 ------------- 0	56,383 ------------- 0	211,630 ------------- 0	3,847 ------------- 0	735,399 ------------- 0	42,448 ------------- 0
15BARRY M MITCHELL MD TRUSTEE/CHIEF OF STAFF	(i) (ii)	672,215 ------------- 0	0 ------------- 0	24,000 ------------- 0	13,200 ------------- 0	1,954 ------------- 0	711,369 ------------- 0	0 ------------- 0
16S ANDREW WEBER VP ADMINISTRATOR	(i) (ii)	317,982 ------------- 0	65,211 ------------- 0	80,794 ------------- 0	164,083 ------------- 0	56,472 ------------- 0	684,542 ------------- 0	44,532 ------------- 0
17THOMAS P MCILWAIN MD VP CHIEF MEDICAL OFFICER	(i) (ii)	470,135 ------------- 0	57,387 ------------- 0	92,625 ------------- 0	13,200 ------------- 0	38,717 ------------- 0	672,064 ------------- 0	0 ------------- 0
18GEORGE FARRIS VP ADMINISTRATOR	(i) (ii)	385,512 ------------- 0	128,051 ------------- 0	16,247 ------------- 0	93,304 ------------- 0	18,568 ------------- 0	641,682 ------------- 0	60,000 ------------- 0
19HEIDI EDWARDS VP & CNO	(i) (ii)	328,489 ------------- 0	47,432 ------------- 0	43,258 ------------- 0	154,514 ------------- 0	54,102 ------------- 0	627,795 ------------- 0	26,917 ------------- 0
20HEATHER LEWIS VP CHIEF QUALITY & SAFETY OFFICER	(i) (ii)	324,018 ------------- 0	44,463 ------------- 0	10,000 ------------- 0	93,464 ------------- 0	33,699 ------------- 0	505,644 ------------- 0	0 ------------- 0
21D MICHELLE COON VP MANAGED CARE CONTRACTING	(i) (ii)	255,988 ------------- 0	49,521 ------------- 0	73,225 ------------- 0	60,734 ------------- 0	56,272 ------------- 0	495,740 ------------- 0	49,553 ------------- 0
22RANDALL HODGES VP ADMINISTRATOR	(i) (ii)	276,105 ------------- 0	44,971 ------------- 0	67,474 ------------- 0	13,200 ------------- 0	39,067 ------------- 0	440,817 ------------- 0	0 ------------- 0
23CHRISTINE STURTEVANT VP REVENUE CYCLE	(i) (ii)	289,098 ------------- 0	31,450 ------------- 0	29,940 ------------- 0	56,523 ------------- 0	2,039 ------------- 0	409,050 ------------- 0	0 ------------- 0
24CHAD HOVIS VP FINANCE	(i) (ii)	258,403 ------------- 0	5,000 ------------- 0	11,268 ------------- 0	66,148 ------------- 0	55,622 ------------- 0	396,441 ------------- 0	0 ------------- 0
25ELIZABETH PELLEGRIN VP & CHIEF MARKETING OFFICER	(i) (ii)	206,295 ------------- 0	20,459 ------------- 0	52,796 ------------- 0	47,230 ------------- 0	35,423 ------------- 0	362,203 ------------- 0	0 ------------- 0
26MYRANDA PIKE VP & CCO	(i) (ii)	256,864 ------------- 0	0 ------------- 0	10,730 ------------- 0	70,303 ------------- 0	1,031 ------------- 0	338,928 ------------- 0	0 ------------- 0
27STEVE PERRY VP SUPPLY CHAIN & CPO	(i) (ii)	184,243 ------------- 0	14,757 ------------- 0	52,809 ------------- 0	40,075 ------------- 0	20,189 ------------- 0	312,073 ------------- 0	0 ------------- 0
28TAMARA FULLER VP & CHIEF STRATEGY OFFICER	(i) (ii)	184,245 ------------- 0	18,464 ------------- 0	14,879 ------------- 0	38,842 ------------- 0	36,656 ------------- 0	293,086 ------------- 0	0 ------------- 0
29REBECCA STEVENSON CHIEF COMPLIANCE OFFICER (END 2022)	(i) (ii)	158,014 ------------- 0	16,578 ------------- 0	0 ------------- 0	7,371 ------------- 0	56,219 ------------- 0	238,182 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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) AND EXECUTIVES (INCLUDING CAMC'S CEO). THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC'S CEO 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: MICHELLE COON - $59,642 GLENN CROTTY JR., M.D. - $66,114 HEIDI EDWARDS - $27,593 JEFFREY H. GOODE - $50,828 ANGELA FENTON HILL - $44,997 RANDALL H. HODGES - $26,914 THOMAS P. MCILWAIN - $59,975 JEFFREY OSKIN - $58,847 DAVID L. RAMSEY - $135,173 KRISTI SNYDER - $43,658 S. ANDREW WEBER - $45,802
PART I, LINE 7	THE ORGANIZATION PROVIDES INCENTIVE PAYMENTS TO CERTAIN EMPLOYEES AFTER OPERATING AND PERFORMANCE GOALS ARE ACHIEVED. INCENTIVE PAYMENT PLANS ARE REVIEWED AND APPROVED BY THE VANDALIA HEALTH, INC. BOARD OF DIRECTORS COMPENSATION COMMITTEE.

Schedule J (Form 990) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
CHARLESTON AREA MEDICAL CENTER INC

Employer identification number
55-0526150

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WEST VIRGINIA HOSPITAL FINANCE AUTHORITY	62-1256910	956624AQ3	06-19-2008	127,355,000	SEE PART VI		X		X		X
B	WEST VIRGINIA HOSPITAL FINANCE AUTHORITY	62-1256910	956622F74	07-24-2014	50,641,160	SEE PART VI		X		X		X
C	WEST VIRGINIA HOSPITAL FINANCE AUTHORITY	62-1256910	956622T95	06-04-2019	103,903,458	SEE PART VI		X		X		X
D	WEST VIRGINIA HOSPITAL FINANCE AUTHORITY	62-1256910	956622X33	10-31-2023	411,354,374	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	21,885,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	130,398,907		50,641,160		104,905,943		411,689,876
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,071,347		640,714		1,328,174		3,593,948
8 Credit enhancement from proceeds .............	773,024						2,782,314
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	94,470,515				30,000,000		43,763,039
11 Other spent proceeds .............	33,084,021		50,000,446		72,570,414		258,275,160
12 Other unspent proceeds .............					1,007,356		103,275,415
13 Year of substantial completion .............	2015				2023
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X	X
16 Has the final allocation of proceeds been made? ..........	X		X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X		X
b Exception to rebate? ........		X	X			X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider ..........	MERRILL LYNCH CAPITAL
c Term of hedge .........	2920.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X	X		X			X
b Name of provider ..........			WACHOVIA		PNC CAPITAL MARKETS
c Term of GIC .........			1000.0000000000 %		20.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........			X		X
6 Were any gross proceeds invested beyond an available temporary period?	X			X	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: WEST VIRGINIA HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2018
PART I LINE A (F) DESCRIPTION OF PURPOSE:	THE PROCEEDS FOR THE 2008A BONDS WERE USED TO (I) CURRENTLY REFUND THE SERIES 1995A BONDS ORIGINALLY ISSUED ON 9/26/95, (II) PAY THE COSTS OF CERTAIN CAPITAL EXPENDITURES MADE, OR TO BE MADE, BY CAMC, REFINANCE A BANK LOAN, AND (III) PAY THE COSTS OF ISSUING THE SERIES 2008A BONDS, INCLUDING CERTAIN FEES OF THE BANK.
PART I LINE B (F) DESCRIPTION OF PURPOSE:	THE PROCEEDS FOR THE 2014A BONDS WERE USED TO (I) CURRENTLY REFUND AND EXTINGUISH A PORTION OF THE SERIES 2009A BONDS ISSUED 9/10/2009 AND (II) PAY THE COSTS OF ISSUING THE 2014A BONDS.
PART I LINE C (F) DESCRIPTION OF PURPOSE:	THE PROCEEDS FOR THE 2019A BONDS WERE USED TO (I) TO FUND CERTAIN CAPITAL PROJECTS AT VARIOUS CAMC FACILITIES (II) REFUND ON A CURRENT BASIS A PORTION OF THE ISSUER'S OUTSTANDING $179,925,000 HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS (CHARLESTON AREA MEDICAL CENTER, INC.) 2009 SERIES A (ISSUED 9/10/2009); AND (III) PAY THE COSTS OF ISSUANCE OF THE BONDS.
PART I LINE D (F) DESCRIPTION OF PURPOSE:	THE PROCEEDS FOR THE 2023B BONDS WERE USED TO (I) FUND CERTAIN CAPITAL PROJECTS AT VARIOUS CAMC FACILITIES; (II) REFUND TAX-EXEMPT DEBT ISSUED 6/4/2019; AND (III) REFUND TAXABLE DEBT ISSUED 12/21/2022, 3/30/2023, 3/22/2013; 5/21/2013 AND 6/15/2023; IV) PAY COSTS OF ISSUANCE AND CREDIT ENHANCEMENT COSTS OF THE BONDS.
PART IV, LINE 6, COLUMN A:	SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED.
PART IV, LINE 6, COLUMN C:	SUCH AMOUNTS WILL BE APPROPRIATELY YIELD RESTRICTED, USING YIELD REDUCTION PAYMENTS IF NECESSARY.
PART I AND PART II, LINE 3	DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2023

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) DAVID L RAMSEY	OFFICER	SPLIT DOLLAR LIFE INSURANCE		X	2,848,591	2,942,224		No	Yes		Yes



Total ............... $						2,942,224

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) RICK CROTTY	FAMILY MEMBER OF GLENN CROTTY, JR. MD, OFFICER	54,429	EMPLOYED BY ORGANIZATION		No
(2) DONNA BELL	FAMILY MEMBER OF STEPHEN Z. BELL, OFFICER	198,267	EMPLOYED BY ORGANIZATION		No
(3) JOHN SNYDER	FAMILY MEMBER OF KRISTI SNYDER, OFFICER	110,527	EMPLOYED BY ORGANIZATION		No
(4) CHRISTINE OSKIN	FAMILY MEMBER OF JEFFREY L. OSKIN, OFFICER	163,552	EMPLOYED BY ORGANIZATION		No
(5) ERIK REEDER	FAMILY MEMBER OF GLENN CROTTY, JR., MD, OFFICER	45,534	EMPLOYED BY ORGANIZATION		No
(6) KELLIE TEEL	FAMILY MEMBER OF S. ANDREW WEBER, OFFICER	68,823	EMPLOYED BY ORGANIZATION		No
(7) SUZANNE GHARIB	FAMILY MEMBER OF ELIE G. GHARIB, MD, DIRECTOR	143,254	EMPLOYED BY ORGANIZATION		No
(8) HEATHER PENNINGTON	FAMILY MEMBER OF HEIDI EDWARDS, OFFICER	113,297	EMPLOYED BY ORGANIZATION		No
(9) AUDREY KISER	FAMILY MEMBER OF JEFFREY GOODE, DIRECTOR	59,170	EMPLOYED BY ORGANIZATION		No
(10) ANNE MARIE GHARIB	FAMILY MEMBER OF ELIE GHARIB, DIRECTOR	71,599	EMPLOYED BY ORGANIZATION		No
(11) MELINDA PERRY	FAMILY MEMBER OF STEVE PERRY, OFFICER	64,927	EMPLOYED BY ORGANIZATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL ANALYZERS )	X	1	230,463	FMV
26 Other ( ULTRASOUND )	X	1	37,560	FMV
27 Other ( CRYOBLASION )	X	1	32,268	FMV
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	COLUMN (B) REFERS TO NUMBER OF ITEMS CONTRIBUTED.

Schedule M (Form 990) (2023)

Additional Data

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 4	CAMC'S ARTICLES AND BYLAWS WERE AMENDED IN 2023 TO ADD THE PRESIDENT OF VANDALIA HEALTH, INC. (THE PRESIDENT) AS AN EX-OFFICIO MEMBER OF THE BOARD OF TRUSTEES WITH VOTE.
FORM 990, PART VI, SECTION A, LINE 6	VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.) IS CAMC'S SOLE VOTING MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	VANDALIA HEALTH, INC. (FKA CAMC HEALTH SYSTEM, INC.) IS CAMC'S SOLE VOTING MEMBER AND HAS AUTHORITY TO ELECT ALL VOTING TRUSTEES OF CAMC OTHER THAN EX-OFFICIO TRUSTEES NAMES IN CAMC'S GOVERNING DOCUMENTS. THE SOLE VOTING MEMBER HAS THE SOLE AUTHORITY TO AMEND CAMC'S GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION A, LINE 7B	VANDALIA HEALTH, INC. IS CAMC'S SOLE VOTING MEMBER AND HAS RESERVED POWERS UNDER CAMC'S GOVERNING DOCUMENTS, WHICH PROVIDE THAT DECISIONS OF CAMC'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	CAMC COMPILES NECESSARY INFORMATION FOR FORM 990 THROUGH THE EFFORTS OF VARIOUS OFFICERS AND TRUSTEES OF THE ORGANIZATION AND ITS AFFILIATES. THE RETURN IS THEN PREPARED AND REVIEWED BY AN EXTERNAL CONSULTANT FIRM. THIS FIRM THEN REVIEWS THE COMPLETED FORM 990 WITH THE CAMC BOARD OF TRUSTEES AND ITS AUDIT COMMITTEE.
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 DIRECTOR 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 CAMC HEALTH SYSTEM MANAGEMENT COMPLIANCE COMMITTEE. THE COMPLIANCE OFFICER WILL INFORM THE CAMCHSI BOARD OF DIRECTORS AUDIT COMMITTEE AT THEIR NEXT SCHEDULED MEETING OF ALL SUCH ACTIVITIES APPROVED BY THE CAMC HEALTH SYSTEM 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, INC. COMPANIES AND EXECUTIVES. THE COMMITTEE USES THE DATA TO DETERMINE THE TOTAL COMPENSATION OF CAMC'S CEO AND THE OTHER EXECUTIVES. THE DATA IS REVIEWED EVERY TWO YEARS OR WHEN A NEW PERSON COMES INTO AN EXECUTIVE ROLE.
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 ON-LINE 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 188,396,565. MANAGEMENT AND GENERAL EXPENSES 26,875,227. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,271,792.
FORM 990, PART XI, LINE 9:	INCREASE/DECREASE IN BENEFICIAL INTEREST IN CAMC FOUNDATION -34,480,569. CHANGE IN AFFILIATE RECEIVABLE 1,221,342. AFFILIATE TRANSFERS: VANDALIA HEALTH , INC. AND SUBSIDIARIES -1,375,499. CHANGE IN RETIREMENT OBLIGATION -63,874. CHANGE IN NON-CONTROLLING INTEREST -1,142,234. ACQUISITION CHARLESTON SURGICAL HOSPITAL 23,267,773.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CHARLESTON AREA MEDICAL CENTER INC

Employer identification number

55-0526150

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)VANDALIA HEALTH INC PO BOX 1547 CHARLESTON,WV253261547 55-0664138	PARENT COMPANY	WV	501(C)(3)	12C, III-FI	N/A		No
(2)CAMC FOUNDATION INC PO BOX 1547 CHARLESTON,WV253261547 31-0887133	FUNDRAISING	WV	501(C)(3)	12A, I	CHARLESTON AREA MEDICAL CENTER INC	Yes
(3)MONONGALIA HEALTH SYSTEM INC 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 55-0621551	PARENT COMPANY	WV	501(C)(3)	12C, III-FI	VANDALIA HEALTH INC	Yes
(4)MONONGALIA COUNTY GENERAL HOSPITAL COMPANY 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 23-7441353	HOSPITAL	WV	501(C)(3)	3	MONONGALIA HEALTH SYSTEM INC	Yes
(5)MON ELDER SERVICES INC 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 31-1520863	CONTINUING CARE RETIREMENT CENTER	WV	501(C)(3)	10	MONONGALIA HEALTH SYSTEM INC	Yes
(6)THE FOUNDATION OF MONONGALIA GENERAL HOSPITAL 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 55-0570338	RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL	WV	501(C)(3)	7	MONONGALIA COUNTY GENERAL HOSPITAL CO	Yes
(7)PRESTON MEMORIAL HOSPITAL 150 MEMORIAL DRIVE KINGWOOD,WV26537 31-1097818	HOSPITAL	WV	501(C)(3)	3	MONONGALIA HEALTH SYSTEM INC	Yes
(8)PRESTON MEMORIAL MEDICAL GROUP 300 SOUTH PRICE STREET KINGWOOD,WV26537 55-0717988	PRIMARY AND URGENT CARE	WV	501(C)(3)	3	PRESTON MEMORIAL HOSPITAL	Yes
(9)PRESTON MEMORIAL HOSPITAL FOUNDATION 300 SOUTH PRICE STREET KINGWOOD,WV26537 55-0740121	RAISE FUNDS FOR PRESTON HOSPITAL	WV	501(C)(3)	12B, II	PRESTON MEMORIAL HOSPITAL	Yes
(10)AUXILIARY OF MONONGALIA GENERAL HOSPITAL INC 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 55-0362965	RAISE FUNDS FOR MONONGALIA GENERAL HOSPITAL	WV	501(C)(3)	12A, I	MONONGALIA COUNTY GENERAL HOSPITAL CO	Yes
(11)LIABILITY INSURANCE TRUST FOR MONONGALIA HEALTH SYSTEM 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 55-0689535	LIABILITY INSURANCE TRUST	WV	501(C)(3)	12A, I	MONONGALIA HEALTH SYSTEM INC	Yes
(12)STONEWALL JACKSON MEMORIAL HOSPITAL 230 HOSPITAL PLAZA WESTON,WV26452 55-0422958	HOSPITAL	WV	501(C)(3)	3	MONONGALIA HEALTH SYSTEM INC	Yes
(13)MON HEALTH MARION NEIGHBORHOOD HOSPITAL INC 140 MIDDLETOWN LOOP WHITEHALL,WV26554 85-3994078	HOSPITAL	WV	501(C)(3)	3	MONONGALIA HEALTH SYSTEM INC	Yes
(14)CAMC GREENBRIER VALLEY MEDICAL CENTER INC 1320 MAPLEWOOD AVENUE RONCEVERTE,WV24970 88-4128022	HOSPITAL	WV	501(C)(3)	3	CHARLESTON AREA MEDICAL CENTER INC	Yes
(15)CAMC PLATEAU MEDICAL CENTER INC 430 MAIN STREET OAK HILL,WV25901 92-1715117	HOSPITAL	WV	501(C)(3)	3	CHARLESTON AREA MEDICAL CENTER INC	Yes
(16)CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC PO BOX 1547 CHARLESTON,WV253261547 55-0753754	MEDICAL EDUCATIONAL RESEARCH	WV	501(C)(3)	12A, I	CHARLESTON AREA MEDICAL CENTER INC	Yes
(17)BROADDUS HOSPITAL ASSOCIATION INC PO BOX 930 PHILLIPI,WV26416 55-0379108	HOSPITAL	WV	501(C)(3)	3	DAVIS HEALTH SYSTEM INC	Yes
(18)DAVIS HEALTH SYSTEM INC PO BOX 1484 ELKINS,WV26241 55-0737655	HEALTH SYSTEM	WV	501(C)(3)	12B, II	MONONGALIA HEALTH SYSTEM INC	Yes
(19)DAVIS MEMORIAL HOSPITAL INC PO BOX 1484 ELKINS,WV26241 55-0375433	HOSPITAL	WV	501(C)(3)	3	DAVIS HEALTH SYSTEM INC	Yes
(20)DAVIS HEALTH SYSTEM FOUNDATION INC PO BOX 1188 ELKINS,WV26241 32-0185772	PROVIDES SUPPORT TO DAVIS HEALTH SYSTEM ENTITIES	WV	501(C)(3)	10	DAVIS HEALTH SYSTEM INC	Yes
(21)WEBSTER MEMORIAL HOSPITAL 812 GORMAN AVENUE ELKINS,WV26241 87-1759588	HOSPITAL	WV	501(C)(3)	3	DAVIS HEALTH SYSTEM INC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC PO BOX 1547 CHARLESTON,WV253261547 55-0669065	MEDICAL OFFICE BUILDING	WV	CHARLESTON AREA MEDICAL CENTER INC	RELATED	98,775			No			No	96.130 %
(2) GENERAL DIVISION MEDICAL OFFICE BUILDING LLC PO BOX 1547 CHARLESTON,WV253261547 55-0623949	MEDICAL OFFICE BUILDING	WV	CHARLESTON AREA MEDICAL CENTER INC	RELATED	373,302	2,211,862		No			No	94.540 %
(3) DASCO-CAMC HOME MEDICAL EQUIPMENT LLC 501 MORRIS STREET CHARLESTON,WV25301 84-4487189	HOME MEDICAL EQUIPMENT	WV	CHARLESTON AREA MEDICAL CENTER INC	RELATED	71,114	133,093		No	71,114		No	50.000 %
(4) MGH SURGERY LLC 2000 MON HEALTH MEDICAL PARK DRIVE MORGANTOWN,WV26505 47-2736896	SURGERY CENTER	WV	N/A					No			No
(5) MON HEALTH-DASCO HOME MEDICAL EQUIPMENT LLC 375 N WEST ST WESTERVILLE,OH43082 87-1577276	HOME MEDICAL EQUIPMENT	OH	N/A					No			No
(6) CHARLESTON SURGICAL HOSPITAL LLC 1306 KANAWHA BLVD E CHARLESTON,WV25301 55-0526191	SURGERY CENTER	WV	CHARLESTON AREA MEDICAL CENTER INC	RELATED	1,014,596	53,308,711		No			No	69.490 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) VANDALIA INSURANCE COMPANY 76 ST PAUL STREET STE 500 BURLINGTON,VT05401 03-0308754	INSURANCE	VT	CHARLESTON AREA MEDICAL CENTER INC	C	119,188	464,539	100.000 %	Yes
(2) MON HEALTH CARE INC 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 55-0654973	MEDICAL EQUIPMENT	WV	N/A	C				Yes
(3) STONEWALL HOME OXYGEN THERAPY INC 100 MARKET PLACE MALL SUITE 8 WESTON,WV26452 55-0754278	OXYGEN THERAPY SERVICES	WV	N/A	C				Yes
(4) FAIRMONT HOME EQUIPMENT AND SUPPLY 1200 JD ANDERSON DRIVE MORGANTOWN,WV26505 55-0763259	EQUIPMENT RENT & SVC	WV	N/A	C				Yes
(5) MORGANTOWN PHYSICAL THERAPY ASSOC INC 943 MAPLE DRIVE MORGANTOWN,WV26505 55-0614636	REHABILITATION SERVICES	WV	N/A	C				Yes
(6) HEALTH FACILITIES INC 909 GORMAN AVENUE ELKINS,WV26241 55-0516937	HEALTH CARE	WV	N/A	C				Yes
(7) CENTRAL WV MEDCORP INC PO BOX 2630 ELKINS,WV26241 55-0739314	PHYSICIAN SERVICES	WV	N/A	C				Yes
(8) DAVIS REGIONAL HEALTH PARTNERS INC PO BOX 2632 ELKINS,WV26241 55-0746206	CONTRACT NEGOTIATIONS	WV	N/A	C				Yes
(9) ZERCOR RE SEGREGATED PORTFOLIO #2 DAVIS 18 FORUM LANE 2ND FLOOR GRAND CAYMAN,CAYMAN ISLANDSKY1-1102 CJ	CAPTIVE INSURANCE	CJ	N/A	C				Yes

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAMC FOUNDATION INC	C	10,165,434	FAIR MARKET VALUE
(2) WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC	C	100,000	FAIR MARKET VALUE
(3) GENERAL DIVISION MEDICAL OFFICE BUILDING LLC	C	181,080	FAIR MARKET VALUE
(4) CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC	J	542,379	CONTRACT
(5) CAMC FOUNDATION INC	K	591,447	CONTRACT
(6) WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC	K	1,332,486	CONTRACT
(7) GENERAL DIVISION MEDICAL OFFICE BUILDING LLC	K	1,097,464	CONTRACT
(8) CAMC FOUNDATION INC	L	287,945	FAIR MARKET VALUE
(9) CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC	L	612,066	FAIR MARKET VALUE
(10) WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC	L	350,537	FAIR MARKET VALUE
(11) GENERAL DIVISION MEDICAL OFFICE BUILDING LLC	L	260,177	FAIR MARKET VALUE
(12) CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC	M	1,426,905	FAIR MARKET VALUE
(13) CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC	P	1,816,770	FAIR MARKET VALUE
(14) CAMC GREENBRIER VALLEY MEDICAL CENTER INC	P	5,224,899	FAIR MARKET VALUE
(15) CAMC PLATEAU MEDICAL CENTER INC	P	1,674,368	FAIR MARKET VALUE
(16) CAMC FOUNDATION INC	Q	687,147	FAIR MARKET VALUE
(17) CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC	Q	14,161,399	FAIR MARKET VALUE
(18) WOMEN AND CHILDREN'S MEDICAL OFFICE BUILDING LLC	Q	188,932	FAIR MARKET VALUE
(19) CAMC GREENBRIER VALLEY MEDICAL CENTER INC	Q	20,334,424	FAIR MARKET VALUE
(20) CAMC PLATEAU MEDICAL CENTER INC	Q	15,861,867	FAIR MARKET VALUE
(21) MONONGALIA HEALTH SYSTEM INC	Q	2,752,548	FAIR MARKET VALUE
(22) CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE INC	R	4,728,363	FAIR MARKET VALUE
(23) CAMC GREENBRIER VALLEY MEDICAL CENTER INC	K	80,610	CONTRACT

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: STRIVING TO PROVIDE THE BEST HEALTHCARE TO EVERY PATIENT, EVERY DAY. CAMC OWNS AND OPERATES FOUR SEPARATELY-LICENSED HOSPITALS AS A TERTIARY-CARE TEACHING HOSPITAL DESIGNED TO PROVIDE CARE FOR COMMUNITY RESIDENTS THROUGH EVERY STAGE OF LIFE. CAMC PATIENTS DEPEND ON CAMC TO PROVIDE CONVENIENT AND COMPASSIONATE CARE DELIVERED REGARDLESS OF A PATIENT'S ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	10,716
6	Total number of volunteers (estimate if necessary) .............	6	147
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	13,828,938
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	546,849

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,934,942	23,920,254
9	Program service revenue (Part VIII, line 2g) .........	1,449,665,384	1,639,358,899
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,973,798	6,648,184
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,124,923	8,792,606
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,471,699,047	1,678,719,943
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,854,182	3,527,347
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	686,713,031	780,134,318
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 231,766
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	773,288,407	860,164,193
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,462,855,620	1,643,825,858
19	Revenue less expenses. Subtract line 18 from line 12.......	8,843,427	34,894,085
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,238,038,247	1,693,276,542
21	Total liabilities (Part X, line 26).............	676,623,893	1,083,683,707
22	Net assets or fund balances. Subtract line 21 from line 20.....	561,414,354	609,592,835

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,291,068,796 including grants of $ 132,079 ) (Revenue $ 1,641,416,865 )
	CAMC IS ONE OF WEST VIRGINIA'S LARGEST MEDICAL CENTERS WITH OVER 10,500 EMPLOYEES AND 776 MEDICAL STAFF. CAMC IS LICENSED FOR 956 BEDS AT FOUR CAMPUSES AND OUR HEALTH CARE SERVICES DELIVERY FOCUSES ON PROVIDING A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES AS A TERTIARY REGIONAL REFERRAL CENTER, TEACHING AND SAFETY NET HOSPITAL. AS A REGIONAL REFERRAL CENTER, CAMC HAS ONE OF ONLY TWO STATE LEVEL 1 TRAUMA CENTERS, A LEVEL III NEONATAL ICU, A PEDIATRIC ICU, A DNV-CERTIFIED PRIMARY STROKE CENTER, AND A BARIATRIC CENTER OF EXCELLENCE. CAMC IS THE PRIMARY MEDICAL SAFETY NET PROVIDER OF WOMEN AND CHILDREN'S AND TRAUMA SERVICES IN CENTRAL AND SOUTHERN WEST VIRGINIA AND PROVIDES APPROXIMATELY 20% OF THE CHARITY CARE IN THE STATE. THERE WERE INPATIENT DAYS OF 211,630 OUTPATIENT VISITS OF 317,985 CLINIC VISITS OF 455,906 EMERGENCY DEPARTMENT VISITS OF 99,305 AND DELIVERIES OF 2,566 IN 2023. CAMC GIVES BACK TO THE COMMUNITY BECAUSE WE UNDERSTAND THE IMPACT THAT HIGH QUALITY MEDICAL CARE, CHARITY CARE, EDUCATION, CORPORATE CONTRIBUTIONS AND COMMUNITY PARTNERSHIPS HAVE ON THE LIVES OF REAL PEOPLE.

4b	(Code: ) (Expenses $ 26,236,834 including grants of $ 3,114,672 ) (Revenue $ )
	CAMC HAS ESTABLISHED MEDICAL AND ALLIED HEALTH EDUCATION EXCELLENCE AS A CORE COMPETENCY. PROVISION AND SUPPORT FOR EDUCATION INCLUDE TRAINING FOR INTERNS AND RESIDENTS, NURSES, ANESTHETISTS AND OTHER PERSONNEL. 175 WVU/WVSOM MEDICAL STUDENTS TRAINED AT CAMC HOSPITALS AND 228 MEDICAL RESIDENTS WERE EMPLOYED BY CAMC. CAMC PROVIDED FACULTY SUPPORT TO THE UNIVERSITY OF CHARLESTON HELPING EDUCATE PHARMACY STUDENTS, NURSING STUDENTS AND PHYSICIAN ASSISTANTS. CAMC ASSISTED 9 EMPLOYEES THROUGH STUDENT LOAN FORGIVENESS, AND PROVIDED EDUCATIONAL ASSISTANCE TO 441 INDIVIDUALS WHO INTEND TO PURSUE A CAREER IN HEALTHCARE.

4c	(Code: ) (Expenses $ 126,703,328 including grants of $ 280,596 ) (Revenue $ 131,509 )
	CAMC DOES MUCH MORE THAN JUST PROVIDE HEALTH CARE, BEING INVOLVED IN NEARLY EVERY ASPECT OF THE HEALTH AND WELL BEING OF THE COMMUNITY. CAMC OFFERED 53 OUTREACH PROGRAMS WHICH SERVED AN ESTIMATED 25,534 PEOPLE. CAMC PROVIDED ACUTE INPATIENT AND OUTPATIENT HOSPITAL SERVICES INCLUDING UNREIMBURSED CHARITY CARE AT COST OF $18,824,051. CREATIVE, STATE-OF-THE-ART PROGRAMS AND SERVICES ARE PROVIDED TO OUR COMMUNITY TO SERVE OUR COMMUNITY - PARTICULARLY THE NEEDS OF THE LOW INCOME, ELDERLY AND OTHER VULNERABLE PERSONS. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING COMMUNITY BENEFIT CRITERIA: 1) IMPROVES ACCESS TO HEALTH CARE SERVICES; 2) ENHANCES HEALTH OF THE COMMUNITY; 3) ADVANCES MEDICAL OR HEALTH CARE KNOWLEDGE; 4) RELIEVES OR REDUCES THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,444,008,958

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	21,804,417	0	3,529,778

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	10,191,756
e	Government grants (contributions)		1e	10,846,171

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,882,327

g	Noncash contributions included in lines 1a - 1f:$		1g	300,291

h Total. Add lines 1a-1f.......		23,920,254

		Business Code
2a	NET PATIENT REVENUE	621990	1,515,761,356	1,515,761,356
b	PHARMACY	900099	95,754,581		1,406,974	94,347,607
c	LAB SERVICES	621500	13,129,696		13,129,696
d	RENTAL (NON RSDNTL)	531120	6,436,744	1,189,602		5,247,142
e
f	All other program service revenue.		8,276,522	4,320,235	28,648	3,927,639
g	Total. Add lines 2a–2f .....		1,639,358,899

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,868,058	846,328	-736,380	8,758,110
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	192,870,908	888,517
b	Less: cost or other basis and sales expenses	7b	195,143,012	836,287
c	Gain or (loss)	7c	-2,272,104	52,230
d	Net gain or (loss).........			-2,219,874			-2,219,874
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CAFETERIA/VENDING		722514	7,449,459			7,449,459
b	MANAGEMENT FEES		541610	547,490	547,490
c	LAUNDRY		812300	396,697	396,697
d	All other revenue ....			398,960	398,960
e	Total. Add lines 11a–11d ......			8,792,606
12	Total revenue. See instructions.....			1,678,719,943	1,523,460,668	13,828,938	117,510,083

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	412,675	412,675
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	3,114,672	3,114,672
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	16,069,614		16,069,614
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	328,585		328,585
7	Other salaries and wages........	603,089,981	561,781,847	41,102,088	206,046
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,130,609	13,845,863	2,277,566	7,180
9	Other employee benefits .......	103,966,715	94,688,277	9,259,898	18,540
10	Payroll taxes ...........	40,548,814	32,436,481	8,112,333
11	Fees for services (non-employees):
a	Management ......	24,608,773	19,687,018	4,921,755
b	Legal .........	6,590,577		6,590,577
c	Accounting ...........	804,361		804,361
d	Lobbying ...........	186,281		186,281
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,193,279		2,193,279
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	215,271,792	188,396,565	26,875,227
12	Advertising and promotion ....	2,950,994	2,360,795	590,199
13	Office expenses .......	15,694,224	12,677,029	3,017,195
14	Information technology ......	27,255,473	21,804,378	5,451,095
15	Royalties ..
16	Occupancy ...........	26,302,415	18,819,596	7,482,819
17	Travel ............	2,906,769	1,529,264	1,377,505
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	98,965	79,172	19,793
20	Interest ...........	16,276,343		16,276,343
21	Payments to affiliates .......	5,519,094	5,519,094
22	Depreciation, depletion, and amortization ..	46,329,364	22,935,001	23,394,363
23	Insurance ...	21,382,728	17,285,263	4,097,465
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	350,665,062	350,665,062
b	UBI TAX	382,874		382,874
c	PROVIDER TAX	44,925,671	44,925,671
d	SALES/USE TAX	20,156,878	13,741,298	6,415,580
e	All other expenses	29,662,276	17,303,937	12,358,339
25	Total functional expenses. Add lines 1 through 24e	1,643,825,858	1,444,008,958	199,585,134	231,766
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			38,205	1	39,129
2	Savings and temporary cash investments .........			204,737,526	2	212,818,203
3	Pledges and grants receivable, net ......			11,100	3	0
4	Accounts receivable, net .............			304,960,666	4	401,972,267
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				2,913,093	5	2,942,224
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			0	7	20,476
8	Inventories for sale or use ............			24,456,298	8	28,547,329
9	Prepaid expenses and deferred charges ......			10,815,998	9	13,652,516
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,089,069,398
b	Less: accumulated depreciation	10b	644,973,132	403,879,619	10c	444,096,266
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			9,100,959	12	9,465,043
13	Investments—program-related. See Part IV, line 11 ..			61,360,587	13	75,642,292
14	Intangible assets ...............			8,361,426	14	102,012,489
15	Other assets. See Part IV, line 11 ...........			207,402,770	15	402,068,308
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,238,038,247	16	1,693,276,542

17	Accounts payable and accrued expenses .....	147,183,607	17	211,015,592
18	Grants payable ...		18
19	Deferred revenue .........	4,450,236	19	4,050,726
20	Tax-exempt bond liabilities .........	266,520,738	20	658,845,945
21	Escrow or custodial account liability. Complete Part IV of Schedule D	7,852	21	44,976
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	182,449,392	23	130,026,340
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	76,012,068	25	79,700,128
26	Total liabilities. Add lines 17 through 25..	676,623,893	26	1,083,683,707

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	492,144,786	27	572,301,364
28	Net assets with donor restrictions ...........	69,269,568	28	37,291,471
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	561,414,354	32	609,592,835
33	Total liabilities and net assets/fund balances ........	1,238,038,247	33	1,693,276,542