2019-04-12T16:48:37-05:00 2018-05-31 371496963 HAYFLICH CPAS PLLC 300 8TH STREET 3RD FLOOR HUNTINGTON WV 25701 990 2017-06-01 550554001 VALLEY HEALTH SYSTEMS INC VALL 3045253334 3377 US ROUTE 60 HUNTINGTON WV 25705 MARY-BETH BRUBECK VICE PRESIDENT OF FINANCE 3045253334 2019-04-12 1 AARON J HEIGHTON CPA P00291966 3046975700 96.94.219.137 2019-04-12 15:52:03 ED P A7100DD2408740EF14BC02277E3789A40D62456F 099C6522888932E8B317BB5E9259EF2CA11A66C9 2017 2019-02-21 02:37:17Z STEVEN SHATTLS 3377 US ROUTE 60 HUNTINGTON WV 25705 38574042 0 X HTTP://WWW.VALLEYHEALTH.ORG X 1975 WV TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA AND THE TRI-STATE AREA OF HUNTINGTON, WV AND IRONTON, OH. 12 12 273 0 0 0 14880282 15357392 19253339 22118226 176478 123883 490515 956801 34800614 38556302 100546 108925 0 0 21039719 23704822 0 0 0 12160181 12811885 33300446 36625632 1500168 1930670 43008561 51078845 8644180 13237275 34364381 37841570 X TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. 0 0 25906203 108925 22138236 FUNDED OPERATIONAL SUBSIDIES FOR FIVE PRIMARY CARE CENTERS PROVIDING MEDICAL AND DENTAL SERVICES TO UNDERSERVED POPULATION IN WEST VIRGINIA UNDER A COMMUNITY HEALTH CENTERS GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. ADDITIONALLY, FUNDED OPERATIONAL SUBSIDIES FOR FIVE PRIMARY CARE CENTERS PROVIDING MEDICAL, DENTAL, OPTOMETRY AND BEHAVIORAL SERVICES TO UNDERSERVED POPULATION IN WEST VIRGINIA AND BORDERING KENTUCKY AND OHIO COUNTIES UNDER A COMMUNITY HEALTH CENTERS GRANT FROM THE U.S. DEPT. OF HEALTH AND HUMAN SERVICES. OTHER SERVICES PROVIDED TO PATIENTS INCLUDE: NUTRITIONAL, DIABETES EDUCATION, SOCIAL DETERMINANT SERVICES, PATIENT ADVOCACY SERVICES, BLACK LUNG PROGRAM, ADOLESCENT HEALTH CARE PROGRAM, SCHOOL BASED HEALTH CARE SERVICES, SUBSTANCE USE DISORDER SERVICES, TRANSITIONAL CARE MANAGEMENT, CHRONIC CARE MANAGEMENT REGARDLESS OF A PATIENT'S ABILITY TO PAY. ADDITIONALLY, FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS FOR PHARMACEUTICALS ARE PROVIDED, AS WELL AS HEALTH CARE FOR THE HOMELESS. OCCASIONAL SCREENINGS FOR VISION AND DENTAL ARE CONDUCTED, ALONG WITH FREE BLOOD PRESSURE CHECKS, AND SIGNIFICANT EDUCATIONAL TRAINING IS PROVIDED TO PHYSICIAN, PHARMACY, AND PSYCHOLOGY RESIDENTS AND NURSE PRACTITIONERS. ALSO PROVIDED $80,093 IN CHARITY CARE TO INDIGENT PATIENTS. 25906203 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 69 0 273 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X MARY-BETH BRUBECK 3045253334 3377 US ROUTE 60 HUNTINGTON WV 25705 JILL HUTCHINSON BOARD CHAIR 1.50 X 0 0 0 GREG AGEE VICE CHAIR 0.50 X 0 0 0 BEN HOWARD TREASURER 2.50 X 0 0 0 SHERRY PERRY SECRETARY 0.50 X 0 0 0 BILL BRYANT DIRECTOR 0.50 X 0 0 0 COKEY MUTH DIRECTOR 0.50 X 0 0 0 CHARLES CARROLL DIRECTOR 0.50 X 0 0 0 PAULETTE MABRY DIRECTOR 0.50 X 0 0 0 JARED COLKER DIRECTOR 0.50 X 0 0 0 WHITNEY TROWBRIDGE DIRECTOR 0.50 X 0 0 0 SUZI BRODOF DIRECTOR 0.50 X 0 0 0 SHERRONE HORNBUCKLE DIRECTOR 0.50 X 0 0 0 STEVEN SHATTLS CEO 40.00 X 595690 0 17250 RICHARD WEINBERGER CFO 40.00 X 229432 0 12328 LANIE MASILAMANI COO 40.00 X 184020 0 0 HERBERT MYERS MEDICAL DIRECTOR 12.00 X 448704 0 17765 AARON SCAIFE PHYSICIAN 40.00 X 506029 0 6912 RICHARD BOOTH PHYSICIAN 40.00 X 466355 0 14653 ANDREA KELLAR PHYSICIAN 40.00 X 677374 0 17036 ASHLEIGH CLICKETT PHYSICIAN 40.00 X 383209 0 15095 DANIEL WHITMORE PHYSICIAN 40.00 X 509475 0 14818 4000288 0 115857 35 0 1 0 0 10465795 4891597 157841 15357392 PATIENT SERVICE REVENUE 621110 22118226 22118226 22118226 103873 103873 37750 17740 20010 20010 20010 OTHER INCOME 900099 956801 956801 956801 38556302 22138236 0 1060674 108925 108925 1513706 331293 1182413 17948041 13794511 4153530 2080623 1512613 568010 2162452 1577475 584977 13622 13622 53493 53493 162308 26513 135795 1383408 142455 1240953 859102 859102 119725 86464 33261 46022 46022 111282 29663 81619 2194100 1469750 724350 MEDICAL SUPPLIES 5490904 5490904 PURCHASED SERVICES 812838 348237 464601 REPAIRS AND MAINTENANCE 433417 42053 391364 ADMINISTRATIVE EXPENSE 341478 341478 790186 86245 703941 36625632 25906203 10719429 0 5685 5635 19109609 22704686 419256 1113455 1131004 1853543 343554 329447 218133 700062 18397 24859 41327608 16980450 21762923 24347158 43008561 51078845 3866520 5229900 2530263 2414622 2114174 2039496 133223 3553257 8644180 13237275 X 26758817 31136646 7605564 6704924 34364381 37841570 43008561 51078845 X 1930670 1546519 X 0 1 X 1 1 1 X 2671262 2671262 26167010 7812234 18354776 12489336 9168216 3321120 24347158 CAPITAL LEASE OBLIGATIONS 3553257 3553257 1 COMMUNITY HEALTH SYSTEMS INC 252 RURAL ACRES DRIVE BECKLEY WV 25801 550490878 501(C)(3) 17329 HEALTHCARE FOR THE HOMELESS MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC 1322 LOCUST AVENUE FAIRMONT WV 26554 550419191 501(C)(3) 43333 HEALTHCARE FOR THE HOMELESS WHEELING HEALTH RIGHT INC 99 MAIN STREET WHEELING WV 26003 311149085 501(C)(3) 48263 HEALTHCARE FOR THE HOMELESS 3 0 PART I, LINE 2: SUBRECIPIENTS ARE REQUIRED TO OBTAIN AUDITED FINANCIAL STATEMENTS WHICH VALLEY HEALTH SYSTEMS, INC. REVIEWS FOR NONCOMPLIANCE ISSUES. X X X X X 0 0 0 1 1 0 0 0 0 STEVEN SHATTLS CEO 549090 0 46600 0 0 0 0 0 17250 0 612940 0 0 0 RICHARD WEINBERGER CFO 229432 0 0 0 0 0 0 0 12328 0 241760 0 0 0 LANIE MASILAMANI COO 184020 0 0 0 0 0 0 0 0 0 184020 0 0 0 HERBERT MYERS MEDICAL DIRECTOR 448704 0 0 0 0 0 0 0 17765 0 466469 0 0 0 AARON SCAIFE PHYSICIAN 369692 0 136337 0 0 0 0 0 6912 0 512941 0 0 0 RICHARD BOOTH PHYSICIAN 365239 0 101116 0 0 0 0 0 14653 0 481008 0 0 0 ANDREA KELLAR PHYSICIAN 386410 0 290964 0 0 0 0 0 17036 0 694410 0 0 0 ASHLEIGH CLICKETT PHYSICIAN 258567 0 124642 0 0 0 0 0 15095 0 398304 0 0 0 DANIEL WHITMORE PHYSICIAN 351696 0 157779 0 0 0 0 0 14818 0 524293 0 0 0 PART I, LINE 5 IT IS COMMON FOR THE PHYSICIANS' CONTRACTS TO STATE THAT THEIR INCENTIVE COMPENSATION IS BASED ON REVENUES POSTED RELATED TO THAT PHYSICIAN'S SERVICES AND PERFORMANCE. MOST OF THE PHYSICIANS LISTED HAVE REVENUES ATTACHED TO THIS ORGANIZATION ONLY, BUT AS SOME OF THEM PRACTICE AT RELATED ORGANIZATIONS, A REVIEW OF THEIR REVENUES IN TOTAL (AND NOT JUST SPECIFICALLY TO THIS ORGANIZATION) IS NECESSARY. A CABELL COUNTYCITY OF HUNTINGTON 556000305 446788AJ0 2006-12-28 5070000 REFINANCE PRIOR CONSTRUCTION LOANS; FINANCE NEW PROJECTS 0 0 0 A 2605000 5070000 143804 4926196 2007 1 0 1 1 A 0 1 0 0 0.01040 0.01040 0 0 0 A 0 0 1 0 1 0 0 0 0 A 0 X 4 28800 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CEO, CFO, AND GOVERNING BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT ON AN ANNUAL BASIS CONFIRMING THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION COMMITTEE, A SUBGROUP OF BOARD MEMBERS, IS RESPONSIBLE FOR DETERMINING EXECUTIVE AND KEY EMPLOYEE COMPENSATION. THE COMMITTEE USES COMPARABLE DATA TO DETERMINE COMPENSATION AMOUNTS. THE COMMITTEE ALSO REFERS CERTAIN MATTERS TO THE ORGANIZATION'S ATTORNEY WHEN NECESSARY. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART XI, LINE 9: NET OPERATIONAL SUBSIDY TO/FROM CLINICS 2,447,159. NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -900,640. FORT GAY PRIMARY HEALTH INC 3329 BRIDGE STREET FORT GAY WV 255140067 310962004 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) 170(B)(1) (A)(III) VALLEY HEALTH SYSTEMS INC 0 GRANT MEDICAL CENTER INC 308 MAIN STREET EAST MILTON WV 25541 510156065 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) 170(B)(1) (A)(III) VALLEY HEALTH SYSTEMS INC 0 HARTS HEALTH CLINIC INC 22 FLEMING DRIVE HARTS WV 25524 310961926 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) 170(B)(1) (A)(III) VALLEY HEALTH SYSTEMS INC 0 OUCH INC 3377 US ROUTE 60 HUNTINGTON WV 25705 571142879 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) 170(B)(1) (A)(III) VALLEY HEALTH SYSTEMS INC 0 UPPER KANAWHA HEALTH ASSOCIATION INC PO BOX F CEDAR GROVE WV 25039 510146615 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) 170(B)(1) (A)(III) VALLEY HEALTH SYSTEMS INC 0 WAYNE HEALTH SERVICES INC 564 RAILROAD AVENUE WAYNE WV 25570 510175364 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) 170(B)(1) (A)(III) VALLEY HEALTH SYSTEMS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 FORT GAY PRIMARY HEALTH CARE INC S 210834 FAIR MARKET VALUE GRANT MEDICAL CENTER INC S 2309561 FAIR MARKET VALUE HARTS HEALTH CLINIC INC S 28877 FAIR MARKET VALUE UPPER KANAWHA HEALTH ASSOCIATION INC R 152422 FAIR MARKET VALUE WAYNE HEALTH SERVICES INC S 50309 FAIR MARKET VALUE