2020-04-06T12:20:31-05:00 2019-05-31 371496963 HAYFLICH CPAS PLLC 300 8TH STREET 3RD FLOOR HUNTINGTON WV 25701 990 2018-06-01 550554001 VALLEY HEALTH SYSTEMS INC VALL 3045253334 3377 US ROUTE 60 HUNTINGTON WV 25705 MARY-BETH BRUBECK CHIEF FINANCIAL OFFICER 3045253334 2020-04-02 1 AARON J HEIGHTON CPA P00291966 3046975700 96.94.219.137 2020-04-02 14:41:18 ED P 4B31D78952D26BACC236F37EBCE9B1D0B4D685E5 0368C9A512986B340EA133D6AC856F3D09C65B22 2018 2020-09-23 17:36:50Z MARY-BETH BRUBECK 3377 US ROUTE 60 HUNTINGTON WV 25705 49222672 0 X HTTP://WWW.VALLEYHEALTH.ORG X 1975 WV TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. 11 11 279 0 0 0 15357392 15627286 22118226 32618790 123883 214324 956801 762272 38556302 49222672 108925 100546 0 0 23704822 22731904 0 0 0 12811885 14754512 36625632 37586962 1930670 11635710 51078845 62081983 13237275 13167005 37841570 48914978 X TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. 0 0 24523084 100545 32618790 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 $187,216 IN CHARITY CARE TO INDIGENT PATIENTS. 24523084 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 68 0 279 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 CHRISTINA WALTERS 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 675347 0 14383 MARY-BETH BRUBECK CFO 40.00 X 205812 0 13512 MATTHEW WEIMER MEDICAL DIRECTOR/PHYSICIAN 40.00 X 451512 0 12909 AARON SCAIFE PHYSICIAN 40.00 X 872081 0 6964 ASHLEIGH CLICKETT PHYSICIAN 40.00 X 449734 0 12869 ANDREA KELLAR PHYSICIAN 40.00 X 681542 0 10144 HERBERT MYERS PHYSICIAN 40.00 X 450254 0 16199 DANIEL WHITMORE PHYSICIAN 40.00 X 520824 0 12592 4307106 0 99572 38 0 1 0 0 11541717 4085569 151082 15627286 PATIENT SERVICE REVENUE 621110 32618790 32618790 32618790 214324 214324 OTHER INCOME 900099 762272 762272 762272 49222672 32618790 0 976596 100546 100546 4453432 2971824 1481608 14524225 9412005 5112220 2356935 1540202 816733 1397312 681272 716040 167957 167957 52100 52100 238008 25401 212607 1451251 161431 1289820 532795 532795 123866 99036 24830 70995 3180 67815 157084 28774 128310 2718897 2016503 702394 207274 2615 204659 MEDICAL SUPPLIES 6462991 6462991 PURCHASED SERVICES 948114 339645 608469 REPAIRS AND MAINTENANCE 610649 75262 535387 ADMINISTRATIVE EXPENSE 354086 354086 658445 69602 588843 37586962 24523084 13063878 0 5635 13009 22704686 25587364 1113455 663198 1853543 9183437 329447 300557 700062 773052 24859 23216 45237497 19699347 24347158 25538150 51078845 62081983 5229900 6060339 2414622 2158410 2039496 2788379 3553257 2159877 13237275 13167005 X 31136646 43110697 6704924 5804281 37841570 48914978 51078845 62081983 X 11635710 10142 -572444 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2924650 2924650 29273618 9490771 19782847 13039229 10208576 2830653 25538150 CAPITAL LEASE OBLIGATIONS 2159877 2159877 X PART X, LINE 2: WITH FEW EXCEPTIONS, VALLEY HEALTH SYSTEMS, INC. OR ANY OF ITS AFFILIATES ARE SUBJECT TO US FEDERAL OR STATE INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO THE FISCAL YEAR ENDED MAY 31, 2016. MANAGEMENT DETERMINED THAT THE SYSTEM HAD NO UNCERTAIN TAX POSITIONS IN 2019 AND 2018. 1 COMMUNITY HEALTH SYSTEMS INC 252 RURAL ACRES DRIVE BECKLEY WV 25801 550490878 501(C)(3) 15996 HEALTHCARE FOR THE HOMELESS MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC 1322 LOCUST AVENUE FAIRMONT WV 26554 550419191 501(C)(3) 40000 HEALTHCARE FOR THE HOMELESS WHEELING HEALTH RIGHT INC 99 MAIN STREET WHEELING WV 26003 311149085 501(C)(3) 44550 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 628747 0 46600 0 0 0 0 0 14383 0 689730 0 0 0 MARY-BETH BRUBECK CFO 205812 0 0 0 0 0 0 0 13512 0 219324 0 0 0 MATTHEW WEIMER MEDICAL DIRECTOR/PHYSICIAN 378249 0 73263 0 0 0 0 0 12909 0 464421 0 0 0 AARON SCAIFE PHYSICIAN 366355 0 505726 0 0 0 0 0 6964 0 879045 0 0 0 ASHLEIGH CLICKETT PHYSICIAN 360184 0 89550 0 0 0 0 0 12869 0 462603 0 0 0 ANDREA KELLAR PHYSICIAN 391410 0 290132 0 0 0 0 0 10144 0 691686 0 0 0 HERBERT MYERS PHYSICIAN 446982 0 3272 0 0 0 0 0 16199 0 466453 0 0 0 DANIEL WHITMORE PHYSICIAN 366337 0 154487 0 0 0 0 0 12592 0 533416 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 2730000 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 2 10000 FAIR MARKET VALUE 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTIONS THAT MAKE UP THE TOTAL CONTRIBUTIONS IN COLUMN (C). 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 328,199. NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -900,643. 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 81941 FAIR MARKET VALUE GRANT MEDICAL CENTER INC S 33052 FAIR MARKET VALUE HARTS HEALTH CLINIC INC R 183331 FAIR MARKET VALUE UPPER KANAWHA HEALTH ASSOCIATION INC R 53274 FAIR MARKET VALUE