2021-03-23T13:38:02-05:00 2020-05-31 371496963 HAYFLICH CPAS PLLC 300 8TH STREET 3RD FLOOR HUNTINGTON WV 25701 990 2019-06-01 550554001 VALLEY HEALTH SYSTEMS INC VALL 3045253334 3377 US ROUTE 60 HUNTINGTON WV 25705 MARY-BETH BRUBECK VP OF FINANCE/CFO 3045253334 2021-03-22 1 AARON J HEIGHTON CPA P00291966 3046975700 2019 2022-09-23 18:48:47Z MARY-BETH BRUBECK 3377 US ROUTE 60 HUNTINGTON WV 25705 41121218 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. 11 11 283 0 0 0 15627286 21634074 32618790 17642468 88961 416740 897774 1427936 49232811 41121218 100545 100546 0 0 22731904 23535299 0 0 0 14754513 15948407 37586962 39584252 11645849 1536966 62081983 80089482 13167005 21349502 48914978 58739980 TO PROVIDE QUALITY HEALTHCARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. VALLEY HEALTH STRIVES TO ENSURE THAT QUALITY HEALTHCARE IS READILY ACCESSIBLE TO EVERYONE AND SERVES PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 0 0 25762728 100546 17642468 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. CLINICS ALSO PROVIDED EDUCATIONAL TRAINING TO FAMILY PRACTICE RESIDENTS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND NURSE MIDWIVES. PROVIDED NUTRITION EDUCATION, SOCIAL SERVICES, BLACK LUNG PROGRAM, ADOLESCENT HEALTH CARE PROGRAM, AND HEALTH CARE FOR THE HOMELESS. PROVIDED FREE BLOOD PRESSURE, VISION AND DENTAL SCREENINGS AND CONDUCTED A FREE HEALTH FAIR. ALSO PROVIDED $221,952 IN CHARITY CARE TO INDIGENT PATIENTS. 25762728 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 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 56 0 283 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 973599 0 15531 MARY-BETH BRUBECK CFO 40.00 X 300703 0 12692 MATHEW WEIMER MEDICAL DIRECTOR/PHYSICIAN 40.00 X 458796 0 15432 HERBERT MYERS PHYSICIAN 40.00 X 450211 0 15344 AARON SCAIFE PHYSICIAN 40.00 X 651258 0 6964 RICHARD BOOTH PHYSICIAN 40.00 X 475942 0 12582 ANDREA KELLAR PHYSICIAN 40.00 X 732458 0 10267 DANIEL WHITMORE PHYSICIAN 40.00 X 539590 0 12545 4582557 0 101357 41 0 1 0 0 13055062 8579012 153391 21634074 PATIENT SERVICE REVENUE 621110 17642468 17642468 17642468 416740 416740 OTHER INCOME 900099 1909883 1909883 LOSS ON INTEREST RATE SWAP 523000 -481947 -481947 1427936 41121218 17642468 0 1844676 100546 100546 4701846 3278347 1423499 15778589 10452530 5326059 1541374 1032721 508653 1513490 1014038 499452 120530 120530 38500 38500 234030 45700 188330 1981360 329424 1651936 445577 445577 109585 79996 29589 52333 52333 297735 10 297725 2951176 2222315 728861 214296 5520 208776 MEDICAL SUPPLIES 6240659 6240659 PROVIDER AND SALES TAX 1028504 1028504 PURCHASED SERVICES 842330 369006 473324 REPAIRS AND MAINTENANCE 657236 80724 576512 734556 65615 668941 39584252 25762728 13821524 0 13009 13236 25587364 49881260 663198 197100 9183437 3304162 300557 16891 773052 875339 23216 24797 48395889 22619192 25538150 25776697 62081983 80089482 6060339 6451730 2158410 2788379 8999071 2159877 5898701 13167005 21349502 X 43110697 52869460 5804281 5870520 48914978 58739980 62081983 80089482 X 1536966 49065 8238971 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2954650 2954650 30610405 11199518 19410887 14830834 11419674 3411160 25776697 CAPITAL LEASE OBLIGATIONS 5416754 OBLIGATIONS UNDER INTEREST RATE SWAP 481947 5898701 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, 2017. MANAGEMENT DETERMINED THAT THE SYSTEM HAD NO UNCERTAIN TAX POSITIONS IN 2020 AND 2019. 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 973599 0 0 0 0 0 0 0 15531 0 989130 0 0 0 MARY-BETH BRUBECK CFO 300703 0 0 0 0 0 0 0 12692 0 313395 0 0 0 MATHEW WEIMER MEDICAL DIRECTOR/PHYSICIAN 458796 0 0 0 0 0 0 0 15432 0 474228 0 0 0 HERBERT MYERS PHYSICIAN 442041 0 8170 0 0 0 0 0 15344 0 465555 0 0 0 AARON SCAIFE PHYSICIAN 366252 0 285006 0 0 0 0 0 6964 0 658222 0 0 0 RICHARD BOOTH PHYSICIAN 322172 0 153770 0 0 0 0 0 12582 0 488524 0 0 0 ANDREA KELLAR PHYSICIAN 388525 0 343933 0 0 0 0 0 10267 0 742725 0 0 0 DANIEL WHITMORE PHYSICIAN 386275 0 153315 0 0 0 0 0 12545 0 552135 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. X 0 0 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 8,622,549. NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -383,578. 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 412865 FAIR MARKET VALUE GRANT MEDICAL CENTER INC S 7681315 FAIR MARKET VALUE HARTS HEALTH CLINIC INC S 425615 FAIR MARKET VALUE UPPER KANAWHA HEALTH ASSOCIATION INC S 102756 FAIR MARKET VALUE