2021-10-28T15:33:15-05:00 2020-12-31 351178661 BLUE & CO LLC 9200 WORTHINGTON RD STE 200 WESTERVILLE OH 43082 990 2020-01-01 208814374 MUSKINGUM VALLEY HEALTH CENTER MUSK 7408919000 716 ADAIR AVENUE ZANESVILLE OH 43701 REBECCA CARR CFO 7408919000 2021-10-28 1 REBECCA CARR 999009999 NATHAN A RODGERS CPA P01568275 6148852583 2021-10-12 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z REBECCA CARR 716 ADAIR AVENUE ZANESVILLE OH 43701 42491265 0 X WWW.MVHCCARES.ORG X 2007 OH TO PROVIDE AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE. 10 10 432 0 0 0 4228351 11128142 25895402 29326064 192257 96573 315958 573743 30631968 41124522 0 0 0 0 20893825 22555682 0 0 0 8309391 9692793 29203216 32248475 1428752 8876047 27777699 48095792 5194594 16168919 22583105 31926873 TO PROVIDE AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE. 0 0 15091091 22093636 MUSKINGUM VALLEY HEALTH CENTER PROVIDES NUMEROUS SERVICES, INCLUDING ADULT PRIMARY CARE, PEDIATRICS, DENTAL, MENTAL HEALTH, OB/GYN AND PODIATRY SERVICES. THE THREE LARGEST SERVICE PROGRAMS ARE ADULT HEALTH, WOMEN'S HEALTH AND PEDIATRICS. DURING THE YEAR, THE CENTER PROVIDED SERVICES FOR APPROXIMATELY 47,090 PATIENTS RESULTING IN 192,576 VISITS, AND PROVIDED A SLIDING FEE SCALE ADJUSTMENT IN THE AMOUNT OF $1,554,511. 3743496 6364495 MUSKINGUM VALLEY HEALTH CENTERS PARTICIPATES IN A 340B PRESCRIPTION DRUG PROGRAM WHICH PROVIDES PRESCRIPTIONS AT A DISCOUNT TO QUALIFYING PATIENTS OF THE ORGANIZATION. 1110285 1443365 MUSKINGUM VALLEY HEALTH CENTERS PERFORMS CONTRACT SERVICES FOR OTHER ORGANIZATIONS AND PARTICIPATES IN ACTIVITIES THAT GENERATE ADDITIONAL FUNDING SOURCES RELATED TO THEIR MISSION. 19944872 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 432 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X REBECCA CARR 7408919000 716 ADAIR AVENUE ZANESVILLE OH 43701 JASON T HEINS CHAIR 1.00 X X 0 0 0 SHELLEY MCPEEK VICE CHAIR 1.00 X X 0 0 0 DEAN WRIGHT TREASURER 1.00 X X 0 0 0 JIM WILSON SECRETARY 1.00 X X 0 0 0 MARY GREEN DIRECTOR 1.00 X 0 0 0 JOE HUNT DIRECTOR 1.00 X 0 0 0 JENNA JENKINS DIRECTOR-TERM BEGAN AUG'20 1.00 X 0 0 0 STEPHANIE NEUHART DIRECTOR 1.00 X 0 0 0 SUSAN SMALL DIRECTOR 1.00 X 0 0 0 RHONDA SMITH DIRECTOR 1.00 X 0 0 0 REBECCA CARR CFO 40.00 X 157322 0 7932 DANIEL ATKINSON CEO 40.00 X 257709 0 16640 DAVID KLEIN CMO 40.00 X 246275 0 9762 BIJAN GOODARZI CMO 40.00 X 315219 0 18874 JOSEPH BINKIEWICZ PHYSICIAN 40.00 X 574604 0 27907 PAUL WRIGHT PHYSICIAN 40.00 X 573660 0 36441 DAVID SKROBOT PHYSICIAN 40.00 X 297207 0 31800 COURTNEY FLANIGAN PHYSICIAN 40.00 X 292071 0 24014 JEFF DOWNING PHYSICIAN 40.00 X 424110 0 26399 3138177 0 199769 38 0 1 0 SHRIVER'S PHARMACY 406 BRIGHTEN BLVD ZANESVILLE OH 43701 PHARMACY SERVICE FEES 1415086 NORTHSIDE PHARMACY 2899 BELL STREET ZANESVILLE OH 43701 PHARMACY SERVICE FEES 984210 STAFFCARE INC PO BOX 281923 ATLANTA GA 30384 CONTRACT PHYSICIAN SERVICES 202743 OHIO PSYCHIATRIC ASSOCIATES INC 975 BETHESDA DRIVE ZANESVILLE OH 43701 CONTRACT PHYSICIAN SERVICES 187837 TRINITY 827 YARD STREET COLUMBUS OH 43212 CONSTRUCTION CONTRACTOR SERVICES 183501 5 10583999 544143 11128142 NET PATIENT SERVICES 623000 22093636 22093636 340B PRESCRIPTION DRUG PROGRAM 623000 6364494 6364494 COMPREHENSIVE PRIMARY CARE REVENU 623000 743909 743909 CONTRACT SERVICES 623000 124025 124025 29326064 67591 67591 67676 69365 -1689 -1689 -1689 1326360 1297378 28982 28982 28982 OTHER INCENTIVES 623000 213528 213528 MEDICAID INCENTIVES 623000 8500 8500 353404 353404 575432 41124522 29901496 0 94884 X 1029732 727411 302321 18360501 12970007 5390494 577488 348612 228876 1427796 861916 565880 1160165 700356 459809 152767 152767 47250 47250 3611560 633688 2977872 126056 18995 107061 883394 467375 416019 306896 49840 257056 581066 297803 283263 120064 69507 50557 34159 5147 29012 83189 28404 54785 671156 392858 278298 132382 15871 116511 MEDICAL SUPPLIES 1328540 1066948 261592 340B PRESCRIPTION COST 1272520 1272520 EMPLOYEE APPRECIATION 63205 9524 53681 PATIENT ASSISTANCE 53689 8090 45599 224900 224900 32248475 19944872 12303603 0 1424006 2627660 1136146 7175389 1263740 213403 2927599 2911806 650885 600460 348933 721299 34994030 4970959 16681767 30023071 3282466 3822704 62157 0 27777699 48095792 2164665 2702835 900 780 10477000 2029029 2038304 1000000 950000 5194594 16168919 X 22325278 31632474 257827 294399 22583105 31926873 27777699 48095792 8876047 467721 0 X X 0 1 X 1 1 1 X 3692359 4088411 4336975 4228351 11128142 27474238 17701642 21644866 22836361 25895402 29326064 117404335 21394001 25733277 27173336 30123753 40454206 144878573 0 0 0 144878573 25165 58001 51855 146789 135267 417077 25165 58001 51855 146789 135267 417077 329455 434403 469378 312302 575432 2120970 21748621 26225681 27694569 30582844 41164905 147416620 0.98280 0.98250 0.00280 0.00230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 179,200. 2017 AMOUNT: $ 63,768. 2018 AMOUNT: $ 64,137. 2019 AMOUNT: $ 9,515. 2020 AMOUNT: $ 353,404. MEDICAID INCENTIVES - 2019 AMOUNT: $ 85,000. 2020 AMOUNT: $ 8,500. OTHER INCENTIVES - 2017 AMOUNT: $ 370,635. 2018 AMOUNT: $ 405,241. 2019 AMOUNT: $ 217,787. 2020 AMOUNT: $ 213,528. CONTRACT SERVICES - 2016 AMOUNT: $ 150,255. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1818043 1818043 13227814 2134585 11093229 24400 20740 3660 3639894 2815634 824260 16283879 16283879 30023071 REFUNDABLE ADVANCE 950000 950000 X 41661608 467721 467721 41193887 -69365 -69365 41124522 32317840 69365 69365 32248475 0 32248475 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -69,365. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 69,365. X 0 0 0 0 0 0 0 0 0 PAUL WRIGHT PHYSICIAN 573660 0 0 0 0 0 8403 0 28038 0 610101 0 0 0 JOSEPH BINKIEWICZ PHYSICIAN 574604 0 0 0 0 0 7619 0 20288 0 602511 0 0 0 JEFF DOWNING PHYSICIAN 424110 0 0 0 0 0 11400 0 14999 0 450509 0 0 0 BIJAN GOODARZI CMO 315219 0 0 0 0 0 10957 0 7917 0 334093 0 0 0 DAVID SKROBOT PHYSICIAN 297207 0 0 0 0 0 11397 0 20403 0 329007 0 0 0 COURTNEY FLANIGAN PHYSICIAN 292071 0 0 0 0 0 11397 0 12617 0 316085 0 0 0 DANIEL ATKINSON CEO 257709 0 0 0 0 0 9598 0 7042 0 274349 0 0 0 DAVID KLEIN CMO 246275 0 0 0 0 0 0 0 9762 0 256037 0 0 0 REBECCA CARR CFO 157322 0 0 0 0 0 6309 0 1623 0 165254 0 0 0 A COUNTY OF GUERNSEY OHIO 316400069 2019-08-28 16080000 SEE PART V 0 0 0 A 14328000 50000 10427000 3851000 2021 0 0 0 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART I, LINE A, COL. F: DESCRIPTION OF PURPOSE: SERIES 2019A BOND FINANCING THE ACQUISITION, CONSTRUCTION, FURNISHING, EQUIPPING AND OTHERWISE IMPROVING AN APPROXIMATELY 49,900 SQUARE FOOT MEDICAL OFFICE BUILDING; INCLUDING WITHOUT LIMITATION FACILITIES TO BE USED FOR DENTAL, PEDIATRIC, ADULT AND BEHAVIORAL HEALTH, AN X-RAY LAB, PHARMACY, AND EXAM ROOMS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS FORM 990 AND AN ELECTRONIC COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENTS ANNUALLY. FORMS ARE MAINTAINED BY MANAGEMENT. BOARD MEMBERS DISCLOSE CONFLICTS OF INTEREST THAT MIGHT INFLUENCE JUDGEMENT IN THEIR DECISION MAKING PROCESS. FOLLOWING DISCLOSURE, THE BOARD'S EXECUTIVE COMMITTEE SHALL DETERMINE APPROPRIATE ACTION, RANGING FROM ABSTAINING FROM SPECIFIC BOARD DECISIONS, TO STEPPING DOWN FROM MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS MONITORED AND DETERMINED BY THE BOARD OF DIRECTORS. COMPENSATION PACKAGES ARE BENCHMARKED BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS SURVEY INFORMATION. COMPENSATION RANGES ARE REVIEWED AND APPROVED ON AN ANNUAL BASIS AND DOCUMENTED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 633,688. MANAGEMENT AND GENERAL EXPENSES 2,977,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,611,560. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE ASSUMES OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. NO CHANGES WERE MADE DURING THE YEAR.