2024-08-15T13:28:49-05:00 2023-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2022-10-01 550440086 PLEASANT VALLEY HOSPITAL PLEA 3046754340 2520 VALLEY DRIVE PT PLEASANT WV 25550 JUSTIN TURNER COO 3046754340 2024-08-14 1 0 WADE NEWELL CPA P01051041 3045250301 2024-08-14 2022 2024-08-08 14:25:15Z JUSTIN TURNER 2520 VALLEY DRIVE PT PLEASANT WV 25550 63103193 0 X WWW.PVALLEY.ORG X 1955 WV PROVIDE QUALITY INPATIENT AND OUTPATIENT HEALTHCARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. PROVIDE A WELLNESS CENTER TO PROMOTE COMMUNITY HEALTH THROUGH FITNESS PROGRAMS. 9 8 505 25 75697 123552 525409 0 56056586 47946350 -4033621 -505112 3545225 6852304 56093599 54293542 140764 0 0 0 24676730 27978313 0 0 0 48124401 34669664 72941895 62647977 -16848296 -8354435 28634105 41186757 26337740 36261607 2296365 4925150 TO OPERATE AN ACUTE CARE HOSPITAL FACILITY FOR THE CITIZENS OF POINT PLEASANT, WEST VIRGINIA AND THE SURROUNDING COMMUNITIES AND COUNTIES. 0 0 51902513 47995205 THE HOSPITAL PROVIDED 6,498 ACUTE AND SWING DAYS; 81,177 OUTPATIENT VISITS; 10,767 EMERGENCY ROOM VISITS; 1,387 AMBULATORY SURGERIES; 743 OBSERVATION VISITS; AND 51,965 PHYSICIAN OFFICE VISITS. 96772 47917 THE HOSPITAL OPERATES A WELLNESS CENTER WHICH PROVIDES COMMUNITY HEALTH EDUCATION AND FITNESS PROGRAMS THAT ARE AVAILABLE TO HOSPITAL EMPLOYEES AND ALL RESIDENTS OF THE SURROUNDING COMMUNITIES. 51999285 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 124 0 505 0 1 1 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X RUSSELL HENCHEY 3046754340 2520 VALLEY DRIVE POINT PLEASANT WV 25550 MICHAEL SELLARDS CHAIRMAN 1.00 0.50 X X 0 0 0 ROCKY STURGEON VICE CHAIRMAN 1.00 X X 0 0 0 DALLAS KAYSER SECRETARY 1.00 0.50 X X 0 0 0 EDDIE LANHAM TREASURER 1.00 0.50 X X 0 0 0 MAURICE COOLEY TRUSTEE 1.00 X 0 0 0 CLAIRE COTTRILL TRUSTEE 1.00 X 0 0 0 LEIGH ANN SHEPARD TRUSTEE 1.00 X 0 0 0 ANGIE ZIMMERMAN TRUSTEE 1.00 X 0 0 0 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 0 0 JEFF NOBLIN FACHE CEO 40.00 0.50 X 0 0 0 CRAIG GILLIARD CFO 40.00 0.50 X 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 1.00 45.00 X 0 862472 27019 DAVID M WARD SR VP, CHIEF FINANCIAL OFFICER 1.00 45.00 X 0 764329 23006 PAUL E SMITH VP & CAO 1.00 45.00 X 0 566227 32015 HOYT BURDICK SR VP, CHIEF MEDICAL OFFICER 1.00 45.00 X 0 517893 28360 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 1.00 45.00 X 0 302081 37811 BRADLEY BURCK VP CHH FOUNDATION 1.00 45.00 X 0 231019 37811 KEITH BIDDLE PVH COO 45.00 X 0 0 0 BEN JARMUL CFO 2.00 X 0 0 0 RUSSELL HENCHEY VP OF FINANCE 45.00 X 0 0 0 DENNIS LEE VP MHN, CIO 1.00 45.00 X 0 508010 26073 LISA C STUMP VP MHN, CHIEF STRATEGY OFFICER 1.00 45.00 X 0 494254 27019 EDUARDO PINO CMIO 1.00 45.00 X 0 160932 13509 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 1.00 45.00 X 0 302387 42015 REGINA M CAMPBELL CHIEF NURSING OFFICER 1.00 45.00 X 0 348131 34243 MARK A MORGAN VP PHYSICIANS SERVICES 1.00 45.00 X 0 353192 47801 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 1.00 45.00 X 0 476811 48073 AARON BLEVINS CHIEF PHARMACY OFFICER 1.00 45.00 X 0 258870 45210 STEVEN SHARP MD ER PHYSICIAN 40.00 X 500787 0 33064 ANTHONY W KITCHEN MD ER PHYSICIAN 40.00 X 560676 0 51057 BILLI TOLER DO HOSPITALIST 40.00 X 453133 0 24057 PATRICK DUNSTER MD ER PHYSICIAN 40.00 X 468534 0 51706 PRAKASH ARUMUGAM MD HOSPITALIST 40.00 X 366152 0 24057 2349282 6146608 653906 5 0 1 0 HEALTH CAROUSEL PO BOX 714216 CINCINNATI OH 45271 TRAVEL NURSES 611652 ECG MANAGEMENT CONSULTANTS PO BOX 74008176 CHICAGO IL 60674 MANAGEMENT CONSULTANTS 397879 CREDIT SOLUTIONS LLC 2277 THUNDERSTICK DRIVE SUITE 400 LEXINGTON KY 40505 PHYSICIAN OFFICE CODING AND COLLECTIONS 315997 JNP LOCAL LLC PO BOX 744234 ATLANTA GA 30374 TRAVEL NURSES 278274 UNITI MED LLC PO BOX 204695 DALLAS TX 70625 TRAVEL NURSES 257856 16 PATIENT SERVICES 621990 42899677 42899677 PHARMACY 456110 5095528 5095528 WELLNESS CENTER 713940 -48855 -48855 47946350 259304 259304 161615 3172 158443 158443 158443 8042063 8806479 -764416 -764416 -764416 OTHER INCOME 900099 6399354 6399354 CAFETERIA & VENDING 722212 169955 169955 DASCO PARTNERSHIP 456199 124552 124552 6693861 54293542 54564514 75697 -346669 X 438095 346095 92000 22481977 17760762 4721215 495000 391050 103950 3070040 2425332 644708 1493201 1179629 313572 -72273 -72273 11305 11305 15311252 12095889 3215363 184811 146001 38810 425835 336410 89425 83260 65775 17485 15544 12280 3264 233857 184747 49110 1814979 1433833 381146 971874 767780 204094 DRUG EXPENSES 4924181 4924181 MEDICAL SUPPLIES 4002050 4002050 BAD DEBTS 1868849 1868849 MEDICAID PROVIDER TAX 915482 915482 3978658 3143140 835518 62647977 51999285 10648692 0 1497302 2066090 2936962 2999889 2734492 3391109 1508730 1606970 265183 470959 21264388 2150153 10924355 19114235 8602603 9073911 164478 2463594 28634105 41186757 14811376 26097747 99672 11426692 10163860 26337740 36261607 X 2296365 4925150 2296365 4925150 28634105 41186757 X -8354435 1197554 9785666 X X 0 1 X 1 0 X 1889000 1889000 11502474 698731 10803743 28793 1651 27142 7801413 1449771 6351642 42708 42708 19114235 A/R OTHER 775523 MALPRACTICE INSURANCE RECEIVABLE 1688071 2463594 UNEARNED REVENUE- PPP LOAN 6524390 NOTES PAYABLE 3639470 10163860 X PART X, LINE 2: THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. IN ADDITION, THE HEALTH FOUNDATION AND THE FOUNDATION HAVE BEEN CLASSIFIED AS ORGANIZATIONS OTHER THAN A PRIVATE FOUNDATION MEANING OF SECTION 509(A) OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION HAVE CONCLUDED THAT AS OF SEPTEMBER 30, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR THE YEARS ENDED SEPTEMBER 30, 2020, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 1 X 1 X 1 X 10000.000000000000 1 1 0 0 13201211 -182467 13383678 0.21330 13201211 -182467 13383678 0.21330 13201211 -182467 13383678 0.21330 1 1868849 17376902 27059161 -9682259 X 1 1 1 1 PLEASANT VALLEY HOSPITAL 2520 VALLEY DRIVE PT PLEASANT WV 25550 X X X SKILLED NURSING FACILITY PLEASANT VALLEY HOSPITAL 1 0 0 1 X X X X X X X X 22 1 0 0 1 X HTTPS://PVH.MOUNTAINHEALTHNETWORK.ORG/ASSETS/PVH/DOCUMENTS/PVH-CHNA-2023.PD X 1 22 1 HTTPS://PVH.MOUNTAINHEALTHNETWORK.ORG/ASSETS/PVH/DOCUMENTS/PVH-CHNA-2023.PD 0 1 X 100.000000000000 100.000000000000 1 1 X X X 1 X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X X X X X X 1 X 0 X X X 1 X 0 0 PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 5: THE 2022 CHNA INCLUDED QUANTITATIVE RESEARCH METHODS AND COMMUNITY CONVERSATIONS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING GALLIA, MASON, AND MEIGS COUNTY RESIDENTS. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANT MAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 11: THE TOP THREE SIGNIFICANT NEEDS TO ADDRESS ARE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER (SUD) AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. BEHAVIORAL HEALTH: SUPPORT, PROMOTE, AND PARTICIPATE IN COMMUNITY BEHAVIORAL HEALTH AWARENESS AND TRAINING EFFORTS; PARTNER WITH AREA SCHOOLS AND CONTINUE LEADING THE MASON COUNTY COMPREHENSIVE HEALTHY KIDS PROGRAM; PARTNER WITH SENIOR CENTERS; PROVIDE COMMUNITY WIDE TRAINING FOR BEHAVIORAL HEALTH; PROVIDE INPATIENT BEHAVIORAL HEALTH CONSULTATIONS AND OUTPATIENT SERVICES. SUBSTANCE USE DISORDER: CONDUCT UNIVERSAL SCREENINGS IN HEALTHCRAE SETTINGS TO IDENTIFY INDIVIDUALS WITH SUD CONDITIONS; SUPPORT, PROMOTE, AND PARTICIPATE IN COMMUNITY SUD AWARENESS AND TRAINING EFFORTS; PROVIDE MEDICAL WITHDRAWAL MANAGEMENT SERVICE; DEVELOP COMPREHENSIVE ASSESSMENT, EDUCATION, INTERVENTION AND ADDICTION TREATMENT SOLUTIONS; EXPAND MEDICATION-ASSISTED TREATMENT SERVICES. CHRONIC DISEASE PREVENTION AND MANAGEMENT: YOUTH INTERNSHIP AND MENTORING OPPORTUNITIES TO FOSTER INTEREST IN HEALTHCARE PROFESSIONS; PARTNER WITH AREA SCHOOLS AND BUSINESSES TO ESTABLISH CAREER DEVELOPMENT PROGRAMS IN HEALTHCARE; INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTHCARE AND NUMBER OF RESIDENTS WITH A MEDICAL HOME; ADVOCATE FOR MORE PUBLIC TRANSPORTATION FOR HEALTHCARE FACILITIES; PARTNER WITH MOUNTAIN HEALTH NETWORK TO CONTINUE TO EXPAND SPECIALTY CARE SERVICES; PROVIDE HEALTH INSURANCE ENROLLMENT SERVICES FOR UNINSURED RESIDENTS; PROVIDE DIABETES AND WEIGHT LOSS EDUCATION; CONTINUE WELLNESS CENTER; SPONSOR COMMUNITY HEALTH EVENTS. PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 16J: THE POLICY IS DISCUSSED WITH PATIENTS BEFORE THEY ARE DISCHARGED. A COPY OF THE POLICY IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE. PART I, LN 7 COL(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 $1,868,849. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON AUDITED FINANCIAL STATEMENTS. PART II, COMMUNNITY BUILDING ACTIVITIES: OUR WEIGHT LOSS CHALLENGE GIVES THE COMMUNITY THE ABILITY TO USE OUR WELLNESS SERVICES. OUR WELLNESS SERVICES INCLUDE CARDIO AND WEIGHT LIFTING MACHINES AND CERTIFIED EXERCISE PHYSIOLOGISTS. BLOOD PRESSURE, WEIGHT, AND BODY FAT WERE MONITORED BEFORE THE CHALLENGE AND AFTER THE CHALLENGE. THIS PROMOTES A HEALTHY LIFESTYLE IN THE COMMUNITY. MASON COUNTY IS A MEDICALLY UNDERSERVED AREA AND THE HOSPITAL SPENDS MONEY FOR RECRUITMENT FOR THIS AREA. THE AMOUNT SHOWN FOR WORKFORCE DEVELOPMENT IS THE AMOUNT PAID TO RECRUIT NEW PHYSICIANS TO THE AREA. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8: MEDICARE ALLOWABLE COSTS AND REIMBURSEMENTS WERE OBTAINED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: PLEASANT VALLEY HOSPITAL HAS A CHARITY CARE POLICY AND A COLLECTION AND BAD DEBT POLICY THAT DISCUSSES QUALIFYING AND ELIGIBILITY FOR CHARITY CARE, COLLECTION PRACTICES AND HANDLING OF BAD DEBT ACCOUNTS. IT IS A PRACTICE TO HANDLE ALL PATIENT ACCOUNTS IN THE SAME MANNER/PRECEDENT. PATIENTS ARE SENT MONTHLY STATEMENTS - EVEN WHILE APPLYING AND PENDING FINANCIAL ASSISTANCE AND WILL CONTINUE TO RECEIVE STATEMENTS UNTIL DETERMINATION IS MADE. ONCE DETERMINATION IS MADE THE ACCOUNT BALANCE OR THE % PORTION OF THE ACCOUNT BALANCE IS ADJUSTED TO "FINANCIAL ASSISTANCE". PART VI, LINE 2: WE PROVIDED SURVEYS AND CONDUCTED INTERVIEWS WITH EMPLOYEES, BUSINESSES, AND RESIDENTS OF THE COMMUNITIES WE SERVE. WE ASKED IN THE SURVEY IF THEY CAN INDICATE HEALTH CONDITIONS IN THEIR HOUSEHOLD. DURING INTERVIEWS, WE ASKED WHAT THE HEALTHCARE NEEDS ARE, WHAT BARRIERS THERE ARE, AND WHAT OPPORTUNITIES FOR IMPROVEMENT DO THEY SEE. PART VI, LINE 3: THE PROCESS IN PLACE OFFERS THE UNINSURED AND UNDERINSURED PATIENT THE ABILITY TO APPLY FOR CHARITY CARE THROUGH A FORMAL APPLICATION PROCESS ESTABLISHED BY REVIEWING BOTH INCOME AND EXPENSE TO MAKE A FINAL DETERMINATION OF ELIGIBILITY. IT REQUIRES PROPER VERIFICATION OF INCOME THROUGH A PAY STUB, TAX RETURN, ETC. IT IS ALSO VERIFIED THAT THE PATIENT IS NOT ELIGIBLE FOR A STATE ASSISTED PROGRAM VIA A DENIAL LETTER FROM THE PROGRAM OR VERIFICATION THROUGH THE STATE CASEWORKER. THE PATIENT WILL EITHER BE CONTACTED BY THE BUSINESS OFFICE OR WILL CONTACT THE BUSINESS OFFICE DURING THE COLLECTION AND STATEMENT PROCESS TO DISCUSS FINANCIAL ARRANGEMENTS REGARDING THEIR PATIENT ACCOUNT. ALL OPTIONS OF PAYMENTS WILL BE DISCUSSED AND CHARITY CARE OFFERED AS AN ALTERNATIVE OPTION AFTER SCREENING THE PATIENT'S FINANCIAL ABILITY TO MAKE PAYMENT. PART VI, LINE 4: PLEASANT VALLEY HOSPITAL IS A RURAL HOSPITAL IN POINT PLEASANT, WV. PLEASANT VALLEY HOSPITAL SERVES MAINLY THE PEOPLE OF MASON AND JACKSON COUNTY, WV AND MEIGS AND GALLIA COUNTY, OH. THE PVH SERVICE AREA COMPRISES PRIMARILY RURAL COMMUNITIES IN MASON COUNTY, WEST VIRGINIA AND GALLIA AND MEIGS COUNTIES IN OHIO. WITH FEW EXCEPTIONS, THE COUNTIES GENERALLY FOLLOW DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH TRENDS FOR THE STATE OF WEST VIRGINIA OVERALL. AS OF THE 2020 CENSUS, ALL THREE COUNTIES HAD A SIMILAR TOTAL POPULATION OF APPROXIMATELY 22,000 TO 29,000, AND CONSISTENT WITH WEST VIRGINIA, SAW POPULATION DECLINE FROM THE 2010 CENSUS THAT AVERAGED - 5.5% TO - 7%. APPROXIMATELY 16% OF MASON COUNTY RESIDENTS AND 20% OF GALLIA AND MEIGS COUNTY RESIDENTS LIVE IN POVERTY COMPARED TO 13% NATIONALLY. MASON COUNTY SAW DECLINE IN OVERALL POVERTY IN RECENT YEARS, WHILE GALLIA AND MEIGS COUNTIES HAVE HISTORICALLY HIGHER POVERTY LEVELS. HEALTH NEEDS CHANGE AS INDIVIDUALS AGE. THEREFORE, THE AGE DISTRIBUTION OF A COMMUNITY IMPACTS THE SOCIAL AND HEALTHCARE NEEDS. THE AGE DISTRIBUTION AND MEDIAN AGE OF THE TRI-COUNTY AREA IS SIMILAR TO WEST VIRGINIA OVERALL AND OLDER THAN THE NATION. APPROXIMATELY 21% OF RESIDENTS ARE AGE 65 OR OLDER COMPARED TO 16% NATIONWIDE. THE PROPORTION OF OLDER ADULT RESIDENTS INCREASED ACROSS THE TRI-COUNTY AREA, OHIO, WEST VIRGINA, AND THE NATION. NATIONALLY, AMONG OLDER ADULTS AGED 65 OR OLDER, THE 65-74 AGE CATEGORY IS THE FASTEST GROWING DEMOGRAPHIC, LARGELY DUE TO THE AGING OF THE BABY BOOMER GENERATION. WHILE THE OLDER ADULT POPULATION INCREASED IN THE TRI-COUNTY AREA, YOUTH UNDER AGE 18 COMPRISE APPROXIMATELY 1 IN 5 RESIDENTS. THIS FINDING REINFORCES THE POTENTIAL IMPACT OF UPSTREAM, PREVENTIVE INITIATIVES. RESIDENTS OF THE TRI-COUNTY AREA HAVE MORE HEALTH RISK FACTORS AND HIGHER PREVALENCE AND MORTALITY DUE TO CHRONIC DISEASE. APPROXIMATELY ONE-THIRD OF COUNTY ADULTS REPORTED BEING PHYSICALLY INACTIVE COMPARED TO ONE-QUARTER OF ADULTS NATIONALLY. SIMILARLY, ONE-QUARTER OF COUNTY ADULTS REPORTED SMOKING COMPARED TO LESS THAN ONE-FIFTH OF ADULTS NATIONALLY. NATIONALLY, THE MOST CHRONIC CONDITIONS AMONG OLDER ADULT MEDICARE BENEFICIARIES, IN ORDER OF PREVALENCE, ARE HYPERTENSION, HIGH CHOLESTEROL, AND ARTHRITIS. THIS FINDING IS CONSISTENT FOR THE TRI-COUNTY AREA. PART VI, LINE 5: THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE HOSPITAL PROVIDES A 24 HOUR EMERGENCY ROOM AND IS AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. ALL THE SERVICES PROVIDED BY THE HOSPITAL ARE PROVIDED REGARDLESS OF THE ABILITY TO PAY. THE HOSPITAL HAS AN AUXILIARY THAT HELPS OUR PATIENTS AND VISITORS IF THEY NEED A WHEELCHAIR WHEN THEY ARRIVE OR IF THEY NEED DIRECTIONS ON WHERE TO GO WITHIN THE HOSPITAL. THE HOSPITAL PROVIDES BREAST CANCER SCREENING/MAMMOGRAMS FREE TO PATIENTS WHO CANNOT PAY FOR THE SERVICE. THE HOSPITAL HAS A FITNESS CENTER FOR THE COMMUNITY AND IT ALSO CONDUCTS MANY HEALTH FAIRS THROUGHOUT THE YEAR. THE HOSPITAL PROVIDES MANY HEALTH SCREENINGS THROUGHOUT THE YEAR IN ADDITION TO A NUTRITIONAL PROGRAM. OUR SNF PROVIDES TRANSPORTATION FOR ITS RESIDENTS TO HEALTH FACILITIES. THE HOSPITAL HAS SUPPORT GROUPS FOR MEMBERS OF THE COMMUNITY. THE HOSPITAL DONATES MONEY TO THE COMMUNITY FOR VARIOUS PROJECTS. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 0 858908 0 0 0 3564 0 0 0 27019 0 889491 0 0 DAVID M WARD SR VP, CHIEF FINANCIAL OFFICER 0 721926 0 26030 0 16373 0 0 0 23006 0 787335 0 0 ANTHONY W KITCHEN MD ER PHYSICIAN 536533 0 105 0 24038 0 27000 0 24057 0 611733 0 0 0 PAUL E SMITH VP & CAO 0 538693 0 19896 0 7638 0 0 0 32015 0 598242 0 0 HOYT BURDICK SR VP, CHIEF MEDICAL OFFICER 0 487348 0 22907 0 7638 0 0 0 28360 0 546253 0 0 DENNIS LEE VP MHN, CIO 0 488096 0 17892 0 2022 0 0 0 26073 0 534083 0 0 STEVEN SHARP MD ER PHYSICIAN 500682 0 105 0 0 0 24500 0 8564 0 533851 0 0 0 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 0 460448 0 16363 0 0 0 9150 0 38923 0 524884 0 0 LISA C STUMP VP MHN, CHIEF STRATEGY OFFICER 0 474684 0 17578 0 1992 0 0 0 27019 0 521273 0 0 PATRICK DUNSTER MD ER PHYSICIAN 468431 0 103 0 0 0 27000 0 24706 0 520240 0 0 0 BILLI TOLER DO HOSPITALIST 420028 0 105 0 33000 0 0 0 24057 0 477190 0 0 0 MARK A MORGAN VP PHYSICIANS SERVICES 0 336868 0 16324 0 0 0 9150 0 38651 0 400993 0 0 PRAKASH ARUMUGAM MD HOSPITALIST 341050 0 25102 0 0 0 0 0 24057 0 390209 0 0 0 REGINA M CAMPBELL CHIEF NURSING OFFICER 0 332389 0 15742 0 0 0 9150 0 25093 0 382374 0 0 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 0 302332 0 0 0 55 0 0 0 42015 0 344402 0 0 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 0 301271 0 0 0 810 0 0 0 37811 0 339892 0 0 AARON BLEVINS CHIEF PHARMACY OFFICER 0 247339 0 11531 0 0 0 7766 0 37444 0 304080 0 0 BRADLEY BURCK VP CHH FOUNDATION 0 221140 0 8411 0 1468 0 0 0 37811 0 268830 0 0 EDUARDO PINO CMIO 0 143969 0 14062 0 2901 0 0 0 13509 0 174441 0 0 PART I, LINE 3 THE CEO OF PLEASANT VALLEY SERVES UNDER A MANAGEMENT CONTRACT GOVERNED BY CABELL HUNTINGTON HOSPITAL. PVH IS NOT PART OF THE PROCESS IN DETERMINING THE CEO'S COMPENSATION. PVH PAYS CHH A MONTHLY FEE. JEFFREY BURDICK FAMILY MEMBER 119537 REPORTABLE COMPENSATION 0 PAUL SMITH OFFICER OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 FAREED AZIZ KEY EMPLOYEE 14050 CHH USES FAREED'S BUSINESS, STEWARD CONSULTING, FOR CONTRACT STAFFING 0 BRADLEY BURCK DAUGHTER 625 FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT & ACCOUNTING WHICH IS OWNED BY BRADLEY BURCK'S DAUGHTER. 0 FORM 990, PART VI, SECTION A, LINE 3 IN OCTOBER 2022, PLEASANT VALLEY HOSPITAL JOINED CABELL HUNTINGTON HOSPITAL, INC. AND ST. MARY'S MEDICAL CENTER, INC. AS A MEMBER OF MOUNTAIN HEALTH NETWORK, INC. AT THAT TIME, MOUNTAIN HEALTH NETWORK, INC. BEGAN PROVIDING MANAGEMENT SERVICES TO PLEASANT VALLEY HOSPITAL. MOUNTAIN HEALTH NETWORK IS COMPRISED OF EXPERIENCED HEALTH CARE PROFESSIONALS, PERSONS WITH EXTENSIVE FINANCIAL AND BUSINESS EXPERTISE, CLINICIANS WITH EXTENSIVE MEDICAL EXPERIENCE AND EXPERIENCED HOSPITAL BOARD MEMBERS. MOUNTAIN HEALTH NETWORK WILL BE RETAINED TO FORMULATE AND IMPLEMENT APPROPRIATE MEASURES FOR THE INTEGRATION OF CERTAIN PROGRAMS AND SERVICES AT PLEASANT VALLEY HOSPITAL AS WELL AS PROVIDE CONTINUED MANAGEMENT, STRATEGIC PLANNING AND OPERATIONAL SUPERVISION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER FILLS OUT A QUESTIONNAIRE AT THE END OF THE FISCAL YEAR. THE QUESTIONNAIRE HAS QUESTIONS ON IT THAT DETERMINE INDEPENDENCE STATUS AND OTHER RELATIONSHIPS BETWEEN BOARD MEMBERS AND BETWEEN THE BOARD MEMBER AND THE HOSPITAL. THIS HELPS IN DETERMINING POSSIBLE CONFLICTS THAT MAY ARISE. IN ADDITION, THE BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST POLICY THAT REQUIRES THEM WITH DUE DILIGENCE TO STATE THAT THEY HAVE A CONFLICT OF INTEREST WHEN THAT CONFLICT ARISES. THE BOARD MEMBER MUST LEAVE THE BOARD MEETING DURING DISCUSSIONS AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 PLEASANT VALLEY HOSPITAL HAS A PAY GRADE FOR EACH JOB CODE. THE PAY GRADE IS A RANGE OF WAGES THAT CAN BE PAID TO AN INDIVIDUAL FOR THAT JOB TITLE. WHEN AN OFFICER, OTHER THAN THE CEO, IS OFFERED THE POSITION. THE DIRECTOR OF HUMAN RESOURCES AND THE CEO NEGOTIATES A SALARY WITH THE CANDIDATE WITHIN THE PAY GRADE. THE PAY GRADE WAS ESTABLISHED USING INDEPENDENT DATA. PLEASANT VALLEY HOSPITAL BOARD OF TRUSTEES REVIEWS AND APPROVES THE CONTRACT FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR INSPECTION AT THE HOSPITAL OR BY MAILING A COPY UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,095,889. MANAGEMENT AND GENERAL EXPENSES 3,215,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,311,252. FORM 990, PART XI, LINE 9: INHERENT CONTRIBUTION 12,758,226. ADJUSTMENT TO BEGINNING NET ASSETS -2,296,365. TRANSFERS TO AFFILIATES -676,195. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO GO WITH. DURING THE YEAR AUDITORS MEET WITH THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. PLEASANT VALLEY HOSPITAL FOUNDATION INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 200120079 FUNDRAISING WV 501(C)(3) LINE 11 CHH INC 1 PLEASANT VALLEY HOSPITAL HEALTH FOUNDATION INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 550649849 SCHOLARSHIPS/HEALTHCARE WV 501(C)(3) LINE 12C, III-FI CHH INC 1 PLEASANT VALLEY MEDICAL GROUP INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 471358788 HEALTHCARE WV 501(C)(3) LINE 11 CHH INC 1 MOUNTAIN HEALTH NETWORK PO BOX 636 HUNTINGTON WV 25711 320573122 MANAGEMENT SERVICES WV 501(C)(3) LINE 12A, I CHH INC 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 HOSPITAL WV 501(C)(3) LINE 3 N/A 0 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 550357050 HEALTH SERVICES WV 501(C)(3) LINE 3 CHH INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 PLEASANT VALLEY HOSPITAL HEALTH FOUNDATION INC O 26736 CASH PLEASANT VALLEY HOSPITAL FOUNDATION INC O 41260 CASH