VALLEY HEALTH SYSTEMS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY HEALTH SYSTEMS INC (EIN 55-0554001)
- Tax period
- 2017-06-01 to 2018-05-31
- Filed
- 2019-04-12
- IRS object ID
- 201931029349301058
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-12T16:48:37-05:00 | ReturnTs |
| Tax Period End | 2018-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 371496963 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAYFLICH CPAS PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 8TH STREET 3RD FLOOR | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550554001 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 3045253334 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3377 US ROUTE 60 | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25705 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY-BETH BRUBECK | PersonNm |
| Person Title | VICE PRESIDENT OF FINANCE | PersonTitleTxt |
| Phone | 3045253334 | PhoneNum |
| Signature | 2019-04-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AARON J HEIGHTON CPA | PreparerPersonNm |
| PTIN | P00291966 | PTIN |
| Phone | 3046975700 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.94.219.137 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-12 | IPDt |
| IP Tm | 15:52:03 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A7100DD2408740EF14BC02277E3789A40D62456F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 099C6522888932E8B317BB5E9259EF2CA11A66C9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN SHATTLS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3377 US ROUTE 60 | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25705 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,574,042 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.VALLEYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA AND THE TRI-STATE AREA OF HUNTINGTON, WV AND IRONTON, OH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 273 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,880,282 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,357,392 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,253,339 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,118,226 | CYProgramServiceRevenueAmt |
| PY Investment Income | $176,478 | PYInvestmentIncomeAmt |
| CY Investment Income | $123,883 | CYInvestmentIncomeAmt |
| PY Other Revenue | $490,515 | PYOtherRevenueAmt |
| CY Other Revenue | $956,801 | CYOtherRevenueAmt |
| PY Total Revenue | $34,800,614 | PYTotalRevenueAmt |
| CY Total Revenue | $38,556,302 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $100,546 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $108,925 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,039,719 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,704,822 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,160,181 | PYOtherExpensesAmt |
| CY Other Expenses | $12,811,885 | CYOtherExpensesAmt |
| PY Total Expenses | $33,300,446 | PYTotalExpensesAmt |
| CY Total Expenses | $36,625,632 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,500,168 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,930,670 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,008,561 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,078,845 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,644,180 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,237,275 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,364,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,841,570 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,906,203 | ExpenseAmt |
| Grant | $108,925 | GrantAmt |
| Revenue | $22,138,236 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $25,906,203 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 273 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY-BETH BRUBECK | PersonNm |
| Phone | 3045253334 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3377 US ROUTE 60 | AddressLine1Txt |
| City | HUNTINGTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25705 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JILL HUTCHINSON | |||||||
| BOARD CHAIR | 1.50 | Yes (X) | $0 | $0 | $0 | ||
| GREG AGEE | |||||||
| VICE CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| BEN HOWARD | |||||||
| TREASURER | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| SHERRY PERRY | |||||||
| SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| BILL BRYANT | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| COKEY MUTH | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES CARROLL | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PAULETTE MABRY | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JARED COLKER | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| WHITNEY TROWBRIDGE | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SUZI BRODOF | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SHERRONE HORNBUCKLE | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN SHATTLS | |||||||
| CEO | 40.00 | $595,690 | $0 | $17,250 | Yes (X) | ||
| RICHARD WEINBERGER | |||||||
| CFO | 40.00 | $229,432 | $0 | $12,328 | Yes (X) | ||
| LANIE MASILAMANI | |||||||
| COO | 40.00 | $184,020 | $0 | $0 | Yes (X) | ||
| HERBERT MYERS | |||||||
| MEDICAL DIRECTOR | 12.00 | $448,704 | $0 | $17,765 | Yes (X) | ||
| AARON SCAIFE | |||||||
| PHYSICIAN | 40.00 | $506,029 | $0 | $6,912 | Yes (X) | ||
| RICHARD BOOTH | |||||||
| PHYSICIAN | 40.00 | $466,355 | $0 | $14,653 | Yes (X) | ||
| ANDREA KELLAR | |||||||
| PHYSICIAN | 40.00 | $677,374 | $0 | $17,036 | Yes (X) | ||
| ASHLEIGH CLICKETT | |||||||
| PHYSICIAN | 40.00 | $383,209 | $0 | $15,095 | Yes (X) | ||
| DANIEL WHITMORE | |||||||
| PHYSICIAN | 40.00 | $509,475 | $0 | $14,818 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,000,288 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $115,857 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $10,465,795 | GovernmentGrantsAmt |
| All Other Contributions | $4,891,597 | AllOtherContributionsAmt |
| Noncash Contributions | $157,841 | NoncashContributionsAmt |
| Total Contributions | $15,357,392 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $22,118,226 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,118,226 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,118,226 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,873 | TotalRevenueColumnAmt |
| Exclusion | $103,873 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $37,750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,740 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $20,010 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,010 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $956,801 | TotalRevenueColumnAmt |
| Exclusion | $956,801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $956,801 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,556,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,138,236 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,060,674 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,925 | TotalAmt |
| Program Services | $108,925 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,513,706 | TotalAmt |
| Program Services | $331,293 | ProgramServicesAmt |
| Management And General | $1,182,413 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,948,041 | TotalAmt |
| Program Services | $13,794,511 | ProgramServicesAmt |
| Management And General | $4,153,530 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,080,623 | TotalAmt |
| Program Services | $1,512,613 | ProgramServicesAmt |
| Management And General | $568,010 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,162,452 | TotalAmt |
| Program Services | $1,577,475 | ProgramServicesAmt |
| Management And General | $584,977 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,622 | TotalAmt |
| Management And General | $13,622 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,493 | TotalAmt |
| Management And General | $53,493 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,308 | TotalAmt |
| Program Services | $26,513 | ProgramServicesAmt |
| Management And General | $135,795 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,383,408 | TotalAmt |
| Program Services | $142,455 | ProgramServicesAmt |
| Management And General | $1,240,953 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,102 | TotalAmt |
| Program Services | $859,102 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,725 | TotalAmt |
| Program Services | $86,464 | ProgramServicesAmt |
| Management And General | $33,261 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,022 | TotalAmt |
| Management And General | $46,022 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,282 | TotalAmt |
| Program Services | $29,663 | ProgramServicesAmt |
| Management And General | $81,619 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,194,100 | TotalAmt |
| Program Services | $1,469,750 | ProgramServicesAmt |
| Management And General | $724,350 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $5,490,904 | $5,490,904 | |
| PURCHASED SERVICES | $812,838 | $348,237 | $464,601 |
| REPAIRS AND MAINTENANCE | $433,417 | $42,053 | $391,364 |
| ADMINISTRATIVE EXPENSE | $341,478 | $341,478 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,186 | TotalAmt |
| Program Services | $86,245 | ProgramServicesAmt |
| Management And General | $703,941 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,625,632 | TotalAmt |
| Program Services | $25,906,203 | ProgramServicesAmt |
| Management And General | $10,719,429 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,685 | BOYAmt |
| EOY | $5,635 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,109,609 | BOYAmt |
| EOY | $22,704,686 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,256 | BOYAmt |
| EOY | $1,113,455 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,131,004 | BOYAmt |
| EOY | $1,853,543 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,554 | BOYAmt |
| EOY | $329,447 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,133 | BOYAmt |
| EOY | $700,062 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,397 | BOYAmt |
| EOY | $24,859 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,327,608 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,980,450 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,762,923 | BOYAmt |
| EOY | $24,347,158 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,008,561 | BOYAmt |
| EOY | $51,078,845 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,866,520 | BOYAmt |
| EOY | $5,229,900 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,530,263 | BOYAmt |
| EOY | $2,414,622 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,114,174 | BOYAmt |
| EOY | $2,039,496 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,223 | BOYAmt |
| EOY | $3,553,257 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,644,180 | BOYAmt |
| EOY | $13,237,275 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,758,817 | BOYAmt |
| EOY | $31,136,646 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,605,564 | BOYAmt |
| EOY | $6,704,924 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,364,381 | BOYAmt |
| EOY | $37,841,570 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,008,561 | BOYAmt |
| EOY | $51,078,845 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,930,670 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,546,519 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,671,262 | OtherCostOrOtherBasisAmt |
| Book Value | $2,671,262 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,167,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,812,234 | DepreciationAmt |
| Book Value | $18,354,776 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,489,336 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,168,216 | DepreciationAmt |
| Book Value | $3,321,120 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,347,158 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATIONS | Desc |
| Amt | $3,553,257 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,553,257 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH SYSTEMS INC | |||||||
| 252 RURAL ACRES DRIVE | BECKLEY | WV | 25801 | 550490878 | 501(C)(3) | $17,329 | HEALTHCARE FOR THE HOMELESS |
| MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS INC | |||||||
| 1322 LOCUST AVENUE | FAIRMONT | WV | 26554 | 550419191 | 501(C)(3) | $43,333 | HEALTHCARE FOR THE HOMELESS |
| WHEELING HEALTH RIGHT INC | |||||||
| 99 MAIN STREET | WHEELING | WV | 26003 | 311149085 | 501(C)(3) | $48,263 | HEALTHCARE FOR THE HOMELESS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SUBRECIPIENTS ARE REQUIRED TO OBTAIN AUDITED FINANCIAL STATEMENTS WHICH VALLEY HEALTH SYSTEMS, INC. REVIEWS FOR NONCOMPLIANCE ISSUES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | Yes (1) | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN SHATTLS | ||||||||||||||
| CEO | $549,090 | $0 | $46,600 | $0 | $0 | $0 | $0 | $0 | $17,250 | $0 | $612,940 | $0 | $0 | $0 |
| RICHARD WEINBERGER | ||||||||||||||
| CFO | $229,432 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,328 | $0 | $241,760 | $0 | $0 | $0 |
| LANIE MASILAMANI | ||||||||||||||
| COO | $184,020 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $184,020 | $0 | $0 | $0 |
| HERBERT MYERS | ||||||||||||||
| MEDICAL DIRECTOR | $448,704 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,765 | $0 | $466,469 | $0 | $0 | $0 |
| AARON SCAIFE | ||||||||||||||
| PHYSICIAN | $369,692 | $0 | $136,337 | $0 | $0 | $0 | $0 | $0 | $6,912 | $0 | $512,941 | $0 | $0 | $0 |
| RICHARD BOOTH | ||||||||||||||
| PHYSICIAN | $365,239 | $0 | $101,116 | $0 | $0 | $0 | $0 | $0 | $14,653 | $0 | $481,008 | $0 | $0 | $0 |
| ANDREA KELLAR | ||||||||||||||
| PHYSICIAN | $386,410 | $0 | $290,964 | $0 | $0 | $0 | $0 | $0 | $17,036 | $0 | $694,410 | $0 | $0 | $0 |
| ASHLEIGH CLICKETT | ||||||||||||||
| PHYSICIAN | $258,567 | $0 | $124,642 | $0 | $0 | $0 | $0 | $0 | $15,095 | $0 | $398,304 | $0 | $0 | $0 |
| DANIEL WHITMORE | ||||||||||||||
| PHYSICIAN | $351,696 | $0 | $157,779 | $0 | $0 | $0 | $0 | $0 | $14,818 | $0 | $524,293 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CABELL COUNTYCITY OF HUNTINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 556000305 | BondIssuerEIN |
| CUSIP | 446788AJ0 | CUSIPNum |
| Bond Issued | 2006-12-28 | BondIssuedDt |
| Issue Price | $5,070,000 | IssuePriceAmt |
| Purpose | REFINANCE PRIOR CONSTRUCTION LOANS; FINANCE NEW PROJECTS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $2,605,000 | RetiredAmt |
| Total Proceeds | $5,070,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $143,804 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,926,196 | CapitalExpendituresAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.01040 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.01040 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $28,800 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FORT GAY PRIMARY HEALTH CARE INC | ||
| S | $210,834 | FAIR MARKET VALUE |
| GRANT MEDICAL CENTER INC | ||
| S | $2,309,561 | FAIR MARKET VALUE |
| HARTS HEALTH CLINIC INC | ||
| S | $28,877 | FAIR MARKET VALUE |
| UPPER KANAWHA HEALTH ASSOCIATION INC | ||
| R | $152,422 | FAIR MARKET VALUE |
| WAYNE HEALTH SERVICES INC | ||
| S | $50,309 | FAIR MARKET VALUE |
Comments