2018-03-12T16:12:03-05:00 2017-05-31 371496963 HAYFLICH CPA'S 300 8TH STREET 3RD FLOOR HUNTINGTON WV 25701 990 2016-06-01 550554001 VALLEY HEALTH SYSTEMS INC VALL 3045253334 3377 US ROUTE 60 HUNTINGTON WV 25705 RICHARD WEINBERGER CHIEF FINANCIAL OFFICER 3045253334 2018-02-19 1 AARON J HEIGHTON CPA P00291966 3046975700 96.94.219.137 2018-02-19 10:03:06 ES P B7B9F331D71968AC096AEFBEBFBC1AF6DDA62E12 600F858CACF3397725C2288E4107BC60A0425182 2016 2021-01-29 14:40:06Z RICHARD WEINBERGER 3377 US ROUTE 60 HUNTINGTON WV 25705 34800614 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. 12 12 253 0 0 0 12967336 14880282 17652849 19253339 28335 176478 367478 490515 31015998 34800614 83879 100546 0 0 17370346 21039719 0 0 0 10967656 12160181 28421881 33300446 2594117 1500168 39519359 43008561 7960020 8644180 31559339 34364381 TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. 0 0 22753232 100546 19253339 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 $50,986 IN CHARITY CARE TO INDIGENT PATIENTS. 22753232 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 60 0 253 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X RICHARD WEINBERGER 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 CHARLES CARROLL 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 583441 0 13525 RICHARD WEINBERGER CFO 40.00 X 237301 0 8402 LANIE MASILAMANI COO 40.00 X 253411 0 12068 HERBERT MYERS MEDICAL DIRECTOR 40.00 X 467723 0 14825 AARON SCAIFE PHYSICIAN 40.00 X 654466 0 1319 RICHARD BOOTH PHYSICIAN 40.00 X 480549 0 11587 ANDREA KELLAR PHYSICIAN 40.00 X 588226 0 14599 DAVID WHITMORE PHYSICIAN 40.00 X 377138 0 11413 DANIEL WHITMORE PHYSICIAN 40.00 X 523526 0 10563 4165781 0 98301 35 0 1 0 0 10770410 4109872 171635 14880282 PATIENT SERVICE REVENUE 621110 19253339 19253339 19253339 176478 176478 OTHER INCOME 900099 490515 490515 490515 34800614 19253339 0 666993 100546 100546 1494252 339535 1154717 16073012 11900210 4172802 2211199 1584545 626654 1261256 926178 335078 41585 41585 47300 47300 195465 195465 1529824 85083 1444741 574538 574538 101449 63694 37755 58437 924 57513 61850 2 61848 2041736 1451640 590096 MEDICAL SUPPLIES 5124946 5124946 PURCHASED SERVICES 992160 405195 586965 REPAIRS AND MAINTENANCE 477536 37431 440105 ADMINISTRATIVE EXPENSE 418334 418334 495021 158765 336256 33300446 22753232 10547214 0 4153 5685 15914118 19109609 747973 419256 791726 1131004 2137651 343554 399482 218133 17312 18397 36586971 14824048 19457628 21762923 49316 39519359 43008561 5260020 3866520 2700000 2530263 2114174 0 133223 7960020 8644180 X 23053135 26758817 8506204 7605564 31559339 34364381 39519359 43008561 X 1500168 1304874 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2601154 2601154 21934531 6682754 15251777 12051286 8141294 3909992 21762923 CAPITAL LEASE OBLIGATIONS 133223 133223 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 538441 0 45000 0 0 0 0 0 13525 0 596966 0 0 0 RICHARD WEINBERGER CFO 237301 0 0 0 0 0 0 0 8402 0 245703 0 0 0 LANIE MASILAMANI COO 253411 0 0 0 0 0 0 0 12068 0 265479 0 0 0 HERBERT MYERS MEDICAL DIRECTOR 467723 0 0 0 0 0 0 0 14825 0 482548 0 0 0 AARON SCAIFE PHYSICIAN 381896 0 272570 0 0 0 0 0 1319 0 655785 0 0 0 RICHARD BOOTH PHYSICIAN 378998 0 101551 0 0 0 0 0 11587 0 492136 0 0 0 ANDREA KELLAR PHYSICIAN 387361 0 200865 0 0 0 0 0 14599 0 602825 0 0 0 DAVID WHITMORE PHYSICIAN 290736 0 86402 0 0 0 0 0 11413 0 388551 0 0 0 DANIEL WHITMORE PHYSICIAN 365480 0 158046 0 0 0 0 0 10563 0 534089 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 2485000 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 4 28600 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 2,205,514. NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -900,640. 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 317243 FAIR MARKET VALUE GRANT MEDICAL CENTER INC S 1660521 FAIR MARKET VALUE HARTS HEALTH CLINIC INC S 62969 FAIR MARKET VALUE UPPER KANAWHA HEALTH ASSOCIATION INC R 32534 FAIR MARKET VALUE WAYNE HEALTH SERVICES INC S 197315 FAIR MARKET VALUE