2018-09-18T15:19:29-05:00 2017-12-31 341310124 REA & ASSOCIATES INC 1166 MILITARY ROAD SUITE A ZANESVILLE OH 43701 990 2017-01-01 208814374 MUSKINGUM VALLEY HEALTH CENTER MUSK 7408919000 716 ADAIR AVENUE ZANESVILLE OH 437012836 REBECCA CARR CFO 7408919000 2018-09-18 1 CHAD A BICE CPA P00831863 7404543198 98.102.154.154 2018-09-18 13:47:16 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DB0A216AB6637ECCA8452182A054DF87A051E6D5 2017 2018-06-14 16:35:46Z REBECCA CARR 716 ADAIR AVENUE ZANESVILLE OH 437012836 27187952 0 X WWW.MVHCCARES.ORG X 2007 OH TO PROVIDE AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE. 11 11 331 0 0 0 3692359 4088411 17701642 21644866 16722 56208 337898 438153 21748621 26227638 0 0 0 0 12133005 15313842 0 0 47667 6195842 7824362 18328847 23138204 3419774 3089434 18174089 22013265 3117547 3625398 15056542 18387867 TO PROVIDE AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE. 0 0 14696276 16807620 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, DENTAL AND PEDIATRICS. DURING THE YEAR, THE CENTER PROVIDED SERVICES FOR APPROXIMATELY 38,077 PATIENTS RESULTING IN 136,989 VISITS, AND PROVIDED A SLIDING FEE SCALE ADJUSTMENT IN THE AMOUNT OF $811,023. 2236579 4257541 MUSKINGUM VALLEY HEALTH CENTERS PARTICIPATES IN A 340B PRESCRIPTION DRUG PROGRAM WHICH PROVIDES PRESCRIPTIONS AT A DISCOUNT TO QUALIFYING PATIENTS OF THE ORGANIZATION. 1014108 MUSKINGUM VALLEY HEALTH CENTERS PERFORMS CONTRACT SERVICES FOR OTHER ORGANIZATIONS AND PARTICPATES IN ACTIVITIES THAT GENERATE ADDITIONAL FUNDING SOURCES RELATED TO THEIR MISSION. 16932855 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 331 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X RECECCA CARR 7408919090 716 ADAIR AVENUE ZANESVILLE OH 43701 CAROLYN JENKINS DIRECTOR 1.00 X 0 0 0 JAN SNOUFFER SECRETARY/RETIRED 1.00 X X 0 0 0 JIM WILSON SECRETARY 11/2017 1.00 X X 0 0 0 JASON T HEINS CHAIR 1.00 X X 0 0 0 CAROL HOWDYSHELL DIRECTOR 1.00 X 0 0 0 SUSAN SMALL DIRECTOR 1.00 X 0 0 0 DEAN WRIGHT TREASURER 1.00 X X 0 0 0 RHONDA SMITH DIRECTOR 1.00 X 0 0 0 BRIAN DUNLAP DIRECTOR 1.00 X 0 0 0 SLOAN ALBERT DIRECTOR 1.00 X 0 0 0 SHELLEY MCPEEK VICE CHAIR 1.00 X X 0 0 0 MARY GREEN DIRECTOR 1.00 X 0 0 0 REBECCA CARR CFO 40.00 X 122020 0 5568 DAN ATKINSON CEO 40.00 X 189012 0 6121 DAVID KLEIN CMO 40.00 X 218511 0 5068 COURTNEY FLANIGAN PHYSICIAN 40.00 X 180213 0 14078 MICHAEL BOBB PHYSICIAN 40.00 X 226040 0 21045 BIJAN GOODARZI PHYSICIAN 40.00 X 286186 0 13645 BILLIMAGGA RANGASWAMY PHYSICIAN 40.00 X 220122 0 18006 LUKE ROSTOCKI PHYSICIAN 40.00 X 174233 0 10872 1616337 0 94403 8 0 1 0 LEPI ENTERPRISES INC 630 GW MORSE STREET ZANESVILLE OH 43701 CONSTRUCTION CONTRACTOR SERVICES 1127026 SHRIVER'S PHARMACY 406 BRIGHTEN BLVD ZANESVILLE OH 43701 PHARMACY SERVICE FEES 429600 OHIO PSYCHIATRIC ASSOCIATES INC 975 BETHESDA DRIVE ZANESVILLE OH 43701 CONTRACT PHYSICIAN SERVICES 301242 NORTHSIDE PHARMACY 2899 BELL STREET ZANESVILLE OH 43701 PHARMACY SERVICE FEES 280598 WALGREENS PHARMACY 1415 LAKE COOK RD DEERFIELD IL 60015 PHARMACY SERVICE FEES 144351 5 55500 3928795 104116 4088411 NET PATIENT SERVICES 623000 16807620 16807620 340B PRESCRIPTION DRUG PROGRAM 623000 4257541 4257541 COMPREHENSIVE PRIMARY CARE REVENU 623000 332363 332363 CONTRACT SERVICES 623000 247342 247342 21644866 58001 58001 25640 20810 4830 4830 4830 903836 905629 -1793 -1793 -1793 32795 55500 33875 -1080 -1080 OTHER INCENTIVES 623000 370635 370635 OTHER REVENUE 623000 63768 63768 434403 26227638 22079269 0 59958 X 546300 437040 109260 12229595 9125007 3104588 379016 283672 95344 210161 157294 52867 1948770 1458546 490224 103435 103435 53266 53266 2700034 1871553 828481 93613 36790 56823 149070 58585 90485 124708 101894 22814 435655 192739 242916 116689 46676 70013 90198 35448 54750 93154 62973 30181 493557 293238 200319 77320 24543 52777 SUPPLIES 1834754 1587462 247292 340B PRESCRIPTION COST 777152 777152 RENT 235638 169855 65783 SMALL EQUIPMENT 213796 85518 128278 232323 126870 57786 47667 23138204 16932855 6157682 47667 1006079 2115737 2730530 1314037 342718 81830 1725350 2543307 446450 507387 93047 140816 15894739 3215889 10396700 12678850 1433215 2631301 18174089 22013265 806923 1384953 2310624 2240445 3117547 3625398 X 14928532 18216315 128010 171552 15056542 18387867 18174089 22013265 3089434 241891 0 X 0 1 X 1 1 1 X 353754 2034518 2736464 3692359 4088411 12905506 3249290 11911580 14591149 17701642 21644866 69098527 3603044 13946098 17327613 21394001 25733277 82004033 0 0 0 82004033 376 1144 2550 25165 58001 87236 376 1144 2550 25165 58001 87236 41009 175692 343353 329455 434403 1323912 3644429 14122934 17673516 21748621 26225681 83415181 0.98310 0.98520 0.00100 0.00040 X 1478480 1478480 10786984 970260 9816724 443056 280602 162454 3186219 1965027 1221192 12678850 X 26524214 241891 54685 296576 26227638 0 26227638 23192889 54685 54685 23138204 0 23138204 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL, STATE, AND CITY INCOME TAXES DERIVED PRINCIPALLY BY IT BEING CLASSIFIED AS A 501(C)(3) ORGANIZATION IN THE INTERNAL REVENUE CODE. HOWEVER, THE ORGANIZATION MAY BE SUBJECTED TO TAX ON UNRELATED BUSINESS INCOME. FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, THE ORGANIZATION EARNED NO UNRELATED BUSINESS INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED WITHIN THE FINANCIAL STATEMENTS. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRED THE ORGANIZATION TO EVALUATE THE LEVEL OF UNCERTAINTY RELATED TO WHETHER TAX POSITIONS TAKEN WILL BE SUSTAINED UPON EXAMINATION. ANY POSITIONS TAKEN THAT DO NOT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE QUANTIFIED AND RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING STATEMENT OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. MANAGEMENT BELIEVES THAT NONE OF THE TAX POSITIONS TAKEN WOULD MATERIALLY IMPACT THE FINANCIAL STATEMENTS AND NO SUCH LIABILITIES HAVE BEEN RECORDED. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE AND FUNDRAISING EXPENSE REPORTED ON PAGE 9 PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE AND FUNDRAISING EXPENSE REPORTED ON PAGE 9 SCHEDULE D PAGE 4 PART XI LINE 2D AND PART XII LINE 2D RENT AND FUNDRAISING EXPENSE IS REPORTED ON THE STATEMENT OF REVENUE ON P 9 FOR TAX REPORTING AND DEDUCTED FROM FUNCTIONAL EXPENSE ON P 10 WILD NIGHT FOR WELLNESS EVENT 88295 55500 32795 8196 18576 7103 88295 55500 32795 8196 18576 7103 33875 -1080 0 0 0 0 0 0 0 0 0 DAN ATKINSON CEO 189012 0 0 0 0 0 6121 0 0 0 195133 0 0 0 DAVID KLEIN CMO 218511 0 0 0 0 0 0 0 5068 0 223579 0 0 0 COURTNEY FLANIGAN PHYSICIAN 180213 0 0 0 0 0 7371 0 6707 0 194291 0 0 0 MICHAEL BOBB PHYSICIAN 226040 0 0 0 0 0 7343 0 13702 0 247085 0 0 0 BIJAN GOODARZI PHYSICIAN 286186 0 0 0 0 0 9357 0 4288 0 299831 0 0 0 BILLIMAGGA RANGASWAMY PHYSICIAN 220122 0 0 0 0 0 8304 0 9702 0 238128 0 0 0 LUKE ROSTOCKI PHYSICIAN 174233 0 0 0 0 0 6918 0 3954 0 185105 0 0 0 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 PROFESSIONAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 792,516. MANAGEMENT AND GENERAL EXPENSES 434,450. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,226,966. SERVICE CONTRACT FEE: PROGRAM SERVICE EXPENSES 1,069,070. MANAGEMENT AND GENERAL EXPENSES 390,357. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,459,427. TRANSPORTATION: PROGRAM SERVICE EXPENSES 9,967. MANAGEMENT AND GENERAL EXPENSES 3,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,641. FORM 990, PART IX, LINE 24E OTHER: PROGRAM SERVICE EXPENSES 48,303. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 47,667. TOTAL EXPENSES 95,970. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 51,607. MANAGEMENT AND GENERAL EXPENSES 17,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,953. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 26,960. MANAGEMENT AND GENERAL EXPENSES 40,440. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,400.