2015-05-12T12:16:05-05:00 2014-12-31 341310124 REA & ASSOCIATES INC 1166 MILITARY ROAD SUITE A ZANESVILLE OH 43701 990 2014-01-01 208814374 MUSKINGUM VALLEY HEALTH CENTER MUSK 7408919000 716 ADAIR AVENUE ZANESVILLE OH 437012836 REBECCA CARR CFO 7408919000 2015-05-11 1 CHAD A BICE CPA P00831863 7404543198 2015-05-11 2014 2016-03-07 17:11:31Z REBECCA CARR 716 ADAIR AVENUE ZANESVILLE OH 437012836 14140935 0 X WWW.MVHEALTHCENTER.ORG X 2007 OH TO PROVIDE AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE. 14 14 221 0 0 0 353754 2034518 3249290 11929581 376 1144 41106 175692 3644526 14140935 0 0 0 0 2732097 9068456 0 0 0 1053307 4308289 3785404 13376745 -140878 764190 12784578 13524014 3424353 3399599 9360225 10124415 TO PROVIDE AFFORDABLE, ACCESSIBLE AND QUALITY HEALTHCARE. 0 0 10396797 10051924 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 27,725 PATIENTS RESULTING IN 91,073 VISITS, AND PROVIDED A SLIDING FEE SCALE ADJUSTMENT IN THE AMOUNT OF $674,932. 647554 2053349 MUSKINGUM VALLEY HEALTH CENTERS PARTICIPATES IN A 340B PRESCRIPTION DRUG PROGRAM WHICH PROVIDES PRESCRIPTIONS AT A DISCOUNT TO QUALIFYING PATIENTS OF THE ORGANIZATION. 11044351 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 221 1 0 0 0 0 0 0 0 0 0 0 X 14 14 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 BRAD BOND PRESIDENT 1.00 X X 0 0 0 HEATHER COEN VICE PRESIDENT 1.00 X X 0 0 0 JASON T HEINS TREASURER 1.00 X X 0 0 0 JAN SNOUFFER SECRETARY 1.00 X X 0 0 0 RANDY COCHRANE DIRECTOR 1.00 X 0 0 0 BRIAN DUNLAP DIRECTOR 1.00 X 0 0 0 COREY HAMILTON DIRECTOR 1.00 X 0 0 0 CAROL HOWDYSHELL DIRECTOR 1.00 X 0 0 0 RICHARD HUCK DIRECTOR 1.00 X 0 0 0 CAROLYN JENKINS DIRECTOR 1.00 X 0 0 0 SCOTT SILVESTRI 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 DEAN WRIGHT DIRECTOR 1.00 X 0 0 0 REBECCA CARR CFO 40.00 X 96090 0 4383 DANIEL ATKINSON CEO 40.00 X 127774 0 4403 DAVID KLEIN CMO 40.00 X 222089 0 13832 MICHAEL BOBB PHYSICIAN 40.00 X 334606 0 18648 BIJAN GOODARZI PHYSICIAN 40.00 X 248388 0 0 DONIVAN CAMPBELL PHYSICIAN 40.00 X 162438 0 9729 ALISSA GILBERT PHYSICIAN 40.00 X 152026 0 0 RICHARD ESSIG PHYSICIAN 40.00 X 138493 0 0 1481904 0 50995 11 0 1 0 MCKESSON DRUGS PO BOX 9333027 ATLANTA GA 311933027 MEDICAL INVENTORY 504285 OHIO PSYCHIATRIC ASSOCIATES INC 975 BETHESDA DRIVE ZANESVILLE OH 43701 PSYCH CONTRACT 393410 COSHOCTON COUNTY MEMORIAL HOSPITAL 1460 ORANGE STREET COSHOCTON OH 43812 PHYSICIAN CONTRACT 257514 MCKESSON MEDICAL -SURGICAL INC 3000 KENSKIL AVENUE WASHINGTON COURTHOUSE OH 43160 MEDICAL SUPPLIES 248484 GENESIS HEALTH CARE SYSTEM 740 ADAIR AVENEUE ZANESVILLE OH 43701 MEDICAL CONTRACT 156939 5 1832702 201816 2034518 NET PATIENT SERVICES 623000 9876232 9876232 340B PRESCRIPTION DRUG PROGRAM 623000 2053349 2053349 11929581 1144 1144 CONTRACT SERVICES 623000 124349 124349 OTHER REVENUE 623000 51343 51343 175692 14140935 12105273 0 1144 X 1532899 702645 830254 6193201 5708292 484909 1342356 1103599 238757 7797 7797 42200 42200 1583675 1522822 60853 97538 8256 89282 87163 59534 27629 144828 102962 41866 206506 201275 5231 54277 29539 24738 30413 15191 15222 116954 116954 498351 326775 171576 56413 56413 SUPPLIES 1181791 1137046 44745 OTHER COSTS 66539 14748 51791 STAFF DEVELOPMENT 44086 6426 37660 DUES AND SUBSCRIPTIONS 40198 7431 32767 49560 41397 8163 13376745 11044351 2332394 0 505698 1290671 152022 253166 40566 1479985 1432302 206983 261506 16738 87570 11906125 1747892 10423152 10158233 12784578 13524014 799360 969542 663 2624330 2430057 3424353 3399599 X 9360225 10091804 0 32611 9360225 10124415 12784578 13524014 764190 0 X X 0 1 X 1 1 1 X 6222891 2914021 1261875 353754 2034518 12787059 7804717 9346374 9830519 3249290 11911580 42142480 14027608 12260395 11092394 3603044 13946098 54929539 0 0 0 54929539 1483 575 1065 376 1144 4643 1483 575 1065 376 1144 4643 175 118115 94400 41009 175692 429391 14029266 12379085 11187859 3644429 14122934 55363573 0.99220 0.99600 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 924000 924000 8649167 485843 8163324 443056 147685 295371 1889902 1114364 775538 10158233 X 14140935 0 14140935 0 14140935 13376745 0 13376745 0 13376745 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE 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 ALONF 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. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR THE YEARS 2011 AND PRIOR. 0 0 0 0 0 0 0 0 0 DAVID KLEIN CMO 222089 0 0 0 0 0 0 0 13832 0 235921 0 0 0 MICHAEL BOBB PHYSICIAN 334606 0 0 0 0 0 0 0 18648 0 353254 0 0 0 BIJAN GOODARZI PHYSICIAN 248388 0 0 0 0 0 0 0 0 0 248388 0 0 0 DONIVAN CAMPBELL PHYSICIAN 162438 0 0 0 0 0 0 0 9729 0 172167 0 0 0 ALISSA GILBERT PHYSICIAN 152026 0 0 0 0 0 0 0 0 0 152026 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 WILL SIGN CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENT ANNUALLY. FROMS WILL BE FILED WITH THE ORGANIZATION'S PERMANENT RECORDS FOR MEMBERS. THE CEO/HR DIRECTOR REVIEWS AND MAINTAINS THESE FROMS. MVHC BORAD MEMBERS DISCLOSE CONFLICTS OF INTEREST THAT MIGHT INFLUENCE JUDGEMENT IN BOARD MEMBER'S DECISION MAKING PROCESS. FOLLOWING DISCLOSURE, MVHC'S BOARD 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 THE COMPENSATION FOR THE OFFICERS IS MONITORED AND DETERMINED BY THE BOARD OF DIRECTORS. THE COMPENSATION PACKAGE ARE BENCHMARED BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S SURVEY INFORMATION. COMPENSATION RANGES ARE REVIEWED AND APPROVED ON AN ANNUAL BASIS AND DOCUMENTED IN THE MINUTES OF 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 VI,SECTION B,LINE 15B ALL OTHER COMPENSATION IS DETERMINED AND MONITORED BY THE DIRECTOR OF HUMAN RESOURCES, CFO AND CEO. THESE COMPENSATION RANGES ARE BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S COMPENSATION SURVEY. APPROVED COMPENSATION IS DOCUMENTED IN THE INDIVIDUAL'S PWESONNEL FILE AND MONITORED THROUGH THE BUDGETARY PROCESS. FORM 990, PART IX, LINE 11G PROFESSIONAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 874,326. MANAGEMENT AND GENERAL EXPENSES 60,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 934,979. SERVICE CONTRACT FEE : PROGRAM SERVICE EXPENSES 647,554. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 647,554. TRANSPORTATION : PROGRAM SERVICE EXPENSES 942. MANAGEMENT AND GENERAL EXPENSES 200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,142. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES OVERSIGHT RESPONSIBILITY OF THE AUDIT AND REVIEW OF ITS FINANCIAL STATEMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS HAS NOT CHANGES SINCE THE PRIOR YEAR.