VALLEY HEALTH SYSTEMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VALLEY HEALTH SYSTEMS INC (EIN 55-0554001)
Tax period
2012-06-01 to 2013-05-31
Filed
2014-05-01
IRS object ID
201411219349300721
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-01T10:56:00-05:00Timestamp
Tax Period End Date2013-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN371496963EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HAYFLICH CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18 STONECREST DRIVEAddressLine1
CityHUNTINGTONCity
StateWVState
ZIP Code25701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550554001EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY HEALTH SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone3045253334Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13377 US ROUTE 60AddressLine1
CityHUNTINGTONCity
StateWVState
ZIP Code25705ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD WEINBERGERName
TitleCHIEF FINANCIAL OFFICERTitle
Phone3045253334Phone
Date Signed2014-02-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAARON J HEIGHTON CPAName
PTINP00291966PTIN
Phone3046975700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonRICHARD WEINBERGERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13377 US ROUTE 60AddressLine1
CityHUNTINGTONCity
StateWVState
ZIP Code25705ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27991746GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.VALLEYHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA AND THE TRI-STATE AREA OF HUNTINGTON, WV AND IRONTON, OH.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees263TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12268896ContributionsGrantsPriorYear
Contributions Grants Current Year14569657ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13794810ProgramServiceRevenuePriorYear
Program Service Revenue CY12516957ProgramServiceRevenueCY
Investment Income Prior Year-24487InvestmentIncomePriorYear
Investment Income Current Year492826InvestmentIncomeCurrentYear
Other Revenue Prior Year1085554OtherRevenuePriorYear
Other Revenue Current Year412306OtherRevenueCurrentYear
Total Revenue Prior Year27124773TotalRevenuePriorYear
Total Revenue Current Year27991746TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year138846GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY123474GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13528023SalariesEtcPriorYear
Salaries Etc Current Year13149014SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11081090OtherExpensePriorYear
Other Expenses Current Year11160711OtherExpensesCurrentYear
Total Expenses Prior Year24747959TotalExpensesPriorYear
Total Expenses Current Year24433199TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2376814RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3558547RevenuesLessExpensesCY
Total Assets BOY23327255TotalAssetsBOY
Total Assets EOY26852352TotalAssetsEOY
Total Liabilities BOY8606285TotalLiabilitiesBOY
Total Liabilities EOY6241226TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14720970NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20611126NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17802877Expense
Grants123474Grants
Revenue12516957Revenue
DescriptionFUNDED 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, HEALTH CARE FOR THE HOMELESS AND A MOBILE PEDIATRIC MEDICAL UNIT. PROVIDED FREE BLOOD PRESSURE, VISION AND DENTAL SCREENINGS AND CONDUCTED A FREE HEALTH FAIR. ALSO PROVIDED $849,647 IN CHARITY CARE TO INDIGENT PATIENTS.Description
Total Program Service Expense17802877TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees263NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD WEINBERGERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3045253334TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13377 US ROUTE 60AddressLine1
CityHUNTINGTONCity
StateWVState
ZIP Code25705ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JILL HUTCHINSON
BOARD CHAIR1.50X000
SHERRY PERRY
SECRETARY0.50X000
BEN HOWARD
TREASURER2.50X000
CHARLES CARROLL
DIRECTOR0.50X000
GARY KELLY
VICE CHAIR0.50X000
GREG AGEE
DIRECTOR0.50X000
WILLIAM MARCUM
DIRECTOR0.50X000
BILL BRYANT
DIRECTOR0.50X000
EVAN JENKINS
DIRECTOR0.50X000
CLARA ALICE WILSON
DIRECTOR0.50X000
MARY MORGAN WISE
DIRECTOR0.50X000
ANN ALLEN
DIRECTOR0.50X000
STEVEN SHATTLS
CEO40.00339942023823X
RICHARD WEINBERGER
CFO40.0019116103883X
LANIE MASILAMANI
COO40.00180231018408X
HERBERT MYERS
MEDICAL DIRECTOR40.00497483021657X
DANIEL WHITMORE
PHYSICIAN40.00424326016500X
AARON SCAIFE
PHYSICIAN40.0046517500X
RICHARD BOOTH
PHYSICIAN40.0035119800X
BRIAN BOWER
PHYSICIAN40.0043081100X
DAVID WHITMORE
PHYSICIAN40.00339750016500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3220077TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation100771TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants9182358GovernmentGrants
All Other Contributions5387299AllOtherContributions
Noncash Contributions2224198NoncashContributions
Total Contributions14569657TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column12516957TotalRevenueColumn
Related Or Exempt Function Income12516957RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12516957TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column492826TotalRevenueColumn
Exclusion$492,826ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
OTHER INCOME900099404259$404,259
COPY MEDICAL RECORDS9000998047$8,047
FieldValueIRS element (for citing)
Total Other Revenue412306TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27991746TotalRevenueColumn
Related Or Exempt Function Income12516957RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$905,132ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total123474Total
Program Services123474ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1420341Total
Program Services404336ProgramServices
Management And General1016005ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9740070Total
Program Services7891037ProgramServices
Management And General1849033ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1146278Total
Program Services832198ProgramServices
Management And General314080ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total842325Total
Program Services663088ProgramServices
Management And General179237ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49876Total
Management And General49876ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48263Total
Management And General48263ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total143080Total
Management And General143080ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total886982Total
Program Services61142ProgramServices
Management And General825840ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total432436Total
Program Services432436ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total95550Total
Program Services56279ProgramServices
Management And General39271ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45821Total
Program Services10ProgramServices
Management And General45811ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total58103Total
Management And General58103ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1404602Total
Program Services920214ProgramServices
Management And General484388ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES48120304812030
PURCHASED SERVICES1373568778654594914
BAD DEBT EXPENSE697641697641
ADMINISTRATIVE EXPENSE537575537575

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total575184Total
Program Services130338ProgramServices
Management And General444846ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24433199Total
Program Services17802877ProgramServices
Management And General6630322ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3800BOY
EOY3650EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2511948BOY
EOY3658863EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2011561BOY
EOY916136EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1337038BOY
EOY950572EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY705709BOY
EOY725576EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY590532BOY
EOY624668EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34083BOY
EOY259331EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27163791LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7523370LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16055870BOY
EOY19640421EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY76714BOY
EOY73135EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23327255BOY
EOY26852352EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4461710BOY
EOY3122342EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3070000BOY
EOY2915000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1074575BOY
EOY203884EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8606285BOY
EOY6241226EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7644829BOY
EOY9439783EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7076141BOY
EOY11171343EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14720970BOY
EOY20611126EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23327255BOY
EOY26852352EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3558547ReconcilationRevenueExpenses
Reconcilation Other Changes2331609ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1745344OtherCostOrOtherBasis
Book Value1745344BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17100250OtherCostOrOtherBasis
Depreciation2947575Depreciation
Book Value14152675BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8318197OtherCostOrOtherBasis
Depreciation4575795Depreciation
Book Value3742402BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19640421TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COMMUNITY HEALTH SYSTEMS INC
252 RURAL ACRES DRIVEBECKLEYWV25801550490878501(C)(3)3999HEALTHCARE FOR THE HOMELESS
WEST VIRGINIA HEALTH RIGHT INC
1520 WASHINGTON STREET EASTCHARLESTONWV25311311066881501(C)(3)37800HEALTHCARE FOR THE HOMELESS
WHEELING HEALTH RIGHT INC
99 MAIN STREETWHEELINGWV26003311149085501(C)(3)44550HEALTHCARE FOR THE HOMELESS
MILAN PUSKAR HEALTH RIGHT INC
154 PLEASANT STREETMORGANTOWNWV26507311118673501(C)(3)37125HEALTHCARE FOR THE HOMELESS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: SUBRECIPIENTS ARE REQUIRED TO OBTAIN AUDITED FINANCIAL STATEMENTS WHICH VALLEY HEALTH SYSTEMS, INC. REVIEWS FOR NONCOMPLIANCE ISSUES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN SHATTLS
CEO3399420000020216036070363765000
RICHARD WEINBERGER
CFO191161000000038830195044000
LANIE MASILAMANI
COO1802310000013821045870198639000
HERBERT MYERS
MEDICAL DIRECTOR4974830000016050056070519140000
DANIEL WHITMORE
PHYSICIAN205000021932600016500000440826000
AARON SCAIFE
PHYSICIAN22900002361750000000465175000
RICHARD BOOTH
PHYSICIAN2890000621980000000351198000
BRIAN BOWER
PHYSICIAN25000001808110000000430811000
DAVID WHITMORE
PHYSICIAN200000013975000016500000356250000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 5ReturnReference
ExplanationIT 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CABELL COUNTYCITY OF HUNTINGTONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN556000305IssuerEIN
CUSIP Number446788AJ0CUSIPNumber
Date Issued2006-12-28DateIssued
Issue Price5070000IssuePrice
Description Of PurposeREFINANCE PRIOR CONSTRUCTION LOANS; FINANCE NEW PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired2055000AmountRetired
Total Proceeds5070000TotalProceeds
Issuance Costs From Proceeds143804IssuanceCostsFromProceeds
Capital Expenditures4926196CapitalExpenditures
Year Of Subst Completion2007YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.01040PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.01040TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate1ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9902224198NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE CEO, CFO, AND GOVERNING BOARD BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 18AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE.
FORM 990, PART XI, LINE 9:NET OPERATIONAL SUBSIDY TO CLINICS 2,934,028. RELEASE OF TEMPORARILY RESTRICTED NET ASSETS -602,419.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
FORT GAY PRIMARY HEALTH INC
3329 BRIDGE STREETFORT GAYWV255140067310962004TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIAWV501(C)(3)170(B)(1) (A)(III)VALLEY HEALTH SYSTEMS INC0
GRANT MEDICAL CENTER INC
308 MAIN STREET EASTMILTONWV25541510156065TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIAWV501(C)(3)170(B)(1) (A)(III)VALLEY HEALTH SYSTEMS INC0
HARTS HEALTH CLINIC INC
22 FLEMING DRIVEHARTSWV25524310961926TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIAWV501(C)(3)170(B)(1) (A)(III)VALLEY HEALTH SYSTEMS INC0
OUCH INC
3377 US ROUTE 60HUNTINGTONWV25705571142879TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIAWV501(C)(3)170(B)(1) (A)(III)VALLEY HEALTH SYSTEMS INC0
UPPER KANAWHA HEALTH ASSOCIATION INC
PO BOX FCEDAR GROVEWV25039510146615TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIAWV501(C)(3)170(B)(1) (A)(III)VALLEY HEALTH SYSTEMS INC0
WAYNE HEALTH SERVICES INC
564 RAILROAD AVENUEWAYNEWV25570510175364TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIAWV501(C)(3)170(B)(1) (A)(III)VALLEY HEALTH SYSTEMS INC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FORT GAY PRIMARY HEALTH CARE INC
R148937FAIR MARKET VALUE
GRANT MEDICAL CENTER INC
R1039070FAIR MARKET VALUE
HARTS HEALTH CLINIC INC
R169541FAIR MARKET VALUE
UPPER KANAWHA HEALTH ASSOCIATION INC
R354497FAIR MARKET VALUE
WAYNE HEALTH SERVICES INC
S83637FAIR MARKET VALUE

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