2013-02-01T12:41:55-06:00 2012-05-31 371496963 HAYFLICH & STEINBERG CPA'S PLLC 8 STONECREST DRIVE HUNTINGTON WV 25701 990 2011-06-01 550554001 VALLEY HEALTH SYSTEMS INC VALL 3045253334 3370 US ROUTE 60 HUNTINGTON WV 25705 RICHARD WEINBERGER 3045253334 2013-01-22 1 ROBERT FULLER P00645987 3046975700 2011 2016-02-25 16:41:14Z X RICHARD WEINBERGER 3370 US ROUTE 60 HUNTINGTON WV 25705 27124773 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. 14 14 246 0 0 0 12433761 12268896 11100244 13794810 49279 -24487 1436404 1085554 25019688 27124773 138846 138846 0 0 13479859 13528023 0 0 0 9976905 11081090 23595610 24747959 1424078 2376814 15289106 23327255 6926168 8606285 8362938 14720970 TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. 0 0 18412486 13794810 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, 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 $892,557 IN CHARITY CARE TO INDIGENT PATIENTS. 18412486 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 72 0 246 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 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 3370 US ROUTE 60 HUNTINGTON WV 25705 JILL HUTCHINSON 1.50 X 0 0 0 JACK THORNBURGH 0.50 X 0 0 0 SHERRY PERRY 0.50 X 0 0 0 BEN HOWARD 2.50 X 0 0 0 LINDA ADKINS 0.50 X 0 0 0 CHARLES CARROLL 0.50 X 0 0 0 GARY KELLY 0.50 X 0 0 0 GREG AGEE 0.50 X 0 0 0 WILLIAM MARCUM 0.50 X 0 0 0 BILL BRYANT 0.50 X 0 0 0 EVAN JENKINS 0.50 X 0 0 0 CLARA ALICE WILSON 0.50 X 0 0 0 MARY MORGAN WISE 0.50 X 0 0 0 ANN ALLEN 0.50 X 0 0 0 STEVEN SHATTLS 40.00 X 330738 0 23823 RICHARD WEINBERGER 40.00 X 187729 0 1383 LANIE MASILAMANI 40.00 X 182226 0 16500 HERBERT MYERS 40.00 X 450150 0 21657 DANIEL WHITMORE 40.00 X 444363 0 16039 AARON SCAIFE 40.00 X 349261 0 10363 RICHARD BOOTH 40.00 X 344185 0 0 BRIAN BOWER 40.00 X 641921 0 0 DAVID WHITMORE 40.00 X 319011 0 16500 3249584 0 106265 22 0 1 0 0 8944417 3324479 2459526 12268896 PATIENT SERVICE REVENU 621110 13794810 13794810 13794810 -24487 -24487 OTHER INCOME 900099 1082188 1082188 COPY MEDICAL RECORDS 900099 3366 3366 1085554 27124773 13794810 0 1061067 138846 138846 1236110 294881 941229 10439068 8445886 1993182 1012216 765741 246475 840629 683012 157617 94843 94843 35010 35010 149218 149218 734911 67394 667517 389786 389786 111289 67330 43959 38301 58 38243 161297 161297 754136 549012 205124 MEDICAL SUPPLIES 4948202 4948202 PURCHASED SERVICES 1313360 732403 580957 BAD DEBT EXPENSE 752610 752610 ADMINISTRATIVE EXPENSE 537976 537976 1060151 577325 482826 24747959 18412486 6335473 0 3700 3800 2452470 2511948 1143998 2011561 1062961 1337038 841461 705709 392634 590532 8211 34083 22141387 6085517 9313209 16055870 70462 76714 15289106 23327255 2912746 4461710 3165000 3070000 765407 1074575 83015 0 6926168 8606285 X 7022825 7644829 1340113 7076141 8362938 14720970 15289106 23327255 X 2376814 3981218 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1497190 1497190 14285763 2194949 12090814 6358434 3890568 2467866 16055870 27124773 24747959 2376814 3981218 3981218 6358032 PART XI, LINE 8 - OTHER ADJUSTMENTS: NET OPERATIONAL SUBSIDY TO CLINICS 4,095,739. RELEASE OF TEMPORARILY RESTRICTED NET ASSETS -114,521. TOTAL TO SCHEDULE D, PART XI, LINE 8: 3,981,218. 1 COMMUNITY HEALTH SYSTEMS INC 252 RURAL ACRES DRIVE BECKLEY WV 25801 550490878 501(C)(3) 15996 HEALTHCARE FOR THE HOMELESS WEST VIRGINIA HEALTH RIGHT INC 1520 WASHINGTON STREET EAST CHARLESTON WV 25311 311066881 501(C)(3) 37800 HEALTHCARE FOR THE HOMELESS WHEELING HEALTH RIGHT INC 99 MAIN STREET WHEELING WV 26003 311149085 501(C)(3) 44550 HEALTHCARE FOR THE HOMELESS MILAN PUSKAR HEALTH RIGHT INC 154 PLEASANT STREET MORGANTOWN WV 26507 311118673 501(C)(3) 40500 HEALTHCARE FOR THE HOMELESS 4 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 330738 0 0 0 0 0 20216 0 3607 0 354561 0 0 0 RICHARD WEINBERGER 187729 0 0 0 0 0 0 0 1383 0 189112 0 0 0 LANIE MASILAMANI 182226 0 0 0 0 0 12193 0 4307 0 198726 0 0 0 HERBERT MYERS 450150 0 0 0 0 0 16050 0 5607 0 471807 0 0 0 DANIEL WHITMORE 205000 0 239363 0 0 0 16039 0 0 0 460402 0 0 0 AARON SCAIFE 229000 0 120261 0 0 0 10363 0 0 0 359624 0 0 0 RICHARD BOOTH 289000 0 55185 0 0 0 0 0 0 0 344185 0 0 0 BRIAN BOWER 250000 0 391921 0 0 0 0 0 0 0 641921 0 0 0 DAVID WHITMORE 200000 0 119011 0 0 0 16500 0 0 0 335511 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. CABELL COUNTYCITY OF HUNTINGTON 556000305 446788AJ0 2006-12-28 5070000 REFINANCE PRIOR CONSTRUCTION LOANS; FINANCE NEW PROJECTS 0 0 0 1905000 5070000 143804 4926196 2007 1 0 1 1 0 1 0 0 0.01040 0.00000 0.01040 1 0 1 0 0 0 1 X 4 2442030 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET OPERATIONAL SUBSIDY TO CLINICS 4,095,739. RELEASE OF TEMPORARILY RESTRICTED NET ASSETS -114,521. TOTAL TO FORM 990, PART XI, LINE 5: 3,981,218. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF THE VALLEY HEALTH SYSTEMS, INC. BOARD OF DIRECTORS HAS ASSUMED THE DUTIES AND FUNCTIONS OF AN AUDIT COMMITTEE FOR VALLEY HEALTH SYSTEMS, INC. AND AFFILIATES. 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 2585 THIRD AVENUE HUNTINGTON WV 25703 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 1 1 FORT GAY PRIMARY HEALTH CARE INC Q 298680 FAIR MARKET VALUE GRANT MEDICAL CENTER INC Q 1110134 FAIR MARKET VALUE HARTS HEALTH CLINIC INC Q 130828 FAIR MARKET VALUE UPPER KANAWHA HEALTH ASSOCIATION INC Q 370584 FAIR MARKET VALUE WAYNE HEALTH SERVICES INC R 72400 FAIR MARKET VALUE