2011-04-13T14:41:00-05:00 2010-05-31 Hayflich & Steinberg CPA's PLLC 8 Stonecrest Drive Huntington WV 25701 990 2009-06-01 550554001 VALLEY HEALTH SYSTEMS INC VALL 3045253334 2585 Third Avenue Huntington WV 25703 RICHARD WEINBERGER 3045253334 2011-04-13 1 3046975700 2009 2016-02-24 21:20:13Z RICHARD WEINBERGER 2585 THIRD AVENUE HUNTINGTON WV 25703 25010298 0 X http://www.vhs-wv.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. 11 11 256 0 0 0 11099554 14786562 10747466 9668067 67622 17481 237646 538188 22152288 25010298 230758 137513 0 11136294 12613008 0 0 8974240 12198696 20341292 24949217 1810996 61081 15316531 13624252 7516990 6987438 7799541 6636814 TO PROVIDE QUALITY HEALTH CARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. 0 0 19116823 9668067 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 $925,625 in charity care to indigent patients. 19116823 1 1 0 0 0 0 0 0 0 1 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 1 46 0 256 1 0 0 0 0 0 0 0 0 0 0 0 11 11 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 2585 third avenue HUNTINGTON WV 25703 William Marcum 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 Ann Allen 0.50 X 0 0 0 Chuck Carroll 0.50 X 0 0 0 Gary Kelly 0.50 X 0 0 0 GREG AGEE 0.50 X 0 0 0 JILL HUTCHINSON 0.50 X 0 0 0 Sandy Lim 0.50 X 0 0 0 Evan Jenkins 0.50 X 0 0 0 Steven Shattls 40.00 X 318154 0 25791 RICHARD WEINBERGER 40.00 X 178453 0 5467 LANIE MASILAMANI 40.00 X 135299 0 4477 HERBERT MYERS 40.00 X 418900 0 27124 daniel whitmore 40.00 X 382359 0 10500 MANIMEKALAI VEERASWAMY 40.00 X 307260 0 5467 richard booth 40.00 X 377706 0 4500 BRIAN BOWER 40.00 X 897033 0 0 DAVID WHITMORE 40.00 X 329218 0 16192 3344382 0 99518 17 0 1 0 0 8142640 6643922 4945527 14786562 Patient Service Revenu 621110 9668067 9668067 9668067 17481 17481 Other Income 900099 527949 527949 Copy Medical Records 900099 10239 10239 538188 25010298 9668067 0 555669 137513 137513 1200338 354620 845718 9478071 7728105 1749966 1114646 843787 270859 819953 634362 185591 18207 18207 42329 42329 163692 163692 7217531 6297656 919875 180962 180962 111403 54248 57155 38995 38995 157550 1348 156202 525932 413027 112905 52116 1211 50905 Purchased Services 1366141 1021556 344585 bad debt expense 1165860 1165860 Administrative Expense 497323 497323 Repairs and Maintenance 226578 6606 219972 Rent Expense 182013 182013 252064 93949 158115 24949217 19116823 5832394 0 3535 3500 2295588 3003660 323620 630323 2983789 265709 842935 545354 418901 360233 9102 7887 13506733 4785899 8332691 8720834 106370 86752 15316531 13624252 2295408 2814263 3985000 3585000 1076072 427665 160510 160510 7516990 6987438 X 6795029 5731718 1004512 905096 7799541 6636814 15316531 13624252 X 0 1 0 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1482190 1482190 7626701 1593594 6033107 4397842 3192305 1205537 8720834 OBLIGATIONS UNDER INTEREST RATE SWAP 160510 160510 25010298 24949217 61081 -1223808 -1223808 -1162727 Part XI, Line 8 - Other Adjustments: NET OPERATIONAL SUBSIDY TO CLINICS: -1124392. RELEASE OF TEMPORARILY RESTRICTED NET ASSETS: -99416. 1 COMMUNITY HEALTH SYSTEMS INC 252 RURAL ACRES DRIVE BECKLEY WV 25801 550490878 501(C)(3) 14663 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 318154 0 0 0 0 0 22324 0 3467 0 343945 0 0 0 RICHARD WEINBERGER 178453 0 0 0 0 0 0 0 5467 0 183920 0 0 0 HERBERT MYERS 282033 0 136867 0 0 0 21657 0 5467 0 446024 0 0 0 daniel whitmore 190000 0 192359 0 0 0 10500 0 0 0 392859 0 0 0 MANIMEKALAI VEERASWAMY 139533 0 167727 0 0 0 0 0 5467 0 312727 0 0 0 richard booth 274000 0 103706 0 0 0 4500 0 0 0 382206 0 0 0 BRIAN BOWER 250000 0 647033 0 0 0 0 0 0 0 897033 0 0 0 DAVID WHITMORE 190000 0 139218 0 0 0 16192 0 0 0 345410 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 5070000 143804 4926196 2007 1 0 1 1 0 1 0 0 1 0.01040 0.00000 0.01040 1 0 1 0 0 0 1 X 4 4349335 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. FORM 990, SCHEDULE K, PART 1, COLUMN (A) TWO SEPARATE SERIES OF BONDS WERE SOLD ON THE SAME DATE (DECEMBER 28, 2006), WERE SOLD PURSUANT TO THE SAME PLAN OF FINANCING AND WERE PAYABLE FROM THE SAME SOURCE OF FUNDS. THE BONDS ISSUED BY THE CABELL COUNTY COMMISSION WERE IN THE PRINCIPAL AMOUNT OF $3,070,000 AND THE BONDS ISSUED BY THE CITY OF HUNTINGTON, WEST VIRGINIA (EIN: #55-6000187) WERE IN THE PRINCIPAL AMOUNT OF $2,000,000. A SINGLE FORM 8038 WAS FILED FOR BOTH ISSUES AS THEY CONSTITUTED A SINGLE ISSUE FOR INCOME TAX PURPOSES. SEE TREASURY REGULATION SECTION 1.150-1. FORM 990, SCHEDULE K, PART 1, COLUMN (F) THE PROCEEDS WERE USED TO CURRENTLY REFUND PRIOR TAXABLE LOANS INCURRED BY THE BORROWER FOR CAPITAL PURPOSES IN 1997, AUGUST 2002, AND JANUARY 2006 AND TO FINANCE VARIOUS CAPITAL IMPROVEMENTS. FORM 990, SCHEDULE K, PART II, LINE 7 BOND PROCEEDS WERE USED ON DATE OF ISSUANCE FOR NEW CONSTRUCTION PROJECTS AND TO REFINANCE PRIOR CONSTRUCTION LOANS. FORT GAY PRIMARY HEALTH INC 3329 BRIDGE STREET FORT GAY WV 255140067 310962004 MEDICAL SERVICE TO AN UNDERSERVED POPULATION IN RURAL WEST VIRGINIA WV 501(C)(3) 170(B)(1) (a)(III) VALLEY HEALTH SYSTEMS INC GRANT MEDICAL CENTER INC 308 MAIN STREET EAST MILTON WV 25541 510156065 MEDICAL SERVICE TO AN UNDERSERVED POPULATION IN RURAL WEST VIRGINIA WV 501(C)(3) 170(B)(1) (a)(III) VALLEY HEALTH SYSTEMS INC HARTS HEALTH CLINIC INC 22 FLEMING DRIVE HARTS WV 25524 310961926 MEDICAL SERVICE TO AN UNDERSERVED POPULATION IN RURAL WEST VIRGINIA WV 501(C)(3) 170(B)(1) (a)(III) VALLEY HEALTH SYSTEMS INC OUCH INC 2585 THIRD AVENUE HUNTINGTON WV 25703 571142879 MEDICAL SERVICE TO AN UNDERSERVED POPULATION IN RURAL WEST VIRGINIA WV 501(C)(3) 170(B)(1) (a)(III) VALLEY HEALTH SYSTEMS INC UPPER KANAWHA HEALTH ASSOCIATION INC PO BOX F CEDAR GROVE WV 25039 510146615 MEDICAL SERVICE TO AN UNDERSERVED POPULATION IN RURAL WEST VIRGINIA WV 501(C)(3) 170(B)(1) (a)(III) VALLEY HEALTH SYSTEMS INC WAYNE HEALTH SERVICES INC 564 RAILROAD AVENUE WAYNE WV 25570 510175364 MEDICAL SERVICE TO AN UNDERSERVED POPULATION IN RURAL 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 1 0 FORT GAY PRIMARY HEALTH CARE INC Q 314751 GRANT MEDICAL CENTER INC Q 38454 HARTS HEALTH CLINIC INC Q 369125 UPPER KANAWHA HEALTH ASSOCIATION INC Q 374905 WAYNE HEALTH SERVICES INC Q 27164