2026-08-11T15:09:31-05:00 2025-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2024-10-01 550440086 PLEASANT VALLEY HOSPITAL PLEA 3046754340 2520 VALLEY DRIVE PT PLEASANT WV 25550 RUSSELL HENCHEY VP FINANCE 3046754340 2026-08-11 1 0 WADE NEWELL CPA P01051041 3045250301 2026-08-03 2024 2025-03-06 01:10:19Z RIVERS HEALTH RUSSELL HENCHEY 2520 VALLEY DRIVE PT PLEASANT WV 25550 57071417 0 X RIVERSHEALTH.ORG X 1955 WV PROVIDE QUALITY INPATIENT AND OUTPATIENT HEALTHCARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. PROVIDE A WELLNESS CENTER TO PROMOTE COMMUNITY HEALTH THROUGH FITNESS PROGRAMS. 10 9 520 25 64362 154833 86983 7104765 48986974 46190909 382925 535384 8453063 2736993 57909945 56568051 0 0 0 0 28071070 27311425 0 0 0 37791684 45078918 65862754 72390343 -7952809 -15822292 39506725 48252077 42307474 66828038 -2800749 -18575961 TO OPERATE AN ACUTE CARE HOSPITAL FACILITY FOR THE CITIZENS OF POINT PLEASANT, WEST VIRGINIA AND THE SURROUNDING COMMUNITIES AND COUNTIES. 0 0 59857868 48645844 THE HOSPITAL PROVIDED 6,236 ACUTE AND SWING DAYS; 68,072 OUTPATIENT VISITS; 10,297 EMERGENCY ROOM VISITS; 1,667 AMBULATORY SURGERIES; 803 OBSERVATION VISITS; AND 46,483 PHYSICIAN OFFICE VISITS. 150068 62265 THE HOSPITAL OPERATES A WELLNESS CENTER WHICH PROVIDES COMMUNITY HEALTH EDUCATION AND FITNESS PROGRAMS THAT ARE AVAILABLE TO HOSPITAL EMPLOYEES AND ALL RESIDENTS OF THE SURROUNDING COMMUNITIES. 60007936 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 92 0 520 1 1 1 0 0 0 0 0 0 0 0 0 X 10 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X RUSSELL HENCHEY 3046754340 2520 VALLEY DRIVE POINT PLEASANT WV 25550 MICHAEL SELLARDS CHAIR/TRUSTEE 1.00 0.50 X X 0 0 0 ROCKY STURGEON VICE CHAIR/TRUSTEE 1.00 X X 0 0 0 DALLAS KAYSER SECRETARY/TRUSTEE 1.00 0.50 X X 0 0 0 EDDIE LANHAM TREASURER (CHAIR FINANCE) 1.00 0.50 X X 0 0 0 MAURICE COOLEY TRUSTEE 1.00 X 0 0 0 CLAIRE COTTRILL TRUSTEE 1.00 X 0 0 0 LEIGH ANN SHEPARD TRUSTEE 1.00 X 0 0 0 ANGIE ZIMMERMAN TRUSTEE 1.00 X 0 0 0 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 40.00 X 457298 0 58036 SARAH DENMAN TRUSTEE 1.00 X 0 0 0 LORI A MCFARLAND RH CHEIF NURSING OFFICER 40.00 X 163462 0 24779 DAVID M WARD MHN SENIOR VP & CFO - ENDED AUGUST 2025 1.00 45.00 X 0 621140 38293 KEVIN YINGLING MHN PRESIDENT & CEO - ENDED MARCH 2025 1.00 45.00 X 0 865245 46043 BRADLEY BURCK MHN VP CORP FDN & DNR PHIL - ENDED JULY 202 1.00 45.00 X 0 245357 55582 KRISTI ARROWOOD MHN INTERIM VP CORP FDN - STARTED JULY 2025 1.00 45.00 X 0 127422 42923 SHAWN BASTIN RIVERS HEALTH PRESIDENT 1.00 45.00 X 0 211389 26825 BRYON S RAYNES MHN EX OFFICIO PRESIDENT & CEO 1.00 45.00 X 0 0 0 KEVIN BARR MHN INTERIM CFO 1.00 45.00 X 0 0 0 HOYT BURDICK MHN VP CMO 1.00 45.00 X 0 738135 49237 LISA C STUMP MHN CHIEF STRATEGY OFFICER - SYSTEM VP 1.00 45.00 X 0 395820 46093 PAUL E SMITH MHN CHIEF ADMIN OFFICER-ENDED 9/30/25 1.00 45.00 X 0 445711 52049 MARK A MORGAN MHN VP PHYS SERVICES 1.00 45.00 X 0 375681 54399 SUSAN T ROBINSON MHN CHIEF HUMAN RESOURCES OFFICER - ENDED J 1.00 45.00 X 0 367978 28378 MELISSA E LEASURE MHN CHIEF LEGAL OFFICER - SYSTEM VP 1.00 45.00 X 0 388635 65042 REGINA M CAMPBELL MHN CHIEF OPERATING OFFICER 1.00 45.00 X 0 484780 46043 EDUARDO PINO MHN CMIO 1.00 45.00 X 0 327279 45414 FAREED AZIZ MHN VP OF REVENUE CYCLE MGMT 1.00 45.00 X 0 232924 59174 AARON BLEVINS MHN CHIEF PHARMACY OFFICER 1.00 45.00 X 0 261237 63136 CHADWICK SMITH MHN CHIEF POPULATION HEALTH OFFICER 1.00 45.00 X 0 390558 57984 DENNIS LEE MHN SYSTEM VP & CHIEF INFORMATION OFFICER 1.00 45.00 X 0 328458 50086 CHRISTOPHER HOFFMAN MHN VP OF ONCOLOGY SERVICES 1.00 45.00 X 0 261583 25247 MELANIE AKERS MHN VP OF WOMEN/CHILD SERVICE LINE 1.00 45.00 X 0 207343 61321 BETH HAMMERS MHN CHIEF ENGAGEMENT OFFICER 1.00 45.00 X 0 370361 41400 CHAD S FISHER MHN VP OF ORTHOPEDICS 1.00 45.00 X 0 269395 31021 ANDY MULLINS MHN CHIEF NURSING OFFICER 1.00 45.00 X 0 271644 59582 KENNETH JACKSON MHN VP FACILITY & SUPPORT SERVICES 1.00 45.00 X 0 244734 40816 MOLLY FRICK MHN CHIEF HUMAN RESOURCES OFFICER - STARTED JAN 20 1.00 45.00 X 0 217813 64558 LARRY DIAL MHN EX OFFICIO CPE & CHIEF CLINICAL OFFICER CT 1.00 45.00 X 0 850784 20700 NEPAL CHOWDHURY PHYSICIAN 1.00 45.00 X 0 2839632 55817 DWIGHT SAULLE NEUROSURGEON PHYSICIAN 1.00 45.00 X 0 2441462 55817 MATTHEW WERTHAMMER NEUROSURGEON PHYSICIAN 1.00 45.00 X 0 2049811 55817 NICOLAS PHAN SURGEON 1.00 45.00 X 0 1935061 20700 AAMIR CHEEMA PHYSICIAN 1.00 45.00 X 0 1838015 51159 620760 20605387 1493471 431 0 1 0 AMERISOURCE BERGEN DEPT 0813 PO BOX 710813 COLUMBUS OH 43271 DRUGS 4032426 RIVERSIDE ANESTHESIA 425 LEWIS HARGETT CIRCLE LEXINGTON KY 40503 CONTRACT LABOR/ANESTHESIA SERVICES 2551351 OHIO VALLEY BANK COMPANY PO BOX 240 GALLIPOLIS OH 45631 BANK/CREDIT CARD PAYMENTS 2538854 ALLIED WEST VIRGINIA EMERGENCY PO BOX 645948 CINCINNATI OH 45264 CONTRACT LABOR 1977500 MAXIM HEALTHCARE STAFFING 7223 LEE DEFOREST DRIVE COLUMBIA MD 21046 CONTRACT LABOR 1533690 48 7000000 104765 7104765 PATIENT SERVICES 621990 43638252 43638252 PHARMACY 456110 2640460 2640460 WELLNESS CENTER 713940 -87803 -87803 46190909 488032 488032 221544 66113 155431 155431 155431 484605 437253 47352 47352 47352 OTHER INCOME 900099 2258576 2258576 CAFETERIA & VENDING 722212 170821 170821 DASCO PARTNERSHIP 456199 152165 152165 2581562 56568051 48708109 64362 690815 X 198890 169057 29833 23825825 18812458 5013367 547820 432778 115042 1272526 1003306 269220 1466364 1158428 307936 556461 556461 6177 6177 16414124 12967158 3446966 214097 169137 44960 287796 227359 60437 78905 62335 16570 117240 92620 24620 117509 92832 24677 1899792 1500836 398956 981111 775078 206033 DRUG EXPENSES 6431939 6431939 SUPPORT SERVICE REIMBUR 4953978 3913643 1040335 MEDICAL SUPPLIES 4105111 4105111 BAD DEBTS 2614258 2614258 6300420 5479603 820817 72390343 60007936 12382407 0 632552 526372 4108193 5712077 4542710 4490610 2046830 1714875 258100 1315011 27959103 6366537 19352258 21592566 7598096 11651412 967986 1249154 39506725 48252077 39675730 64806735 2631744 2021303 42307474 66828038 X -2800749 -18575961 -2800749 -18575961 39506725 48252077 -15822292 47080 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13207 13207 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA), WHICH ENGAGE IN LOBBYING ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO WVHA AND AHA HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES WHICH TOTALED $13,207. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED ON THEIR WEBSITES, WVHA.ORG AND AHA.ORG. 1889000 1889000 13202408 1651827 11550581 28793 8289 20504 9324950 4706421 4618529 3513952 3513952 21592566 NOTES PAYABLE 2021303 2021303 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2025 AND 2024. 1 1 X 1 X 0 1 1 0 1 1 1798562 1798562 0.02480 15015841 6660595 8355246 0.11540 16814403 6660595 10153808 0.14020 390019 50435 339584 0.00470 160225 160225 0.00220 12282 12282 0.00020 562526 50435 512091 0.00710 17376929 6711030 10665899 0.14730 7834 7834 0.00010 44928 44928 0.00060 52762 52762 0.00070 1 1034693 206939 8631887 31083233 -22451346 X 1 1 1 DASCO MEDICAL EUIPMENT RENT 0.25000 2 LHC OTHER 0.10000 1 1 PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH 2520 VALLEY DRIVE PT PLEASANT WV 25550 X X X X SKILLED NURSING FACILITY PLEASANT VALLEY HOSPITAL DBA RIVERS HEAL 1 0 0 1 X X X X X X X X X 25 1 1 1 1 X WWW.RIVERSHEALTH.ORG/ABOUT/CHNA X 1 25 1 WWW.RIVERSHEALTH.ORG/ABOUT/CHNA 0 1 X 100.000000000000 100.000000000000 X X X X X X 1 1 X X X 1 X WWW.RIVERSHEALTH.ORG X WWW.RIVERSHEALTH.ORG X WWW.RIVERSHEALTH.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH PART V, SECTION B, LINE 5: THE 2025 CHNA WAS LED BY A PLANNING COMMITTEE COMPOSED OF STAFF FROM CHH, SMMC, AND RH, WHO SERVED AS KEY CONNECTIONS BETWEEN THE ASSESSMENT PROCESS, THEIR ORGANIZATIONS, AND THE COMMUNITIES THEY SUPPORT.OUR RESEARCH PARTNERMARSHALL HEALTH NETWORK (MHN) CONTRACTED WITH BUILD COMMUNITY TO CONDUCT THE CHNA. BUILD COMMUNITY IS A WOMAN-OWNED BUSINESS THAT SPECIALIZES IN CONDUCTING STAKEHOLDER RESEARCH TO ILLUMINATE DISPARITIES AND UNDERLYING INEQUITIES AND TRANSFORM DATA INTO PRACTICAL AND IMPACTFUL STRATEGIES TO ADVANCE HEALTH AND SOCIAL WELL-BEING. BUILD COMMUNITY'S INTERDISCIPLINARY TEAM OF RESEARCHERS AND PLANNERS HAS WORKED WITH HUNDREDS OF HEALTH AND HUMAN SERVICE PROVIDERS AND THEIR PARTNERS TO REIMAGINE INITIATIVES AND ACHIEVE MEASURABLE IMPACT. LEARN MORE ABOUT THAT WORK AT BUILDCOMMUNITY.COM.COMMUNITY ENGAGEMENTCOMMUNITY ENGAGEMENT IS A KEY COMPONENT OF ASSESSING AND RESPONDING TO COMMUNITY HEALTH NEEDS. CHNA RESEARCH INCLUDED PARTICIPATION BY REPRESENTATIVES FROM THE CABELL-HUNTINGTON HEALTH DEPARTMENT, HEALTH AND SOCIAL SERVICE PROVIDERS, ADVOCACY AGENCIES, BUSINESS COMMUNITY REPRESENTATIVES, AND OTHER COMMUNITY PARTNERS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES.METHODOLOGYTHE 2025 PRIMARY AND SECONDARY RESEARCH WAS CONDUCTED FROM JANUARY TO MAY 2025 AND UTILIZED BOTH QUANTITATIVE DATA AND QUALITATIVE COMMUNITY INPUT TO IDENTIFY HEALTH TRENDS AND DISPARITIES IMPACTING RESIDENTS ACROSS THE 20-COUNTY SERVICE AREA OF WEST VIRGINIA AND SPANNING PARTS OF KENTUCKY AND OHIO.THIS RESEARCH PROVIDES A COMPREHENSIVE VIEW OF STATISTICAL HEALTH AND SOCIAL INDICATORS, COMBINED WITH COMMUNITY STAKEHOLDER FEEDBACK, TO DEVELOP A PROFILE OF REGIONAL HEALTH PRIORITIES. THESE FINDINGS WILL INFORM THE DELIVERY OF HEALTH CARE SERVICES, GUIDE HEALTH IMPROVEMENT INITIATIVES, SUPPORT ADVOCACY EFFORTS, AND SERVE AS A VALUABLE RESOURCE FOR GRANT MAKING AND PROGRAMMING BY HEALTH AND SOCIAL SERVICE PARTNERS.THE CHNA USED THE FOLLOWING RESEARCH METHODS TO IDENTIFY COMMUNITY HEALTH NEEDS:- ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIOECONOMIC MEASURES, AND HEALTH CARE UTILIZATION DATA;- AN ONLINE KEY INFORMANT SURVEY WITH COMMUNITY REPRESENTATIVES TO GAIN INSIGHT INTO LOCAL HEALTH CHALLENGES AND OPPORTUNITIES FOR IMPROVEMENT;- FOCUS GROUPS WITH RESIDENTS AND HEALTH AND SOCIAL SERVICE AGENCIES TO EXPLORE THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH AND IDENTIFY OPPORTUNITIES FOR COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT;- PARTNER FORUMS WERE HELD IN HUNTINGTON AND POINT PLEASANT WITH HEALTH AND HUMAN SERVICE PROVIDERS TO SHARE CHNA DATA FINDINGS AND GATHER FEEDBACK TO COLLECTIVELY DEFINE CHALLENGES AND MEANINGFUL STRATEGIES FOR HEALTH IMPROVEMENT.A COMMUNITY-WIDE KEY INFORMANT SURVEY (KIS) WAS CONDUCTED ONLINE TO GATHER INSIGHTS FROM COMMUNITY REPRESENTATIVES ACROSS MHN'S SERVICE AREA REGARDING LOCAL HEALTH NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. PARTICIPANTS INCLUDED HEALTH CARE AND SOCIAL SERVICE PUBLIC HEALTH PROFESSIONALS, CIVIC LEADERS, FAITH-BASED ORGANIZATIONS, POLICYMAKERS, ELECTED OFFICIALS, AND OTHERS REPRESENTING DIVERSE COMMUNITY GROUPS.A TOTAL OF 232 INDIVIDUALS COMPLETED THE SURVEY. WHILE THE NAMES OF RESPONDENTS ARE WITHHELD TO ENSURE CONFIDENTIALITY, A LIST OF PARTICIPATING ORGANIZATIONS AND TITLES IS PROVIDED.RESPONDENTS REPRESENTED COMMUNITIES THROUGHOUT MHN'S 20-COUNTY SERVICE AREA,WITH 60% SERVING CABELL COUNTY AND 28% SERVING MASON COUNTY-HOME TO CHH, SMMC, HFCH, AND RH RESPECTIVELY. PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH PART V, SECTION B, LINE 6A: THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AS A COLLABORATIVE EFFORT AMONG MARSHALL HEALTH NETWORK'S HOSPITALS: CABELL HUNTINGTON HOSPITAL (CHH), ST. MARY'S MEDICAL CENTER (SMMC), HOOPS FAMILY CHILDREN'S HOPSITAL (HFCH), AND RIVERS HEALTH (RH) ALONG WITH WIDE REPRESENTATION OF LOCAL AND REGIONAL PARTNERS. PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH PART V, SECTION B, LINE 11: BACKGROUNDIN 2022, MHN CONDUCTED A SIMILAR CHNA AND DEVELOPED A SUPPORTING THREE-YEAR CHIP. BASED ON THE CHNA FINDINGS, MHN LEADERSHIP IDENTIFIED FIVE PRIORITY AREAS FOR THE REGION:- BEHAVIORAL HEALTH- SUBSTANCE USE DISORDER- CHRONIC DISEASE PREVENTION AND MANAGEMENT- AGING POPULATION- FOOD INSECURITYMHN INVESTED IN INTERNAL POPULATION HEALTH MANAGEMENT STRATEGIES AND PARTNERED WITH DIVERSE COMMUNITY ORGANIZATIONS ACROSS THE REGION TO FUND PROGRAMS AND INITIATIVES AIMED AT ADDRESSING THE IDENTIFIED PRIORITY AREAS. THE SYSTEM MEASURED CONTRIBUTIONS AND COMMUNITY IMPACT FROM THESE INVESTMENTS, AS OUTLINED IN THE FOLLOWING SECTIONS.BASED ON INSIGHTS GATHERED THROUGH THE KEY INFORMANT SURVEY, COMMUNITY SURVEY, PARTNER FORUM, AND TARGETED FOCUS GROUPS, MARSHALL HEALTH NETWORK (MHN) DEVELOPED A COMPREHENSIVE THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH EFFORTS ACROSS ITS SERVICE AREA. THIS COLLABORATIVE, DATA-DRIVEN PLAN REFLECTS BOTH LONGSTANDING CHALLENGES AND EMERGING PRIORITIES IDENTIFIED IN THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).THE CHIP PRIORITIZES FIVE KEY AREAS: SUBSTANCE USE, MENTAL HEALTH, DIABETES AND OBESITY, GERONTOLOGY AND HEALTHY AGING, AND RURAL HEALTH AND PRIMARY CARE.THESE FOCUS AREAS REFLECT THE MOST PRESSING NEEDS ACROSS THE SERVICE REGION AND WILL GUIDE MHN'S WORK IN ADDRESSING HEALTH DISPARITIES, ENHANCING ACCESS TO CARE, AND IMPROVING OVERALL COMMUNITY HEALTH OUTCOMES. IN ADDITION, MHN RECOGNIZES THE SIGNIFICANT IMPACT OF RACIAL AND ETHNIC DISPARITIES ON HEALTH OUTCOMES. EACH PRIORITY AREA WITHIN THE CHIP INCORPORATES STRATEGIES AIMED AT ADVANCING EQUITY, REDUCING GAPS IN ACCESS TO CARE, AND ADDRESSING THE UNIQUE CHALLENGES FACED BY DIVERSE POPULATIONS ACROSS OUR SERVICE AREA.BUILDING ON THE FOUNDATION OF PRIOR INITIATIVES, THE CHIP ESTABLISHES SYSTEM-WIDE PRIORITY AREAS AND GOALS, SUPPORTED BY HOSPITAL-SPECIFIC STRATEGIES THAT LEVERAGE THE UNIQUE STRENGTHS, RESOURCES, AND PARTNERSHIPS OF EACH MHN FACILITY. THROUGH THIS COORDINATED APPROACH, MHN AIMS TO ACHIEVE MEASURABLE, SUSTAINABLE IMPROVEMENTS IN THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES.PRIORITY AREA: BEHAVIORAL HEALTHGOAL: STRENGTHEN COMMUNITY EFFORTS THAT BUILD EMOTIONAL AND MENTAL RESILIENCE WHILE IMPROVING ACCESS TO BEHAVIORAL HEALTH PREVENTION, EARLY INTERVENTION, AND TREATMENT SERVICES.OBJECTIVE: INCREASE AWARENESS AND EDUCATION TO ENCOURAGE TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH ISSUES.STRATEGIES: SUPPORT, PROMOTE AND PARTICIPATE IN COMMUNITY BEHAVIORAL HEALTH AWARENESS AND TRAINING EFFORTS.PROVIDE CULTURALLY SENSITIVE EDUCATION AND OUTREACH TO UNDERSERVED RACIAL AND ETHNIC GROUPS.CONDUCT SCREENINGS IN HEALTH CARE SETTINGS TO IDENTIFY INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS.PROVIDE FREE SUPPORT GROUPS, SUCH AS NAVIGATING GRIEF AND PERINATAL BEREAVEMENT.OBJECTIVE: PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES.STRATEGIES: STRENGTHEN AND SUPPORT COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTORSHIP, SENIOR PROGRAMMING, RELATIONSHIP-BUILDING, AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.CABELL HUNTINGTON HOSPITAL (CHH) -SPECIFIC STRATEGIES: CONTINUE TO PROVIDE THE HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER, DEDICATED TO OFFERING CHILDREN AND FAMILIES WITH COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED BY CHILDREN WHO ARE VICTIMS OF ABUSE.ST. MARY'S MEDICAL CENTER (SMMC) - SPECIFIC STRATEGIES: SUPPORT THE COMPASS PROGRAM AND CITY OF HUNTINGTON FIRST RESPONDERS WITH AN EMPLOYEE ASSISTANCE PROGRAM (EAP) TO STRENGTHEN THE ABILITY OF FIRST RESPONDERS TO DEAL WITH HIGH-STRESS SITUATIONS AND BUILD RESILIENCY TO PROCESS ANY EFFECTS OF THAT STRESS.RIVERS HEALTH (RH) - SPECIFIC STRATEGIES: PARTNER WITH AREA SCHOOLS AND CONTINUE LEADING THE MASON COUNTY COMPREHENSIVE HEALTHY KIDS PROGRAM TO PROVIDE YOUTH BEHAVIORAL HEALTH EDUCATION AND RESILIENCE ACTIVITIES AND SUPPORT SERVICE REFERRALS.OBJECTIVE: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES.STRATEGIES: EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH TELEHEALTH APPLICATIONS. CABELL HUNTINGTON HOSPITAL (CHH)-SPECIFIC STRATEGIES: COORDINATE SERVICE DELIVERY WITH PRESTERA CENTER FOR MENTAL HEALTH SERVICE, SPECIALIZING IN HELPING INDIVIDUALS WHO HAVE A DUAL DIAGNOSIS OF BEHAVIORAL HEALTH AND SUD. PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH PART V, SECTION B, LINE 11: PRIORITY AREA: DIABETES AND OBESITYGOAL: IMPROVE HEALTH AND QUALITY OF LIFE BY EXPANDING ACCESS TO HEALTHCARE, NUTRITION, AND SUPPORT SERVICES THAT HELP PREVENT AND MANAGE DIABETES AND OBESITY.OBJECTIVE: IDENTIFY AND ADDRESS GAPS IN SERVICES AND EDUCATION THAT IMPACT HEALTH AND DAILY LIVING NEEDS.STRATEGIES: SUPPORT, PROMOTE, AND PARTICIPATE IN COMMUNITY HEALTH EVENTS, INCLUDING FREE OR DISCOUNTED SCREENINGS AND SUPPORT GROUPS.CONTINUE SUPPORT OF COMMUNITY AGENCIES SUCH AS HUNTINGTON AREA YMCA, THAT OFFER WELLNESS PROGRAMMING.EXPAND NUTRITION AND WELLNESS PROGRAMMING TAILORED TO THE NEEDS OF DIVERSE COMMUNITIES.CABELL HUNTINGTON HOSPITAL (CHH) -SPECIFIC STRATEGIES: COLLABORATE WITH MARSHAL HEALTH CHERTOW DIABETES CENTER TO PROVIDE PATIENT EDUCATION, A DIABETES SUPPORT GROUP, DIABETES EXERCISE CENTER, AND OTHER RESOURCES FOR PATIENTS WITH DIABETES.ST. MARY'S MEDICAL CENTER (SMMC) -SPECIFIC STRATEGIES: PROVIDE PATIENT DIABETES EDUCATION, NUTRITION COUNSELING AND DISEASE MANAGEMENT.RIVERS HEALTH (RH)-SPECIFIC STRATEGIES: PROVIDE DIABETIC AND WEIGHT LOSS EDUCATION, LED BY A REGISTERED DIETITIAN. CONTINUE OPERATION OF THE WELLNESS CENTER, OFFERING FITNESS AND WELLNESS CLASSES FOR THE COMMUNITY.PRIORITY AREA: GERONTOLOGY & HEALTHY AGINGGOAL: IMPROVE QUALITY OF LIFE FOR OLDER ADULTS BY INCREASING AGING IN PLACE SUPPORTS, COMMUNITY BUILDING INITIATIVES AND HEALTHCARE FOR AGING RESIDENTS.OBJECTIVE: PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT HELP SUPPORT RISK FACTORS FOR SENIORS (65+) FOR BEHAVIORAL HEALTH ISSUES, SUBSTANCE USE DISORDER AND CHRONIC HEALTH DISEASES.STRATEGIES: CONTINUE TO EXPAND REMOTE ACCESS TO SENIOR WELLNESS SERVICES THROUGH TELEHEALTH AND DIGITAL CONNECTIONS. EXPLORE PARTNERSHIPS WITH SENIOR CENTERS AND OTHER ELDER SERVICE PROVIDERS TO PROVIDER OLDER ADULT ENGAGEMENT AND SOCIAL CONNECTIVITY OPPORTUNITIES.OBJECTIVE: IMPROVE ACCESS TO HEALTH CARE SERVICES FOR THE SENIOR POPULATION, INCLUDING BEHAVIORAL HEALTH SERVICES, SUD SERVICES, WELLNESS VISITS, PRIMARY CARE VISITS AND OTHER CHRONIC DISEASE PREVENTION AND MANAGEMENT SERVICES.STRATEGIES: UTILIZE RESOURCES OF ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES, SERVING AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF SENIORS (65+), SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, AND TRANSPORTATION NEEDS AND SOCIAL ISOLATION.PRIORITY AREA: RURAL HEALTH AND PRIMARY CAREGOAL: IMPROVE ACCESS TO TIMELY, QUALITY HEALTHCARE AND ESSENTIAL RESOURCES THAT SUPPORT THE HEALTH AND WELLBEING OF RURAL RESIDENTS.OBJECTIVE: INCREASE ACCESS TO TRADITION AND ALTERNATIVE (COMMUNITY- AND TECHNOLOGY-BASED) PLACES PEOPLE CAN ACCESS HEALTH CARE.STRATEGIES: CONTINUE TO SUPPORT EBENEZER MEDICAL OUTREACH, A FULL-SERVICE MEDICAL CLINIC PROVIDING ACCESS TO FREE, COMPREHENSIVE HEALTH CARE TO FINANCIALLY ELIGIBLE CLIENTS.ADDRESS RACIAL DISPARITIES IN RURAL ACCESS BY SUPPORTING COMMUNITY-BASED CLINICS SERVING MINORITY POPULATIONS.CONTINUE TO SUPPORT FAITHHEALTH APPALACHIA.ENHANCE ACCESS TO HOME-BASED CARE SERVICES THROUGH HOME HEALTH, TRANSITIONAL CARE, AND OTHER IN-HOME SERVICE ARRANGEMENTS.EXPEND NEW PRIMARY CARE SITE LOCATIONS ACROSS THE REGION, AND PARTNERSHIP OPPORTUNITIES WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE SOCIAL SERVICES.EXPAND EQUITABLE ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH PART V, SECTION B, LINE 11: CABELL HUNTINGTON HOSPITAL (CHH)-SPECIFIC STRATEGIES: PARTNER WITH MARSHALL HEALTH VIA CHH HOME CARE MEDICINE TO PROVIDE PRE-CAND POST-ACUTE HOME CARE FOR HOMEBOUND PATIENTS AGE 18 OR OVER THROUGHOUT THE TRI-STATE REGION. 21 1 - RIVERS HEALTH REGIONAL HEALTH CENTER 2520 VALLEY DRIVE PT PLEASANT WV 25550 RURAL HEALTH CLINIC, FAMILY PRACTICE, URGENT CARE 2 - RIVERS HEALTH THERAPY CENTER - POINT PLE 2520 VALLEY DRIVE PT PLEASANT WV 25550 OCCUPATIONAL/SPEECH/PHYSICIAL THERAPY SERVICES 3 - RIVERS HEALTH WOUND CENTER 2500 JEFFERSON AVE PT PLEASANT WV 25550 WOUND CARE 4 - RIVERS HEALTH THERAPY CENTER - MASON 106 GANDER LANE MASON WV 25260 OCCUPATIONAL/SPEECH/PHYSICIAL THERAPY SERVICES 5 - BEND AREA CLINIC 2007 SECOND STREET MASON WV 25260 RURAL HEALTH CLINIC 6 - RIVERS HEALTH GALLIPOLIS FERRY CLINIC 15167 HUNTINGTON ROAD GALLIPOLIS FERRY WV 25515 FAMILY PRACTICE CLINIC 7 - FAMILY HEALTHCARE GALLIPOLIS 346 THIRD AVE GALLIPOLIS OH 45631 FAMILY PRACTICE CLINIC 8 - RIVERS HEALTH FAMILY MED & DIABETES CAR 995 JACKSON PIKE GALLIPOLIS OH 45631 FAMILY PRACTICE CLINIC 9 - RIVERS HEALTH WELLNESS CENTER 2520 VALLEY DRIVE PT PLEASANT WV 25510 FITNESS CENTER 10 - RIVERS HEALTH EAR NOSE & THROAT 2414 JEFFERSON AVE PT PLEASANT WV 25550 EAR, NOSE, AND THROAT CLINIC 11 - RIVERS HEALTH INFUSION CENTER 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 12 - RIVERS HEALTH PODIATRY 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 13 - RIVERS HEALTH NEUROLOGY 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 14 - RIVERS HEALTH GEN SURGERY PHYSICIAN OFF 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 15 - RIVERS HEALTH ORTHOPEDICS 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 16 - RIVERS HEALTH ONCOLOGY-EDWARDS CANCER 1400 HAL GREER BOULEVARD HUNTINGTON WV 25701 MEDICAL 17 - RIVERS HEALTH WOMEN'S CENTER 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 18 - RIVERS HEALTH CARDIOLOGY 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 19 - RIVERS HEALTH UROLOGY 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL 20 - RIVERS HEALTH SCHOOL BASED CLINICS 2520 VALLEY DRIVE PT PLEASANT WV 25550 FAMILY PRACTICE CLINIC 21 - RIVERS HEALTH OUTREACH 2520 VALLEY DRIVE PT PLEASANT WV 25550 MEDICAL PART I, LINE 3C: AS PART OF RIVERS HEALTH'S MISSION, WE ARE COMMITTED TO PROVIDING EMERGENCY SERVICES AS WELL AS OTHER MEDICALLY NECESSARY CARE TO ALL PATIENTS, REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. RIVERS HEALTH IS FURTHER COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE HEALTH CARE NEEDS AND ARE UNITED STATES CITIZENS, UNINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, FOR EMERGENCY SERVICES AND MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. THE FOLLOWING IS A SUMMARY OF FINANCIAL ASSISTANCE AVAILABLE FOR PATIENTS OF RIVERS HEALTH. WE PROVIDE FINANCIAL ASSISTANCE FOR EMERGENCY SERVICES OR OTHER MEDICALLY NECESSARY CARE AT A DISCOUNT FROM OUR NORMAL CHARGES IF YOU ARE A UNITED STATES CITIZEN, YOUR HOUSEHOLD INCOME DOES NOT EXCEED 150% THE FEDERAL POVERTY GUIDELINES (FPG) AND YOU DO NOT HAVE ASSETS IN EXCESS OF $50,000. ALL APPLICANTS WILL BE SCREENED FOR MEDICAID COVERAGE AND MUST COOPERATE WITH MEDICAID REPRESENTATIVES TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. IF YOU DO NOT MEET THE INCOME CRITERIA ABOVE YOU WILL BE CONSIDERED ON A CASE-BY-CASE BASIS FOR FINANCIAL ASSISTANCE IF YOU HAVE EXCEPTIONAL AND/OR SPECIAL MEDICAL CIRCUMSTANCES. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2. THE TOTAL OPERATING EXPENSES WERE ADJUSTED FOR NON-PATIENT ACTIVITIES, MEDICAID TAXES, AND COMMUNITY BENEFIT AND BUILDING EXPENSES BEFORE CALCULATING THE RATIO. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,614,258. PART I. LINE 6A: MARSHALL HEALTH NETWORK, INC. (MHN) SERVES AS THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC.; ST. MARY'S MEDICAL CENTER, INC.; PLEASANT VALLEY HOSPITAL, INC. D/B/A RIVERS HEALTH; AND UNIVERSITY PHYSICIANS & SURGEONS, INC. D/B/A MARSHALL HEALTH. MHN IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISIONS OF FUTURE INTERNAL REVENUE LAWS. MHN IS CLASSIFIED AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE AND EXISTS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND FURTHER THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUPPORTED ORGANIZATIONS, INCLUDING THEIR RELATED ORGANIZATIONS. AS THE SOLE CORPORATE MEMBER OF THESE ENTITIES, MHN PROVIDES GOVERNANCE, OVERSIGHT, AND SHARED SERVICES NECESSARY TO ADVANCE AND SUPPORT THE MISSIONS OF ITS SUPPORTED ORGANIZATIONS. THIS INCLUDES THE PUBLICATION OF THE COMMUNITY BENEFITS REPORT ON ITS WEBSITE. THIS PUBLICATION IS CALLED LEADING EDGE. IN ADDITION TO THE LEADING EDGE PUBLICATION, THE HOSPITAL'S FORM 990 INCLUDES COMMUNITY BENEFIT DETAILS ON SCHEDULE H AND IS MADE AVAILABLE TO THE PUBLIC VIA GUIDESTAR AND COPIES ARE AVAILABLE UPON REQUEST. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON AUDITED FINANCIAL STATEMENTS MULTIPLIED BY THE RATIO OF PATIENT CARE COST OF CHARGES CALCULATED ON WORKSHEET 2. PART II: OUR WEIGHT LOSS CHALLENGE GIVES THE COMMUNITY THE ABILITY TO USE OURWELLNESS SERVICES. OUR WELLNESS SERVICES INCLUDE CARDIO AND WEIGHTLIFTING MACHINES AND CERTIFIED EXERCISE PHYSIOLOGISTS. BLOOD PRESSURE,WEIGHT, AND BODY FAT WERE MONITORED BEFORE THE CHALLENGE AND AFTER THECHALLENGE. THIS PROMOTES A HEALTHY LIFESTYLE IN THE COMMUNITY. MASONCOUNTY IS A MEDICALLY UNDERSERVED AREA AND THE HOSPITAL SPENDS MONEYFOR RECRUITMENT FOR THIS AREA. THE AMOUNT SHOWN FOR WORKFORCEDEVELOPMENT IS THE AMOUNT PAID TO RECRUIT NEW PHYSICIANS TO THE AREA.IN ADDITION TO THE WELLNESS SERVICES THE HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES, AS REPORTED IN PART II,PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2025, THE HOSPITAL COMMUNITY-BUILDING ACTIVITIES REACHED OUT TO NUMEROUS ORGANIZATIONS THAT SERVE INDIVIDUALS WITHIN THE DIRECT COMMUNITIES SERVED. FUTURE ACTIVITIES ARE DETERMINED BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT, REQUESTS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS, AND OTHER FACTORS. THE HOSPITAL ALSO WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE AND CONTINUE. THE HOSPITAL SEEKS TO PROVIDE OR FUND ACTIVITIES WITH THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, RELIEVING GOVERNMENT BURDEN, MAKING HEALTHCARE AVAILABLE TO THE PUBLIC AND SERVICING LOW-INCOME CONSUMERS, ADDRESSING FEDERAL, STATE, OR LOCAL PUBLIC HEALTH PRIORITIES, AND LEVERAGING OR ENHANCING PUBLIC HEALTH DEPARTMENT ACTIVITIES. SOME OF THE SPECIFIC COMMUNITY BUILDING ACTIVITIES FUNDED BY THE ORGANIZATION INCLUDE:A) HUNTINGTON'S KITCHEN CONTINUED OPERATIONS TO PROMOTE HEALTHY EATINGHABITS FOR KIDS AND ADULTS IN THE COMMUNITY,C) MARSHALL HEALTH NETWORK, INC. SUPPORT FOR VARIOUS COMMUNITY BUILDINGACTIVITIES SUCH AS:1) FACING HUNGER FOOD BANK FOOD PROGRAM TO PROVIDE NUTRITIOUS CANNED,BOXED, FRESH, FROZEN, AND PREPARED FOOD TO INDIVIDUALS.2) HUNTINGTON MUSEUM OF ART PROGRAM FOR VARIOUS COMMUNITY ACTIVITIES.3) HUNTINGTON CITY MISSION FOOD PROGRAM TO HELP PROVIDE FOOD FORINDIVIDUALS THAT HAVE NO PERMANENT HOME,4) FAITHHEALTH APPALACHIA, A PROGRAM TO PROMOTE PASSION FOR A HOLISTIC APPROACH TO WELLNESS WHICH FOCUSES ON MIND, BODY, AND SPIRIT THROUGHBRIDGING TOGETHER OF HEALTHCARE, FAITH COMMUNITIES AND COMMUNITY, AND5) NUMEROUS OTHER SUPPORT FOR THE SAME TYPES OF MISSIONS. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE: SEE FOOTNOTE #5 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS. THE METHODOLOGY USED TO DETERMINE THE COST FOR LINE 2 IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 2, FINANCIAL ASSISTANCE AT COST IN THE INTERNAL REVENUE INSTRUCTIONS FOR FORM 990 SCHEDULE H. THIS METHOD CALCULATES A COST RATIO BY USING TOTAL OPERATING EXPENSES LESS BAD DEBT AND OTHER EXPENSE ADJUSTMENTS DIVIDED BY GROSS PATIENT REVENUES. THE RATIO IS THEN APPLIED TO BAD DEBT EXPENSE TO GET THE ESTIMATED COST. LINE 3 IS A PERCENTAGE DERIVED BY LOOKING AT THE HISTORICAL PERCENTAGES OF UNINSURED AND SELF-INSURED PATIENTS IN THE COMMUNITY SERVED. THERE ARE A NUMBER OF PATIENTS THAT DO NOT APPLY FOR FINANCIAL ASSISTANCE AND ARE DEFINITELY UNABLE TO PAY FOR THEIR OUT-OF-POCKET MEDICAL EXPENSES. IF THESE PATIENTS WENT THROUGH THE FINANCIAL ASSISTANCE PROCESS, THEY WOULD MOST LIKELY QUALIFY. THESE PATIENTS STILL NEED TO BE TREATED AND THIS IS WHY THE ORGANIZATION BELIEVES THIS SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 8: BECAUSE THE HOSPITAL IS A COMMUNITY-BASED TEACHING HOSPITAL AND SERVES THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY, THIS AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE EXPENSES ALLOCATED TO THE MEDICARE ARE DERIVED FROM THE MEDICARE COST REPORT AND ARE ALLOCATED TO CARRIER BY GROSS CHARGE RATIO AFTER THEY ARE ADJUSTED FOR COSTS THAT ARE INCLUDED IN PART I, LINE 7F. PART III, LINE 9B: RIVERS HEALTH HAS A CHARITY CARE POLICY AND A COLLECTION AND BAD DEBT POLICY THAT DISCUSSES QUALIFYING AND ELIGIBILITY FOR CHARITY CARE, COLLECTION PRACTICES AND HANDLING OF BAD DEBT ACCOUNTS. IT IS A PRACTICE TO HANDLE ALL PATIENT ACCOUNTS IN THE SAME MANNER/PRECEDENT. PATIENTS ARE SENT MONTHLY STATEMENTS - EVEN WHILE APPLYING AND PENDING FINANCIAL ASSISTANCE AND WILL CONTINUE TO RECEIVE STATEMENTS UNTIL DETERMINATION IS MADE. ONCE DETERMINATION IS MADE THE ACCOUNT BALANCE OR THE % PORTION OF THE ACCOUNT BALANCE IS ADJUSTED TO "FINANCIAL ASSISTANCE". PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING A NEEDS ASSESSMENT AND CONSULTING WITH HEALTHCARE PROVIDERS SUCH AS MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND VARIOUS COMMUNITY AGENCIES. THE 2025 COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT AMONG MARSHALL HEALTH NETWORK'S (MHN) HOSPITALS: CABELL HUNTINGTON HOSPITAL (CHH), ST. MARY'S MEDICAL CENTER (SMMC), HOOPS FAMILY CHILDREN'S HOSPITAL (HFCH), AND RIVERS HEALTH (RH) ALONG WITH WIDE REPRESENTATION OF LOCAL AND REGIONAL PARTNERS. COMMUNITY INPUT TO IDENTIFY HEALTH TRENDS AND DISPARITIES IMPACTING RESIDENTS WAS COLLECTED FROM ACROSS A 20-COUNTY SERVICE AREA OF WEST VIRGINA AND SPANNING PARTS OF KENTUCKY AND OHIO. THE GOAL OF THIS COLLABORATION WAS TO IDENTIFY COMMON AND UNIQUE CHALLENGES ACROSS THE SERVICE AREA AND ALIGN HEALTH IMPROVEMENT STRATEGIES. THE MHN SYSTEM IS COMMITTED TO ADVANCING INITIATIVES AND COMMUNITY COLLABORATION TO SUPPORT THE ISSUES IDENTIFIED THROUGH THE CHNA. MHN SEEKS TO MOBILIZE ITS RESOURCES AND ACTIVITIES TO IMPROVE THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS WITHIN OUR COMMUNITY. THE CURRENT NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL WEBSITE, WWW.RIVERSHEALTH.ORG/ABOUT/CHNA. MHN WILL FOCUS EFFORTS ON THE FOLLOWING COMMUNITY HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: ADDICTION BEHAVIORAL HEALTH GERONTOLOGY AND HEALTHY AGING OBESITY AND DIABETES RURAL HEALTH AND PRIMARY CARE PART VI, LINE 3: THE POLICY IS DISCUSSED WITH PATIENTS BEFORE THEY ARE DISCHARGED. A COPY OF THE POLICY IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE. THE PROCESS IN PLACE OFFERS THE UNINSURED AND UNDERINSURED PATIENT THE ABILITY TO APPLY FOR CHARITY CARE THROUGH A FORMAL APPLICATION PROCESS ESTABLISHED BY REVIEWING BOTH INCOME AND EXPENSE TO MAKE A FINAL DETERMINATION OF ELIGIBILITY. IT REQUIRES PROPER VERIFICATION OF INCOME THROUGH A PAY STUB, TAX RETURN, ETC. IT IS ALSO VERIFIED THAT THE PATIENT IS NOT ELIGIBLE FOR A STATE ASSISTED PROGRAM VIA A DENIAL LETTER FROM THE PROGRAM OR VERIFICATION THROUGH THE STATE CASEWORKER. THE PATIENT WILL EITHER BE CONTACTED BY THE BUSINESS OFFICE OR WILL CONTACT THE BUSINESS OFFICE DURING THE COLLECTION AND STATEMENT PROCESS TO DISCUSS FINANCIAL ARRANGEMENTS REGARDING THEIR PATIENT ACCOUNT. ALL OPTIONS OF PAYMENTS WILL BE DISCUSSED AND CHARITY CARE OFFERED AS AN ALTERNATIVE OPTION AFTER SCREENING THE PATIENT'S FINANCIAL ABILITY TO MAKE PAYMENT. PART VI, LINE 4: ACCORDING TO OUR MOST RECENT CHNA, MHN AND ITS HOSPITALS PRIMARILY SERVES 20 COUNTIES ACROSS WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), MHN FURTHER DEFINES ITS PRIMARY SERVICE AREA BASED ON INPATIENT VOLUMES FOR CHH, SMMC, AND RH. THE SERVICE AREA INCLUDES 56 ZIP CODES IN AND AROUND HUNTINGTON AND POINT PLEASANT, WEST VIRGINIA.FROM 2010 TO 2023, THE MHN SERVICE AREA SAW A POPULATION DECLINE OF 6.24% COMPARED TO THE POPULATION GROWTH OF NEARLY 10% IN THE US OVERALL. WEST VIRGINIA ALSO SAW A POPULATION DECLINE OF 3.06%,WHILE KENTUCKY AND OHIO SAW MODERATE POPULATION GROWTH OF APPROXIMATELY 2-5%.CONSISTENT WITH STATE AND NATIONAL BENCHMARKS, POPULATION GROWTH WITHIN THE MHN SERVICE AREA OCCURRED EXCLUSIVELY AMONG NON-WHITE INDIVIDUALS. OF NOTE, THE BLACK/AFRICAN AMERICAN POPULATION ALSO DECLINED (0.1%) IN THE MHN SERVICE AREA, CONTRARY TO STATE TRENDS. FROM 2010 TO 2023, THE WHITE POPULATION DECLINED 2.1%. THE LARGEST POPULATION GROWTH WAS SEEN AMONG MULTIRACIAL INDIVIDUALS (1.9%). DESPITE INCREASING DIVERSITY, THE MHN SERVICE AREA AND THE TRI-STATE REGION OVERALL CONTINUE TO REFLECT A MAJORITY WHITE POPULATION.HEALTH NEEDS CHANGE AS INDIVIDUALS AGE. THEREFORE, THE AGE DISTRIBUTION OF A COMMUNITY IMPACTS ITS SOCIAL AND HEALTH CARE NEEDS. THE AGE DISTRIBUTION OF THE MHN SERVICE AREA IS SIMILAR TO WEST VIRGINIA OVERALL WHICH IS OLDER THAN THE NATION. APPROXIMATELY 20.5% OF SERVICE AREA RESIDENTS ARE AGED 65 OR OLDER COMPARED TO 16.8% NATIONWIDE.THE PROPORTION OF OLDER ADULT RESIDENTS INCREASED ACROSS THE MHN SERVICE AREA, TRI-STATE REGION AND THE NATION SINCE THE 2022 CHNA. NATIONALLY, AMONG OLDER ADULTS AGED 65 OR OLDER, THE 65-74 AGE CATEGORY IS THE FASTEST GROWING DEMOGRAPHIC, LARGELY DUE TO THE AGING BABY BOOMER GENERATION (65+). CONSISTENT WITH THE NATION, THE BIRTH RATE DECLINED ACROSS THE TRI-STATE SINCE THE 2022 CHNA. THE TRI-STATE HAS A SIMILAR OR LOWER RATE OF BIRTH THAN THE NATION, WITH THE HIGHEST RATE OF BIRTH IN KENTUCKY.CONSISTENT MATERNAL AND INFANT HEALTH NEEDS ACROSS THE TRI-STATE INCLUDE TEEN BIRTHS AND SMOKING DURING PREGNANCY. THE TEEN BIRTH RATE IS HIGHER IN ALL THREE STATES COMPARED TO THE NATION, AND NEARLY 50% HIGHER IN KENTUCKY AND WEST VIRGINIA. ALL THREE STATES ALSO HAVE A HIGHER PROPORTION OF PEOPLE WHO SMOKE DURING PREGNANCY, WITH THE HIGHEST POPULATION IN WEST VIRGINIA (15.3%).WEST VIRGINIA ALSO EXPERIENCES DISPARATE OUTCOMES FOR LOW-BIRTH-WEIGHT BIRTHS RELATIVE TO OTHER STATES IN THE REGION AND THE NATION OVERALL, ESPECIALLY AMONG THE BLACK/AFRICAN AMERICAN RESIDENTS. WEST VIRGINIA OVERALL HAS A HIGH PROPORTION OF PREGNANT WOMEN RECEIVING FIRST TRIMESTER PRENATAL CARE (81.2%), WITH BLACKS/AFRICAN AMERICANS (77.0%) AND WHITES (82.8%) RECEIVING PRENATAL CARE. PRENATAL CARE PERCENTAGES HAVE LARGELY REMAINED CONSISTENT THROUGHOUT THE TRI-STATE AREA.THE TRI-STATE HAS A SIMILAR OVERALL INFANT DEATH RATE AS THE NATION, BUT CONSISTENT WITH THE NATION, THE INFANT DEATH RATE IS MORE THAN 50% HIGHER FOR BLACK/AFRICAN AMERICANS THAN WHITES IN OHIO, WHERE BLACK/AFRICAN AMERICAN HAVE AN INFANT DEATH RATE (13.1/1000 LIVE BIRTHS) THAT IS MORE THAN TWO TIMES HIGHER THAN THE DEATH RATE FOR WHITES (5.7/1000) LIVING IN THE SAME STATE, AND NEARLY 46% HIGHER THAN THE NATIONAL BLACK/AFRICAN AMERICAN DEATH RATE (10.4/1000). REPORTS BY THE OHIO DEPARTMENT OF HEALTH SHOW THAT WHILE THE WHITE INFANT DEATH RATE HAS IMPROVED, THE BLACK/AFRICAN AMERICAN DEATH RATE HAS NOT SIGNIFICANTLY CHANGED.WHILE THE OLDER ADULT POPULATION INCREASES IN THE MHN SERVICE AREA, YOUTH UNDER AGE 18 COMPRISE MORE THAN 1 IN 5 RESIDENTS. A HIGHER PORTION OF MHN SERVICE AREA RESIDENTS LIVE IN POVERTY WHEN COMPARED TO THE TRI-STATE REGION AND THE NATION. CHILDREN ARE DISPROPORTIONATELY AFFECTED BY POVERTY, AND 24.1% OF CHILDREN IN THE MHN SERVICE AREA LIVE IN POVERTY COMPARED TO 16.3% NATIONALLY. APPROXIMATELY 1 IN 10 OLDER ADULTS (65+) ALSO LIVE IN POVERTY IN THE MHN SERVICE AREA, A FINDING OF NOTE DUE TO THE LARGE AND GROWING PROPORTION OF RESIDENTS AGED 65 OR OLDER.WITHIN THE MHN SERVICE AREA, ALL COUNTIES EXCEPT GALLIA COUNTY, OHIO AND PUTNAM COUNTY, WEST VIRGINIA HAVE POVERTY LEVELS THAT EXCEED 15%. THE HIGHEST POVERTY LEVELS ARE SEEN IN MARTIN COUNTY (29.2%), KENTUCKY AND MINGO COUNTY (29.9%), WEST VIRGINIA. MARTIN AND MINGO COUNTIES ALSO HAVE THE HIGHEST POPULATION OF CHILDREN IN POVERTY, 41.2% AND 37.6% RESPECTIVELY. IN CABELL COUNTY 19.8% OF ALL RESIDENTS AND 23.6% OF CHILDREN LIVE IN POVERTY, WHILE IN MASON COUNTY 17.9% OF ALL RESIDENTS AND 29.1% OF CHILDREN LIVE IN POVERTY.HIGH SCHOOL GRADUATION IS ONE OF THE STRONGEST PREDICTORS OF LONGEVITY AND ECONOMIC STABILITY. THE PROPORTION OF ADULTS NOT COMPLETING HIGH SCHOOL CONTINUED TO DECLINE ACROSS THE MHN SERVICE AREA. ADULT RESIDENTS OF THE MHN SERVICE AREA ARE LESS LIKELY TO COMPLETE HIGH SCHOOL OR PURSUE HIGHER EDUCATION WHEN COMPARED TO THE TRI-STATE REGION AND THE NATION. MASON COUNTY HAS A LOWER RATE OF HIGH SCHOOL COMPLETION AND A HIGHER RATE OF ADULTS WITH ONLY A HIGH SCHOOL DEGREE COMPARED TO THE OVERALL SERVICE AREA, STATE LEVEL, AND NATIONAL LEVEL. APPROXIMATELY 21.5% OF MHN SERVICE AREA ADULTS HAVE A BACHELOR'S DEGREE OR HIGHER COMPARED TO 35.0% NATIONWIDE.NATIONWIDE, AND SINCE THE PANDEMIC, THERE IS A GROWING PROPORTION OF DISCONNECTED YOUTH, DEFINED AS YOUTH AGES 16-19 WHO ARE NEITHER WORKING NOR IN SCHOOL. IN 2022, APPROXIMATELY 7% OF YOUTH NATIONWIDE WERE DISCONNECTED; HIGHER PROPORTIONS WERE SEEN IN KENTUCKY (8.2%) AND WEST VIRGINIA (8.9%), ALTHOUGH PROPORTIONS DECREASED SINCE 2022 CHNA PART VI, LINE 5 THE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS THAT INCLUDES REPRESENTATIVES OF SMALL BUSINESSES, ORGANIZED LABOR, THE ELDERLY, AND LOWER-INCOME CONSUMERS. A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, ELECTED PUBLIC OFFICIALS, OR EMPLOYED BY THE LOCAL, STATE, OR FEDERAL GOVERNMENT. THE HOSPITAL PROVIDES SPECIALIZED SERVICES NOT OTHERWISE AVAILABLE TO THE COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY AS NOTED ABOVE. THE HOSPITAL IS AFFILIATED WITH THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH TRAIN PRIMARY CARE AND SPECIALTY PHYSICIANS FOR WV AND THE REGION. THE HOSPITAL'S AFFILIATION ALSO ENABLES IT TO PROVIDE SPECIALIZED HEALTHCARE SERVICES SUCH AS COMPREHENSIVE ONCOLOGY CARE. THE HOSPITAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR A NUMBER OF HEALTH PROFESSION EDUCATION PROGRAMS, INCLUDING NURSING, PHYSICAL & OCCUPATIONAL THERAPY, RURAL PSYCHIATRY RESIDENCY AND RADIOLOGICAL TECHNOLOGY. THE HOSPITAL PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL DEPARTMENTS. ANY SURPLUS OF FUNDS IS REINVESTED INTO REPLACEMENT OF EQUIPMENT OR NEW EQUIPMENT TO PROVIDE UPDATED SERVICES TO THE HOSPITAL'S PATIENTS OR TO PROVIDING NEW AND EXPANDED HEALTHCARE PROGRAMS. X 1 1 0 1 0 0 0 0 0 0 0 NEPAL CHOWDHURY PHYSICIAN 0 1694275 0 1145357 0 0 0 10350 0 45467 0 2895449 0 0 DWIGHT SAULLE NEUROSURGEON PHYSICIAN 0 602757 0 1838705 0 0 0 10350 0 45467 0 2497279 0 0 MATTHEW WERTHAMMER NEUROSURGEON PHYSICIAN 0 603527 0 1446284 0 0 0 10350 0 45467 0 2105628 0 0 NICOLAS PHAN SURGEON 0 1532102 0 402959 0 0 0 20700 0 0 0 1955761 0 0 AAMIR CHEEMA PHYSICIAN 0 783333 0 1054682 0 0 0 10350 0 40809 0 1889174 0 0 KEVIN YINGLING MHN PRESIDENT & CEO - ENDED MARCH 20 0 858387 0 0 0 6858 0 10350 0 35693 0 911288 0 0 LARRY DIAL MHN EX OFFICIO CPE & CHIEF CLINICAL 0 602269 0 248515 0 0 0 20700 0 0 0 871484 0 0 HOYT BURDICK MHN VP CMO 0 515652 0 0 0 222483 0 16061 0 33176 0 787372 0 0 DAVID M WARD MHN SENIOR VP & CFO - ENDED AUGUST 2 0 615416 0 0 0 5724 0 21080 0 17213 0 659433 0 0 REGINA M CAMPBELL MHN CHIEF OPERATING OFFICER 0 344425 0 0 0 140355 0 10350 0 35693 0 530823 0 0 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 351831 0 72600 0 32867 0 13858 0 44178 0 515334 0 0 0 PAUL E SMITH MHN CHIEF ADMIN OFFICER-ENDED 9/30/2 0 438073 0 0 0 7638 0 17175 0 34874 0 497760 0 0 MELISSA E LEASURE MHN CHIEF LEGAL OFFICER - SYSTEM VP 0 382833 0 0 0 5802 0 10350 0 54692 0 453677 0 0 CHADWICK SMITH MHN CHIEF POPULATION HEALTH OFFICER 0 389412 0 0 0 1146 0 10350 0 47634 0 448542 0 0 LISA C STUMP MHN CHIEF STRATEGY OFFICER - SYSTEM 0 393798 0 0 0 2022 0 10350 0 35743 0 441913 0 0 MARK A MORGAN MHN VP PHYS SERVICES 0 353745 0 0 0 21936 0 10350 0 44049 0 430080 0 0 BETH HAMMERS MHN CHIEF ENGAGEMENT OFFICER 0 369535 0 0 0 826 0 20700 0 20700 0 411761 0 0 SUSAN T ROBINSON MHN CHIEF HUMAN RESOURCES OFFICER - 0 364414 0 0 0 3564 0 10350 0 18028 0 396356 0 0 DENNIS LEE MHN SYSTEM VP & CHIEF INFORMATION OF 0 326072 0 0 0 2386 0 9883 0 40203 0 378544 0 0 EDUARDO PINO MHN CMIO 0 314300 0 0 0 12979 0 9721 0 35693 0 372693 0 0 ANDY MULLINS MHN CHIEF NURSING OFFICER 0 270054 0 0 0 1590 0 8277 0 51305 0 331226 0 0 AARON BLEVINS MHN CHIEF PHARMACY OFFICER 0 255408 0 0 0 5829 0 7971 0 55165 0 324373 0 0 BRADLEY BURCK MHN VP CORP FDN & DNR PHIL - ENDED J 0 234251 0 0 0 11106 0 7405 0 48177 0 300939 0 0 CHAD S FISHER MHN VP OF ORTHOPEDICS 0 158803 0 110400 0 192 0 9719 0 21302 0 300416 0 0 FAREED AZIZ MHN VP OF REVENUE CYCLE MGMT 0 207216 0 0 0 25708 0 7284 0 51890 0 292098 0 0 CHRISTOPHER HOFFMAN MHN VP OF ONCOLOGY SERVICES 0 259260 0 0 0 2323 0 7819 0 17428 0 286830 0 0 KENNETH JACKSON MHN VP FACILITY & SUPPORT SERVICES 0 242738 0 0 0 1996 0 7357 0 33459 0 285550 0 0 MOLLY FRICK MHN CHIEF HUMAN RESOURCES OFFICER - 0 215230 0 0 0 2583 0 6696 0 57862 0 282371 0 0 MELANIE AKERS MHN VP OF WOMEN/CHILD SERVICE LINE 0 206671 0 0 0 672 0 6353 0 54968 0 268664 0 0 SHAWN BASTIN RIVERS HEALTH PRESIDENT 0 210350 0 0 0 1039 0 6441 0 20384 0 238214 0 0 LORI A MCFARLAND RH CHEIF NURSING OFFICER 163051 0 0 0 411 0 4970 0 19809 0 188241 0 0 0 KRISTI ARROWOOD MHN INTERIM VP CORP FDN - STARTED JU 0 127026 0 0 0 396 0 4016 0 38907 0 170345 0 0 PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR. PART I, LINE 4B LINE 4B: THE FOLLOWING PAYMENTS WERE DISTRIBUTED FROM A 457(F) PLAN: REGINA CAMPBELL, CHIEF NURSING OFFICER $133,496 HOYT BURDICK, VP CMO $198,063 LARRY DIAL, EX OFFICIO CPE & CHIEF CLINICAL OFFICER $167,645 FAREED AZIZ KEY EMPLOYEE 72900 MHN AND RELATED ORGANIZATIONS USE FAREED AZIZ'S BUSINESS, STEWARD CONSULTING, FOR INDEPENDENT CONTRACTOR WORK. 0 FORM 990, PART VI, SECTION A, LINE 3 MARSHALL HEALTH NETWORK, INC. (MHN) SERVES AS THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC.; ST. MARY'S MEDICAL CENTER, INC.; PLEASANT VALLEY HOSPITAL, INC. D/B/A RIVERS HEALTH; AND UNIVERSITY PHYSICIANS & SURGEONS, INC. D/B/A MARSHALL HEALTH. MHN IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISIONS OF FUTURE INTERNAL REVENUE LAWS. MHN IS CLASSIFIED AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE AND EXISTS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND FURTHER THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF ITS SUPPORTED ORGANIZATIONS, INCLUDING THEIR RELATED ORGANIZATIONS. AS THE SOLE CORPORATE MEMBER OF THESE ENTITIES, MHN PROVIDES GOVERNANCE, OVERSIGHT, AND SHARED SERVICES NECESSARY TO ADVANCE AND SUPPORT THE MISSIONS OF ITS SUPPORTED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MARSHALL HEALTH NETWORK IS THE SOLE CORPORATE MEMBER THAT HAS RESERVED POWER TO APPOINT THE BOARD OF DIRECTORS FOLLOWING THE STIPULATIONS IN THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MARSHALL HEALTH NETWORK, AS SOLE CORPORATE MEMBER, HAS RESERVED POWERS TO CHANGE THE PURPOSES OF THE CORPORATION, AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS, DISSOLVE THE CORPORATION, CONSOLIDATE/AFFILIATE THIS CORPORATION WITH OTHER ORGANIZATIONS. IN ADDITION, MHN WILL MANAGE ACTIONS INITIATED BY THE CORPORATION'S BOARD OF DIRECTIONS FOR THE FOLLOWING ITEMS: ADOPTION OF STRATEGIC AND BUSINESS PLANS, ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS, APPROVAL OF ANY CHANGES TO THE CAPITAL DEBT, THE CREATION OR ACQUISITION OF ADDITIONAL AFFILIATED ORGANIZATIONS AND JOINT VENTURES, ADOPTION OR CHANGES TO MASTER CLINICAL COMPENSATION AND BENEFIT PLANS, MANAGE THE ASSETS, MANAGE CLINICAL FACULTY CHANGES, FINAL APPROVAL OVER THE VARIOUS PRACTICES OF MEDICINE, APPOINTMENT OF A PRESIDENT TO SERVE AS CEO, APPROVE UNBUDGETED EXPENDITURES INCLUDING DEBT, AND APPROVAL OF CERTAIN CONTRACTS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY RUSSELL HENCHEY, VP OF FINANCE; LISA POSTELWAIT, INTERIM CONTROLLER; KEVIN BARR, INTERIM CFO; AND MELISSA LEASURE, CHIEF LEGAL OFFICER. AFTER REVIEW BY THESE INDIVIDUALS, THE FINAL COPY OF FORM 990 IS PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT-OF-INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, GENERAL COUNSEL, AND THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION. EACH BOARD MEMBER FILLS OUT A QUESTIONNAIRE AT THE END OF THE FISCAL YEAR. THE QUESTIONNAIRE HAS QUESTIONS ON IT THAT DETERMINE INDEPENDENCE STATUS AND OTHER RELATIONSHIPS BETWEEN BOARD MEMBERS AND BETWEEN THE BOARD MEMBER AND THE HOSPITAL. THIS HELPS IN DETERMINING POSSIBLE CONFLICTS THAT MAY ARISE. IN ADDITION, THE BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST POLICY THAT REQUIRES THEM WITH DUE DILIGENCE TO STATE THAT THEY HAVE A CONFLICT OF INTEREST WHEN THAT CONFLICT ARISES. THE BOARD MEMBER MUST LEAVE THE BOARD MEETING DURING DISCUSSIONS AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE SHALL BE COMPOSED OF AT LEAST THREE MEMBERS OF THE BOARD, AND SHALL MEET AT LEAST TWICE EACH YEAR. THE COMPOSITION OF THE EXECUTIVE COMPENSATION COMMITTEE SHALL COMPLY WITH THE REQUIREMENTS OF THE BOARD POLICY ON CONFLICTS OF INTEREST. THE COMMITTEE SHALL HAVE THE FOLLOWING SPECIFIC DUTIES AND RESPONSIBILITIES. A. ANNUAL EVALUATION OF THE PERFORMANCE OF THE PRESIDENT. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION TO THE BOARD. B. ANNUAL EVALUATION OF THE PERFORMANCE OF THE CHIEF PHYSICIAN EXECUTIVE, THE CHIEF FINANCIAL OFFICER, AND SUCH OTHER VICE PRESIDENTS AS THE BOARD SHALL DETERMINE TO REQUIRE EVALUATION BY THE EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE SHALL MAKE A WRITTEN REPORT OF ITS FINDINGS, TOGETHER WITH RECOMMENDATIONS FOR COMPENSATION, TO THE BOARD. C. ANNUAL SELF-EVALUATION OF THE BOARD AND ITS MEMBERS. D. ENSURE THAT NO PERSONAL LOANS ARE MADE TO THE PRESIDENT OR OTHER MEMBERS OF THE ADMINISTRATION OF THE CORPORATION. IN CARRYING OUT ITS DUTIES, THE EXECUTIVE COMPENSATION COMMITTEE SHALL HAVE THE AUTHORITY TO HIRE COMPENSATION CONSULTANTS AND SHALL OBTAIN DATA ON COMPENSATION RANGES FOR COMPARABLE EXECUTIVE POSITIONS AT LEAST EVERY OTHER YEAR. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 WILL BE AVAILABLE ON GUIDESTAR. IT IS ALSO AVAILABLE BY REQUESTING IT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,967,158. MANAGEMENT AND GENERAL EXPENSES 3,446,966. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,414,124. UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH 1001 TENTH AVENUE HUNTINGTON WV 25701 550564945 HEALTH SERVICES WV 501(C)(3) LINE 3 MHN 1 MARSHALL HEALTH NETWORK INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 320573122 SUPPORT SERVICES WV 501(C)(3) LINE 3 N/A 0 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 HOSPITAL WV 501(C)(3) LINE 3 MHN 0 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 550357050 HOSPITAL WV 501(C)(3) LINE 3 MHN 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 MARSHALL HEALTH NETWORK INC E 4982499 INTERCOMPANY LOAN PAYABLE ST MARY'S MEDICAL CENTER INC E 471643 INTERCOMPANY LOAN PAYABLE UNIVERSITY PHYSICIANS & SURGEONS INC E 719507 INTERCOMPANY LOAN PAYABLE UNIVERSITY PHYSICIANS & SURGEONS INC P 3188643 REIMBURSEMENT PAID TO RELATED ORG MARSHALL HEALTH NETWORK INC P 5257983 REIMBURSEMENT PAID TO OTHER ORGAN CABELL HUNTINGTON HOSPITAL INC E 46314592 INTERCOMPANY LOAN PAYABLE