2024-08-15T13:15:47-05:00 2023-09-30 550538163 SUTTLE & STALNAKER PLLC 1411 VIRGINIA ST E STE 100 CHARLESTON WV 25301 990 2022-10-01 320573122 MOUNTAIN HEALTH NETWORK INC MOUN 3045262571 1340 HAL GREER BLVD HUNTINGTON WV 25701 DAVID M WARD VP/CFO 3045262571 2024-08-14 1 0 WADE NEWELL CPA P01051041 3043434126 2024-08-13 2022 2024-08-08 14:25:15Z KEVIN YINGLING 1340 HAL GREER BLVD HUNTINGTON WV 25701 22349221 0 X MOUNTAINHEALTHNETWORK.ORG X 2020 WV TO IMPROVE THE WELL-BEING OF ALL WE SERVE THROUGH UNDERSTANDING, RESPECTING, AND MEETING THEIR HEALTH NEEDS. 8 7 1 8 0 0 0 1796949 1980000 20552272 146 0 0 0 1980146 22349221 0 0 0 0 1518957 22919087 0 0 0 237326 2062332 1756283 24981419 223863 -2632198 2059021 8227310 1497196 10297683 561825 -2070373 TO IMPROVE THE WELL-BEING OF ALL WE SERVE THROUGH UNDERSTANDING, RESPECTING, AND MEETING THEIR HEALTH NEEDS. 0 0 21234207 20552272 PROVIDE SERVICES AND RESOURCES FOR THE BENEFIT OF CABELL HUNTINGTON HOSPITAL, INC. AND ITS WHOLLY OWNED SUBSIDIARIES, ST. MARY'S MEDICAL CENTER, INC. AND PLEASANT VALLEY HOSPITAL, INC. WHICH ARE ALL WEST VIRGINIA NON-PROFIT CORPORATIONS QUALIFIED AS TAX EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) WHICH OPERATE FULL SERVICE ACUTE CARE HOSPITALS. 21234207 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WV X X DAVID M WARD SENIOR VPCFO 3045262000 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 DAN O'HANLON DIRECTOR 2.00 X 0 0 0 TODD CAMPBELL DIRECTOR 2.00 X 0 0 0 DANIEL SNAVELY VICE PRESIDENT/DIRECTOR 2.00 X X 0 0 0 SISTER MARY GRACE BARILE SECRETARY/DIRECTOR 2.00 X X 0 0 0 RANDIE LAWSON CHAIR/DIRECTOR 2.00 X X 0 0 0 SARAH DENMAN DIRECTOR 2.00 X 0 0 0 BOBBY MILLER DIRECTOR 2.00 X 0 0 0 CASSIE LANDERS DIRECTOR 2.00 X 0 0 0 KEVIN YINGLING PRESIDENT & CEO 45.00 X 862472 0 27019 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 1.00 45.00 X 0 764329 23006 HOYT J BURDICK SR. CHIEF MEDICAL OFFICER 1.00 45.00 X 0 517893 28360 PAUL E SMITH CHIEF ADMINISTRATIVE OFFICER 1.00 45.00 X 0 566227 32015 BRADLEY BURCK VP CHH FOUNDATION 1.00 45.00 X 0 231019 37811 KEITH BIDDLE PVH COO 0.00 45.00 X 0 0 0 LISA C STUMP VP & CHIEF STRATEGY OFFICER 1.00 45.00 X 0 494254 27019 DENNIS J LEE VP & CHIEF INFORMATION OFFICER 1.00 45.00 X 0 508010 26073 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 1.00 45.00 X 0 160932 13509 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 1.00 45.00 X 0 302387 42015 REGINA CAMPBELL CHIEF NURSING OFFICER 1.00 45.00 X 0 348131 34243 MARK A MORGAN VP PHYSICIANS SERVICES 1.00 45.00 X 0 353192 47801 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 1.00 45.00 X 0 476811 48073 AARON BLEVINS CHIEF PHARMACY OFFICER 1.00 45.00 X 0 258870 45210 862472 4982055 432154 1 0 1 0 0 1796949 1796949 MANAGEMENT FEES 561499 20552272 20552272 20552272 22349221 20552272 0 0 5616080 4773668 842412 13108694 11142390 1966304 636264 540824 95440 2433575 2068539 365036 1124474 955803 168671 37692 32038 5654 4779 4062 717 1906845 1620819 286026 756 643 113 4855 4127 728 OTHER EXPENSES 107405 91294 16111 24981419 21234207 3747212 0 1224804 6120737 248039 82585 14178 25572 13000 13000 13000 160000 399000 1985416 2059021 8227310 414475 4191037 1082721 6106646 1497196 10297683 X 561825 -2070373 561825 -2070373 2059021 8227310 -2632198 0 X X 0 1 X 1 0 X X X 3 CABELL HUNTINGTON HOSPITAL INC 550675666 3 1 0 0 ST MARY'S MEDICAL CENTER INC 550357050 3 1 0 0 PLEASANT VALLEY HOSPITAL 550440086 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13000 13000 13000 A/R MOUNTAIN HEALTH VENTURES 399000 A/R OTHER - INTERCOMPANY 1586416 1985416 A/P CABELL HUNTINGTON HOSPITAL 5084091 A/P INTERCOMPANY 1022555 6106646 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, 2023 AND 2022. X X X X X X 0 1 0 0 0 0 0 0 0 KEVIN YINGLING PRESIDENT & CEO 858908 0 0 0 3564 0 0 0 0 27019 862472 27019 0 0 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 0 721926 0 26030 0 16373 0 23006 0 0 0 787335 0 0 PAUL E SMITH CHIEF ADMINISTRATIVE OFFICER 0 538693 0 19896 0 7638 0 32015 0 0 0 598242 0 0 HOYT J BURDICK SR. CHIEF MEDICAL OFFICER 0 487348 0 22907 0 7638 0 28360 0 0 0 546253 0 0 DENNIS J LEE VP & CHIEF INFORMATION OFFICER 0 488096 0 17892 0 2022 0 26073 0 0 0 534083 0 0 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 0 460448 0 16363 0 0 0 9150 0 38923 0 524884 0 0 LISA C STUMP VP & CHIEF STRATEGY OFFICER 0 474684 0 17578 0 1992 0 27019 0 0 0 521273 0 0 MARK A MORGAN VP PHYSICIANS SERVICES 0 336868 0 16324 0 0 0 9150 0 38651 0 400993 0 0 REGINA CAMPBELL CHIEF NURSING OFFICER 0 332389 0 15742 0 0 0 9150 0 25093 0 382374 0 0 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 0 302332 0 0 0 55 0 0 0 42015 0 344402 0 0 AARON BLEVINS CHIEF PHARMACY OFFICER 0 247339 0 11531 0 0 0 7766 0 37444 0 304080 0 0 BRADLEY BURCK VP CHH FOUNDATION 0 221140 0 8411 0 1468 0 37811 0 0 0 268830 0 0 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 0 143969 0 14062 0 2901 0 13509 0 0 0 174441 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS OF THE ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. PART I, LINE 4B KEVIN YINGLING $129,300 457F PLAN AND HOYT BURDICK $60,402 457F PLAN JEFFREY BURDICK FAMILY MEMBER 119537 REPORTABLE COMPENSATION 0 PAUL SMITH OFFICER OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 FAREED AZIZ KEY EMPLOYEE 14050 CHH USES FAREED'S BUSINESS, STEWARD CONSULTING, FOR CONTRACT STAFFING 0 BRADLEY BURCK DAUGHTER 625 FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT & ACCOUNTING WHICH IS OWNED BY BRADLEY BURCK'S DAUGHTER. 0 FORM 990, PART VI, SECTION A, LINE 6 MOUNTAIN HEALTH NETWORK, INC (MHN) HAS ONE MEMBER, CABELL HUNTINGTON HOSPITAL, INC (CHHI). THE CORPORATION IS CURRENTLY MANAGED BY NINE BOARD MEMBERS THAT ARE APPOINTED AS FOLLOWS: THE CHAIRMAN OF THE CHHI BOARD SHALL ALSO SERVE AS CHAIRMAN OF MHN. THREE ADDITIONAL MEMBERS OF THE CHHI BOARD (CHOSEN BY CHHI BOARD CHAIR) SHALL SERVE, THE PRESIDENT/CEO OF CHHI SHALL SERVE, ONE MEMBER SHALL BE THE DEAN OF THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE, ONE MEMBER SHALL BE THE PRESIDENT/CEO OF ST. MARY'S HOSPITAL, ONE MEMBER SHALL BE THE PRESIDENT OF THE MEDICAL AND DENTAL STAFF AT ST. MARY'S MEDICAL CENTER, AND ONE MEMBER SHALL BE A SISTER OF THE PALLOTTINE MISSIONARY SOCIETY THAT RESIDES IN HUNTINGTON, WV. THE BOARD OF DIRECTORS OF CHHI SHALL HAVE THE AUTHORITY TO ADD MEMBERS UP TO THE MAXIMUM OF FIFTEEN ALLOWED BY THE GOVERNANCE DOCUMENTS. FORM 990, PART VI, SECTION A, LINE 7A MOUNTAIN HEALTH NETWORK, INC (MHN) HAS ONE MEMBER, CABELL HUNTINGTON HOSPITAL, INC (CHHI). THE CORPORATION IS CURRENTLY MANAGED BY NINE BOARD MEMBERS THAT ARE APPOINTED AS FOLLOWS: THE CHAIRMAN OF THE CHHI BOARD SHALL ALSO SERVE AS CHAIRMAN OF MHN. THREE ADDITIONAL MEMBERS OF THE CHHI BOARD (CHOSEN BY CHHI BOARD CHAIR) SHALL SERVE, THE PRESIDENT/CEO OF CHHI SHALL SERVE, ONE MEMBER SHALL BE THE DEAN OF THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE, ONE MEMBER SHALL BE THE PRESIDENT/CEO OF ST. MARY'S HOSPITAL, ONE MEMBER SHALL BE THE PRESIDENT OF THE MEDICAL AND DENTAL STAFF AT ST. MARY'S MEDICAL CENTER, AND ONE MEMBER SHALL BE A SISTER OF THE PALLOTTINE MISSIONARY SOCIETY THAT RESIDES IN HUNTINGTON, WV. THE BOARD OF DIRECTORS OF CHHI SHALL HAVE THE AUTHORITY TO ADD MEMBERS UP TO THE MAXIMUM OF FIFTEEN ALLOWED BY THE GOVERNANCE DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C YEARLY, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFILCT OF INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE BOARD MEMBERS AND GENERAL COUNSEL TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF THE ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. 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 XII, LINE 2C: THE ANNUAL FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE PARENT ENTITY CABELL HUNTINGTON HOSPITAL, INC. THAT AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO GO WITH. DURING THE YEAR AUDITORS MEET WITH THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED. CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 HOSPITAL WV 501(C)(3) LINE 3 N/A 0 ST MARY'S MEDICAL CENTER INC 2900 FIRST AVENUE HUNTINGTON WV 25702 550357050 HEALTH SERVICES WV 501(C)(3) LINE 3 CHH INC 1 PLEASANT VALLEY HOSPITAL INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 550440086 HOSPITAL WV 501(C)(3) LINE 3 CHH INC 1 CABELL HUNTINGTON HOSPITAL FOUNDATION INC PO BOX 1427 HUNTINGTON WV 25716 311096222 FUNDRAISING WV 501(C)(3) LINE 3 CHH INC 1 PLEASANT VALLEY MEDICAL GROUP INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 471358788 HEALTH SERVICES WV 501(C)(3) LINE 3 CHH INC 1 ST MARY'S MEDICAL CENTER FOUNDATION INC 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 FUNDRAISING WV 501(C)(3) LINE 11 CHH INC 1 PLEASANT VALLEY HOSPITAL FOUNDATION INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 200120079 FUNDRAISING WV 501(C)(3) LINE 11 CHH INC 1 PLEASANT VALLEY HOSPITAL HEALTH FOUNDATION INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 550649849 SCHOLARSHIPS/HEALTHCARE WV 501(C)(3) LINE 12C, III-F1 CHH INC 1 MOUNTAIN HEALTH VENTURES INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 833917955 HEALTH CARE INVEST WV MHN INC C -53163 4791815 1.00000 1 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 CABELL HUNTINGTON HOSPITAL INC L 12066255 CASH ST MARY'S MEDICAL CENTER INC L 8486017 CASH CABELL HUNTINGTON HOSPITAL INC P 3947232 CASH MOUNTAIN HEALTH VENTURES INC D 399000 LOAN BALANCE CABELL HUNTINGTON HOSPITAL FOUNDATION INC O 200207 CASH ST MARY'S MEDICAL CENTER FOUNDATION INC O 173032 CASH PLEASANT VALLEY HOSPITAL FOUNDATION INC O 150901 CASH PLEASANT VALLEY HOSPITAL HEALTH FOUNDATION INC O 90259 CASH