2025-08-15T13:42:53-05:00 2024-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2023-10-01 550440086 PLEASANT VALLEY HOSPITAL PLEA 3046754340 2520 VALLEY DRIVE PT PLEASANT WV 25550 RUSSELL HENCHEY VP FINANCE 3046754340 2025-08-15 1 0 WADE NEWELL CPA P01051041 3045250301 2025-08-15 2023 2025-03-06 01:10:19Z RIVERS HEALTH RUSSELL HENCHEY 2520 VALLEY DRIVE PT PLEASANT WV 25550 58313007 0 X WWW.PVALLEY.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. 9 8 535 21 241356 229874 0 86983 47946350 48986974 -505112 382925 6852304 8453063 54293542 57909945 0 0 0 0 27978313 28071070 0 0 0 34669664 37791684 62647977 65862754 -8354435 -7952809 41186757 39506725 36261607 42307474 4925150 -2800749 TO OPERATE AN ACUTE CARE HOSPITAL FACILITY FOR THE CITIZENS OF POINT PLEASANT, WEST VIRGINIA AND THE SURROUNDING COMMUNITIES AND COUNTIES. 0 0 54853744 56998882 THE HOSPITAL PROVIDED 6,310 ACUTE AND SWING DAYS; 80,470 OUTPATIENT VISITS; 10,522 EMERGENCY ROOM VISITS; 1,611 AMBULATORY SURGERIES; 749 OBSERVATION VISITS; AND 51,918 PHYSICIAN OFFICE VISITS. 80744 57197 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. 54934488 1 1 0 0 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 1 1 0 0 0 0 0 1 0 0 0 1 121 0 535 1 1 1 0 0 0 0 0 0 0 0 0 X 9 8 0 1 1 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/TRUSTEE 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 400809 0 82894 RUSSELL HENCHEY VP OF FINANCE 40.00 X 118053 0 37347 LORI A MCFARLAND OFFICER 40.00 X 144375 0 52572 DAVID M WARD SR. VP, CFO 1.00 45.00 X 0 928179 34973 KEVIN YINGLING PRESIDENT & CEO MHN 1.00 45.00 X 0 865245 168499 HOYT BURDICK VP CMO 1.00 45.00 X 0 508206 43433 PAUL E SMITH CHIEF ADMIN OFFICER 1.00 45.00 X 0 433194 45194 BRADLEY BURCK VP CORP FND & DNR PHIL 1.00 45.00 X 0 263077 46408 LARRY D DIAL CHIEF CLINICAL OFFICER CT 1.00 45.00 X 0 544214 19800 LISA C STUMP SYSTEM VP & CSO 1.00 45.00 X 0 488887 39199 MARK A MORGAN VP PHYSICIANS SERVICES 1.00 45.00 X 0 358442 55127 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 1.00 45.00 X 0 356742 55127 MELISSA E LEASURE SYSTEM VP & GEN COUNSEL 1.00 45.00 X 0 351722 55127 REGINA M CAMPBELL CHIEF NURSING OFFICER 1.00 45.00 X 0 341453 68176 EDUARDO PINO CMIO 1.00 45.00 X 0 312399 37959 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 1.00 45.00 X 0 260477 52745 AARON BLEVINS CHIEF PHARMACY OFFICER 1.00 45.00 X 0 259489 60316 JOHN K FIFE VP SUPPLY CHAIN OPERATIONS 1.00 45.00 X 0 181458 43961 THOMAS A HEFNER VP FINANCE 1.00 45.00 X 0 175196 33026 BILLIE TOLER DO HOSPITALIST 40.00 X 479513 0 36420 PRAKASH ARUMUGAM MD HOSPITALIST 40.00 X 393197 0 36420 EMAD AL HAJ ALI ENDOCHRONOLOGIST/ALLERGIST 40.00 X 472929 0 57515 MINA N SHENOUDA MD ONCOLOGY/HEMATOLOGY, MD 40.00 X 520540 0 35007 2529416 6628380 1197245 28 0 1 0 RIVERSWIDE ANESTHESIA 125 LEWIS HARGETT CIRCLE LEXINGTON KY 40503 PROVIDE ANESTHESIOLOGIST AND CRNA'S 2551351 MIRC CONSTRUCTION SERVICES LLC PO BOX 465 SCOTT DEPOT WV 25560 CONSTRUCTION FOR PHARMACY 1171593 HEALTH CAROUSEL PO BOX 714216 CINCINNATI OH 45271 TRAVEL STAFF 362896 TRUSTAFF TRAVEL NURSES 4675 CORNELL ROAD SUITE 100 CINCINNATI OH 45241 TRAVEL NURSES 222851 CARDINAL HEALTH PO BOX 70539 CHICAGO IL 60673 MEDICAL SUPPLIES 199766 13 86983 86983 PATIENT SERVICES 621990 44884418 44884418 PHARMACY 456110 4126103 4126103 WELLNESS CENTER 713940 -23547 -23547 48986974 362617 362617 144584 1982 142602 142602 142602 421388 401080 20308 20308 20308 OTHER INCOME 900099 7890095 7890095 DASCO PARTNERSHIP 456199 264903 264903 CAFETERIA & VENDING 722212 155463 155463 8310461 57909945 57056079 241356 525527 X 363503 287167 76336 24061782 19008808 5052974 335805 265286 70519 1730369 1366992 363377 1579611 1247893 331718 8746 8746 5626 5626 16052207 12681244 3370963 271774 214701 57073 325705 257307 68398 83820 66218 17602 40507 32001 8506 145367 114840 30527 2058912 1626540 432372 1063146 839885 223261 DRUG EXPENSES 4912898 4912898 MEDICAL SUPPLIES 4438841 4438841 BAD DEBTS 3147995 3147995 MEDICAID PROVIDER TAX 1377722 1377722 3858418 3048150 810268 65862754 54934488 10928266 0 2066090 632552 2999889 4108193 3391109 4542710 1606970 2046830 470959 258100 23709059 4356801 19114235 19352258 9073911 7598096 2463594 967986 41186757 39506725 26097747 39675730 10163860 2631744 36261607 42307474 X 4925150 -2800749 4925150 -2800749 41186757 39506725 -7952809 226910 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1889000 1889000 13395784 1462957 11932827 28793 5318 23475 8179540 2888526 5291014 215942 215942 19352258 NOTES PAYABLE 2631744 2631744 X PART X, LINE 2: THE HOSPITAL, FOUNDATION, AND SCHOLARSHIP FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. IN ADDITION, THE FOUNDATION AND SCHOLARSHIP FOUNDATION HAVE BEEN CLASSIFIED AS ORGANIZATIONS OTHER THAN A PRIVATE FOUNDATION MEANING OF SECTION 509(A) OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOSPITAL, FOUNDATION, AND SCHOLARSHIP FOUNDATION TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL, FOUNDATION, AND SCHOLARSHIP FOUNDATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HOSPITAL, FOUNDATION, AND SCHOLARSHIP FOUNDATION HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE HOSPITAL, FOUNDATION, AND SCHOLARSHIP FOUNDATION HAVE CONCLUDED THAT AS OF SEPTEMBER 30, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR THE YEARS ENDED SEPTEMBER 30, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 1 X 1 X 1 X 10000.000000000000 1 1 0 0 782109 782109 0.01190 10208905 4770853 5438052 0.08260 10991014 4770853 6220161 0.09450 1057 1057 0.00000 81684 81684 0.00120 82741 82741 0.00120 11073755 4770853 6302902 0.09570 1 1183835 414377 4788663 28964478 -24175815 X 1 1 1 1 PLEASANT VALLEY HOSPITAL 2520 VALLEY DRIVE PT PLEASANT WV 25550 X X X SKILLED NURSING FACILITY PLEASANT VALLEY HOSPITAL 1 0 0 1 X X X X X X X X 22 1 0 0 1 X HTTPS://PVH.MOUNTAINHEALTHNETWORK.ORG/ASSETS/PVH/DOCUMENTS/PVH-CHNA-2023.PD X 1 22 1 HTTPS://PVH.MOUNTAINHEALTHNETWORK.ORG/ASSETS/PVH/DOCUMENTS/PVH-CHNA-2023.PD 0 1 X 100.000000000000 100.000000000000 1 1 X X X 1 X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X X X X X X 1 X 0 X X X 1 X 0 0 PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 5: THE 2022 CHNA INCLUDED QUANTITATIVE RESEARCH METHODS AND COMMUNITY CONVERSATIONS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING GALLIA, MASON, AND MEIGS COUNTY RESIDENTS. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANT MAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. 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 AND INEQUITIES. PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 11: THE TOP THREE SIGNIFICANT NEEDS TO ADDRESS ARE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER (SUD) AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. BEHAVIORAL HEALTH: SUPPORT, PROMOTE, AND PARTICIPATE IN COMMUNITY BEHAVIORAL HEALTH AWARENESS AND TRAINING EFFORTS; PARTNER WITH AREA SCHOOLS AND CONTINUE LEADING THE MASON COUNTY COMPREHENSIVE HEALTHY KIDS PROGRAM; PARTNER WITH SENIOR CENTERS; PROVIDE COMMUNITY WIDE TRAINING FOR BEHAVIORAL HEALTH; PROVIDE INPATIENT BEHAVIORAL HEALTH CONSULTATIONS AND OUTPATIENT SERVICES. SUBSTANCE USE DISORDER: CONDUCT UNIVERSAL SCREENINGS IN HEALTHCRAE SETTINGS TO IDENTIFY INDIVIDUALS WITH SUD CONDITIONS; SUPPORT, PROMOTE, AND PARTICIPATE IN COMMUNITY SUD AWARENESS AND TRAINING EFFORTS; PROVIDE MEDICAL WITHDRAWAL MANAGEMENT SERVICE; DEVELOP COMPREHENSIVE ASSESSMENT, EDUCATION, INTERVENTION AND ADDICTION TREATMENT SOLUTIONS; EXPAND MEDICATION-ASSISTED TREATMENT SERVICES. CHRONIC DISEASE PREVENTION AND MANAGEMENT: YOUTH INTERNSHIP AND MENTORING OPPORTUNITIES TO FOSTER INTEREST IN HEALTHCARE PROFESSIONS; PARTNER WITH AREA SCHOOLS AND BUSINESSES TO ESTABLISH CAREER DEVELOPMENT PROGRAMS IN HEALTHCARE; INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTHCARE AND NUMBER OF RESIDENTS WITH A MEDICAL HOME; ADVOCATE FOR MORE PUBLIC TRANSPORTATION FOR HEALTHCARE FACILITIES; PARTNER WITH MOUNTAIN HEALTH NETWORK TO CONTINUE TO EXPAND SPECIALTY CARE SERVICES; PROVIDE HEALTH INSURANCE ENROLLMENT SERVICES FOR UNINSURED RESIDENTS; PROVIDE DIABETES AND WEIGHT LOSS EDUCATION; CONTINUE WELLNESS CENTER; SPONSOR COMMUNITY HEALTH EVENTS. PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 16J: THE POLICY IS DISCUSSED WITH PATIENTS BEFORE THEY ARE DISCHARGED. A COPY OF THE POLICY IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE. 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 $3,147,995. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON AUDITED FINANCIAL STATEMENTS. PART II, COMMUNNITY BUILDING ACTIVITIES: OUR WEIGHT LOSS CHALLENGE GIVES THE COMMUNITY THE ABILITY TO USE OUR WELLNESS SERVICES. OUR WELLNESS SERVICES INCLUDE CARDIO AND WEIGHT LIFTING MACHINES AND CERTIFIED EXERCISE PHYSIOLOGISTS. BLOOD PRESSURE, WEIGHT, AND BODY FAT WERE MONITORED BEFORE THE CHALLENGE AND AFTER THE CHALLENGE. THIS PROMOTES A HEALTHY LIFESTYLE IN THE COMMUNITY. MASON COUNTY IS A MEDICALLY UNDERSERVED AREA AND THE HOSPITAL SPENDS MONEY FOR RECRUITMENT FOR THIS AREA. THE AMOUNT SHOWN FOR WORKFORCE DEVELOPMENT IS THE AMOUNT PAID TO RECRUIT NEW PHYSICIANS TO THE AREA. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTABILITY. MANAGEMENT ALSO REVIEWS TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8: MEDICARE ALLOWABLE COSTS AND REIMBURSEMENTS WERE OBTAINED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: PLEASANT VALLEY HOSPITAL 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: WE PROVIDED SURVEYS AND CONDUCTED INTERVIEWS WITH EMPLOYEES, BUSINESSES, AND RESIDENTS OF THE COMMUNITIES WE SERVE. WE ASKED IN THE SURVEY IF THEY CAN INDICATE HEALTH CONDITIONS IN THEIR HOUSEHOLD. DURING INTERVIEWS, WE ASKED WHAT THE HEALTHCARE NEEDS ARE, WHAT BARRIERS THERE ARE, AND WHAT OPPORTUNITIES FOR IMPROVEMENT DO THEY SEE. PART VI, LINE 3: 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: PLEASANT VALLEY HOSPITAL IS A RURAL HOSPITAL IN POINT PLEASANT, WV. PLEASANT VALLEY HOSPITAL SERVES MAINLY THE PEOPLE OF MASON AND JACKSON COUNTY, WV AND MEIGS AND GALLIA COUNTY, OH. THE PVH SERVICE AREA COMPRISES PRIMARILY RURAL COMMUNITIES IN MASON COUNTY, WEST VIRGINIA AND GALLIA AND MEIGS COUNTIES IN OHIO. WITH FEW EXCEPTIONS, THE COUNTIES GENERALLY FOLLOW DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH TRENDS FOR THE STATE OF WEST VIRGINIA OVERALL. AS OF THE 2020 CENSUS, ALL THREE COUNTIES HAD A SIMILAR TOTAL POPULATION OF APPROXIMATELY 22,000 TO 29,000, AND CONSISTENT WITH WEST VIRGINIA, SAW POPULATION DECLINE FROM THE 2010 CENSUS THAT AVERAGED - 5.5% TO - 7%. APPROXIMATELY 16% OF MASON COUNTY RESIDENTS AND 20% OF GALLIA AND MEIGS COUNTY RESIDENTS LIVE IN POVERTY COMPARED TO 13% NATIONALLY. MASON COUNTY SAW DECLINE IN OVERALL POVERTY IN RECENT YEARS, WHILE GALLIA AND MEIGS COUNTIES HAVE HISTORICALLY HIGHER POVERTY LEVELS. HEALTH NEEDS CHANGE AS INDIVIDUALS AGE. THEREFORE, THE AGE DISTRIBUTION OF A COMMUNITY IMPACTS THE SOCIAL AND HEALTHCARE NEEDS. THE AGE DISTRIBUTION AND MEDIAN AGE OF THE TRI-COUNTY AREA IS SIMILAR TO WEST VIRGINIA OVERALL AND OLDER THAN THE NATION. APPROXIMATELY 21% OF RESIDENTS ARE AGE 65 OR OLDER COMPARED TO 16% NATIONWIDE. THE PROPORTION OF OLDER ADULT RESIDENTS INCREASED ACROSS THE TRI-COUNTY AREA, OHIO, WEST VIRGINA, AND THE NATION. NATIONALLY, AMONG OLDER ADULTS AGED 65 OR OLDER, THE 65-74 AGE CATEGORY IS THE FASTEST GROWING DEMOGRAPHIC, LARGELY DUE TO THE AGING OF THE BABY BOOMER GENERATION. WHILE THE OLDER ADULT POPULATION INCREASED IN THE TRI-COUNTY AREA, YOUTH UNDER AGE 18 COMPRISE APPROXIMATELY 1 IN 5 RESIDENTS. THIS FINDING REINFORCES THE POTENTIAL IMPACT OF UPSTREAM, PREVENTIVE INITIATIVES. RESIDENTS OF THE TRI-COUNTY AREA HAVE MORE HEALTH RISK FACTORS AND HIGHER PREVALENCE AND MORTALITY DUE TO CHRONIC DISEASE. APPROXIMATELY ONE-THIRD OF COUNTY ADULTS REPORTED BEING PHYSICALLY INACTIVE COMPARED TO ONE-QUARTER OF ADULTS NATIONALLY. SIMILARLY, ONE-QUARTER OF COUNTY ADULTS REPORTED SMOKING COMPARED TO LESS THAN ONE-FIFTH OF ADULTS NATIONALLY. NATIONALLY, THE MOST CHRONIC CONDITIONS AMONG OLDER ADULT MEDICARE BENEFICIARIES, IN ORDER OF PREVALENCE, ARE HYPERTENSION, HIGH CHOLESTEROL, AND ARTHRITIS. THIS FINDING IS CONSISTENT FOR THE TRI-COUNTY AREA. PART VI, LINE 6: THE HOSPITAL IS CONTROLLED BY THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK INC. MARSHALL HEALTH NETWORK, INC IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING: CABELL HUNTINGTON HOSPITAL, INC., ST. MARY'S MEDICAL CENTER, INC., AND UNIVERSITY PHYSICIANS & SURGEONS, INC. DBA MARSHALL HEALTH. THE MARSHALL HEALTH NETWORK AFFILIATED HEALTH CARE SYSTEM IS COMPRISED OF MULTIPLE RELATED HOSPITALS, PHYSICIAN PRACTICES, AMBULATORY FACILITIES, AND CLINICS THAT OPERATE AS SEPARATE LEGAL ENTITIES BUT ARE COORDINATED UNDER A UNIFIED MISSION. MARSHALL HEALTH NETWORK OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE ORGANIZATIONS IT CONTROLS. THESE PURPOSES INCLUDE PROMOTING THE HEALTH OF THE COMMUNITIES SERVED THROUGH COMMUNITY BUILDING ACTIVITIES AND COMMUNITY HEALTH IMPROVEMENT ALONG WITH SUPPORTING OTHER ORGANIZATIONS IN THEIR MISSIONS AS WELL. THE MISSION OF MARSHALL HEALTH NETWORK AND ALL ITS AFFILIATED ENTITIES, INCLUDING PLEASANT VALLEY HOSPITAL DBA RIVERS HEALTH, IS TO "ADVANCE HEALTH, INSPIRE HOPE, AND SERVE YOU". THE ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF OVER ONE MILLION CHILDREN AND ADULTS IN 38 COUNTIES ACROSS WEST VIRGINIA, SOUTHERN OHIO, AND EASTERN KENTUCKY THROUGH HIGH QUALITY COMPASSIONATE CARE, EDUCATION, AND RESEARCH. X 1 1 0 1 0 0 0 0 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 0 846387 0 0 0 18858 0 139800 0 28699 0 1033744 0 0 DAVID M WARD SR. VP, CFO 0 570143 0 343513 0 14523 0 20623 0 14350 0 963152 0 0 LARRY D DIAL CHIEF CLINICAL OFFICER CT 0 493805 0 50409 0 0 0 19800 0 0 0 564014 0 0 MINA N SHENOUDA MD ONCOLOGY/HEMATOLOGY, MD 466540 0 0 0 54000 0 22500 0 12507 0 555547 0 0 0 HOYT BURDICK VP CMO 0 500568 0 0 0 7638 0 15738 0 27695 0 551639 0 0 EMAD AL HAJ ALI ENDOCHRONOLOGIST/ALLERGIST 472929 0 0 0 0 0 22496 0 35019 0 530444 0 0 0 LISA C STUMP SYSTEM VP & CSO 0 381398 0 105467 0 2022 0 10500 0 28699 0 528086 0 0 BILLIE TOLER DO HOSPITALIST 448513 0 500 0 30500 0 0 0 36420 0 515933 0 0 0 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 281224 0 44435 0 75150 0 47875 0 35019 0 483703 0 0 0 PAUL E SMITH CHIEF ADMIN OFFICER 0 425556 0 0 0 7638 0 16495 0 28699 0 478388 0 0 PRAKASH ARUMUGAM MD HOSPITALIST 393197 0 0 0 0 0 0 0 36420 0 429617 0 0 0 MARK A MORGAN VP PHYSICIANS SERVICES 0 350503 0 6697 0 1242 0 10500 0 44627 0 413569 0 0 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 0 353178 0 0 0 3564 0 10500 0 44627 0 411869 0 0 REGINA M CAMPBELL CHIEF NURSING OFFICER 0 334595 0 0 0 6858 0 20375 0 47801 0 409629 0 0 MELISSA E LEASURE SYSTEM VP & GEN COUNSEL 0 350444 0 0 0 1278 0 10500 0 44627 0 406849 0 0 EDUARDO PINO CMIO 0 305541 0 0 0 6858 0 9260 0 28699 0 350358 0 0 AARON BLEVINS CHIEF PHARMACY OFFICER 0 248815 0 9865 0 809 0 15689 0 44627 0 319805 0 0 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 0 259937 0 0 0 540 0 8118 0 44627 0 313222 0 0 BRADLEY BURCK VP CORP FND & DNR PHIL 0 221535 0 39624 0 1918 0 7946 0 38462 0 309485 0 0 JOHN K FIFE VP SUPPLY CHAIN OPERATIONS 0 180586 0 0 0 872 0 5499 0 38462 0 225419 0 0 THOMAS A HEFNER VP FINANCE 0 173973 0 0 0 1223 0 5331 0 27695 0 208222 0 0 LORI A MCFARLAND OFFICER 144375 0 0 0 0 0 16152 0 36420 0 196947 0 0 0 RUSSELL HENCHEY VP OF FINANCE 118053 0 0 0 0 0 927 0 36420 0 155400 0 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. JEFFREY BURDICK FAMILY MEMBER 41349 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 1051402 MHN AND RELATED ORGANIZATIONS USE FAREED AZIZ'S BUSINESS, STEWARD CONSULTING, FOR CONSULTING 0 FORM 990, PART VI, SECTION A, LINE 3 MARSHALL HEALTH NETWORK, INC. (MHN) HAS BECOME THE SOLE CORPORATE MEMBER OF PLEASANT VALLEY HOSPITAL, INC. DBA RIVERS HEALTH("CORPORATION"). IT IS ALSO THE SOLE CORPORATE MEMBER OF CABELL HUNTINGTON HOSPITAL, INC, ST. MARY'S MEDICAL CENTER INC, AND UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH. MARSHALL HEALTH NETWORK INC IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND ANY CORRESPONDING PROVISION OF ANY FUTURE INTERNAL REVENUE LAWS, AS A SUPPORTING ORGANIZATION DESCRIBED IN SECTION 509(A)(3) OF THE CODE, THE PURPOSE OF WHICH IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES OF THE SUPPORTED ORGANIZATION THAT IT IS NOW THE SOLE CORPORATE MEMBER OF ABOVE. FORM 990, PART VI, SECTION A, LINE 4 GOVERNING DOCUMENTS WERE AMENDED TO INCLUDE ONE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK. THE NUMBER OF VOTING BOARD MEMBERS WAS CHANGED TO NINE AND ONE NON-VOTING BOARD MEMBER WAS ADDED. THE STIPULATIONS FOR WHO SHOULD BE A BOARD MEMBER, THE BOARD MEMBER TERMS TO BE SERVICED, AND BOARD MEMBER DUTIES WERE CHANGED AS WELL. THE ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED SO THAT ONLY THE CORPORATE MEMBER CAN AMEND THE ARTICLES OF INCORPORATION AND BYLAWS. THE SOLE CORPORATE MEMBER, MARSHALL HEALTH NETWORK WAS GIVEN OTHER RESERVED POWERS AND FINAL APPROVAL OF BOARD OF DIRECTORS INITIATED ACTIONS. 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 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 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 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR INSPECTION AT THE HOSPITAL OR BY MAILING A COPY UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 12,681,244. MANAGEMENT AND GENERAL EXPENSES 3,370,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,052,207. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO ENGAGE. DURING THE YEAR AUDITORS MEET WITH THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. RIVERS HEALTH FOUNDATION 2520 VALLEY DRIVE POINT PLEASANT WV 25550 200120079 FUNDRAISING WV 501(C)(3) LINE 11 PVH 1 RIVERS HEALTH SCHOLARSHIP FOUNDATION 2520 VALLEY DRIVE POINT PLEASANT WV 25550 550649849 SCHOLARSHIPS/HEALTHCARE WV 501(C)(3) LINE 12C, III-FI N/A 0 UNIVERSITY PHYSICIANS & SURGEONS INC DBA MARSHALL HEALTH 1001 TENTH AVENUE HUNTINGTON WV 25701 550564945 HEALTHCARE WV 501(C)(3) LINE 3 MHN 0 MARSHALL HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 320573122 MANAGEMENT SERVICES WV 501(C)(3) LINE 12A, I 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 HEALTH SERVICES WV 501(C)(3) LINE 3 MHN 0 CABELL HUNTINGTON HOSPITAL FOUNDATION PO BOX 1427 HUNTINGTON WV 25716 311096222 FUNDRAISING WV 501(C)(3) LINE 12A, I CHH INC 0 ST MARY'S MEDICAL CENTER FOUNDATION INC 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 FUNDRAISING WV 501(C)(3) LINE 12B, II SMMC 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 PLEASANT VALLEY HOSPITAL FOUNDATION INC C 86732 CASH CABELL HUNTINGTON HOSPITAL INC E 15545948 CASH UNIVERSITY PHYSICIANS & SURGEONS INC P 2243894 CASH UNIVERSITY PHYSICIANS & SURGEONS INC E 630169 CASH