MUSKINGUM VALLEY HEALTH CENTERS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MUSKINGUM VALLEY HEALTH CENTERS (EIN 20-8814374)
- Tax period
- 2010-09-01 to 2011-08-31
- Filed
- 2012-04-13
- IRS object ID
- 201241049349300244
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-13T14:51:22-05:00 | Timestamp |
| Tax Period End Date | 2011-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE ST STE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208814374 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUSKINGUM VALLEY HEALTH CENTERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MUSK | NameControl |
| Phone | 7044545239 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 716 ADAIR AVE | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | REBECCA CARR | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 7044545239 | Phone |
| Date Signed | 2012-04-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | REBECCA CARR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 716 ADAIR AVE | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14029266 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MVHEALTHCENTERS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | MUSKINGUM VALLEY HEALTH CENTER PROVIDES NUMEROUS SERVICES, INCLUDING ADULT PRIMARY CARE, PEDIATRICS, DENTAL, MENTAL HEALTH, OB/GYN, AND PODIATRY SERVICES. DURING THE ORGANIZATION'S FISCAL YEAR, APPROXIMATELY 18,373 PATIENTS RECEIVED SERVICES RESULTING IN 70,913 VISITS. ADDITIONALLY, MVHC PROVIDED SLIDING FEE SCALE ADJUSTMENTS IN THE AMOUNT OF $811,686 TO ITS PATIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 164 | TotalNbrEmployees |
| Total Nbr Volunteers | 13 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2338465 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6222891 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7368173 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7695276 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3038 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1483 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 101696 | OtherRevenuePriorYear |
| Other Revenue Current Year | 109616 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9811372 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14029266 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5930888 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6470947 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2065844 | OtherExpensePriorYear |
| Other Expenses Current Year | 2452327 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7996732 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8923274 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1814640 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5105992 | RevenuesLessExpensesCY |
| Total Assets BOY | 3633705 | TotalAssetsBOY |
| Total Assets EOY | 10887880 | TotalAssetsEOY |
| Total Liabilities BOY | 1112346 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3260529 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2521359 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7627351 | NetAssetsOrFundBalancesEOY |
| Mission Description | MUSKINGUM VALLEY HEALTH CENTERS' MISSION IS TO PROVIDE AFFORDABLE, ACCESSIBLE, AND QUALITY HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6824483 | Expense |
| Revenue | 7804717 | Revenue |
| Description | HEALTHCARE SERVICES: MUSKINGUM VALLEY HEALTH CENTER PROVIDES NUMEROUS SERVICES, INCLUDING ADULT PRIMARY CARE, PEDIATRICS, DENTAL, MENTAL HEALTH, OB/GYN, AND PODIATRY SERVICES. DURING THE ORGANIZATION'S FISCAL YEAR, APPROXIMATELY 18,373 PATIENTS RECEIVED SERVICES RESULTING IN 70,913 VISITS. ADDITIONALLY, MVHC PROVIDED SLIDING FEE SCALE ADJUSTMENTS IN THE AMOUNT OF $811,686 TO ITS PATIENTS. | Description |
| Total Program Service Expense | 6824483 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 164 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBECCA CARR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7408919094 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 716 ADAIR AVE | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BRAD BOND | |||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| COREY HAMILTON | |||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| RANDY COCHRANE | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| JOHN WILSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| CAROL HOWDYSHELL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD HUCK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARY KELLER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CAROLYN JENKINS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAN SNOUFFER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RONALD WEINER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ALICE BALDWIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HEATHER COEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LISA KING | |||||||
| CEO--09/01/10-06/17/11 | 40.00 | X | 115885 | 0 | 12676 | ||
| DAN ATKINSON | |||||||
| CEO--05/30/11-8/31/11 | 40.00 | X | 91610 | 0 | 7266 | ||
| SUE HOOVER | |||||||
| COO--09/01/10-07/21/11 | 40.00 | X | 81568 | 0 | 0 | ||
| GERALD TIBERIO MD | |||||||
| CMO--09/01/10-12/31/10 | 40.00 | X | 170049 | 0 | 5492 | ||
| REBECCA CARR | |||||||
| CFO--07/12/11-08/31/11 | 40.00 | X | 0 | 0 | 0 | ||
| DAVID KLEIN MD | |||||||
| CMO--01/01/11-8/31/11 | 40.00 | X | 135951 | 0 | 0 | ||
| RICHARD ESSIG MD | |||||||
| PHYSICIAN | 40.00 | 226886 | 0 | 0 | X | ||
| ROGER WARD MD | |||||||
| PHYSICIAN | 40.00 | 166450 | 0 | 13040 | X | ||
| BIJAN GOODARZI MD | |||||||
| PHYSICIAN | 40.00 | 116675 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1105074 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 38474 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THE QUANDEL GROUP INC | |||||
| 8181 WORTHINGTON ROAD | WESTERVILLE | OH | 43082 | CONSTRUCTION | 4252542 |
| LEPI ENTERPRISE | |||||
| 630 G W MORSE STREET | ZANESVILLE | OH | 43701 | CONSTRUCTION | 1454345 |
| ANTHEM BLUE CROSS AND BLUE SHIELD | |||||
| PO BOX 105673 | ATLANTA | GA | 303485673 | HEALTH INSURANCE | 628276 |
| PAUL CONSTRUCTION | |||||
| 1702 CHANDLERSVILLE ROAD | ZANESVILLE | OH | 43701 | CONSTRUCTION | 436828 |
| PATTERSON DENTAL SUPPLY | |||||
| 2128 CITYGATE DRIVE | COLUMBUS | OH | 43219 | DENTAL SUPPLIES | 340072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Government Grants | 5988507 | GovernmentGrants |
| All Other Contributions | 234384 | AllOtherContributions |
| Noncash Contributions | 51000 | NoncashContributions |
| Total Contributions | 6222891 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICES | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 7695276 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7695276 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7695276 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1483 | TotalRevenueColumn |
| Exclusion | $1,483 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| CONTRACT SERVICES | 623000 | 109441 | 109441 | |
| X-RAY REVENUE | 623000 | 144 | $144 | |
| JURY DUTY | 900099 | 31 | $31 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 109616 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14029266 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7804717 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,658 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 629022 | Total |
| Program Services | 165184 | ProgramServices |
| Management And General | 463838 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4866505 | Total |
| Program Services | 4257743 | ProgramServices |
| Management And General | 608762 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101796 | Total |
| Program Services | 81437 | ProgramServices |
| Management And General | 20359 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 873624 | Total |
| Program Services | 698899 | ProgramServices |
| Management And General | 174725 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6125 | Total |
| Management And General | 6125 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39070 | Total |
| Management And General | 39070 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 858610 | Total |
| Program Services | 431914 | ProgramServices |
| Management And General | 426696 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22238 | Total |
| Management And General | 22238 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1027958 | Total |
| Program Services | 751508 | ProgramServices |
| Management And General | 276450 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22613 | Total |
| Program Services | 22613 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122682 | Total |
| Program Services | 122682 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29719 | Total |
| Program Services | 31 | ProgramServices |
| Management And General | 29688 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30840 | Total |
| Management And General | 30840 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62073 | Total |
| Program Services | 62073 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60549 | Total |
| Program Services | 60549 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT EXPENSE | 169463 | 169463 |
| INSPECTION EXPENSE | 387 | 387 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8923274 | Total |
| Program Services | 6824483 | ProgramServices |
| Management And General | 2098791 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1611 | BOY |
| EOY | 1621 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 533789 | BOY |
| EOY | 251334 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 369278 | BOY |
| EOY | 230061 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 989575 | BOY |
| EOY | 1189534 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50406 | BOY |
| EOY | 72187 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9168154 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 172975 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1614498 | BOY |
| EOY | 8995179 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74548 | BOY |
| EOY | 147964 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3633705 | BOY |
| EOY | 10887880 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 460688 | BOY |
| EOY | 605740 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481 | BOY |
| EOY | 663 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 600177 | BOY |
| EOY | 2628188 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51000 | BOY |
| EOY | 25938 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1112346 | BOY |
| EOY | 3260529 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2521359 | BOY |
| EOY | 7627351 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2521359 | BOY |
| EOY | 7627351 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3633705 | BOY |
| EOY | 10887880 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 5105992 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1194333 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1965051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2338465 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6115541 | CurrentTaxYear |
| Total | 11613390 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1966376 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6107272 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7368173 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7695276 | CurrentTaxYear |
| Total | 23137097 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 3160709 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8072323 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9706638 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13810817 | CurrentTaxYear |
| Total | 34750487 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 34750487 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 541 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1141 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3038 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1483 | CurrentTaxYear |
| Total | 6203 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 541 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1141 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3038 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1483 | CurrentTaxYear |
| Total | 6203 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 46920 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 175092 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 101696 | CurrentTaxYearMinus1Year |
| Current Tax Year | 109616 | CurrentTaxYear |
| Total | 433324 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 3208170 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8248556 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9811372 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13921916 | CurrentTaxYear |
| Total | 35190014 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98750 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98460 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00020 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00020 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: CONTRACT SERVICES OTHER INCOME | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51000 | OtherCostOrOtherBasis |
| Book Value | 51000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 873000 | OtherCostOrOtherBasis |
| Book Value | 873000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 393021 | OtherCostOrOtherBasis |
| Depreciation | 172975 | Depreciation |
| Book Value | 220046 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7851133 | OtherCostOrOtherBasis |
| Book Value | 7851133 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8995179 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONDITIONAL ADVANCE CONTRIBUTION | Description |
| Amount | $25,938 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 25938 | TotalOfAmounts |
| Total Revenue | 14029266 | TotalRevenue |
| Total Expenses | 8923274 | TotalExpenses |
| Excess Or Deficit For Year | 5105992 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 5105992 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14029266 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 14029266 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 14029266 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8923274 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8923274 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8923274 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GERALD TIBERIO MD | |||||||||||||
| 169999 | 0 | 50 | 0 | 0 | 0 | 5492 | 0 | 0 | 0 | 175541 | 0 | 0 | 0 |
| RICHARD ESSIG MD | |||||||||||||
| 226836 | 0 | 50 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 226886 | 0 | 0 | 0 |
| ROGER WARD MD | |||||||||||||
| 166400 | 0 | 50 | 0 | 0 | 0 | 6656 | 0 | 6384 | 0 | 179490 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 51000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | THE CONTRIBUTION OF PROPERTY RECEIVED FROM THE VILLAGE OF MALTA FOR $51,000 IS REPORTED ON SCHEDULES B AND M OF THIS YEAR'S FORM 990 FOR THE TAX YEAR ENDED AUGUST 31, 2011. THIS SAME CONTRIBUTION WAS ALSO REPORTED ON THE PRIOR YEAR FORM 990, WHICH WAS NOT CORRECT; THE CONTRIBUTION SHOULD HAVE ONLY BEEN REPORTED IN THIS RETURN FOR THE TAX YEAR ENDED AUGUST 31, 2011, IT IS THEREFORE BEING REPORTED ON THIS RETURN EVEN THOUGH IT WAS PREVIOUSLY REPORTED ON THE PRIOR YEAR RETURN INCORRECTLY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO REVIEWS FORM 990, AND AN ELECTRONIC COPY IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING. | |
| BOARD MEMBERS WILL SIGN CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENT ANNUALLY. FORMS WILL BE FILED WITH THE ORGANIZATIONS PERMANENT RECORD FOR MEMBERS. THE CEO/HR DIRECTOR REVIEWS AND MAINTAINS THESE FORMS. MVHC BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTERESTS THAT MIGHT INFLUENCE JUDGEMENT IN A BOARD MEMBER'S DECISION MAKING PROCESS. FOLLOWING DISCLOSURE, MVHC'S BOARD EXECUTIVE COMMITTEE SHALL DETERMINE APPROPRIATE ACTION, RANGING FROM ABSTAINING FROM SPECIFIC BOARD DECISIONS TO STEPPING DOWN FROM MEMBERSHIP. | FORM 990, PART VI, SECTION B, LINE 12C | |
| COMPENSATION FOR THE OFFICERS IS MONITORED AND DETERMINED BY THE BOARD OF DIRECTORS. THE COMPENSATION PACKAGES ARE BENCHMARKED BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S SURVEY INFORMATION. COMPENSATION RANGES ARE REVIEWED AND APPROVED ON A ANNUAL BASIS AND DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. ALL OTHER COMPENSATION IS DETERMINED AND MONITORED BY THE DIRECTOR OF HUMAN RESOURCES, CFO, AND CEO. THESE COMPENSATION RANGES ARE PRIMARILY BASED ON THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S COMPENSATION SURVEY. APPROVED COMPENSATION IS DOCUMENTED IN THE INDIVIDUALS PERSONNEL FILE AND MONITORED THROUGH THE BUDGETARY PROCESS. THE LAST YEAR THIS PROCESS WAS COMPLETED WAS IN 2011. | FORM 990, PART VI, SECTION B, LINE 15 | |
| FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| THE FINANCE COMMITTEE OVERSEES AUDIT OF THE FINANCIAL STATEMENT, AND REVIEWS ALL FINANCIAL MATTERS INCLUDING INTERNAL STATEMENTS ON A MONTHLY BASIS. THE FINANCE COMMITTEE IS ALSO RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT. | FORM 990, PART XI, LINE 2C EXPLANATION | |
| LISA KING AND SUE HOOVER CAN BE REACHED AT THE FOLLOWING ADDRESS: GENESIS HEALTHCARE SYSTEMS-BETHESDA 2951 MAPLES AVENUE ZANESVILLE, OH 43701 | FORM 990, PART VI, LINE 9 EXPLANATION | |
| THE CONTRIBUTION OF PROPERTY RECEIVED FROM THE VILLAGE OF MALTA FOR $51,000 IS REPORTED ON SCHEDULES B OF THIS YEAR'S FORM 990 FOR THE TAX YEAR ENDED AUGUST 31, 2011. THIS SAME CONTRIBUTION WAS ALSO REPORTED ON THE PRIOR YEAR FORM 990, WHICH WAS NOT CORRECT; THE CONTRIBUTION SHOULD HAVE ONLY BEEN REPORTED IN THIS RETURN FOR THE TAX YEAR ENDED AUGUST 31, 2011, IT IS THEREFORE BEING REPORTED ON THIS RETURN EVEN THOUGH IT WAS PREVIOUSLY REPORTED ON THE PRIOR YEAR RETURN INCORRECTLY. | FORM 990, PART IV, LINE 29 |