2024-08-15T13:28:49-05:00 2023-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2022-10-01 471358788 PLEASANT VALLEY MEDICAL GROUP INC PLEA 8778295500 2520 VALLEY DRIVE POINT PLEASANT WV 25550 KEITH BIDDLE COO 8778295500 2024-08-14 1 0 WADE NEWELL CPA P01051041 3045250301 2024-08-14 2022 2024-08-08 14:25:15Z X KEITH BIDDLE 2520 VALLEY DRIVE POINT PLEASANT WV 25550 56529 0 X N/A X 2014 WV PLEASANT VALLEY MEDICAL GROUP DELIVERS HEALTHCARE TO PATIENTS, INCLUDING UNCOMPENSATED CARE, TREATED AT PLEASANT VALLEY HOSPITAL FACILITIES, CLINICS AND OTHER AFFILIATED LOCATIONS. X 7 1 21 0 0 0 3300279 0 5412854 0 0 0 0 56529 8713133 56529 0 0 0 0 5825934 1070623 0 0 0 2887199 582007 8713133 1652630 0 -1596101 3063868 0 2143962 0 919906 0 PLEASANT VALLEY MEDICAL GROUP DELIVERS HEALTHCARE TO PATIENTS, INCLUDING UNCOMPENSATED CARE, TREATED AT PLEASANT VALLEY HOSPITAL FACILITIES, CLINICS AND OTHER AFFILIATED LOCATIONS. 0 0 1637593 56529 THE ORGANIZATION PROVIDES MEDICAL SERVICES AT PLEASANT VALLEY HOSPITAL. 1637593 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 1 2 0 21 0 0 0 0 0 0 0 0 0 0 0 X 7 1 0 0 0 0 1 1 0 1 0 0 1 1 0 1 1 1 1 1 1 1 0 X RUSSELL HENCHEY 3046754340 2520 VALLEY DRIVE POINT PLEASANT WV 25550 MICHAEL SELLARDS CHAIRMAN 1.00 0.50 X X 0 0 0 ROCKY STURGEON VICE CHAIRMAN 1.00 X X 0 0 0 DALLAS KAYSER SECRETARY 1.00 0.50 X X 0 0 0 EDDIE LANHAM TREASURER 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 1.00 40.00 X 382375 0 73469 KEVIN YINGLING PRESIDENT & CEO MHN 1.00 45.00 X 0 862472 27019 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 1.00 45.00 X 0 764329 23006 PAUL E SMITH CHIEF ADMINISTRATIVE OFFICER 1.00 45.00 X 0 566227 32015 HOYT J BURDICK SR. CHIEF MEDICAL OFFICER 1.00 45.00 X 0 517893 28360 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 1.00 45.00 X 0 302081 37811 BRADLEY BURCK VP CHH FOUNDATION 1.00 45.00 X 0 231019 37811 RUSSELL HENCHEY OFFICER 1.00 40.00 X 0 0 0 DENNIS J LEE VP & CHIEF INFORMATION OFFICER 1.00 45.00 X 0 508010 26073 SUSAN T ROBINSON CHIEF HUMAN RESOURCES OFFICER 1.00 45.00 X 0 476811 48073 LISA C STUMP VP & CHIEF STRATEGY OFFICER 1.00 45.00 X 0 494254 27019 MARK A MORGAN VP PHYSICIANS SERVICES 1.00 45.00 X 0 353192 47801 REGINA M CAMPBELL CHIEF NURSING OFFICER 1.00 45.00 X 0 348131 34243 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 1.00 45.00 X 0 302387 42015 AARON BLEVINS CHIEF PHARMACY OFFICER 1.00 45.00 X 0 258870 45210 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 1.00 45.00 X 0 160932 13509 MINA N SHENOUDA MD PHYSICIAN 45.00 X 562713 0 29751 RONN A GRANDIA MD PHYSICIAN 45.00 X 337261 0 37565 RANDALL HAWKINS MD PHYSICIAN 45.00 X 356152 0 26969 SAM BADRAN MD PHYSICIAN 45.00 X 322038 0 25294 1960539 6146608 663013 5 0 1 0 0 OTHER REVENUE 990099 56529 56529 56529 56529 56529 0 0 X 1043392 1043392 27231 27231 46559 46559 410180 410180 SUPPLIES 110231 110231 ADMINISTRATIVE COSTS 14953 14953 84 84 1652630 1637593 15037 0 50031 0 0 0 18619 0 0 0 0 0 1427 0 0 0 0 0 0 2993791 0 3063868 0 669975 1473987 2143962 0 X 0 0 0 0 919906 0 919906 0 3063868 0 X -1596101 676195 X 0 1 X 1 0 X 1 X X X X X X 0 1 0 0 0 0 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 0 858908 0 0 0 3564 0 0 0 27019 0 889491 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 MINA N SHENOUDA MD PHYSICIAN 511608 0 105 0 51000 0 20500 0 9251 0 592464 0 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 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 340256 0 42119 0 0 0 47500 0 25969 0 455844 0 0 0 MARK A MORGAN VP PHYSICIANS SERVICES 0 336868 0 16324 0 0 0 9150 0 38651 0 400993 0 0 RANDALL HAWKINS MD PHYSICIAN 337500 0 102 0 18550 0 1000 0 25969 0 383121 0 0 0 REGINA M CAMPBELL CHIEF NURSING OFFICER 0 332389 0 15742 0 0 0 9150 0 25093 0 382374 0 0 RONN A GRANDIA MD PHYSICIAN 337158 0 103 0 0 0 14700 0 22865 0 374826 0 0 0 SAM BADRAN MD PHYSICIAN 296936 0 25102 0 0 0 0 0 25294 0 347332 0 0 0 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 0 302332 0 0 0 55 0 0 0 42015 0 344402 0 0 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 0 301271 0 0 0 810 0 0 0 37811 0 339892 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 0 0 37811 0 268830 0 0 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 0 143969 0 14062 0 2901 0 0 0 13509 0 174441 0 0 PART I, LINE 3 THE PRESIDENT OF THE BOARD OF DIRECTORS FOR THE ORGANIZATION IS THE CEO OF PLEASANT VALLEY HOSPITAL. THE CEO IS EMPLOYED AND PAID BY CABELL-HUNTINGTON HOSPITAL THROUGH A MANAGEMENT AGREEMENT CABELL HUNTINGTON HOSPITAL HAS WITH PLEASANT VALLEY HOSPITAL. THE COMPENSATION IS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE CABELL HUNTINGTON HOSPITAL BOARD. THE BOARD OF DIRECTORS OF A RELATED 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. 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 PAYABLE DUE TO PLEASANT VALLEY HOSPITAL WAS ELIMINATED TO NET ASSETS 2023-09-30 676195 CASH VALUE OF PAYABLE DUE TO PLEASANT VALLEY HOSPITAL 550440086 PLEASANT VALLEY HOSPITAL 2520 VALLEY DRIVE POINT PLEASANT WV 25550 501(C)(3) 0 0 0 0 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 PLEASANT VALLEY MEDICAL GROUP HAS TWO MEMBERS, PLEASANT VALLEY HOSPITAL, INC. AND CABELL HUNTINGTON HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A PLEASANT VALLEY MEDICAL GROUP HAS TWO MEMBERS, PLEASANT VALLEY HOSPITAL, INC. AND CABELL HUNTINGTON HOSPITAL, INC. EACH OF THESE MEMBERS HAVE THE POWER TO APPOINT THREE DIRECTORS SEPARATELY. ADDITIONAL DIRECTORS SHALL BE APPOINTED JOINTLY BY PLEASANT VALLEY HOSPITAL, INC. AND CABELL HUNTINGTON HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BODY DOES NOT HAVE SEPARATE COMMITTEES. 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 AT THE BEGINNING OF EACH YEAR, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT-OF-INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT 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 A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS OFFICERS. A COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL 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 HOSPITAL AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. THIS INFORMATION, AS WELL AS THE RECOMMENDATION OF THE CHIEF EXECUTIVE OFFICER IS CONSIDERED BY THE COMPENSATION COMMITTEE IN ESTABLISHING THE COMPENSATION OF THE CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF MEDICAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR INSPECTION AT THE MEDICAL GROUP OR BY MAILING A COPY UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 410,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 410,180. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATE 676,195. 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 INC 1340 HAL GREER BOULEVARD 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 MOUNTAIN HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 320573122 MANAGEMENT SERVICES WV 501(C)(3) LINE 12A, I CHH INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0