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 550649849 PLEASANT VALLEY HOSPITAL HEALTH FOUNDATION PLEA 3046754340 2520 VALLEY DRIVE POINT PLEASANT WV 25550 RUSSELL HENCHEY VICE PRESIDENT OF FINANCE 3046754340 2024-08-14 1 0 WADE NEWELL CPA P01051041 3045250301 2024-08-13 2022 2024-08-08 14:25:15Z RUSSELL HENCHEY 2520 VALLEY DRIVE POINT PLEASANT WV 25550 55897 0 X N/A X 1985 WV TO FURTHER THE DEVELOPMENT OF NEW AND EXISTING HEALTH CARE SERVICES IN MASON COUNTY AND SURROUNDING COUNTIES. 11 11 0 20 0 0 0 0 463 0 161902 55897 0 0 162365 55897 9000 15500 0 0 0 10000 0 0 0 7752 10469 16752 35969 145613 19928 1669858 1809057 1357 12908 1668501 1796149 TO FURTHER THE DEVELOPMENT OF NEW AND EXISTING HEALTH CARE SERVICES IN MASON COUNTY AND SURROUNDING COUNTIES. 0 0 25957 15500 THE ORGANIZATION RAISES FUNDS FOR THE DEVELOPMENT OF HEALTH CARE SERVICES AT PLEASANT VALLEY HOSPITAL AND SURROUNDING AREAS. THE FOUNDATION PROVIDES SCHOLARSHIPS AND LOANS TO STUDENTS IN THE HEALTH CARE RELATED FIELDS. THE FOUNDATION MAINLY AWARDS THE FUNDS TO RECIPIENTS IN MASON COUNTY, BUT IS NOT LIMITED TO ONLY MASON COUNTY. 25957 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X RUSSELL HENCHEY 3046754340 2520 VALLEY DRIVE POINT PLEASANT WV 25550 X BRYAN STEPP CHAIRMAN 1.00 X X 0 0 0 ERIN KRAWSCZYN VICE CHAIRMAN 1.00 X X 0 0 0 CAROL CREMEANS SECRETARY/TREASURER 1.00 X X 0 0 0 RANDALL HAWKINS MD BOARD MEMBER 1.00 40.00 X 0 402637 33139 MICHAEL LIEVING BOARD MEMBER 1.00 X 0 0 0 MARIO LIBERATORE BOARD MEMBER 1.00 X 0 0 0 JIM WILSON BOARD MEMBER 1.00 X 0 0 0 ANGIE ZIMMERMAN BOARD MEMBER 1.00 X 0 0 0 CHAD FOREMAN BOARD MEMBER 1.00 X 0 0 0 ANNETTE BOYLES BOARD MEMBER 1.00 X 0 0 0 BEVERLY DURST BOARD MEMBER 1.00 X 0 0 0 KIM NAPORA BOARD MEMBER 1.00 X 0 0 0 CLAIRE COTTRILL BOARD MEMBER 1.00 X 0 0 0 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 BRADLEY BURCK VICE PRESIDENT 1.00 45.00 X 0 231019 37811 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 1.00 45.00 X 0 302081 37811 RUSSELL HENCHEY VP OF FINANCE 1.00 40.00 X 0 96269 22450 0 2658807 181236 0 0 1 1 0 32583 32583 23314 0 23314 23314 23314 55897 23314 0 32583 15500 15500 10000 10000 2558 2558 7454 7454 43 43 414 414 35969 25957 10012 0 75685 149887 66260 63634 1527913 1595536 1669858 1809057 1357 12908 1357 12908 X 1668501 1796149 1668501 1796149 1669858 1809057 19928 108170 -450 0 X X 0 0 0 X X 1 PLEASANT VALLEY HOSPITAL INC 550440086 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X PART X, LINE 2: THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. IN ADDITION, THE HEALTH FOUNDATION AND THE FOUNDATION HAVE BEEN CLASSIFIED AS ORGANIZATIONS OTHER THAN A PRIVATE FOUNDATION MEANING OF SECTION 509(A) OF THE CODE. THE HOSPITAL FOLLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. GENERALLY, TAX RETURNS FOR YEARS ENDED SEPTEMBER 30, 2020, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 MEDICAL SCHOLARSHIPS 6 15500 PART I, LINE 2: THE ORGANIZATION AWARDS SCHOLARSHIPS TO MEDICAL STUDENTS WITH THE PROVISION THAT THE STUDENT, UPON GRADUATION, EITHER WORK FOR PLEASANT VALLEY HOSPITAL OR REPAY THE SCHOLARSHIP. THE ORGANIZATION TRACKS THE SCHOLARSHIP RECIPIENTS THROUGHOUT THEIR CAREER IN MEDICAL SCHOOL, INCLUDING GRADUATION OR LEAVING MEDICAL SCHOOL WITHOUT A DEGREE. X 1 1 0 0 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 0 0 23006 0 787335 0 0 RANDALL HAWKINS MD BOARD MEMBER 0 368320 0 102 0 34215 0 1000 0 32139 0 435776 0 0 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 0 301271 0 0 0 810 0 0 0 37811 0 339892 0 0 BRADLEY BURCK VICE PRESIDENT 0 221140 0 8411 0 1468 0 0 0 37811 0 268830 0 0 PART I, LINE 3 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. PART I, LINE 4 THE CEO OF PLEASANT VALLEY SERVES UNDER A MANAGEMENT CONTRACT GOVERNED BY CABELL HUNTINGTON HOSPITAL. PVH IS NOT PART OF THE PROCESS IN DETERMINING THE CEO'S COMPENSATION, PVH PAYS CHH A MONTHLY FEE. BONUSES WERE PAID TO VPS/OFFICERS BUT NOT EQUITY BASED. PART I, LINE 6 A BONUS PLAN EXISTS FOR EXECUTIVES OF THE ORGANIZATION. DETAIL OF PAYMENTS MADE ARE DISCLOSED IN SCHEDULE J, PART II, COLUMN II. BONUSES ARE BASED ON MEETING MULTIPLE GOALS SET FORTH FOR EACH EXECUTIVE. FORM 990, PART VII, SECTION A, LINE 5 PLEASANT VALLEY HOSPITAL IS UNDER A MANAGEMENT CONTRACT WITH CABELL HUNTINGTON HOSPITAL. FOR THE CALENDAR YEAR ENDED, 12/31/22, CABELL-HUNTINGTON HOSPITAL PAID FRED (JEFF) NOBLIN $302,081 IN COMPENSATION AND $37,811 IN NONTAXABLE BENEFITS FOR THE POSITION OF CEO OF PLEASANT VALLEY HOSPITAL, INC. BRADLEY BURCK DAUGHTER 625 FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT & ACCOUNTING WHICH IS OWNED BY BRADLEY BURCK'S DAUGHTER. 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 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 CFO WILL REVIEW THE 990 WITH 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 FOUNDATION. 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 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 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. THE FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, AND THUS, CAN BE ALSO FOUND ON GUIDESTAR. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART VI, SECTION A, LINE 3 MOUNTAIN HEALTH NETWORK, INC. (MHN) PROVIDES SERVICES AND RESOURCES FOR THE BENEFIT OF CABELL HUNTINGTON HOSPITAL, INC. AND ITS RELATED ORGANIZATIONS WHICH ARE WEST VIRGINIA NONPROFIT CORPORATIONS QUALIFIED AS TAX EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OPERATING FULL SERVICE ACUTE CARE HOSPITALS AND FOUNDATIONS RELATED TO THOSE HOSPITALS. PLEASANT VALLEY HOSPITAL INC 2520 VALLEY DRIVE POINT PLEASANT WV 25550 550440086 HOSPITAL WV 501(C)(3) LINE 3 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 MOUNTAIN HEALTH NETWORK INC PO BOX 636 HUNTINGTON WV 25711 320573122 MANAGEMENT SERVICES WV 501(C)(3) LINE 12A CHH INC 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 HEALTH SERVICES 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 CABELL HUNTINGTON HOSPITAL FOUNDATION INC PO BOX 1427 HUNTINGTON WV 25716 311096222 FUNDRAISING WV 501(C)(3) LINE 12A CHH INC 1 ST MARY'S MEDICAL CENTER FOUNDATION INC 2900 FIRST AVENUE HUNTINGTON WV 25702 141887211 FUNDRAISING WV 501(C)(3) LINE 12A CHH INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 PLEASANT VALLEY HOSPITAL INC O 26736 CABELL HUNTINGTON HOSPITAL INC O 27668 MOUNTAIN HEALTH NETWORK INC O 90259