2026-04-07T12:16:12-05:00 2025-05-31 390859910 BAKER TILLY ADVISORY GROUP LP 300 8TH STREET 3RD FLOOR HUNTINGTON WV 25701 990 2024-06-01 310962004 FORT GAY PRIMARY HEALTH CARE INC FORT 3045253334 3329 BRIDGE STREET FORT GAY WV 255140067 MARY-BETH BRUBECK EXECUTIVE VICE PRESIDENT/CFO 3045253334 2026-03-29 1 1 AKIA C RICE P01264629 3046975700 2024 2025-03-06 01:10:19Z MARY-BETH BRUBECK 4290 US ROUTE 60 HUNTINGTON WV 25705 3918778 0 X WWW.VALLEYHEALTH.ORG X 1978 WV TO PROVIDE QUALITY HEALTHCARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. FORT GAY PRIMARY HEALTH CARE STRIVES TO ENSURE THAT QUALITY HEALTHCARE IS READILY ACCESSIBLE TO EVERYONE AND SERVES PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 11 11 46 11 0 0 0 0 4524400 3918778 0 0 0 0 4524400 3918778 0 0 0 0 3463562 3495458 0 0 0 400329 481313 3863891 3976771 660509 -57993 1128990 858491 188142 188294 940848 670197 X TO PROVIDE QUALITY HEALTHCARE TO ALL INDIVIDUALS, EMPHASIZING OUTREACH TO THOSE WHO ARE UNDERSERVED. FORT GAY PRIMARY HEALTH CARE STRIVES TO ENSURE THAT QUALITY HEALTHCARE IS READILY ACCESSIBLE TO EVERYONE AND SERVES PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 0 0 3806150 3918778 FORT GAY PRIMARY HEALTH CARE, INC. IS AN AFFILIATE OF VALLEY HEALTH SYSTEMS, INC., WHICH WAS FOUNDED IN 1975, AND ONE OF THE ORIGINAL ORGANIZATIONS THAT LAID THE FOUNDATION FOR THE CURRENT NATIONAL SYSTEM OF COMMUNITY HEALTH CENTERS. VALLEY HEALTH SYSTEMS AND ITS AFFILIATES PROVIDE COMPREHENSIVE, QUALITY HEALTHCARE SERVICES TO EVERYONE, WITH AN EMPHASIS ON THE UNDERSERVED AND VULNERABLE INDIVIDUALS OF THE COMMUNITIES. THE SERVICES PROVIDED UNDER THE SYSTEM'S SCOPE INCLUDE PRIMARY CARE (FAMILY MEDICINE AND INTERNAL MEDICINE), BEHAVIORAL HEALTH, DENTAL, CARDIOLOGY, OBSTETRICS (PRENATAL CARE, LABOR AND DELIVERY, POSTPARTUM CARE), GYNECOLOGY, OPTOMETRY, PEDIATRICS, OTOLARYNGOLOGY, AUDIOLOGY, GASTROENTEROLOGY, PHARMACEUTICAL SERVICES, DIAGNOSTIC LABS, ADVANCED DIAGNOSTIC RADIOLOGY AND X-RAY, AND SUBSTANCE USE DISORDER SERVICES- ALL OF WHICH ARE AVAILABLE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. OTHER SERVICES PROVIDED TO PATIENTS INCLUDE NUTRITION EDUCATION, DIABETES EDUCATION, SERVICES ADDRESSING SOCIAL DRIVERS OF HEALTH, PATIENT ADVOCACY SERVICES, CLINICAL PHARMACY, AND CHRONIC CARE MANAGEMENT SERVICES- ALSO REGARDLESS OF A PATIENT'S ABILITY TO PAY. FOR ELIGIBLE PATIENTS, SERVICES UNDER THE BLACK LUNG PROGRAM, ADOLESCENT HEALTH PROGRAM, AND HEALTHCARE FOR THE HOMELESS ARE ALSO PROVIDED. FINANCIAL ASSISTANCE IS AVAILABLE TO ALL PATIENTS, AND CERTAIN DISCOUNTS ARE PROVIDED FOR THOSE WHO ARE ELIGIBLE. THE ORGANIZATION PROVIDED $93,183 IN CHARITY CARE TO INDIGENT PATIENTS. 3806150 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 46 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 X MARY-BETH BRUBECK 3045253334 4290 US ROUTE 60 HUNTINGTON WV 25705 PAULETTE MABRY CHAIR 0.50 1.50 X X 0 0 0 GREG AGEE VICE CHAIR 0.50 1.50 X X 0 0 0 BEN HOWARD TREASURER 0.50 1.50 X X 0 0 0 JARED COLKER SECRETARY 0.50 1.50 X X 0 0 0 SHERRY PERRY DIRECTOR 0.50 1.50 X 0 0 0 BILL BRYANT DIRECTOR 0.50 1.50 X 0 0 0 SUZI BRODOF DIRECTOR 0.50 1.50 X 0 0 0 SHERRONE HORNBUCKLE-MYERS DIRECTOR 0.50 1.50 X 0 0 0 KALYN OBIOZOR DOREY DIRECTOR 0.50 1.50 X 0 0 0 DEBBIE ZUBERBUEHLER DIRECTOR 0.50 1.50 X 0 0 0 MISTY VANHOOSE-GOLDEN DIRECTOR 0.50 1.50 X 0 0 0 JILL HUTCHINSON CHAIR (UNTIL 12/31/24) 0.50 1.50 X X 0 0 0 CHRISTINA WALTERS DIRECTOR (UNTIL 02/27/25) 0.50 1.50 X 0 0 0 STEVEN SHATTLS CEO (UNTIL 09/2024) 1.00 39.00 X 0 2925497 12002 MATHEW WEIMER CEO (AS OF 09/2024) 1.00 39.00 X 0 626441 16016 MARY-BETH BRUBECK EXECUTIVE VICE PRESIDENT/CFO 1.00 39.00 X 0 576927 16016 EDWARD MORAN PHYSICIAN 40.00 X 267820 0 15353 SIERRA ADKINS NURSE PRACTITIONER 40.00 X 159406 0 16086 KOREY MITCHELL PHYSICIAN 40.00 X 269325 0 16016 MOLLY BENNETT-BECKLEY PHYSICIAN ASSISTANT 40.00 X 152994 0 1010 JAMES CANTRELL DENTIST 40.00 X 274978 0 7662 1124523 4128865 100161 8 0 1 0 0 PATIENT SERVICE REVENU 621110 3918778 3918778 3918778 3918778 3918778 0 0 3000586 2910568 90018 296166 287281 8885 198706 192745 5961 38089 34665 3424 41981 18860 23121 54459 54459 18083 5459 12624 60441 60441 MEDICAL SUPPLIES 204510 204510 REPAIRS AND MAINTENANCE 30309 24107 6202 PROVIDER AND SALES TAX 15619 15619 DUES AND SUBSCRIPTIONS 13305 13055 250 4517 4517 3976771 3806150 170621 0 600 600 1118357 847857 207336 197302 10033 10034 1128990 858491 188142 188294 188142 188294 X 940848 670197 940848 670197 1128990 858491 -57993 -212658 0 X X 0 1 X 1 0 X 10272 7813 2459 197064 189489 7575 10034 X PART X, LINE 2: THE SYSTEM IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2025. 1 0 0 1 1 0 0 0 0 STEVEN SHATTLS CEO (UNTIL 09/2024) 0 1209002 0 0 0 1716495 0 0 0 12002 0 2937499 0 0 MATHEW WEIMER CEO (AS OF 09/2024) 0 624441 0 2000 0 0 0 0 0 16016 0 642457 0 0 MARY-BETH BRUBECK EXECUTIVE VICE PRESIDENT/CFO 0 566927 0 10000 0 0 0 0 0 16016 0 592943 0 0 KOREY MITCHELL PHYSICIAN 267825 0 1500 0 0 0 0 0 16016 0 285341 0 0 0 EDWARD MORAN PHYSICIAN 261820 0 6000 0 0 0 0 0 15353 0 283173 0 0 0 JAMES CANTRELL DENTIST 157296 0 117682 0 0 0 0 0 7662 0 282640 0 0 0 SIERRA ADKINS NURSE PRACTITIONER 119392 0 40014 0 0 0 0 0 16086 0 175492 0 0 0 MOLLY BENNETT-BECKLEY PHYSICIAN ASSISTANT 135181 0 17813 0 0 0 0 0 1010 0 154004 0 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE OF THE BOARD REQUESTS A RECOMMENDATION FROM THE EVP/CFO. THE EVP/CFO PREPARES A COMPENSATION COMPARISON ANALYSIS USING OTHER FQHC 990S THAT WERE SIMILAR IN NUMBER OF PATIENTS AND GROSS CHARGES. THE EXECUTIVE COMMITTEE REVIEWS THE ANALYSIS AND THEN APPROVES THE SALARY OF THE CEO. PART I, LINE 4A STEVEN SHATTLS RECEIVED SEVERANCE PAYMENTS OF $321,528 DURING 2024. PART I, LINE 5 IT IS COMMON FOR THE PHYSICIANS' CONTRACTS TO STATE THAT THEIR INCENTIVE COMPENSATION IS BASED ON REVENUES POSTED RELATED TO THAT PHYSICIAN'S SERVICES AND PERFORMANCE. MOST OF THE PHYSICIANS LISTED HAVE REVENUES ATTACHED TO THIS ORGANIZATION ONLY, BUT AS SOME OF THEM PRACTICE AT RELATED ORGANIZATIONS, A REVIEW OF THEIR REVENUES IN TOTAL (AND NOT JUST SPECIFICALLY TO THIS ORGANIZATION) IS NECESSARY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE MANAGEMENT AND THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF VALLEY HEALTH SYSTEMS, INC., THE CONTROLLING ORGANIZATION, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS OF VALLEY HEALTH SYSTEMS, INC., THE CONTROLLING ORGANIZATION, AND EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT ON AN ANNUAL BASIS CONFIRMING THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST AT THE CORPORATE OFFICE. FORM 990, PART XII, LINE 2C THE AUDIT OVERSIGHT PROCESS OF THE FINANCIAL STATEMENTS HAS NOT CHANGED FROM THE PRIOR YEAR. VALLEY HEALTH SYSTEMS INC 3377 US ROUTE 60 HUNTINGTON WV 25705 550554001 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) LINE 7 0 GRANT MEDICAL CENTER INC 308 MAIN STREET EAST MILTON WV 25541 510156065 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) LINE 3 VALLEY HEALTH SYSTEMS INC 0 HARTS HEALTH CLINIC INC 22 FLEMING DRIVE HARTS WV 25524 310961926 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) LINE 3 VALLEY HEALTH SYSTEMS INC 0 OUCH INC 3377 US ROUTE 60 HUNTINGTON WV 25705 571142879 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) LINE 3 VALLEY HEALTH SYSTEMS INC 0 UPPER KANAWHA HEALTH ASSOCIATION INC PO BOX F CEDAR GROVE WV 25039 510146615 TO PROVIDE MEDICAL SERVICES TO MEDICALLY UNDERSERVED AREAS IN WEST VIRGINIA WV 501(C)(3) LINE 3 VALLEY HEALTH SYSTEMS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0