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Nonprofiteer
← PLEASANT VALLEY MEDICAL GROUP INC

Form 990 for tax year 2022

Filed by PLEASANT VALLEY MEDICAL GROUP INC.

Totals

Total revenue
$56,529
Total expenses
$1,652,630
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$56,529
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$1,637,593
Management and general expenses
$15,037
Fundraising expenses
$0
Program service expenses (Part III)
$1,637,593

Program services were 99.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL SELLARDS

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • ROCKY STURGEON

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • DALLAS KAYSER

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • EDDIE LANHAM

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • MAURICE COOLEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CLAIRE COTTRILL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • LEIGH ANN SHEPARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ANGIE ZIMMERMAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ROBERT TAYENGCO MD

    TRUSTEE/PHYSICIAN

    Total calculated
    $455,844
    From this org
    $382,375
    From related orgs
    $0
    Other
    $73,469
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $340,256
    Bonus
    $42,119
    Other
    $0
    Deferred
    $47,500
    Nontaxable benefits
    $25,969
    Filer's total
    $455,844

  • KEVIN YINGLING

    PRESIDENT & CEO MHN

    Total calculated
    $889,491
    From this org
    $0
    From related orgs
    $862,472
    Other
    $27,019
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $858,908 related
    Bonus
    $0
    Other
    $0 + $3,564 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $27,019 related
    Filer's total
    $0 + $889,491 related

  • DAVID M WARD

    SR. VP, CHIEF FINANCIAL OFFICER

    Total calculated
    $787,335
    From this org
    $0
    From related orgs
    $764,329
    Other
    $23,006
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $721,926 related
    Bonus
    $0 + $26,030 related
    Other
    $0 + $16,373 related
    Deferred
    $0 + $23,006 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $787,335 related

  • PAUL E SMITH

    CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $598,242
    From this org
    $0
    From related orgs
    $566,227
    Other
    $32,015
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $538,693 related
    Bonus
    $0 + $19,896 related
    Other
    $0 + $7,638 related
    Deferred
    $0 + $32,015 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $598,242 related

  • HOYT J BURDICK

    SR. CHIEF MEDICAL OFFICER

    Total calculated
    $546,253
    From this org
    $0
    From related orgs
    $517,893
    Other
    $28,360
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $487,348 related
    Bonus
    $0 + $22,907 related
    Other
    $0 + $7,638 related
    Deferred
    $0 + $28,360 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $546,253 related

  • FRED NOBLIN

    CEO PLEASANT VALLEY HOSPITAL

    Total calculated
    $339,892
    From this org
    $0
    From related orgs
    $302,081
    Other
    $37,811
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,271 related
    Bonus
    $0
    Other
    $0 + $810 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,811 related
    Filer's total
    $0 + $339,892 related

  • BRADLEY BURCK

    VP CHH FOUNDATION

    Total calculated
    $268,830
    From this org
    $0
    From related orgs
    $231,019
    Other
    $37,811
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $221,140 related
    Bonus
    $0 + $8,411 related
    Other
    $0 + $1,468 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $37,811 related
    Filer's total
    $0 + $268,830 related

  • RUSSELL HENCHEY

    OFFICER

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • DENNIS J LEE

    VP & CHIEF INFORMATION OFFICER

    Total calculated
    $534,083
    From this org
    $0
    From related orgs
    $508,010
    Other
    $26,073
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $488,096 related
    Bonus
    $0 + $17,892 related
    Other
    $0 + $2,022 related
    Deferred
    $0 + $26,073 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $534,083 related

  • SUSAN T ROBINSON

    CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $524,884
    From this org
    $0
    From related orgs
    $476,811
    Other
    $48,073
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,448 related
    Bonus
    $0 + $16,363 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $38,923 related
    Filer's total
    $0 + $524,884 related

  • LISA C STUMP

    VP & CHIEF STRATEGY OFFICER

    Total calculated
    $521,273
    From this org
    $0
    From related orgs
    $494,254
    Other
    $27,019
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $474,684 related
    Bonus
    $0 + $17,578 related
    Other
    $0 + $1,992 related
    Deferred
    $0 + $27,019 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $521,273 related

  • MARK A MORGAN

    VP PHYSICIANS SERVICES

    Total calculated
    $400,993
    From this org
    $0
    From related orgs
    $353,192
    Other
    $47,801
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,868 related
    Bonus
    $0 + $16,324 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $38,651 related
    Filer's total
    $0 + $400,993 related

  • REGINA M CAMPBELL

    CHIEF NURSING OFFICER

    Total calculated
    $382,374
    From this org
    $0
    From related orgs
    $348,131
    Other
    $34,243
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,389 related
    Bonus
    $0 + $15,742 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $25,093 related
    Filer's total
    $0 + $382,374 related

  • FAREED AZIZ

    VP REVENUE CYCLE MANAGEMENT

    Total calculated
    $344,402
    From this org
    $0
    From related orgs
    $302,387
    Other
    $42,015
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,332 related
    Bonus
    $0
    Other
    $0 + $55 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $42,015 related
    Filer's total
    $0 + $344,402 related

  • AARON BLEVINS

    CHIEF PHARMACY OFFICER

    Total calculated
    $304,080
    From this org
    $0
    From related orgs
    $258,870
    Other
    $45,210
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $247,339 related
    Bonus
    $0 + $11,531 related
    Other
    $0
    Deferred
    $0 + $7,766 related
    Nontaxable benefits
    $0 + $37,444 related
    Filer's total
    $0 + $304,080 related

  • EDUARDO PINO

    CHIEF MEDICAL INFORMATION OFFICER

    Total calculated
    $174,441
    From this org
    $0
    From related orgs
    $160,932
    Other
    $13,509
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $143,969 related
    Bonus
    $0 + $14,062 related
    Other
    $0 + $2,901 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $13,509 related
    Filer's total
    $0 + $174,441 related

  • MINA N SHENOUDA MD

    PHYSICIAN

    Total calculated
    $592,464
    From this org
    $562,713
    From related orgs
    $0
    Other
    $29,751
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $511,608
    Bonus
    $105
    Other
    $51,000
    Deferred
    $20,500
    Nontaxable benefits
    $9,251
    Filer's total
    $592,464

  • RONN A GRANDIA MD

    PHYSICIAN

    Total calculated
    $374,826
    From this org
    $337,261
    From related orgs
    $0
    Other
    $37,565
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $337,158
    Bonus
    $103
    Other
    $0
    Deferred
    $14,700
    Nontaxable benefits
    $22,865
    Filer's total
    $374,826

  • RANDALL HAWKINS MD

    PHYSICIAN

    Total calculated
    $383,121
    From this org
    $356,152
    From related orgs
    $0
    Other
    $26,969
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $337,500
    Bonus
    $102
    Other
    $18,550
    Deferred
    $1,000
    Nontaxable benefits
    $25,969
    Filer's total
    $383,121

  • SAM BADRAN MD

    PHYSICIAN

    Total calculated
    $347,332
    From this org
    $322,038
    From related orgs
    $0
    Other
    $25,294
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $296,936
    Bonus
    $25,102
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $25,294
    Filer's total
    $347,332

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

  • PLEASANT VALLEY HOSPITAL

    $676,195

    Liquidation · PAYABLE DUE TO PLEASANT VALLEY HOSPITAL WAS ELIMINATED TO NET ASSETS · Sep 30, 2023 · 501(C)(3)

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202412289349302806

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