Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER INC
Employer identification number
55-0483988
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
5,828,718
6,150,913
5,943,184
5,866,514
5,525,213
29,314,542
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
10,493,615
10,436,926
12,893,333
13,006,407
14,061,569
60,891,850
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
16,322,333
16,587,839
18,836,517
18,872,921
19,586,782
90,206,392
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
24,925
14,566
43,385
55,573
90,255
228,704
c
Add lines 7a and 7b..
24,925
14,566
43,385
55,573
90,255
228,704
8
Public support (Subtract line 7c from line 6.)
89,977,688
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
16,322,333
16,587,839
18,836,517
18,872,921
19,586,782
90,206,392
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
12,005
12,053
8,803
4
32,865
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
8,110
19,473
15,427
35,424
46,210
124,644
c
Add lines 10a and 10b.
20,115
31,526
24,230
35,424
46,214
157,509
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
16,342,448
16,619,365
18,860,747
18,908,345
19,632,996
90,363,901
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.570 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.630 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER INC
Employer identification number
55-0483988
Return Reference
Explanation
FORM 990, PAGE 6, PART VI, LINE 11B
VALLEY WILL DISTRIBUTE THE FINAL VERSION OF THE FORM 990 TO ALL BOARD MEMBERS BEFORE FILING. ADDITIONALLY, THE FORM 990 WILL BE FORMALLY REVIEWED IN ADVANCE OF FILING BY THE FINANCE COMMITTEE USING A FORM 990 CHECKLIST.
FORM 990, PAGE 6, PART VI, LINE 12C
THE DIRECTORS AND ALL EMPLOYEES SHALL RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND BE ADVISED OF INDIVIDUAL RESPONSIBILITIES TO COMPLY WITH THE PROVISIONS OF THE POLICY. NEW DIRECTORS AND EMPLOYEES SHALL RECEIVE A COPY OF THE POLICY AND FORM DURING THEIR ORIENTATION PERIODS. THE SECRETARY/TREASURER SHALL DISTRIBUTE, AT LEAST ANNUALLY, TO ALL DIRECTORS, MANAGERS, SUPERVISORS AND OTHER EMPLOYEES WHO HAVE MATERIAL DECISION MAKING AUTHORITY A CONFLICT OF INTEREST DISCLOSURE FORM. THE SECRETARY SHALL MAINTAIN FILES OF ALL COMPLETED DISCLOSURE FORMS. ALL MEMORANDA OF REQUESTS FOR DECISION OR DECISIONS MADE BY THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER CONCERNING CONFLICT DISCLOSURES OR RULINGS SHALL BE FORWARDED TO THE SECRETARY/TREASURER OF THE CORPORATION FOR FILING AND MONITORING. THE SECRETARY/TREASURER SHALL REPORT ANY MATERIAL DISCLOSURE TO THE EXECUTIVE COMMITTEE FOR REVIEW AND ACTION. THE SECRETARY/TREASURER SHALL MAKE AVAILABLE TO THE INDEPENDENT AUDITORS THE FILES AND CORRESPONDENCE RELATED TO DISCLOSURE FORMS AND DECISIONS RELATED THERETO.
FORM 990, PAGE 6, PART VI, LINE 15A
IT IS THE GOAL OF VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER (VCCMHC) THAT COMPENSATION PAID IS FAIR TO EMPLOYEES. SEVERAL FACTORS ARE USED IN DETERMINING WAGES. THESE INCLUDE BUT ARE NOT LIMITED TO THE JOB DUTIES ASSIGNED TO THE POSITION AS COMPARED TO THE DUTIES OF OTHER POSITIONS, THE EDUCATIONAL REQUIREMENT NECESSARY FOR THE EMPLOYEE TO PERFORM THE JOB, THE PREVIOUS EXPERIENCE NEEDED TO PERFORM THE JOB, THE RATES OF PAY FOR LIKE POSITIONS IN THE AREA AND IN BUSINESSES OF A SIMILAR NATURE TO VCCMHC AND THE BUDGETARY CONSTRAINTS OF THE COMPANY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE CONTINUOUS MAINTENANCE AND ADMINISTRATION OF THE COMPENSATION PLAN AS IT APPLIES TO THE POSITION OF CHIEF EXECUTIVE OFFICER. DURING DELIBERATIONS OF THE SEARCH COMMITTEE, THE ABOVE LISTED ITEMS WHERE TAKEN INTO CONSIDERATION. ALSO, A SALARY REVIEW WAS DONE USING DATA FROM OTHER WEST VIRGINIA COMPREHENSIVE BEHAVIOR HEALTHCARE CENTERS. A RECOMMENDATION FOR HIRE ALONG WITH THE RATE OF PAY TO BE OFFERED WAS MADE BY THE SEARCH COMMITTEE (COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS) TO THE ENTIRE BOARD OF DIRECTORS (BOD), WHICH IS THE GOVERNING BODY OF VCCMHC. THE BOD MET TO DISCUSS THE CANDIDATES AND THEN VOTED TO OFFER THE JOB AND THE RATE OF PAY DISCUSSED. MINUTES OF THIS BOARD MEETING WILL REFLECT THIS DISCUSSION AND VOTE. ONCE THE JOB OFFER WAS MADE AND THE STARTING WAGE WAS ACCEPTED BY THE CANDIDATE, THIS WAS ALSO REFLECTED IN THE BOD MINUTES. THE CHAIR OF THE BOD THEN DIRECTED THE HUMAN RESOURCES DIRECTOR (HRD) TO IMPLEMENT THIS OFFER. AN EMPLOYMENT AGREEMENT AS WELL AS A PERSONNEL ACTION FORM WAS INITIATED BY THE HRD WITH THE EFFECTIVE DATE AS VOTED ON BY THE BOD. THIS EMPLOYMENT AGREEMENT WAS SIGNED BY BOTH THE CHAIR OF THE BOD AS WELL AS THE NEW CEO.
FORM 990, PAGE 6, PART VI, LINE 15B
THE MANAGEMENT TEAM IS RESPONSIBLE FOR CONTINUOUS MAINTENANCE AND ADMINISTRATION OF THE COMPENSATION PLAN FOR OFFICERS TO ASSURE THAT THE PLAN IS FUNCTIONAL AS WORK REQUIREMENT CHANGES IN THE VARIOUS DEPARTMENTS AND AS CONDITIONS CHANGE IN THE LABOR MARKET. THE ABOVE STATED INFORMATION ALSO APPLIES TO THE RECENTLY FILLED POSITION OF CHIEF FINANCIAL OFFICER. DURING THE HIRING PROCESS FOR THIS POSITION, THE ABOVE LISTED ITEMS WHERE TAKEN INTO CONSIDERATION. A SALARY REVIEW WAS ALSO DONE USING DATA FROM OTHER WEST VIRGINIA COMPREHENSIVE BEHAVIOR HEALTHCARE CENTERS. THE MANAGEMENT TEAM, COMPRISED OF THE CEO, CHIEF OPERATION OFFICER, DIRECTOR OF QUALITY MANAGEMENT AND DIRECTOR OF HUMAN RESOURCES, INTERVIEWED THE CANDIDATES, CONDUCTED REFERENCE CHECKS THEN MET TO DISCUSS THE JOB OFFER AND RATE OF PAY. ONCE THE JOB OFFER WAS MADE AND THE STARTING WAGE WAS ACCEPTED BY THE CANDIDATE, THE CEO DIRECTED THE HUMAN RESOURCES DIRECTOR (HRD) TO IMPLEMENT THIS OFFER. A PERSONNEL ACTION FORM WAS INITIATED BY THE CEO WITH THE EFFECTIVE DATE AS NEGOTIATED WITH THE CANDIDATE.
FORM 990, PAGE 6, PART VI, LINE 19
VALLEY IS MANDATED BY THE WEST VIRGINIA HEALTHCARE (WVHCA) AUTHORITY TO PUBLISH ITS ANNUAL FINANCIAL STATEMENTS. VALLEY ELECTS TO PUBLISH ITS AUDITED FINANCIAL STATEMENTS IN THE LOCAL NEWSPAPER. ADDITIONALLY, THE WVHCA KEEPS ON FILE, THE AUDITED FINANCIAL STATEMENTS, WHICH ARE AVAILABLE FOR PUBLIC INSPECTION AND PHOTOCOPYING AT THE AUTHORITY AT 100 DEE DRIVE IN CHARLESTON WV. VALLEY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.