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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <TitleTxt>FORMER CHIEF EXECUTIVE OFFICER</TitleTxt>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>327367521</RelatedOrExemptFuncIncomeAmt>
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        <EOYAmt>169415</EOYAmt>
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        <NetCommunityBenefitExpnsAmt>1661261</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0052</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
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        <TotalExpensePct>0.0786</TotalExpensePct>
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      <PhysicalImprvAndHousingGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
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        <TotalExpensePct>0.0</TotalExpensePct>
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      <EconomicDevelopmentGrp>
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      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
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      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
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        <TotalExpensePct>0.0</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>268142</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>164919</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>103223</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0003</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
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        <PersonsServedCnt>0</PersonsServedCnt>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
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        <TotalExpensePct>0.0</TotalExpensePct>
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      <OtherCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
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        <TotalExpensePct>0.0</TotalExpensePct>
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      <TotalCommuntityBuildingActyGrp>
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        <NetCommunityBenefitExpnsAmt>103223</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0003</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>13112905</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>54921088</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>66039933</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-11118845</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>VALLEY VIEW HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1906 BLAKE AVENUE</AddressLine1Txt>
          <CityNm>GLENWOOD SPRINGS</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81601</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.VVH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>PDO.0500000005</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>SOLE COMMUNITY HOSPITAL</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.vvh.org/about/publications/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://www.vvh.org/about/publications/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>199.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.vvh.org/patients-visitors/billing-insurance/financial-assistance/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.vvh.org/patients-visitors/billing-insurance/financial-assistance/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.vvh.org/patients-visitors/billing-insurance/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE CHNA ARE ADDRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - VALLEY VIEW HOSPITAL. VALLEY VIEW HOSPITAL GATHERED INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY BY CONDUCTING A SURVEY. THE SURVEY WAS DESIGNED TO ASSEMBLE INFORMATION FROM LOCAL RESIDENTS REGARDING: - DEMOGRAPHICS OF RESPONDENTS - UTILIZATION AND PERCEPTION OF LOCAL HEALTH SERVICES - PERCEPTION OF COMMUNITY HEALTH THE IDENTITY OF THE PERSONS CONSULTED CONSISTED OF MEMBERS OF THE CHAMBER OF COMMERCE, LOCAL PHYSICIANS, COMMUNITY LEADERS, AND BUSINESS OWNERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - VALLEY VIEW HOSPITAL. VALLEY VIEW HOSPITAL'S MOST RECENT CHNA IS 2021. WITH TWO COMMUNITY HEALTH NEEDS IDENTIFIED ARE AS FOLLOWS: 1) COVERAGE AND TOTAL COST OF CARE AND 2) BEHAVIORIAL AND MENTAL HEALTH. VVH CONTINUES TO ADDRESS THESE NEEDS. REGARDING COVERAGE AND TOTAL COST OF CARE, VALLEY VIEW CONTINUES TO EXECUTE SPECIFIC ACTIONS TO ACHIEVE THE FOLLOWING IMPACTS: IMPROVED COVERAGE FOR VULNERABLE POPULATIONS; ENHANCED PRIMARY CARE HELPS MANAGEMENT OF TOTAL COST OF CARE; ENHANCED UNDERSTANDING OF PATIENT WELL-BEING DRIVES MORE EFFECTIVE STRATEGIES FOR WELLNESS, COST MANAGEMENT; ACCESSIBLE, QUALITY SPECIALTY CARE SUPPORTS COVERAGE AND COST MANAGEMENT; COSTS BETTER MANAGED THRU APPROPRIATE USE OF CARE. KEY ACTIONS IN 2023 INCLUDE CONTINUING THE CURRENT FINANCIAL AID PROGRAM TO OFFER GENEROUS ASSISTANCE TO VULNERABLE POPULATIONS, DESPITE VERY STRONG FINANCIAL HEADWINDS; INVESTMENT IN NEW EMPLOYED PRIMARY CARE PROVIDERS; ANNUAL DIRECT FINANCIAL SUPPORT OF FQHC, MOUNTAIN FAMILY HEALTH CENTERS; INVESTMENT IN A NEW DIRECT SECURE COMMUNICATIONS PLATFORM FOR ALL VVH MEDICAL STAFF TO SUPPORT PATIENT CARE/MANAGEMENT; EXPANSION OF TELEHEALTH SERVICES; NEW EDUCATIONAL OPPORTUNITIES FOR MEDICAL STAFF TO CARE FOR DIVERSE PATIENT POPULATIONS; INVESTMENTS IN NEW SERVICES AND CARE LOCATIONS TO PROMOTE ACCESS INCLUDE A NEW OP PHYSICAL THERAPY OFFICE; EXPANSION OF SPECIALTY CARE CLINICS IN PARTNERSHIP WITH HOSPITALS IN CRAIG, RANGELY, ASPEN AND RIFLE. TO ADDRESS THE BEHAVIORAL AND MENTAL HEALTH PRIORITY, VVH FOCUSED ON THE INTENDED IMPACTS: ACCESS TO QUALITY PSYCHIATRIC CARE, ENHANCED INTEGRATION OF BEHAVIORAL AND PHYSICAL HEALTH CARE; DECREASED OPIOID USE; REDUCED COMMUNITY SUICIDES; ENHANCED CARE FOR COMMUNITY MEMBERS NEEDING SUBSTANCE WITHDRAWAL. KEY ACTIONS IN 2023 INCLUDE THE CONTINUED INVESTMENT IN PSYCHIATRY PROVIDERS; FOCUS ON PROCESSES AND PARTNER RELATIONSHIPS TO SUPPORT INTEGRATION OF BEHAVIORAL AND PHYSICAL HEALTH CARE; EFFORTS TO PROMOTE ALTERNATIVE TO OPIOIDS (ALTO) AND IMPLEMENT THE ZERO SUICIDE INITIATIVE; CONTINUED COLLABORATIONS WITH LARGE AND DIVERSE COMMUNITY STAKEHOLDERS TO EVOLVE SOCIAL SETTING WITHDRAWAL MANAGEMENT FACILITY TO MEDICAL MODEL, SLATED TO OPEN IN 2024. SUBTANCE ABUSE, CANCER, AND AGING PROBLEMS ARE HEALTH NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGY BECAUSE THEY ARE BEING ADDRESSED BY OTHER ORGANIZATIONS WITH EXPERTISE AND THE CAPACITY TO DO SO. VALLEY VIEW PROVIDES STAFF EDUCATION AND AWARENESS PROMOTION TO SUPPORT THE COMMUNITY ORGANIZATIONS THAT SPECIALIZE IN ADDRESSING THESE OTHER CONCERNS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>9</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ROARING FORK FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>978 EUCLID AVENUE</AddressLine1Txt>
            <CityNm>CARBONDALE</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81623</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PEDIATRIC PARTNERS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1905 BLAKE AVENUE</AddressLine1Txt>
            <CityNm>GLENWOOD SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81601</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EAGLE VALLEY FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>377 SYLVAN LAKE ROAD</AddressLine1Txt>
            <CityNm>EAGLE</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81631</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WILLITS HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>350 MARKET STREET</AddressLine1Txt>
            <CityNm>BASALT</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81621</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL PRACTICE HEALTHCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SILT HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2001 HORSESHOE TRAIL</AddressLine1Txt>
            <CityNm>SILT</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81652</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL PRACTICE HEALTHCARE, NEUROLOGY CENTER, SPINE CENTER WOMENS' HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SILT FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2001 HORSESHOE TRAIL</AddressLine1Txt>
            <CityNm>SILT</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81652</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HEART AND VASCULAR CENTER GRAND JUNCTION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>607 25 ROAD</AddressLine1Txt>
            <CityNm>GRAND JUNCTION</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81505</ZIPCd>
          </USAddress>
          <FacilityTxt>HEART AND VASCULAR CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EAGLE HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>377 SYLVAN LAKE ROAD</AddressLine1Txt>
            <CityNm>EAGLE</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81631</ZIPCd>
          </USAddress>
          <FacilityTxt>ORTHOPAEDIC, HEART AND VASCULAR, SPINE CENTER, NEUROLOGY CENTER, UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VALLEY VIEW REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2001 CROSS STREET UNIT 105</AddressLine1Txt>
            <CityNm>CARBONDALE</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81623</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF OTHER FACTORS USED IN DETERMINING FAP ELIGIBILITY: IN ADDITION TO THE FPG VALLEY VIEW HOSPITAL ASSOCIATION ALSO USES ASSET LEVEL, MEDICAL INDIGENCY AND INSURANCE STATUS TO DETERMINE ELIGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY VIEW HOSPITAL IS A MEMBER OF THE VALLEY HEALTH ALLIANCE WHICH PROMOTE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES BY COLLABORATING TO PROVIDE HEALTHCARE THAT IS ACCESSBILE, AFFORDABLE AND HIGH QUALITY. THE MISSION IS TO MEET PEOPLE WHERE THEY ARE IN THEIR JOURNEY TO IMPROVE PERSONAL HEALTH AND WELL-BEING THROUGH TRUSTED PARTNERSHIPS WITH THEIR EMPLOYERS AND PROVIDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY VIEW DOES NOT HAVE A METHOD TO ESTIMATE THE AMOUNT OF BAD DEBT COST THAT WOULD RELATE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER VALLEY VIEW'S FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION HAD BEEN RECIEVED TO MAKE A DETERMINATION OF THE PATIENT'S ELIGIBILITY; IT IS BELIEVED THAT A SIGNIFICANT AMOUNT OF BAD DEBT WOULD QUALIFY FOR CHARITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW VALLEY VIEW HOSPITAL ASSOCIATION RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION VALLEY VIEW HOSPITAL ASSOCIATION DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A RURAL HOSPITAL THE ORGANIZATION IS CRITICAL IN PROVIDING HEALTHCARE SERVICES TO ALL COMMUNITY MEMBERS INCLUDING THE ELDERLY POPULATION WHICH MEDICAL STAFF IN THE SURROUNDING AREA RESIST TO SERVE. ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICE IS NEEDED FOR THE OVERALL HEALTH OF OUR RESIDENTS EVEN IF OUR MEDICARE REIMBURSEMENT DOES NOT MEET THE COST OF PROVIDING THAT CARE. THE MEDICARE SHORTFALL REFLECTS THE EXCESS OF COSTS CONSISTENTLY DRIVEN UP BY INTENSIFYING REGULATORY REQUIREMENTS, SKILLED LABOR SHORTAGES AND EVOLVING MEDICAL AND INFORMATION TECHNOLOGY, OVER NON NEGOTIABLE PAYMENTS BASED ON UPDATES THAT HAVE FALLEN BEHIND ACTUAL HEALTHCARE COST INFLATION. COSTS ARE BASED ON MEDICARE COST REPORT ALLOCATIONS. THE COST REPORT WAS USED TO DETERMINE THE ALLOWABLE COSTS REPORTED ON LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>FAP ALLOWS FOR A DISCOUNT OF 50% TO 100% BASED ON A SLIDING SCALE. REMAINING BALANCES AFTER THE DISCOUNT ARE TREATED AS ALL OTHER SELF PAY ACCOUNTS. THE SYSTEM GENERATES THREE STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVES WILL ATTEMPT AT LEAST TWO PHONE CALLS. THE THIRD STATEMENT IS A FINAL NOTICE FOR SELF PAY AND IS GENERATED BY THE CUSTOMER SERVICE SUPERVISOR AT ABOUT 90 DAYS. WITHOUT OTHER ARRANGEMENTS, THE DEBT IS TRANSFERRED TO THE COLLECTION AGENCY AFTER 120 DAYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - VALLEY VIEW HOSPITAL ASSOCIATION: Line 16a URL: https://www.vvh.org/patients-visitors/billing-insurance/financial-assistance/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - VALLEY VIEW HOSPITAL ASSOCIATION: Line 16b URL: https://www.vvh.org/patients-visitors/billing-insurance/financial-assistance/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - VALLEY VIEW HOSPITAL ASSOCIATION: Line 16c URL: https://www.vvh.org/patients-visitors/billing-insurance/financial-assistance/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT: VALLEY VIEW CONDUCTS A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE HOSPITAL ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH SURVEYS TAKEN BY COMMUNITY HEALTH DEPARTMENTS AND INPUT FROM COMMUNITY FOCUS GROUPS. IN ADDITION, WE ARE ACTIVELY INVOLVED WITH KEY COMMUNITY ORGANIZATIONS AND AGENCIES TO BEST UNDERSTAND AND RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. FOR EXAMPLE, WE ARE COLLABORATING WITH THE CITY OF GLENWOOD SPRINGS TO HELP ADDRESS THE CHALLENGES OF HOMELESSNESS AND SUBSTANCE ABUSE BY EXPLORING HOUSING OPPORTUNITIES AND A COMMUNITY DETOX.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL HIRES EMPLOYEES ON A FULL-TIME BASIS TO ASSIST PATIENTS IN COMPLETING FORMS THAT DETERMINE THEIR ELIGIBILITY FOR ATTAINING FINANCIAL ASSISTANCE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION: THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE COMMUNITIES OF GLENWOOD SPRINGS, CARBONDALE, NEW CASTLE, SILT, AND RIFLE IN GARFIELD COUNTY, AND GYPSUM AND BASALT IN EAGLE COUNTY. SEVERAL OF THE HOSPITAL'S PHYSICIAN PRACTICES EXTEND THEIR PATIENT OUTREACH EFFORTS BY PARTNERING WITH OTHER CLINICS AND HOSPITALS THROUGHOUT THE COLORADO WESTERN SLOPE. ACCORDING TO GOVERNMENT CENSUS INFORMATION, FOR 2022 GLENWOOD SPRINGS HAD 8.5% PERSONS BELOW THE POVERTY LEVEL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH: VALLEY VIEW HOSPITAL (VVH) IS THE MOST COMPREHENSIVE HEALTHCARE PROVIDER ACROSS THE THREE-COUNTY RURAL REGION THAT IT SERVES IN WESTERN COLORADO. ITS SERVICES INCLUDE THE LARGEST NETWORK OF PRIMARY CARE AND SPECIALTY CARE, SUCH AS 24/7/365 CARDIOVASCULAR CARE, THAT ARE UNIQUE TO THE REGION. FREE AND REDUCED CARE THROUGH A GENEROUS FINANCIAL AID PROGRAM SUPPORTS ACCESS TO VVH'S SERVICES BY VULNERABLE POPULATIONS. IT HAS INVESTED IN RESOURCES AND PROGRAMS TO ADDRESS SPECIFIC BARRIERS TO CARE, INCLUDING TRANSLATION SERVICES AND TELEHEALTH. OTHER PROGRAMS AND ACTIVITIES ALSO ADVANCE THE HEALTH OF THE COMMUNITY. VVH DYNAMICALLY COLLABORATES WITH OTHER SERVICE PROVIDERS IN THE CARE MANAGEMENT OF PATIENTS WITH POSITIVE HEALTH-RELATED SOCIAL NEEDS SCREENINGS, INCLUDING THE CO RAE-Region COMMUNITY HEALTH NETWORK. VVH PROVIDES DIRECT FINANCIAL SUPPORT TO THE AREA'S FEDERALLLY QUALIFIED HEALTH CENTER, MOUNTAIN FAMILY HEALTH CENTER. IT ALSO PROVIDES FINANCIAL SUPPORT TO RECRUIT AND RETAIN REGIONAL PRIMARY CARE PROVIDERS. VVH ACTIVELY COLLABORATES WITH NUMEROUS ENTITIES TO FURTHER PROMOTE COMMUNITY HEALTH. FOR EXAMPLE, IT IS A MEMBER AND LEADER OF THE VALLEY HEALTH ALLIANCE AND WEST MOUNTAIN REGIONAL HEALTH ALLIANCE. LASTLY, VALLEY VIEW INVESTS IN THE HEALTH OF THE AREA'S STUDENT ATHLETES THROUGH ITS ATHLETIC TRAINER PROGRAM. A VVH CERTIFIED ATHLETIC TRAINER IS EMBEDDED IN EACH OF THE AREA'S THREE HIGH SCHOOLS. VVH ORTHOPEDIC SURGEONS, PHYSICIANS AND OTHER MEDICAL STAFF PROVIDE ADDITIONAL SUPPORT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF AFFILIATION: VALLEY VIEW HOSPITAL IS AFFILIATED WITH VALLEY VIEW FOUNDATION. VALLEY VIEW HOSPITAL FOUNDATION (THE FOUNDATION) IS A NOT-FOR-PROFIT ORGANIZATION OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES IN SUPPORT OF THE MISSION AND PURPOSES OF THE HOSPITAL. THE FOUNDATION IS AN AFFILIATE CONTROLLED BY THE HOSPITAL.</ExplanationTxt>
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        <ExplanationTxt>VALLEY VIEW HOSPITAL DOES NOT OFFER GRANTS TO THE ORGANIZATIONS, IT OFFERS DONATIONS AND SPONSORSHIPS. THE COMMUNITY RELATIONS AND ADMINISTRATION DEPARTMENTS MONITOR AND SELECT WHICH ORGANIZATIONS VALLEY VIEW HOSPITAL WILL SUPPORT WITH DONATIONS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SURESH KHILNANI MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>PULMONOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>849164</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>303537</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>43003</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23135</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1236989</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>GARY BREWER</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>FORMER CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>218805</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218805</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTMAS GIFTS OF $100-$250 WERE GIVEN TO OFFICERS AND KEY EMPLOYEES AND GROSSED UP FOR TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHRISTMAS GIFTS ARE DISCRETIONARY AND IMMATERIAL; THEREFORE, NO WRITTEN POLICY HAS BEEN IMPLEMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>BRIAN MURPHY, CHARLES CREVLING, AND DANIEL BIGGS PARTICIPATE IN A SERP PLAN AND EMPLOYER CONTRIBUTIONS DURING CALENDAR YEAR 2023 WERE $81,250, $44,167 AND $50,000 RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO, CFO, AND ALL HIGHEST COMPENSATED EMPLOYEES RECEIVED A BONUS DURING CALENDAR YEAR 2023. THE BONUS WAS DETERMINED BY THE BOARD COMPENSATION COMMITTEE. THE BONUS IS BASED ON MULTIPLE FACTORS INCLUDING, BUT NOT LIMITED TO: SALARY, PRODUCTIVITY, COLLECTIONS, PATIENT SATISFACTION, AND QUALITY AND FINANCIAL GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="23017437" softwareVersionNum="2023v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <CUSIPNum>19648FFS8</CUSIPNum>
        <BondIssuedDt>2015-12-08</BondIssuedDt>
        <IssuePriceAmt>48891253</IssuePriceAmt>
        <PurposeDesc>OBLIGATIONS ISSUED FOR IMPROVEMENT AND EXPANSION OF FACILITIES.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <CUSIPNum>19648A5G6</CUSIPNum>
        <BondIssuedDt>2017-12-19</BondIssuedDt>
        <IssuePriceAmt>47469359</IssuePriceAmt>
        <PurposeDesc>OBLIGATIONS ISSUED TO REFUND SERIES 2008 BONDS</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
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          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>840752932</BondIssuerEIN>
        <BondIssuedDt>2022-08-17</BondIssuedDt>
        <IssuePriceAmt>51905000</IssuePriceAmt>
        <PurposeDesc>OBLIGATIONS ISSUED TO REFUND SERIES 2018 BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>4337425</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>48891253</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>434759</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>48456494</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>9760719</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>47469359</TotalProceedsAmt>
        <InReserveFundAmt>4894286</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>498920</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>51864725</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>1695000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>51905000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>385612</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>51519388</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2022</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c SCHEDULE K, PART IV, LINE 2C, COLUMN (A)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARBRITRAGE CALCULATION FOR THE 2015 ISSUANCE WAS PERFORMED IN 2020 AND NO REBATE WAS DUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part V Different Procedures to Undertake Corrective Action</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: COLORADO HEALTH FACILITIES AUTHORITY n/a</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: COLORADO HEALTH FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 01/01/2020</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part V Different Procedures to Undertake Corrective Action</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: COLORADO HEALTH FACILITIES AUTHORITY n/a</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part V Different Procedures to Undertake Corrective Action</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: COLORADO HEALTH FACILITIES AUTHORITY n/a</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE TWO CLASSES OF MEMBERS: CHARTER OR LIFE MEMBERS AND ANNUAL MEMBERS. THOSE PERSONS OR ENTITIES WHO ARE CHARTER OR LIFE MEMBERS AS OF 7/31/1995 WILL CONTINUE TO BE LIFE MEMBERS. PERSONS WHO BECOME MEMBERS OF THE ASSOCIATION AFTER 7/31/1995 SHALL PAY AN ANNUAL MEMBERSHIP FEE OF $25.00. EACH MEMBER IN GOODSTANDING SHALL HAVE ONE VOTE IN THE BUSINESS OF THE CORPORATION. AS OF 12/31/2023 THERE WERE 44 LIFETIME MEMBERS AND 27 ANNUAL MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF MEMBERS POWER TO ELECT OR APPOINT GOVERNING BODY: EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON ELECTION OF BOARD MEMBERS AND TO HOLD ANY OFFICE IN THE CORPORATION TO WHICH HE MAY BE ELECTED OR APPOINTED. MEMBERS OF THE CORPORATION SHALL BE ELECTED TO THE BOARD OF TRUSTEES OF THE CORPORATION AS APPROPRIATE AT EACH ANNUAL MEETING OF THE CORPORATION. THE BOARD OF TRUSTEES SHALL CONSIST OF SEVEN ELECTED MEMBERS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF GOVERNANCE DECISIONS RESERVED BY MEMBERS: EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON THE DISPOSITION OF ASSETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PROCESS TO REVIEW FORM 990: INFORMATION FOR SCHEDULES ARE COMPILED BY THE SENIOR ACCOUNTING STAFF AND THE CONTROLLER, SUBMITTED TO INDEPENDENT TAX ADVISORS TO ASSEMBLE INTO THE FORM 990. THE FORM 990 IS THEN REVIEWED BY THE CFO AND PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF CONFLICT-OF INTEREST POLICY: TRUSTEES, OFFICERS AND DIRECTORS, EMPLOYED PHYSICIANS, AND MEMBERS OF THE VALLEY VIEW MEDICAL STAFF WHO ARE IN POSITIONS THAT HAVE INFLUENCE OVER THE AFFAIRS OF VALLEY VIEW AND WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST IN VALLEY VIEW, ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE OF INTEREST STATEMENT FOR ANY REAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. TEAM MEMBERS AT OR ABOVE THE MANAGEMENT LEVEL MUST COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ONLINE VIA SYMPLR MANAGEMENT SYSTEM UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. TEAM MEMBERS WHO ARE BELOW THE MANAGER LEVEL MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THEIR IMMEDIATE SUPERVISORS AND SHALL CONTACT THE ADMINISTRATION SUPERVISOR TO COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ONLINE VIA SYMPLR MANAGEMENT SYSTEM OR VIA PAPER. THE BOARD CHAIR AND DIRECTOR OF COMPLIANCE MONITOR THE CONFLICT-OF-INTEREST DISCLOSURES WITH ADDITIONAL OVERSIGHT PROVIDED BY LEGAL COUNSEL AND THE BOARD AUDIT AND COMPLIANCE COMMITTEE IF A CONFLICT ARISES, THE INDIVIDUAL IN QUESTION IS RECUSED FROM VOTING ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SETTING THE CEO'S COMPENSATION, THE BOARD THROUGH IT'S LEGAL COUNSEL ENGAGES AN INDEPENDENT THIRD PARTY ON A REGULAR BASIS TO DETERMINE THE COMPARABILITY NATIONALLY FOR SIMILARLY SITUATED HOSPITALS TO ESTABLISH MARKET COMPARISONS FOR CEO TOTAL COMPENSATION. IN THE SPRING OF 2023 THE BOARD ENGAGED SULLIVAN COTTER TO CONDUCT THIS ANALYSIS. THE BOARD THEN REVIEWS RECOMMENDATIONS, DETERMINES THE COMPENSATION LEVEL AND APPROVES ANY CHANGE. OTHER EXECUTIVE LEADERS' COMPENSATION IS COMPARED USING SURVEYS INCLUDING BUT NOT LIMITED TO THE SULLIVAN COTTER REPORT RELATIVE TO THEIR RESPECTIVE POSITIONS AND OTHER SOURCES WHICH MAY INCLUDE WILLIS TOWERS DATA, MOUNTAIN STATES EMPLOYER'S COUNCIL DATA AND OTHER REAL TIME MARKET DATA AS IS RELEVANT. THE PROCESS FOR DETERMING THE COMPENSATION IS RECORDED IN THE BOARD MINUTES AND EMPLOYEE FILES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SETTING OFFICER AND KEY EMPLOYEE COMPENSATION, THE CEO USED COMPARABILITY DATA IN THE SPRING 2023: THE COMPENSATION COMMITTEE OF THE BOARD THROUGH IT'S LEGAL COUNSEL ENGAGED THE INDEPENDENT THIRD-PARTY FIRM SULLIVAN COTTER TO DETERMINE THE COMPARABILITY NATIONALLY FOR SIMILARLY SITUATED HOSPITALS TO ESTABLISH MARKET COMPARISONS FOR TOTAL COMPENSATION. OFFICER AND KEY EMPLOYEE COMPNESATION IS REVIEWED AND APPROVED BY THE CEO. THE PROCESS FOR DETERMINING THE COMPENSATION IS RECORDED IN THE BOARD MINUTES AND EMPLOYEE FILES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF DOCUMENT MADE AVAILABLE TO THE PUBLIC: VALLEY VIEW'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES - Total Expense: 11737872, Program Service Expense: 11737872, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 14056865, Program Service Expense: 13187497, Management and General Expenses: 869368, Fundraising Expenses: ; RECRUITING - Total Expense: 695975, Program Service Expense: 223742, Management and General Expenses: 472233, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 18599927, Program Service Expense: 10237173, Management and General Expenses: 8362754, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS FROM EQUITY METHOD INVESTMENT - -137831; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 715423;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE TWO CLASSES OF MEMBERS: CHARTER OR LIFE MEMBERS AND ANNUAL MEMBERS. THOSE PERSONS OR ENTITIES WHO ARE CHARTER OR LIFE MEMBERS AS OF 7/31/1995 WILL CONTINUE TO BE LIFE MEMBERS. PERSONS WHO BECOME MEMBERS OF THE ASSOCIATION AFTER 7/31/1995 SHALL PAY AN ANNUAL MEMBERSHIP FEE OF $25.00. EACH MEMBER IN GOOD STANDING SHALL HAVE ONE VOTE IN THE BUSINESS OF THE CORPORATION. AS OF 12/31/2023 THERE WERE 44 LIFETIME MEMBERS AND 27 ANNUAL MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF MEMBERS POWER TO ELECT OR APPOINT GOVERNING BODY: EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON ELECTION OF BOARD MEMBERS AND TO HOLD ANY OFFICE IN THE CORPORATION TO WHICH HE MAY BE ELECTED OR APPOINTED. MEMBERS OF THE CORPORATION SHALL BE ELECTED TO THE BOARD OF TRUSTEES OF THE CORPORATION AS APPROPRIATE AT EACH ANNUAL MEETING OF THE CORPORATION. THE BOARD OF TRUSTEES SHALL CONSIST OF SEVEN ELECTED MEMBERS OF THE CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF GOVERNANCE DECISIONS RESERVED BY MEMBERS: EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON THE DISPOSITION OF ASSETS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PROCESS TO REVIEW FORM 990: INFORMATION FOR SCHEDULES ARE COMPILED BY THE SENIOR ACCOUNTANTING STAFF AND THE CONTROLLER, SUBMITTED TO INDEPENDENT TAX ADVISORS TO ASSEMBLE INTO THE FORM 990. THE FORM 990 IS THEN REVIEWED BY THE CFO AND PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF CONFLICT-OF-INTEREST POLICY: TRUSTEES, OFFICERS AND DIRECTORS, EMPLOYED PHYSICIANS, AND MEMBERS OF THE VALLEY VIEW MEDICAL STAFF WHO ARE IN POSITIONS THAT HAVE INFLUENCE OVER THE AFFAIRS OF VALLEY VIEW AND WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST IN VALLEY VIEW, ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE OF INTEREST STATEMENT FOR ANY REAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. TEAM MEMBERS AT OR ABOVE THE MANAGEMENT LEVEL MUST COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ONLINE VIA SYMPLR MANAGEMENT SYSTEM UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. TEAM MEMBERS WHO ARE BELOW THE MANAGER LEVEL MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THEIR IMMEDIATE SUPERVISORS AND SHALL CONTACT THE ADMINISTRATION SUPERVISOR TO COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ONLINE VIA SYMPLR MANAGEMENT SYSTEM OR VIA PAPER. THE BOARD CHAIR AND DIRECTOR OF COMPLIANCE MONITOR THE CONFLICT-OF-INTEREST DISCLOSURES WITH ADDITIONAL OVERSIGHT PROVIDED BY LEGAL COUNSEL AND THE BOARD AUDIT AND COMPLIANCE COMMITTEE IF A CONFLICT ARISES, THE INDIVIDUAL IN QUESTION IS RECUSED FROM VOTING ON THE MATTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SETTING THE CEO'S COMPENSATION, THE BOARD THROUGH IT'S LEGAL COUNSEL ENGAGES AN INDEPENDENT THIRD PARTY ON A REGULAR BASIS TO DETERMINE THE COMPARABILITY NATIONALLY FOR SIMILARLY SITUATED HOSPITALS TO ESTABLISH MARKET COMPARISONS FOR CEO TOTAL COMPENSATION. IN THE SPRING OF 2022 THE BOARD ENGAGED SULLIVAN COTTER TO CONDUCT THIS ANALYSIS. THE BOARD THEN REVIEWS RECOMMENDATIONS, DETERMINES THE COMPENSATION LEVEL AND APPROVES ANY CHANGE. OTHER EXECUTIVE LEADERS' COMPENSATION IS COMPARED USING SURVEYS INCLUDING BUT NOT LIMITED TO THE SULLIVAN COTTER REPORT RELATIVE TO THEIR RESPECTIVE POSITIONS AND OTHER SOURCES WHICH MAY INCLUDE WILLIS TOWERS DATA, MOUNTAIN STATES EMPLOYER'S COUNCIL DATA AND OTHER REAL TIME MARKET DATA AS IS RELEVANT. THE PROCESS FOR DETERMING THE COMPENSATION IS RECORDED IN THE BOARD MINUTES AND EMPLOYEE FILES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SETTING OFFICER AND KEY EMPLOYEE COMPENSATION, THE CEO USED COMPARABILITY DATA IN THE SPRING 2022: THE COMPENSATION COMMITTEE OF THE BOARD THROUGH IT'S LEGAL COUNSEL ENGAGED THE INDEPENDENT THIRD-PARTY FIRM SULLIVAN COTTER TO DETERMINE THE COMPARABILITY NATIONALLY FOR SIMILARLY SITUATED HOSPITALS TO ESTABLISH MARKET COMPARISONS FOR TOTAL COMPENSATION. OFFICER AND KEY EMPLOYEE COMPNESATION IS REVIEWED AND APPROVED BY THE CEO. THE PROCESS FOR DETERMINING THE COMPENSATION IS RECORDED IN THE BOARD MINUTES AND EMPLOYEE FILES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF DOCUMENT MADE AVAILABLE TO THE PUBLIC: VALLEY VIEW'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
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