2024-11-13T11:14:17-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 421599749 LEWIS COUNTY COMMUNITY HEALTH SERVICES LEWI 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 HOLLY SLIVA CFO 3603309595 2024-11-12 1 1 KURT BENNION CPA P01469618 4252506100 2024-11-12 2023 2024-10-15 13:58:12Z VALLEY VIEW HEALTH CENTER GAELON SPRADLEY 2690 NE KRESKY AVENUE CHEHALIS WA 98532 33884630 0 X WWW.VVHC.ORG X 2004 WA PROVIDE QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE. 9 9 318 61 0 0 6182246 4835508 25539992 28557466 138524 357043 176888 133678 32037650 33883695 1000 15488 0 0 19388087 24490820 0 0 0 7948092 10371217 27337179 34877525 4700471 -993830 33793494 37850257 6638607 11192387 27154887 26657870 X TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE, RESPECTING INDIVIDUAL AND CULTURAL DIVERSITY. 0 0 16274406 15488 15661426 VALLEY VIEW HEALTH CENTER (THE CENTER) PROVIDES MEDICAL SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2023, THE CENTER PROVIDED 55,114 MEDICAL ENCOUNTERS TO 21,556 PATIENTS. 6436528 0 6194094 THE CENTER PROVIDES DENTAL-RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2023, THE CENTER PROVIDED 16,490 DENTAL ENCOUNTERS TO 6,308 PATIENTS. 5238927 0 5041601 THE CENTER PROVIDES PHARMACY-RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2023, THE CENTER'S PHARMACY FILLED 89,865 PRESCRIPTIONS FOR 6,192 PATIENTS AND CONDUCTED 966 CLINICAL ENCOUNTERS. 1725328 0 1660344 THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2023, THE CENTER PROVIDED 4,422 BEHAVIORAL HEALTH ENCOUNTERS TO 631 PATIENTS. 1725328 0 1660344 29675189 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 48 0 318 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X HOLLY SLIVA 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 GAELON SPRADLEY CHIEF EXECUTIVE OFFICER 40.00 X 294977 0 25224 GARETT GODFREY DENTIST 40.00 X 272106 0 24099 SARAH LANDRUM PHYSICIAN/ASSISTANT MEDICAL DIRECTOR 40.00 X 262702 0 27572 STEPHEN HENNESSEY PHYSICIAN 40.00 X 256224 0 22643 DAVID LITTLE PHYSICIAN/ASSISTANT MEDICAL DIRECTOR 40.00 X 246924 0 27794 LOU ANN MERCIER CHIEF CLINICAL INTEGRATION OFFICER/DENTAL DIRECTOR 40.00 X 237951 0 25429 HOLLY SLIVA CHIEF FINANCIAL OFFICER 40.00 X 212465 0 15955 SOO RYUN AHN PHYSICIAN 40.00 X 201361 0 25224 THOMAS DONOVAN CHIEF OPERATIONS OFFICER 40.00 X 200289 0 23288 SARAH BAGBY PHARMACY DIRECTOR 40.00 X 208209 0 9110 BLAKE BUSEY MEDICAL DIRECTOR 40.00 X 195681 0 15077 THERESA NORMOYLE BEHAVIORAL HEALTH DIRECTOR 40.00 X 170885 0 6741 GREG MARTIN PRESIDENT 1.00 X X 0 0 0 RACHEL WOOD VICE PRESIDENT (THROUGH MARCH 2023) 1.00 X X 0 0 0 CHRIS RUST BOARD MEMBER & VICE PRESIDENT 1.00 X X 0 0 0 BOBBY BURGER TREASURER 1.00 X X 0 0 0 DANIEL STUSSER SECRETARY 1.00 X X 0 0 0 JOHN BURTON PAST PRESIDENT 1.00 X X 0 0 0 TONI GWIN BOARD MEMBER 1.00 X 0 0 0 MARY BETH HARRINGTON BOARD MEMBER 1.00 X 0 0 0 ROBERT MOHRBACHER BOARD MEMBER 1.00 X 0 0 0 TAMRA RUYMANN BOARD MEMBER 1.00 X 0 0 0 2759774 0 248156 54 0 1 0 NETGAIN TECHNOLOGY LLC 12301 WHITEWATER DRIVE SUITE 50 MINNETONKA MN 55343 IT SERVICES 283215 THE EQUITY INSTITUTE PO BOX 13501 OLYMPIA WA 98508 COVID OUTREACH EFFORTS 236117 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC STREET SEATTLE WA 98195 PSYCHIATRIC SERVICES 167272 YOUNGS JANITORIAL PO BOX 599 ONALASKA WA 98570 CLEANING SERVICES 153350 BLUE NOVO INC 8455 COLESVILLE RD SUITE 1525 SILVER SPRING MD 20910 IT SERVICES 153249 8 4590460 245048 224504 4835508 NET PATIENT REVENUE 624100 26679991 26679991 CAPITATION REVENUE 624100 1877475 1877475 28557466 357978 357978 38064 0 38064 38064 38064 935 -935 -935 -935 OTHER INCOME 900099 68657 68657 MEDICAL RECORDS REVENUE 900099 26957 26957 95614 33883695 28557466 0 490721 15488 15488 1641279 548620 1092659 18265152 17218568 1046584 399376 350071 49305 2797081 2296400 500681 1387932 1124498 263434 2298273 1224486 1073787 335267 224022 111245 291038 110990 180048 906301 710003 196298 175005 116937 58068 21451 14333 7118 174341 174341 753366 675123 78243 99635 99635 MEDICAL SUPPLIES 3131002 3131002 EQUIPMENT 702276 673669 28607 DUES & SUBSCRIPTIONS 580433 387840 192593 LICENSES & PERMITS 404337 270174 134163 498492 408624 89868 34877525 29675189 5202336 0 5714723 2459838 4163706 19393713 633998 146836 1877296 2061280 345055 391142 241770 240313 17017437 7079803 8415185 9937634 12395907 2509873 5854 709628 33793494 37850257 2301527 2784434 281901 245678 5854 3900431 3810509 148894 4351766 6638607 11192387 X 27154887 26446417 211453 27154887 26657870 33793494 37850257 X -993830 488991 7822 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1051793 1051793 8551025 4919573 3631452 2883387 211801 2671586 2981899 1948429 1033470 1549333 1549333 9937634 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3648894 RIGHT-OF-USE LEASE LIABILITIES 702872 4351766 X 33396013 488991 935 489926 32906087 977608 977608 33883695 34701625 0 34701625 175900 175900 34877525 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2023 AND 2022, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 935. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS OF NONFINANCIAL ASSETS 224,504. OTHER CONTRIBUTIONS 33,595. CONTRIBUTIONS AND GRANTS FOR CAPITAL EQUIPMENT 332,156. CONTRIBUTIONS WITH DONOR RESTRICTIONS 211,453. BAD DEBT EXPENSE 175,900. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 175,900. 1 PART I, LINE 2: CONTRIBUTIONS TO OTHER ORGANIZATIONS ARE LIMITED TO SMALL AMOUNTS GIVEN TO LOCAL ORGANIZATIONS AND AGENCIES. THE AMOUNTS ARE INTENDED FOR GENERAL OPERATING SUPPORT SO NO SPECIFIC FOLLOW-UP IS CONDUCTED. X 0 1 X X X X 0 0 0 0 0 0 0 1 0 GAELON SPRADLEY CHIEF EXECUTIVE OFFICER 275650 0 0 0 19327 0 0 0 25224 0 320201 0 0 0 GARETT GODFREY DENTIST 270606 0 1500 0 0 0 10995 0 13104 0 296205 0 0 0 SARAH LANDRUM PHYSICIAN/ASSISTANT MEDICAL DIRECTOR 261202 0 1500 0 0 0 10438 0 17134 0 290274 0 0 0 STEPHEN HENNESSEY PHYSICIAN 254724 0 1500 0 0 0 10450 0 12193 0 278867 0 0 0 DAVID LITTLE PHYSICIAN/ASSISTANT MEDICAL DIRECTOR 245424 0 1500 0 0 0 10008 0 17786 0 274718 0 0 0 LOU ANN MERCIER CHIEF CLINICAL INTEGRATION OFFICER/D 227951 0 10000 0 0 0 10050 0 15379 0 263380 0 0 0 HOLLY SLIVA CHIEF FINANCIAL OFFICER 202465 0 10000 0 0 0 2170 0 13785 0 228420 0 0 0 SOO RYUN AHN PHYSICIAN 191661 0 9700 0 0 0 0 0 25224 0 226585 0 0 0 THOMAS DONOVAN CHIEF OPERATIONS OFFICER 190289 0 10000 0 0 0 8481 0 14807 0 223577 0 0 0 SARAH BAGBY PHARMACY DIRECTOR 198209 0 10000 0 0 0 8360 0 750 0 217319 0 0 0 BLAKE BUSEY MEDICAL DIRECTOR 160681 0 35000 0 0 0 331 0 14746 0 210758 0 0 0 THERESA NORMOYLE BEHAVIORAL HEALTH DIRECTOR 160885 0 10000 0 0 0 5991 0 750 0 177626 0 0 0 PART I, LINE 1A IN 2023, GAELON SPRADLEY RECEIVED TAX GROSS-UP PAYMENTS RELATED TO HIS LIFE INSURANCE PREMIUMS. THESE AMOUNTS WERE INCLUDED IN HIS TAXABLE COMPENSATION. PART I, LINE 1B THE DECISION TO PROVIDE TAX GROSS-UP PAYMENTS TO THE CEO WAS BASED ON DISCUSSION AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, RATHER THAN A WRITTEN POLICY. PART I, LINE 7 IN 2023, VALLEY VIEW PROVIDED BONUSES TO ALL ACTIVE EMPLOYEES, WITH SPECIFIC AMOUNTS BEING BASED ON POSITION CATEGORIES AND PRO-RATED FOR PART-YEAR EMPLOYEES. AMOUNST WERE DETERMINED BY THE CEO AND THE BOARD OF DIRECTORS. X 2687 224504 INVOICE PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBERS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF DONATED ITEMS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE CEO AND CFO WHO REVIEWED THE FORM AND SCHEDULES. ALL COMMENTS OR QUESTIONS WERE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT WAS PRESENTED TO THE FINANCE COMMITTEE. A COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS. ONCE APPROVED, THE CEO SIGNED THE FORM 8879-TE, AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE CENTER TO ENSURE TRANSPARENCY REGARDING ANY CONFLICTS OF INTEREST AND PREVENT ANY REAL OR PERCEIVED CONFLICTS FO INTEREST FROM OCCURRING WITH RESPECT OT HEALTH CENTER EMPLOYEES, OFFICERS, GOVERNING BOARD MEMBERS, AND AGENTS. ALL INDIVIDUALS AFFILIATED WITH VVHC MUST READ AND SIGN THE STANDARDS OF CONDUCT POLICY WITH THE CONFLICT OF INTEREST DISCLOSURE FORM AND DISCLOSE ALL CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST UPON INITIAL AFILIATION WITH VVHC, AND ANNUALLY THEREAFTER. IF A PERSON HAS A POTENTIAL CONFLICT OF INTEREST, THEY ARE REQUIRED TO DISCLOSE THE RELEVANT FACTS AND ANSWER QUESTIONS, AFTER WHICH THEY LEAVE THE MEETING FOR REMAINING DISCUSSIONS AND VOTING. IF A CONFLICT EXISTS, THE BOARD EVALUATES WHETHER ANOTHER TRANSACTION CAN BE IDENTIFIED THAT WOULD NOT INVOLVE A CONFLICT OF INTEREST. IF AN INDIVIDUAL FAILS TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST, APPROPRIATE CORRECTIVE AND DISCIPLINARY ACTIONS ARE TAKEN. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE SETS THE COMPENSATION OF THE CEO. IN 2023, A COMPENSATION CONSULTANT ANALYZED THE COMPENSATION STRUCTURES OF ALL OFFICERS AND EMPLOYEES, UTILIZING THE CURRENT WASHINGTON STATE RANGES IN THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS OTHER REGIONAL BENCHMARKS. THE CEO'S PAY FOR PERFORMANCE IS SET BASED ON THE DIFFERENCE BETWEEN THE BASE SALARY AND 100TH PERCENTILE. THE COMPENSATION REVIEW FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED USING NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARIES ARE REVIEWED AND UPDATED ANNUALLY OR ON THE EMPLOYEE'S CONTRACT TERMS. THIS PROCESS MOST RECENTLY INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: RISK POOL SETTLEMENT 7,822.