2023-09-26T16:28:04-05:00 2022-12-31 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-01-01 840446259 VALLEY VIEW HOSPITAL ASSOCIATION % BREANNE CROISSANT VALL 9709456535 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 CHARLES CREVLING CFO 9709456535 2023-09-19 true Charles Crevling 999009999 Adam R Smith CPA P00958966 7194714290 2023-09-19 2 2022 2023-04-26 12:10:37Z BRIAN MURPHY MD 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 379292366 false X WWW.VVH.ORG X 1950 CO CARING FOR YOU AND YOUR FAMILY, ONE PATIENT AT A TIME. 7 6 1520 90 213613 0 11728295 1777517 284312459 297312684 7610832 -1420494 1977216 1473555 305628802 299143262 179300 115000 0 0 142605296 146121328 0 0 0 125963046 143057823 268747642 289294151 36881160 9849111 588830865 566260619 172753231 174869264 416077634 391391355 X CARING FOR YOU AND YOUR FAMILY, ONE PATIENT AT A TIME. false false 243531596 115000 297312684 VALLEY VIEW HOSPITAL IS AN ACUTE CARE HOSPITAL OWNED BY VALLEY VIEW HOSPITAL ASSOCIATION, INC., A NOT-FOR-PROFIT CORPORATION. THE HOSPITAL PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN GLENWOOD SPRINGS, COLORADO. VALLEY VIEW HOSPITAL ALSO OWNS AND OPERATES CARE CENTERS IN THE NEARBY COMMUNITIES OF EAGLE, BASALT, AND SILT, COLORADO AND PROVIDES SERVICES AT VARIOUS OTHER HEALTHCARE FACILITIES ON THE COLORADO WESTERN SLOPE. SEE SCHEDULE O FOR MORE INFORMATION. 243531596 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false true 308 0 1520 true true true false false false false false false false false false true false X 7 6 false false false false true true true true true false false true true true true true true true true false X BREANNE CROISSANT 9709456535 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 WADE CEOLA MD NEUROSURGEON 40.0 0.0 X 2076233 0 76193 STEPHEN JONES MD THORACIC CARDIAC SURGEON 40.0 0.0 X 1342317 0 36188 FERDINAND LIOTTA MD TRUSTEE, BOARD MEMBER, ORTHOPA 40.0 0.0 X 1277980 0 88868 BRIAN MURPHY MD CHIEF EXECUTIVE OFFICER 40.0 0.0 X 1036751 0 152188 CHRISTOPHER GEORGE MD ORTHOPAEDIC SURGEON 40.0 0.0 X 1027650 0 75434 Michael Potter MD ORTHOPAEDIC SURGEON 40.0 0.0 X 886082 0 77728 TOMAS PENVY MD ORTHOPAEDIC SURGEON 40.0 0.0 X 870977 0 91718 CHARLES CREVLING CHIEF FINANCIAL OFFICER 40.0 0.0 X 598566 0 100623 DANIEL BIGGS CHIEF OPERATING OFFICER 40.0 0.0 X 528849 0 133754 GARY BREWER FORMER CHIEF EXECUTIVE OFFICER 1.0 0.0 X 267471 0 0 NETTIE AVERY CHAIR, BOARD MEMBER 1.0 0.0 X X 0 0 0 KEN MURPHY SECRETARY, BOARD MEMBER 1.0 0.0 X X 0 0 0 WILL DOUGLAS TREASURER, BOARD MEMBER 1.0 0.0 X X 0 0 0 NICOLE MCDERMOTT MD TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 MIKE FATTOR - THROUGH 32022 TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 PATTI MIELY - BEGIN 32022 TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 ROB MACAULAY MD - THRU 72022 TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 BRIAN LEASURE TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 9912876 0 832694 264 true true false GLENWOOD ANESTHESIA PROFESSIONALS PO BOX 1150 GLENWOOD SPRINGS CO 81602 PHYSICIAN LOCUMS 1669159 LOCUMTENENS HOLDINGS LLC DBA LOCUM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 PHYSICIAN LOCUMS 1152918 GASTROCOVERAGE LLC 1830 BLAKE AVENUE SUITE 207 GLENWOOD SPRINGS CO 81601 PHYSICIAN LOCUMS 1126745 CROSS COUNTRY STAFFING PO BOX D860594 ORLANDO FL 328860594 STAFFING SERVICES 1018802 COMPHEALTH PO BOX 26855 SALT LAKE CITY UT 841260855 STAFFING SERVICES 999032 66 1201552 224675 351290 1777517 Patient Service Revenue 621400 294832504 294832504 INCENTIVE PAYMENTS 621110 1682897 1682897 PLASTIC SURGERY CENTER 621110 587748 587748 MISCELLANEOUS PROGRAM INCOME 900099 199840 199840 MEDICAL/PHARMACY 561499 9695 9695 297312684 6559408 6559408 0 0 700925 1008311 -307386 0 -307386 -307386 67020531 321987 75042745 279675 -8022214 42312 -7979902 -7979902 0 0 0 0 0 0 4693996 3818373 875623 213613 662010 Cafeteria 722514 1335424 1335424 LOSS ON BOND REFUNDING 900099 -430106 -430106 905318 299143262 297312684 213613 -160552 115000 115000 0 0 0 3917579 1366848 2550731 267471 267471 106210674 88873904 17336770 2628858 2145455 483403 26242944 21434731 4808213 6853802 5601494 1252308 0 808144 808144 239478 239478 7588 7588 0 0 40403981 33056358 7347623 1135989 64537 1071452 1622823 1063980 558843 5399256 5399256 0 4462169 3323492 1138677 94175 88003 6172 0 443979 366877 77102 5546706 4107342 1439364 0 17839558 13311519 4528039 1216788 797574 419214 Medical Supplies 48220534 47879962 340572 Medicaid Provider Fee 8718336 8718336 Repairs & Maintenance 6033630 5413471 620159 BOOKS, DUES, LICENSES 692917 403457 289460 171772 171772 289294151 243531596 45762555 0 0 2172617 10830647 11376281 0 0 40298223 44095963 0 0 0 0 0 0 7709510 9356536 5079450 4860461 440856203 230470302 208064145 210385901 301978791 267729817 0 0 6024931 5887827 0 0 8845168 10395216 588830865 566260619 31626954 32451798 0 2987596 233523 151735 134954394 131786892 0 0 0 0 569697 2823930 0 0 5368663 4667313 172753231 174869264 X 408094212 384187568 7983422 7203787 416077634 391391355 588830865 566260619 X 9849111 -33578481 -956909 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7588 7588 false Schedule C, Part II-B, Line 1i The amount on line 1i represents the Portion of annual dues paid to the American Hospital Association and Colorado Health Association that were used for lobbying purposes. 3692777 -315602 3377175 160001 3500000 32776 3692777 165183 -5182 160001 164784 399 165183 167094 -2310 164784 0.05150 0.94850 false true true 12110722 12110722 295668908 136662229 159026679 3490600 2682967 807633 103526025 82822086 20703939 26039948 8303020 17736928 210385901 0 Unamortized Bond Issue Premium 4667313 4667313 269262797 -33578481 3955262 -29623219 298886016 257246 257246 299143262 293949076 4826684 4826684 289122392 171759 171759 289294151 SCHEDULE D, PART V, LINE 4 THE FOUNDATION'S ENDOWMENT FUNDS ARE INVESTMENTS. DISTRIBUTIONS ARE EITHER REINVESTED OR ARE UTILIZED TO ADVANCE THE PATIENT CARE EFFORTS AT VALLEY VIEW. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2D Revenue On Books, Not on Return: (871,422) - Change in Beneficial Interest in Foundation 1,008,311 - Rental Expense Reclassed to Revenue 3,818,373 - Cost of Goods Sold 3,955,262 - Total Schedule D, part XI, Line 4b Revenue on Return, Not on Books: 137,104 - Loss on Equity Method Investment 120,142 - Income from Grantor Trust 257,246 - Total Schedule D, Part XII, Line 2d Expense on Books, Not on Return: 1,008,311 - Rental Expense Reclassed to revenue 3,818,373 - Cost of Goods Sold 4,826,684 - total Schedule D, part XII, Line 4b Expense on Books, Not on Return: 171,759 - EXPENSE FROM GRANTOR TRUST true true X true X 199. true X 500. true true true false true true 7316623 7316623 0.02530 56502971 40861000 15641971 0.05410 1346272 1346272 0.00470 65165866 40861000 24304866 0.08410 1063179 3273 1059906 0.00370 309975 1106 308869 0.00110 334381 334381 0.00120 1707535 4379 1703156 0.00600 66873401 40865379 26008022 0.09010 454813 209976 244837 0.00090 454813 209976 244837 0.00090 true 7798095 0 49095466 61414265 -12318799 X true true 1 1 VALLEY VIEW HOSPITAL ASSOCIATION 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 WWW.VVH.ORG PDO.0500000005 X X X SOLE COMMUNITY HOSPITAL A VALLEY VIEW HOSPITAL ASSOCIATION 1 false false true X X X X X X X X 21 true false false true X WWW.VVH.ORG/ABOUT/PUBLICATIONS/ X true 22 true WWW.VVH.ORG/ABOUT/PUBLICATIONS/ false true X 199. 500. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 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. SCHEDULE H, PART V, SECTION B, LINE 11 VALLEY VIEW ADDRESSES THE FOLLOWING TWO IMPLEMENTATION PRIORITIES: 1) COVERAGE AND TOTAL COST OF CARE AND 2) BEHAVIORAL AND MENTAL HEALTH. THESE ARE SERIOUS HEALTH CONCERNS IN THE COMMUNITY IDENTIFIED BY THE CHNA. RELATED TO THE CONCERNS WITH COVERAGE AND TOTAL COST OF CARE, VALLEY VIEW WILL CONTINUE TO PROMOTE A GENEROUS FINANCIAL ASSISTANCE PROGRAM OFFERED FOR FAMILIES QUALIFYING UP TO 500% OF FEDERAL POVERTY LEVEL. THE HOSPITAL ALSO PARTICIPATES IN THE VALLEY HEALTH ALLIANCE AND WEST MOUNTAIN REGIONAL HEALTH ALLIANCE TO ADDRESS POPULATION HEALTH AND BETTER MANAGE TOTAL COST OF CARE. VALLEY VIEW WILL CONTINUE SUPPORTING PRIMARY CARE SERVICES IN THE COMMUNITY WITH DIRECT FINANCIAL SUPPORT OF MOUNTAIN FAMILY HEALTH CENTERS (FQHC). EXPANDING SPECIALTY SERVICES INCLUDING CARDIOVASCULAR, SPINE AND CANCER WILL MITIGATE GEOGRAPHIC BARREIRS FOR COMMUNITY MEMBERS TO RECEIVE WORLD-CLASS CARE. VALLEY VIEW HAS REGIONAL PARTNERSHIPS WITH ASPEN VALLEY HOSPITAL, GRAND RIVER HEALTH, CRAIG MEMORIAL HOSPITAL, PIONEERS MEDICAL CENTER, AND RANGELY DISTRICT HOSPITAL TO ENHANCE ACCESS TO ADVANCED SPECIALTIES OFFERED BY VALLEY VIEW BEYOND ITS PRIMARY SERVICE AREA. TO SUPPORT PATIENT CARE IN MULTIPLE LANGUAGES VALLEY VIEW WILL CONTINUE MAKING INVESTMENTS IN ADVANCED ON-DEMAND INTERPRETATION TECHNOLOGIES AND SERVICES. VALLEY VIEW'S URGENT CARE CENTER ALLOWS COMMUNITY MEMBERS A LOWER COST OPTION THAN THE EMERGENCY DEPARTMENT FOR NON-EMERGENT WALK-IN ILLNESSES AND INJURIES, FURTHER SUPPORTING THE MANAGEMENT OF THE TOTAL COST OF CARE. A FEW OF THE SPECIFIC ACTIONS TO ADDRESS BEHAVIORAL AND MENTAL HEALTH CONCERNS INCLUDE CONTINUED INVESTMENT IN A PSYCHIATRY DEPARTMENT WITH THE HIRING OF TWO PSYCHIATRIC NURSE PRACTITIONERS. ENHANCED INTEGRATION OF BEHAVIORAL AND PHYSICAL HEALTH IS REFLECTED IN THE EMPLOYMENT OF BEHAVIORAL HEALTH SPECIALISTS AND LICENSED CLINICAL SOCIAL WORKERS AT VALLEY VIEW PRIMARY CARE PRACTICES, INCLUDING ROARING FORK FAMILY PRACTICE, EAGLE VALLEY FAMILY PRACTICE, WOMEN'S HEALTH AND INTERNAL MEDICINE. VALLEY VIEW ALSO PARTICIPATES IN COMMUNITY EFFORTS TO ENHANCE CARE FOR COMMUNITY MEMBERS NEEDING SUBSTANCE WITHDRAWAL INCLUDING COMPLETION OF A FORMAL CARE COMPACT WITH COMMUNITY ENTITIES TO SUPPORT A NEW SOCIAL SETTING WITHDRAWAL MANAGEMENT FACILITY IN GLENWOOD SPRINGS. IN AN INITIATIVE TO REDUCE COMMUNITY SUICIDES VALLEY VIEW PARTICIPATES IN THE ZERO SUICIDE INITIATIVE ENGAGING SEVERAL COMMUNITY ORGANIZATIONS. LASTLY, VALLEY VIEW ALSO PARTICIPATES IN THE ALTERNATIVES TO OPIOIDS (ALTO) TO REDUCE ADMINISTRATION OF OIOIDS IN TH EMERGENCY DEPARTMENT WHILE EFFECTIVE ADDRESSING PATIENTS' ACUTE PAIN NEEDS. 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 ORGANIZTIONS THAT SPCIALIZE IN ADDRESSING THESE OTHER CONCERNS. SCHEDULE H, PART V, SECTION B, LINE 16A-16c DIRECT URL FRO FAP, PLS AND APPLICATION: https://www.vvh.org/financial/financial-assistance/ 8 ROARING FORK FAMILY PRACTICE 978 EUCLID AVENUE CARBONDALE CO 81623 FAMILY PRACTICE PEDIATRIC PARTNERS 1905 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 PEDIATRICS EAGLE VALLEY FAMILY PRACTICE 377 SYLVAN LAKE ROAD EAGLE CO 81631 FAMILY PRACTICE WILLITS HEALTHCARE 350 MARKET STREET BASALT CO 81621 GENERAL PRACTICE HEALTHCARE SILT HEALTHCARE 2001 HORSESHOE TRAIL SILT CO 81652 GENERAL PRACTICE HEALTHCARE, N NEUROLOGY CENTER, SPINE CENTER WOMENS' HEALTH SILT FAMILY PRACTICE 2001 HORSESHOE TRAIL SILT CO 81652 FAMILY PRACTICE HEART AND VASCULAR CENTER GRAND JUNCTION 607 25 ROAD GRAND JUNCTION CO 81505 HEART AND VASCULAR CENTER EAGLE HEALTHCARE 377 SYLVAN LAKE ROAD EAGLE CO 81631 ORTHOPAEDIC, HEART AND VASCULA SPINE CENTER, NEUROLOGY CENTER UROLOGY SCHEDULE H, PART I, LINE 3 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. SCHEDULE H, PART I, LINE 7 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. SCHEDULE H, PART II, LINES 1-10 VALLEY VIEW HOSPITAL IS A MEMBER OF THE VALLEY HEALTH ALLIANCE WHICH PROMOTES THE HEALTH AND WELL-BEING OF OUR COMMUNITIES BY COLLABORATING TO PROVIDE HEALTHCARE THAT IS ACCESSIBLE, 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. SCHEDULE H, PART III, SECTION A, LINE 2 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, 2022. 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. SCHEDULE H, PART III, SECTION A, LINE 3 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. SCHEDULE H, PART III, SECTION A, LINE 4 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. SCHEDULE H, PART III, SECTION B, LINE 8 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. 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. SCHEDULE H, PART III, SECTION C, LINE 9B 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. SCHEDULE H, PART VI, LINE 2 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. SCHEDULE H, PART VI, LINE 3 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. SCHEDULE H, PART VI, LINE 4 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 2021 GLENWOOD SPRINGS HAD 9% PERSONS BELOW THE POVERTY LEVEL. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: AS A MEMBER OF VALLEY HEALTH ALLIANCE AND WEST MOUNTAIN REGIONAL HEALTH ALLIANCE, THE HOSPITAL PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH AND SAFETY ISSUES. THE HOSPITAL LEADS COMMUNITY HEALTH FAIRS, PROVIDES THE ATHLETIC TRAINER PROGRAM FOR THE THREE AREA HIGH SCHOOLS, HOSTS FREE KIDS AND TEEN SAFETY FAIR ANNUALLY, AND LEADS THE COMMUNITY IN HEALTH PROGRAMMING. THE COVID-19 PANDEMIC PRESENTED MANY CHALLENGES, BUT VALLEY VIEW CONTINUES TO LEAD THE COMMUNITY IN SAFETY AND EDUCATION. VALLEY VIEW KEPT THE COMMUNITY INFORMED ABOUT HOW THE PANDEMIC WAS PROGRESSING IN THE COMMUNITY AND ENCOURAGED EMPLOYEES AND COMMUNITY MEMBERS TO BE SAFE AND FOLLOW THE GUIDELINES SET OUT BY THE CDC. VALLEY VIEW ASSEMBLED AN INCIDENT COMMAND TEAM THAT WAS COMPOSED OF PROVIDERS, NURSING ADMINISTRATORS, AND NONCLINICAL STAFF TO NAVIGATE THE PANDEMIC AS AN ORGANIZATION. THESE PLANNING AND COORDINATION EFFORTS RESULTED IN VALLEY VIEW BEING A REGIONAL MEDICAL CENTER FOR COVID-19 TREATMENT ON THE WESTERN SLOPE OF COLORADO. VALLEY VIEW ALSO OFFERED DOCTOR PRESCRIBED DRIVE-UP TESTING AND A NEW COVID-19 COMMUNITY HOTLINE TO FIELD QUESTIONS AND CONCERNS FROM THE COMMUNITY. VALLEY VIEW BROUGHT ITS EXPERTISE TO SUPPORT OTHER BUSINESSES AND KEY ORGANIZATION IN THEIR RESPONSE TO COVID-19, TOO. INCIDENT COMMAND TEAM MEMBERS WORKED CLOSELY WITH LOCAL SCHOOLS AS THEY PUT TOGETHER PLANS FOR HYBRID AND IN-PERSON LEARNING. A SPECIAL ZOOM FORUM WAS ALSO HOSTED FOR AREA DENTAL PROFESSIONALS TO SHARE VALLEY VIEW'S 'LESSON'S LEARNED', TO HELP IN THE CARE OF THEIR PATIENTS AND PROTECTION OF THEIR STAFF FROM THE VIRUS. MANY OTHER COMMUNITY BUSINESS OWNERS AND LEADERS ALSO TURNED TO VALLEY VIEW FOR ITS EXPERTISE AS THEY SOUGHT TO RESPOND TO COVID-19 AND THE VARIOUS PHASES OF THE PANDEMIC. VALLEY VIEW WAS ALSO THE COMMUNITY LEADER IN OFFERING VACCINES. VALLEY VIEW'S INCIDENT COMMAND TEAM TOOK UP THE COMMUNITY BANNER TO ADMINISTER AS MANY VACCINES AS POSSIBLE. DESPITE THE CHALLENGES OF VACCINE SUPPLY, VALLEY VIEW LED THE WAY IN LEADING MULTIPLE VACCINE CLINICS EVERY WEEK TO ADMINISTER THOUSANDS OF COVID-19 VACCINES AT NO COST. STAFF FROM ACROSS VALLEY VIEW WERE RE-DEPLOYED TO WEEKLY VACCINATION CLINICS TO PERFORM THIS COMMUNITY SERVICE. USING THE FEDERAL POINT OF DISPENSING (POD) MODEL, VALLEY VIEW WAS ABLE TO DISPENSE OVER 175 VACCINATIONS PER HOUR. VALLEY VIEW'S INCIDENT COMMAND TEAM WORKED DIRECTLY WITH OTHER HOSPITALS AND PUBLIC HEALTH SYSTEMS IN THE REGION TO INSTRUCT THEM ON HOW TO USE THE POD MODEL AT THEIR LOCATIONS TO MULTIPLY THE EFFECTIVENESS OF VACCINATION DISPENSING ON THE WESTERN SLOPE OF COLORADO. VALLEY VIEW HAS PROVIDED OVER 23,000 DOSES TO PEOPLE ACROSS THE COUNTY AND STATE, RESULTING IN OVER 11,500 PEOPLE BEING FULLY VACCINATED AT VALLEY VIEW. IN ADDITION, VALLEY VIEW COLLABORATED WITH THE STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH TO HOST A SPECIAL VACCINE EQUITY CLINIC FOCUSING ON MINORITY POPULATIONS. SCHEDULE H, PART VI, LINE 6 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. SCHEDULE H, PART VI, LINE 7 DESCRIPTION OF STATE FILINGS: VALLEY VIEW HOSPITAL ASSOCIATION FILES A COMMUNITY BENEFIT REPORT ANNUALLY WITH COLORADO. true ASPEN COMMUNITY FOUNDATION 600 E HOPKINS AVE ASPEN CO 81611 840829226 501(C)(3) 7500 BOOK SPONSORSHIP 5POINT FILM FESTIVAL 525 BUGGY CIRCLE CARBONDALE CO 81623 383770309 501(C)(3) 7500 BOOK SPONSORSHIP ROARING FORK MOUNTAIN BIKE ASSOCIATION - RFMBA PO BOX 2635 ASPEN CO 81612 465412595 501(C)(3) 8000 BOOK SPONSORSHIP THE BUDDY PROGRAM 110 E HALLAM ST SUITE 125 ASPEN CO 81611 742594693 501(C)(3) 15000 BOOK SPONSORSHIP ROARING FORK LACROSSE CLUB PO BOX 1266 CARBONDALE CO 81623 454676949 501(C)(3) 20000 BOOK SPONSORSHIP ROARING FORK SCHOOL DISTRICT RE-1 400 SOPRIS AVE CARBONDALE CO 81623 846012220 ROARING FORK SD 20000 BOOK SPONSORSHIP MOUNTAIN RECREATION METROPOLITAN DISTRICT PO BOX 1891 EDWARDS CO 81632 840940886 MOUNTAIN RECREA 32000 BOOK SPONSORSHIP 7 SCHEDULE I, PART I, LINE 2 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. X false true X X X X false true false false false false false true false BRIAN MURPHY MD CHIEF EXECUTIVE OFFICER 776019 0 247046 0 13686 0 93385 0 58803 0 1188939 0 CHARLES CREVLING CHIEF FINANCIAL OFFICER 464305 0 113351 0 20910 0 66775 0 33848 0 699189 0 DANIEL BIGGS CHIEF OPERATING OFFICER 421455 0 103509 0 3885 0 59150 0 74604 0 662603 0 FERDINAND LIOTTA MD TRUSTEE, BOARD MEMBER, ORTHOPA 758678 0 482616 0 36686 0 16775 0 72093 0 1366848 0 GARY BREWER FORMER CHIEF EXECUTIVE OFFICER 0 0 0 0 267471 0 0 0 0 0 267471 0 WADE CEOLA MD NEUROSURGEON 1004822 0 1044580 0 26831 0 16775 0 59418 0 2152426 0 STEPHEN JONES MD THORACIC CARDIAC SURGEON 1183468 0 100000 0 58849 0 16775 0 19413 0 1378505 0 CHRISTOPHER GEORGE MD ORTHOPAEDIC SURGEON 697211 0 307483 0 22956 0 16775 0 58659 0 1103084 0 Michael Potter MD ORTHOPAEDIC SURGEON 695000 0 168392 0 22690 0 16775 0 60953 0 963810 0 TOMAS PENVY MD ORTHOPAEDIC SURGEON 711978 0 128216 0 30783 0 16775 0 74943 0 962695 0 SCHEDULE J, PART I, LINE 1A CHRISTMAS GIFTS OF $100-$250 WERE GIVEN TO OFFICERS AND KEY EMPLOYEES AND GROSSED UP FOR TAXES. SCHEDULE J, PART I, LINE 1B THE CHRISTMAS GIFTS ARE DISCRETIONARY AND IMMATERIAL; THEREFORE, NO WRITTEN POLICY HAS BEEN IMPLEMENTED. SCHEDULE J, PART I, LINE 4B BRIAN MURPHY, CHARLES CREVLING, and daniel biggs PARTICIPATE IN A SERP PLAN AND EMPLOYER CONTRIBUTIONS DURING CALENDAR YEAR 2022 WERE $77,500, $50,000 and $50,000 RESPECTIVELY. SCHEDULE J, PART I, LINE 7 THE CEO, CFO, AND ALL HIGHEST COMPENSATED EMPLOYEES RECEIVED A BONUS DURING CALENDAR YEAR 2022. 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. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FFS8 2015-12-08 48891253 See SCHEDULE K, PART VI false false false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A5G6 2017-12-19 47469359 SEE SCHEDULE K, PART VI false false false C Colorado Health Facilities Authority 840752932 2022-08-17 51905000 SEE SCHEDULE K, PART VI false false false A 3567182 0 48891253 0 0 0 434759 0 0 48456494 0 0 2020 false false true true B 7236117 0 47469359 4894286 0 0 498920 0 0 0 51864724 0 2017 false true true true C 0 0 51905000 0 0 0 385612 0 0 0 51519388 0 2022 true false true true A false true true true false 0 false false false true B false true true true false 0 false false false true C false true true true false 0 false false false true A false false false true false false 0 false 0 false true B false false true false false false 0 false 0 false true C false false true false false false 0 false 0 false true A true B true C true SCHEDULE K, PART I, LINE A, COLUMN (F) OBLIGATIONS ISSUED FOR IMPROVEMENT AND EXPANSION OF FACILITIES. SCHEDULE K, PART I, LINE B, COLUMN (F) Obligations issued to refund series 2008 Bonds SCHEDULE K, PART I, LINE C, COLUMN (F) Obligations issued to refund series 2018 Bonds SCHEDULE K, PART IV, LINE 2c, CCOLUMN (A) THE ARBRITRAGE CALCULATION FOR THE 2015 ISSUANCE WAS PERFORMED IN 2020 AND NO REBATE WAS DUE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS CONT. OPERATING ROOM - TOTAL SURGICAL VISITS OF 4,836. PHARMACY - ORDERS PROCESSED OF 401,757. LAB - BILLABLE TESTS OF 310,920. VALLEY VIEW HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, AGE, CREED, SEX, NATIONAL ORIGIN, OR HANDICAP. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF VALLEY VIEW HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATIONS PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND VARIETY OF COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL OPERATES AN ACUTE CARE, CRITICAL CARE, FAMILY BIRTHPLACE, EMERGENCY ROOM, RADIOLOGY, CARDIOLOGY, CANCER CENTER AND MANY OTHER SPECIALTY PROGRAMS. FORM 990, PART VI, SECTION A, LINE 6 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 12/31/2022 THERE WERE 49 LIFETIME MEMBERS AND 27 ANNUAL MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A 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. FORM 990, PART VI, SECTION A, LINE 7B 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. FORM 990, PART VI, SECTION B, LINE 11B DESCRIPTION OF PROCESS TO REVIEW FORM 990: INFORMATION FOR SCHEDULES ARE COMPILED BY THE ASSISTANT CONTROLLER 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15A 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. FORM 990, PART VI, SECTION B, LINE 15B 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. FORM 990, PART VI, SECTION C, LINE 19 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). FORM 990, PART XI, LINE 9 Description of other change in net assets: (137,104) - GAIN FROM EQUITY METHOD INVESTMENT 51,617 - NET INCOME RECOGNIZED FROM GRANTOR TRUST STATEMENT (871,422) - CHANGE IN BENEFICIAL INTEREST IN FOUNDATION (956,909) - TOTAL FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11988661 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:13677529 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING TOTAL FEES:420792 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES EOC TOTAL FEES:14316999 VALLEY VIEW HOSPITAL FOUNDATION 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 731664673 SUPPORT VVH CO 501(C)(3) 12A VVHA true false false true false false false false false false false false false true true true false false false false Valley View Hospital Foundation C 1201552 Cash Transfer