2023-11-02T11:46:02-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-01-01 421599749 LEWIS COUNTY COMMUNITY HEALTH SERVICES LEWI 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 HOLLY SLIVA CFO 3603309595 2023-10-31 1 HOLLY SLIVA 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z VALLEY VIEW HEALTH CENTER GAELON SPRADLEY 2690 NE KRESKY AVENUE CHEHALIS WA 98532 32110132 0 X WWW.VVHC.ORG X 2004 WA 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. 10 10 292 50 0 0 8245161 6182246 23840953 25539992 -17202 138524 263169 176888 32332081 32037650 13000 1000 0 0 17737261 19388087 0 0 0 7167155 7948092 24917416 27337179 7414665 4700471 29600058 33793494 7017332 6638607 22582726 27154887 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 13205182 1000 14491460 VALLEY VIEW HEALTH CENTER (THE CENTER) PROVIDES MEDICAL SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2022, THE CENTER PROVIDED 43,826 MEDICAL ENCOUNTERS TO 24,025 PATIENTS. 5958020 0 6538373 THE CENTER PROVIDES DENTAL-RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2022, THE CENTER PROVIDED 17,631 DENTAL ENCOUNTERS TO 7,204 PATIENTS. 2836412 0 3112699 THE CENTER PROVIDES PHARMACY-RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2022, THE CENTER'S PHARMACY FILLED 77,144 PRESCRIPTIONS AND CONDUCTED 266 CLINICAL ENCOUNTERS. 1273421 0 1397460 THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2022, THE CENTER PROVIDED 3,148 BEHAVIORAL HEALTH ENCOUNTERS TO 619 PATIENTS. 1273421 0 1397460 23273035 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 36 0 292 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 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 GARETT GODFREY DENTIST 40.00 X 263282 0 22851 DAVID LITTLE MEDICAL DIRECTOR 40.00 X 256960 0 26236 SARAH LANDRUM ASSISTANT MEDICAL DIRECTOR 40.00 X 254869 0 25820 STEPHEN HENNESSEY PHYSICIAN 40.00 X 254231 0 21043 GAELON SPRADLEY CEO 40.00 X 253461 0 20386 LOU ANN MERCIER CCIO / DENTAL DIRECTOR 40.00 X 239652 0 23576 THOMAS DONOVAN COO 40.00 X 187799 0 18410 JON WILEY PHARMACIST 40.00 X 186054 0 18316 KEITH DOYLE DENTIST 40.00 X 180575 0 18097 HOLLY SLIVA CFO 40.00 X 185463 0 12804 SARAH BAGBY PHARMACY DIRECTOR 40.00 X 187658 0 8242 HEIDI ZIPPERER CAO 40.00 X 127518 0 15975 LESLIE WOHLD CHRO 40.00 X 115163 0 15495 GREG MARTIN PRESIDENT 1.00 X X 0 0 0 RACHEL WOOD VICE PRESIDENT 1.00 X X 0 0 0 DANIEL STUSSER SECRETARY 1.00 X X 0 0 0 KIANDRE BRASHER TREASURER (THROUGH OCTOBER 2022) 1.00 X X 0 0 0 BOBBY BURGER BOARD MEMBER & TREASURER 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 ROBERT CHRIS RUST BOARD MEMBER 1.00 X 0 0 0 TAMRA RUYMANN BOARD MEMBER 1.00 X 0 0 0 GRICELDA SANCHEZ BOARD MEMBER (THROUGH JULY 2022) 1.00 X 0 0 0 2692685 0 247251 43 0 1 0 BLUENOVO INC 8455 COLESVILLE RD SUITE 1525 SILVER SPRING MD 20910 IT SERVICES 274084 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC STREET SEATTLE WA 98195 PSYCHIATRIC SERVICES 177469 LAKESIDE INDUSTRIES PO BOX 7016 ISSAQUAH WA 980277016 CONSTRUCTION 165075 YOUNGS JANITORIAL PO BOX 599 ONALASKA WA 98570 CLEANING SERVICES 130650 FIRST RULE GROUP 1001 COOPER POINT ROAD SW SUITE 14 OLYMPIA WA 98502 PROJECT CONSULTING 111265 5 6160494 21752 203759 6182246 NET PATIENT REVENUE 624100 23755303 23755303 CAPITATION REVENUE 624100 1784689 1784689 25539992 51006 51006 43859 0 43859 43859 43859 160000 72482 87518 87518 87518 OTHER INCOME 900099 110411 110411 MEDICAL RECORDS REVENUE 900099 22618 22618 133029 32037650 25539992 0 315412 1000 1000 1694795 742325 952470 14024285 13462505 561780 333377 321130 12247 2235933 2236551 -618 1099697 882826 216871 1824684 1008004 816680 73604 60603 13001 398917 341642 57275 738310 609528 128782 160935 125490 35445 12408 6178 6230 167376 167337 39 660222 625503 34719 94525 467 94058 MEDICAL SUPPLIES 2351999 1608752 743247 DUES & SUBSCRIPTIONS 584172 429432 154740 MINOR EQUIPMENT 273925 205292 68633 BAD DEBT EXPENSE 219897 219897 387118 218573 168545 27337179 23273035 4064144 0 10298548 5714723 5401668 4163706 325795 633998 2420440 1877296 269046 345055 259943 241770 14749609 6334424 8153407 8415185 2465357 12395907 5854 5854 29600058 33793494 2109996 2301527 684264 281901 5854 5854 4067059 3900431 150159 148894 7017332 6638607 X 22582726 27154887 22582726 27154887 29600058 33793494 X 4700471 -110853 -17457 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1051793 1051793 8538536 4447538 4090998 2469564 120536 2349028 2398341 1766350 631991 291375 291375 8415185 RISK POOL 148894 148894 X 31393871 -110853 21973 -88880 31482751 554899 554899 32037650 27139255 21973 21973 27117282 219897 219897 27337179 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS OF LEASED SPACE. THE FUNDS WILL BE REFUNDED, LESS ANY REPAIRS FOR DAMAGES, WHEN THE LEASE IS TERMINATED. 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, 2022 AND 2021, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS 247,484. GAIN ON DISPOSAL OF ASSETS 87,518. BAD DEBT EXPENSE 219,897. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 219,897. X X X X X 0 0 0 0 0 0 0 0 0 GARETT GODFREY DENTIST 263282 0 0 0 0 0 10430 0 12421 0 286133 0 0 0 DAVID LITTLE MEDICAL DIRECTOR 256960 0 0 0 0 0 9388 0 16848 0 283196 0 0 0 SARAH LANDRUM ASSISTANT MEDICAL DIRECTOR 254869 0 0 0 0 0 10179 0 15641 0 280689 0 0 0 STEPHEN HENNESSEY PHYSICIAN 251731 0 2500 0 0 0 10169 0 10874 0 275274 0 0 0 GAELON SPRADLEY CEO 253461 0 0 0 0 0 0 0 20386 0 273847 0 0 0 LOU ANN MERCIER CCIO / DENTAL DIRECTOR 239652 0 0 0 0 0 9586 0 13990 0 263228 0 0 0 THOMAS DONOVAN COO 187799 0 0 0 0 0 7512 0 10898 0 206209 0 0 0 JON WILEY PHARMACIST 186054 0 0 0 0 0 7442 0 10874 0 204370 0 0 0 KEITH DOYLE DENTIST 180575 0 0 0 0 0 7223 0 10874 0 198672 0 0 0 HOLLY SLIVA CFO 185463 0 0 0 0 0 1855 0 10949 0 198267 0 0 0 SARAH BAGBY PHARMACY DIRECTOR 187658 0 0 0 0 0 7506 0 736 0 195900 0 0 0 X 1826 203759 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 2022, 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 2022. 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 -17,457.