2020-05-20T14:45:12-05:00 2019-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2019-01-01 421599749 LEWIS COUNTY COMMUNITY HEALTH SERVICES LEWI 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 GAELON SPRADLEY CEO 3603309595 2020-05-20 true THOMAS DINGUS P00951009 5092420874 2020-05-20 104.40.15.64 2020-05-20 14:45:12 CD P BDB558D2839154CBA244025868728B30AD18FBA5 88E8E3E4BAC69E0C9162358B3AA4114E53627D17 2019 2021-01-29 14:40:06Z VALLEY VIEW HEALTH CENTER GAELON SPRADLEY 2690 NE KRESKY AVENUE CHEHALIS WA 98532 22402600 false 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. 13 13 261 13 0 2791480 2804684 17759673 19243158 -12718 -69405 168140 243970 20706575 22222407 0 0 14312130 14529424 0 0 5187493 6144953 19499623 20674377 1206952 1548030 17796508 17115645 8003241 5649544 9793267 11466101 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. false false 9604370 9749654 VALLEY VIEW HEALTH CENTER (THE CENTER) PROVIDES MEDICAL SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 56,231 MEDICAL ENCOUNTERS TO 20,799 PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CHARITY CARE TO THESE PATIENTS WAS APPROXIMATELY 622,000. 4358467 4231710 THE CENTER PROVIDES DENTAL RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 21,639 DENTAL ENCOUNTERS TO 7,829 PATIENTS. 1708626 4556620 THE CENTER PROVIDES PHARMACY RELATED SERVICES TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER'S PHARMACY FILLED 67,323 PRESCRIPTIONS FOR 4,562 PATIENTS. 904520 705175 THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 3,086 BEHAVIORAL HEALTH ENCOUNTERS TO 510 PATIENTS. 904520 705175 16575983 true false false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 41 0 true 261 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X HOLLY SLIVA 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 GREG MARTIN PRESIDENT 1.00 X X 0 0 0 BRUCE BINDER VICE PRESIDE 1.00 X X 0 0 0 MARRIANNE SCHUMACHER SECRETARY 1.00 X X 0 0 0 JEREMY GERMANN TREASURER 1.00 X X 0 0 0 KIANDRE BRASHER BOARD MEMBER 1.00 X 0 0 0 TONI GWIN BOARD MEMBER 1.00 X 0 0 0 LYNDA NANNEY BOARD MEMBER 1.00 X 0 0 0 DAVID PAVLETICH BOARD MEMBER 1.00 X 0 0 0 JOHN BURTON BOARD MEMBER 1.00 X 0 0 0 GRICELDA SANCHEZ BOARD MEMBER 1.00 X 0 0 0 ANDY SKINNER BOARD MEMBER 1.00 X 0 0 0 ANNDREA ROSE BOARD MEMBER 1.00 X 0 0 0 PATRICIA SNYDER BOARD MEMBER 1.00 X 0 0 0 GAELON SPRADLEY CEO 40.00 X 173303 0 6879 STEVEN CLARK EXECUTIVE DI 40.00 X 128965 0 7940 HOLLY SLIVA CFO 40.00 X 138019 0 11040 DAVID LITTLE MEDICAL DIRE 40.00 X 229730 0 18849 LOU ANN MERCIER DENTAL DIREC 40.00 X 189649 0 17246 SARAH BAGBY PHARMACY DIR 40.00 X 162260 0 7143 STEPHEN HENNESSEY ASSISTANT MD 40.00 X 214001 0 18220 SUNDY HOLLAND PHYSICIAN 40.00 X 212421 0 18157 SARAH LANDRUM ASSISTANT MD 40.00 X 200288 0 17672 GARETT GODFREY DENTIST 40.00 X 184433 0 8040 CHARLOTTE CLARK-NEITZEL ASSISTANT MD 40.00 X 160268 0 6411 1993337 137597 33 false true false COMPUTER CONNECTIONS 213 E MAIN ST CENTRALIA WA 98531 IT SERVICES 483880 MEDESTAR 1603 LBJ FREEWAY STE 700 DALLAS TX 75234 STAFFING 228036 INTEGRITY HEALTHCARE LOCUMS LLC PO BOX 865777 ORLANDO FL 32886 STAFFING 148267 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC ST SEATTLE WA 98195 PYSCHIATRIC 128778 4 2723211 81473 2804684 PROGRAM SERVICE REVENUE, NET 624100 18978620 18978620 CAPITATION REVENUE 624100 264538 264538 19243158 110788 110788 41859 41859 41859 41859 180193 -180193 -180193 -180193 HEALTHCARE INITIATIVE REVENUE 900099 169175 169175 MEDICAL RECORDS REVENUE 900099 21501 21501 OTHER REVENUE 900099 11435 11435 202111 22222407 19243158 174565 1091024 624878 466146 10733152 8664292 2068860 260240 209318 50922 1481952 1200947 281005 963056 819367 143689 49479 49479 1981554 1436434 545120 24483 24483 749147 578662 170485 470766 369915 100851 50140 30859 19281 129689 70721 58968 170370 170370 621481 617667 3814 66449 66449 MEDICAL SUPPLIES 1383806 1383806 LICENSES & FEES 81085 70737 10348 DUES & SUBSCRIPTIONS 52849 16072 36777 REPAIRS & MAINTENANCE 36611 34894 1717 277044 277044 20674377 16575983 4098394 0 215031 3405068 3758244 466289 97804 137486 966003 1003141 172088 137697 92193 103092 12564550 5121940 8099331 7442610 4160366 4354905 235448 65357 17796508 17115645 1196412 1368646 67598 4134011 4027373 2672818 185927 8003241 5649544 X 9793267 11466101 9793267 11466101 17796508 17115645 X 1548030 87571 37233 X false true X true true true X 1124276 1124276 8955368 3153123 5802245 2484906 1968817 516089 7442610 ESTIMATED THIRD-PARTY SETTLEMENTS 185927 185927 X 22371181 87571 23970 37233 148774 22222407 22222407 20698347 23970 23970 20674377 20674377 SCHEDULE D, PAGE 3, PART X 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, 2019 AND 2018, THE CENTER HAD NO UNCERTIAN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHPW POOL SETTLEMENT 37,233 X X X false false false false false false false true false GAELON SPRADLEY CEO 173193 110 6879 180182 DAVID LITTLE MEDICAL DIRECTOR 229068 662 18849 248579 LOU ANN MERCIER DENTAL DIRECTOR 188366 1283 17246 206895 SARAH BAGBY PHARMACY DIRECTOR 145015 17245 7143 169403 STEPHEN HENNESSEY ASSISTANT MD 206867 7134 18220 232221 SUNDY HOLLAND PHYSICIAN 203565 8856 18157 230578 SARAH LANDRUM ASSISTANT MD 199520 768 17672 217960 GARETT GODFREY DENTIST 184288 145 8040 192473 CHARLOTTE CLARK-NEITZEL ASSISTANT MD 159156 1112 6411 166679 SCHEDULE J, PAGE 1, PART I, LINE 7 THE EXECUTIVES AND PHYSICIANS ARE EVALUATED BASED ON MULTIPLE MEASURES OF PERFORMANCE. MEASURES INCLUDE QUALITY OF PATIENT CARE METRICS AND PRODUCTIVITY STANDARDS. THESE METRICS ARE EVALUATED QUARTERLY AND ANNUALLY, AND HAVE AN IMPACT ON PAY-FOR-PERFORMANCE AND PAY INCREASES. FORM 990, PAGE 2, PART III, LINE 4D THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2019, THE CENTER PROVIDED 3,086 BEHAVIORAL HEALTH ENCOUNTERS TO 510 PATIENTS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM AND SCHEDULES. ALL COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C IT IS THE POLICY OF THE CENTER TO ENSURE TRANSPARENCY REGARDING ANY CONFLICTS OF INTEREST AND PREVENT ANY REAL OR PERCEIVED CONFLICTS OF INTERESTS FROM OCCURRING WITH RESPECT TO BOARD MEMBERS, EMPLOYEES, CONSULTANTS, AND THOSE WHO FURNISH GOODS OR SERVICES. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON; HAS RECEIVED, REVIEWED, AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH MEMBER OF THE CENTER'S MANAGEMENT TEAM COMPLETES THE CONFLICT OF INTEREST STATEMENT ANNUALLY. POTENTIAL CONFLICTS AT THE BOARD LEVEL ARE REVIEWED BY THE GOVERNING BOARD. ALL EMPLOYEES ARE EXPECTED TO AVOID PLACING THEMSELVES IN A POSITION THAT MAY CREATE OR LEAD TO A CONFLICT OF INTEREST OR THE APPEARANCE OF ONE. THEY ARE PROHIBITED FROM ENGAGING IN ANY OUTSIDE BUSINESS ACTIVITY, FINANCIAL RELATIONSHIP, OR INVESTMENT THAT CONFLICTS WITH THE CENTER'S INTERESTS, COMPETES WITH THE CENTER, OR MAY INTERFERE WITH THEIR RESPONSIBILITIES TO THE CENTER, OR HAS THE APPEARANCE OF INFLUENCING THEM TO ACT OR MAKE DECISIONS IN A BIASED MANNER OR CONTRARY TO THE BEST INTERESTS OF THE CENTER. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE SETS THE COMPENSATION OF THE EXECUTIVE DIRECTOR EQUAL TO THE FIFTIETH PERCENTILE OF THE CURRENT NATIONAL SALARY SURVEYS FOR THE STATE OF WASHINGTON, SUBJECT TO INCREASES AND DECREASES DUE TO ECONOMIC NECESSITY. THE NATIONAL SURVEY IS OBTAINED ANNUALLY BY HUMAN RESOURCES, AND REVIEWED AND UPDATED ANNUALLY BY THE EXECUTIVE COMMITTEE. PAY FOR PERFORMANCE IS CALCULATED AND ADJUSTED ANNUALLY BASED ON THE DIFFERENCE BETWEEN THE BASE SALARY AND THE SEVENTY- FIFTH PERCENTILE OF THE CURRENT NATIONAL SALARY SURVEYS FOR THE STATE OF WASHINGTON AND BASED ON FINANCIAL AND QUALITY PERFORMANCE METRICS OF THE CENTER. IN THE EVENT THAT THE SALARY LEVEL DECREASES ACCORDING TO THE SURVEY, THE ANNUAL BASE COMPENSATION WILL REMAIN UNCHANGED. FORM 990, PAGE 6, PART VI, LINE 15B 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 INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2018. FORM 990, PAGE 6, PART VI, LINE 19 THE CENTER MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHPW POOL SETTLEMENT 37,233