LEWIS COUNTY COMMUNITY HEALTH SERVICES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LEWIS COUNTY COMMUNITY HEALTH SERVICES (EIN 42-1599749)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-02
- IRS object ID
- 201722759349300447
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-02T11:28:57-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421599749 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS COUNTY COMMUNITY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEWI | BusinessNameControlTxt |
| Phone | 3603309595 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2690 NE KRESKY AVENUE | AddressLine1Txt |
| City | CHEHALIS | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98532 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN CLARK | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3603309595 | PhoneNum |
| Signature | 2017-07-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-07-25 | IPDt |
| IP Tm | 14:23:57 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 757A344A9F492B99F4DBC36D20E5EEF65915C547 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9AD29FA46B8615F2777C89FEDEB19E0AFF07ACA7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN CLARK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2690 NE KRESKY AVENUE | AddressLine1Txt |
| City | CHEHALIS | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98532 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,832,400 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VVHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH & WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY & COMPASSIONATE HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 223 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,228,563 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,434,450 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,673,485 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,157,920 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45,822 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,265 | CYInvestmentIncomeAmt |
| PY Other Revenue | $131,723 | PYOtherRevenueAmt |
| CY Other Revenue | $178,512 | CYOtherRevenueAmt |
| PY Total Revenue | $15,079,593 | PYTotalRevenueAmt |
| CY Total Revenue | $15,785,147 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,348,211 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,718,679 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,551,521 | PYOtherExpensesAmt |
| CY Other Expenses | $4,450,544 | CYOtherExpensesAmt |
| PY Total Expenses | $13,899,732 | PYTotalExpensesAmt |
| CY Total Expenses | $15,169,223 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,179,861 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $615,924 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,164,258 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,613,197 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,944,348 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,761,559 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,219,910 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,851,638 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,857,088 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,157,920 | RevenueAmt |
| Desc | VALLEY VIEW HEALTH CENTER ("THE CENTER") PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2016, THE CENTER PROVIDED 42,606 MEDICAL, 18,112 DENTAL AND 561 BEHAVIORAL HEALTH ENCOUNTERS. THE UNREIMBURSED VALUE OF PROVIDING CHARITY CARE TO THESE PATIENTS WAS $490,345. IN 2016, VVHC'S NEWLY OPENED 340B PHARMACY FILLED OVER 9,000 PRESCRIPTIONS AND SERVED 1,841 PATIENTS. | Desc |
| Total Program Service Expenses | $12,857,088 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 223 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLY SLIVA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3603309595 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2690 NE KRESKY AVENUE | AddressLine1Txt |
| City | CHEHALIS | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98532 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN BURTON | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GREG MARTIN | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARIA GRAHAM | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHERYL MILLMAN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LYNDA NANNEY | ||||||||
| IMMEDIATE PAST PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR ROBERT ENDERS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TONI GWIN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR MICHAEL LECLAIR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JANICE SMITH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN CLARK | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $214,712 | $0 | $16,985 | |||
| HOLLY SLIVA | ||||||||
| CFO | 40.00 | Yes (X) | $117,043 | $0 | $10,304 | |||
| DAVID LITTLE | ||||||||
| MEDICAL DIRECTOR | 40.00 | $197,800 | $0 | $16,100 | Yes (X) | |||
| LOU ANN MERCIER | ||||||||
| DENTAL DIRECTOR | 40.00 | $184,380 | $0 | $16,084 | Yes (X) | |||
| STEPHEN HENNESSEY | ||||||||
| ASSISTANT MEDICAL DIRECTOR | 40.00 | $195,054 | $0 | $16,542 | Yes (X) | |||
| DANIEL KOWALS | ||||||||
| DENTIST | 40.00 | $180,806 | $0 | $10,888 | Yes (X) | |||
| SARAH LANDRUM | ||||||||
| PHYSICIAN | 40.00 | $171,489 | $0 | $16,363 | Yes (X) | |||
| LAWRENCE LI | ||||||||
| DENTIST | 40.00 | $145,338 | $0 | $5,813 | Yes (X) | |||
| CHARLOTTE CLARK-NEITZEL | ||||||||
| PHYSICIAN | 40.00 | $142,043 | $0 | $5,646 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,548,665 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $114,725 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LEWISCUTLER CONSTRUCTION | |||||
| PO BOX 11879 | OLYMPIA | WA | 98506 | CONSTRUCTION | $922,593 |
| COMPUTER CONNECTIONS | |||||
| 213 EAST MAIN STREET | CENTRALIA | WA | 98531 | IT SERVICES | $414,281 |
| INTEGRITY HEALTHCARE LOCUMS | |||||
| 8877 SANDY CREST LANE | BOYNTON BEACH | FL | 33437 | LOCUM PROVIDER SERVICES | $214,865 |
| UNIVERSITY OF WASHINGTON | |||||
| 1959 NE PACIFIC STREET | SEATTLE | WA | 98195 | PSYCHIATRIC CONSULTATIONS | $134,418 |
| AUSTIN MAJOR GROUP | |||||
| 545 E JOHN CARPENTER FREEWAY | IRVING | TX | 75062 | LOCUM PROVIDER SERVICES | $131,529 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,250,645 | GovernmentGrantsAmt |
| All Other Contributions | $183,805 | AllOtherContributionsAmt |
| Total Contributions | $3,434,450 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE REVENUE | 624100 | $11,651,502 | $11,651,502 |
| CAPITATION REVENUE | 624100 | $506,418 | $506,418 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,157,920 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,518 | TotalRevenueColumnAmt |
| Exclusion | $61,518 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,003 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,003 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,003 | TotalRevenueColumnAmt |
| Exclusion | $35,003 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,253 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$47,253 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,253 | TotalRevenueColumnAmt |
| Exclusion | -$47,253 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $113,887 | $113,887 |
| MEDICAL RECORDS REVENUE | 900099 | $29,622 | $29,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $143,509 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,785,147 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,157,920 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $192,777 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $752,473 | TotalAmt |
| Program Services | $640,955 | ProgramServicesAmt |
| Management And General | $111,518 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,474,457 | TotalAmt |
| Program Services | $7,218,526 | ProgramServicesAmt |
| Management And General | $1,255,931 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,530 | TotalAmt |
| Program Services | $161,783 | ProgramServicesAmt |
| Management And General | $40,747 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,482 | TotalAmt |
| Program Services | $491,153 | ProgramServicesAmt |
| Management And General | $41,329 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $756,737 | TotalAmt |
| Program Services | $653,297 | ProgramServicesAmt |
| Management And General | $103,440 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,153 | TotalAmt |
| Management And General | $44,153 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,148,094 | TotalAmt |
| Program Services | $887,855 | ProgramServicesAmt |
| Management And General | $260,239 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,054 | TotalAmt |
| Program Services | $109,234 | ProgramServicesAmt |
| Management And General | $7,820 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,439 | TotalAmt |
| Program Services | $434,328 | ProgramServicesAmt |
| Management And General | $124,111 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,338 | TotalAmt |
| Program Services | $224,388 | ProgramServicesAmt |
| Management And General | $78,950 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,078 | TotalAmt |
| Program Services | $88,171 | ProgramServicesAmt |
| Management And General | $51,907 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,778 | TotalAmt |
| Management And General | $7,778 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,955 | TotalAmt |
| Program Services | $193,955 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,332 | TotalAmt |
| Program Services | $502,500 | ProgramServicesAmt |
| Management And General | $40,832 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,160 | TotalAmt |
| Program Services | $32,561 | ProgramServicesAmt |
| Management And General | $13,599 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $463,000 | $463,000 | |
| RISK POOL SETTLEMENT | $380,291 | $380,291 | |
| MISCELLANEOUS EXPENSES | $210,360 | $177,201 | $33,159 |
| BAD DEBT EXPENSE | $100,951 | $100,951 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,561 | TotalAmt |
| Program Services | $96,939 | ProgramServicesAmt |
| Management And General | $96,622 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,169,223 | TotalAmt |
| Program Services | $12,857,088 | ProgramServicesAmt |
| Management And General | $2,312,135 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,915 | BOYAmt |
| EOY | $466,998 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,159,338 | BOYAmt |
| EOY | $1,821,415 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,400 | BOYAmt |
| EOY | $193,835 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,321 | BOYAmt |
| EOY | $707,954 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,469 | BOYAmt |
| EOY | $87,393 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,355 | BOYAmt |
| EOY | $13,640 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,762,896 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,480,111 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,724,568 | BOYAmt |
| EOY | $7,282,785 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,962,238 | BOYAmt |
| EOY | $4,037,523 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,654 | BOYAmt |
| EOY | $1,654 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,164,258 | BOYAmt |
| EOY | $14,613,197 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,266,515 | BOYAmt |
| EOY | $981,356 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,851 | BOYAmt |
| EOY | $14,401 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,618,258 | BOYAmt |
| EOY | $4,380,901 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,724 | BOYAmt |
| EOY | $1,384,901 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,944,348 | BOYAmt |
| EOY | $6,761,559 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,219,910 | BOYAmt |
| EOY | $7,851,638 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,219,910 | BOYAmt |
| EOY | $7,851,638 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,164,258 | BOYAmt |
| EOY | $14,613,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $615,924 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $15,804 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $1,156 | BeginningBalanceAmt |
| Additions During Year | $0 | AdditionsDuringYearAmt |
| Distributions During Year | $1,156 | DistributionsDuringYearAmt |
| Ending Balance | $0 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,168,316 | OtherCostOrOtherBasisAmt |
| Book Value | $1,168,316 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,455,951 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,884,546 | DepreciationAmt |
| Book Value | $4,571,405 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,972,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,595,565 | DepreciationAmt |
| Book Value | $377,059 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,166,005 | OtherCostOrOtherBasisAmt |
| Book Value | $1,166,005 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,282,785 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD-PARTY SETTLEMENTS | Desc |
| Amt | $1,384,901 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,384,901 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,651,759 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $15,804 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $47,253 | OtherRevenueAmt |
| Revenue Not Reported | $63,057 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,588,702 | RevenueSubtotalAmt |
| Other Revenues Not Included | $196,445 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $196,445 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,785,147 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,687,981 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,687,981 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $481,242 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $481,242 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,169,223 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | THROUGH JANUARY 2016, VALLEY VIEW HEALTH CENTER HELD THE BANK ACCOUNT FOR A SMALL LOCAL ORGANIZATION THAT WAS IN THE PROCESS OF OBTAINING ITS OWN TAX-EXEMPT STATUS. |
| 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 UNCERTAINITY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2016 AND 2015, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS 47,253. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INTEREST INCOME 77,322. BAD DEBT EXPENSE 100,951. CONTRIBUTIONS 18,172. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | COMMUNITY HEALTH PLAN OF WASHINGTON RISK POOL DISTRIBUTIONS 380,291. BAD DEBT EXPENSE 100,951. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN CLARK | ||||||||||||||
| EXECUTIVE DIRECTOR | $210,101 | $0 | $4,611 | $0 | $0 | $0 | $5,716 | $0 | $11,269 | $0 | $231,697 | $0 | $0 | $0 |
| DAVID LITTLE | ||||||||||||||
| MEDICAL DIRECTOR | $189,620 | $0 | $8,180 | $0 | $0 | $0 | $7,912 | $0 | $8,188 | $0 | $213,900 | $0 | $0 | $0 |
| LOU ANN MERCIER | ||||||||||||||
| DENTAL DIRECTOR | $177,380 | $0 | $7,000 | $0 | $0 | $0 | $7,327 | $0 | $8,757 | $0 | $200,464 | $0 | $0 | $0 |
| STEPHEN HENNESSEY | ||||||||||||||
| ASSISTANT MEDICAL DIRECTOR | $189,866 | $0 | $5,188 | $0 | $0 | $0 | $7,802 | $0 | $8,740 | $0 | $211,596 | $0 | $0 | $0 |
| DANIEL KOWALS | ||||||||||||||
| DENTIST | $180,806 | $0 | $0 | $0 | $0 | $0 | $2,700 | $0 | $8,188 | $0 | $191,694 | $0 | $0 | $0 |
| SARAH LANDRUM | ||||||||||||||
| PHYSICIAN | $168,964 | $0 | $2,525 | $0 | $0 | $0 | $6,860 | $0 | $9,503 | $0 | $187,852 | $0 | $0 | $0 |
| LAWRENCE LI | ||||||||||||||
| DENTIST | $141,338 | $0 | $4,000 | $0 | $0 | $0 | $5,813 | $0 | $0 | $0 | $151,151 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 5 | 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. |
| PART I, LINE 6 | SEE NARRATIVE FOR SCHEDULE J, PART I, LINE 5A. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | VALLEY VIEW HEALTH CENTER OPENED A 340B PHARMACY FOR PATIENTS IN 2016. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 WAS PROVIDED TO THE EXECUTIVE DIRECTOR AND CFO WHO REVIEWED THE FORM AND SCHEDULES. ALL COMMENTS AND QUESTIONS WERE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT WAS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVED THE FORM 990. ONCE MANAGEMENT WAS SATISFIED WITH THE FORM 990, THE EXECUTIVE DIRECTOR SIGNED THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF VALLEY VIEW HEALTH CENTER ("THE CENTER") TO ENSURE TRANSPARENCY REGARDING ANY CONFLICTS OF INTEREST AND TO PREVENT ANY REAL OF PERCEIVED CONFLICTS OF INTEREST FROM OCCURING 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 ANNUALLY SIGNS A STATEMENT THAT AFFIRMS SUCH PERSON HAS RECEIVED, REVIEWED AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT FURTHER 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 BOARD OF DIRECTORS. 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, 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, PART VI, SECTION B, LINE 15A | TTHE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR USING THEIR PERSONAL EXPERIENCE AND CURRENT NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARY IS REVIEWED AND UPDATED ANNUALLY. THIS PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2016. THE COMPENSATION REVIEW FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED USING NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARY IS REVIEWED AND UPDATED ANNUALLY OR ON THE EMPLOYEE'S CONTRACT TERMS. THIS PROCESS INCLUDED COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2016, BUT DID NOT INCLUDE REVIEW AND APPROVAL BY INDEPENDENT PERSONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |