2014-11-05T16:02:01-06:00 2013-12-31 420714325 McGladrey LLP 1 S Wacker Drive Ste 800 Chicago IL 60606 990 2013-01-01 840446259 Valley View Hospital Association VALL 9709456535 PO Box 1970 Glenwood Springs CO 81602 Larry Dupper CFO 9709456535 2014-11-05 1 Wayne Harder P00294296 3126343400 2013 2015-11-30 17:44:51Z Larry Dupper PO Box 1970 Glenwood Springs CO 81602 176441647 0 X www.vvh.org X 1950 CO 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. 7 6 1130 260 2501 1385 187133 414447 165252313 170964276 3245463 2922533 -218553 1176807 168466356 175478063 2500 0 0 0 76941803 84800371 0 0 0 67169568 73256882 144113871 158057253 24352485 17420810 332478058 338644061 135269696 128117863 197208362 210526198 X To be the leader for excellence in personalized care and healing. 0 0 120569655 170964276 Operating room - total surgical visits of 3,331. Pharmacy - total patient days of 10,002. Lab - total patient days of 10,002. 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 and, further, that our mission is to provide acute healthcare services to our community. Therefore, in keeping with the Hospital's commitment to serve all members of its community, free care and/or 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 education programs, and special programs for the elderly, handicapped, medically underserved, and a variety of community support activities.The Hospital also operates an emergency room, acute care, family birth place, radiology, cardiology, critical care, and other program services. 120569655 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 105 0 1 1130 1 1 1 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CO X Julie Ireland 9709456535 PO Box 1970 Glenwood Springs CO 81602 Steven Vanderhoof Chair, Board Member 1.00 X X 0 0 0 Jeff Carlson Past Chair, Board Member 1.00 X X 0 0 0 Lynn Kleager Treasurer, Board Member 1.00 X X 0 0 0 Louis Meyer Secretary, Board Member 1.00 X X 0 0 0 Marianne Virgili Trustee, Board Member 1.00 X 0 0 0 Robert Derkash MD Trustee, Board Member 1.00 X 0 0 0 Brian Murphy MD Trustee, Board Member 1.00 X 0 0 0 Gary Brewer Chief Executive Officer 40.00 X 996621 0 66011 Larry Dupper Chief Financial Officer 40.00 X 304087 0 39231 Deborah Hill Chief Operating Officer 40.00 X 307762 0 11769 David Miller MD Neurosurgeon 40.00 X 984263 0 51199 Claudio Feler MD Neurosurgeon 40.00 X 939207 0 78665 John George MD Cardiologist 40.00 X 872964 0 52821 Frank Laws MD Cardiologist 40.00 X 838210 0 39026 Bruce Green MD Radiation Oncologist 40.00 X 622987 0 44274 5866101 0 382996 94 0 1 0 Glenwood Medical Associates PC 1830 Blake Avenue Glenwood Springs CO 81601 Hospitalists 457314 Adelman Sheff & Smitt LLC 180 Admiral Cochrane Drive Suite 3 Annapolis MD 21401 Legal Services 312989 Roaring Fork Surgical Associates PC 1830 Blake Avenue Suite 202 Glenwood Springs CO 81601 Emergency Coverage 270500 Pathology Associates of Roaring Fork Val 1906 Blake Avenue Glenwood Springs CO 81601 Pathology Services 237426 Delta Locum Tenens PO Box 202940 Dallas TX 75320 Staffing Services 216820 10 414447 414447 Patient Service Revenue 621400 167958442 167958442 Medical/Pharmacy 561499 2485794 2485794 Health Care Management 561499 348108 348108 Day Care 624410 171932 171932 170964276 2950896 2501 2948395 935738 873918 61820 61820 61820 61303 89666 -28363 -28363 -28363 Cafeteria 722320 1114987 1114987 1114987 175478063 170964276 2501 4096839 1608470 1608470 61330911 48291896 13039015 2658596 2093375 565221 15454402 12168780 3285622 3747992 2951165 796827 430919 430919 118628 118628 9217 9217 15538311 7470160 8068151 142639 18455 124184 1057658 620214 437444 1711449 1711449 2225002 1667196 557806 51870 44594 7276 488620 308940 179680 5302970 5302970 13591795 11417108 2174687 1069358 577453 491905 Supplies 16459316 16169740 289576 Medicaid Provider Fee 5935262 5935262 Bad Debt Expense 5820691 5820691 Medical Specialist Fees 3303177 3303177 158057253 120569655 37487598 0 1611005 31650027 32576766 20138376 19776486 2920784 2885125 1258604 1183809 264270380 90424649 175083373 173845731 82722866 101426894 24042273 332478058 338644061 18269281 22651047 111494975 99135195 5505440 6331621 135269696 128117863 X 196612192 210112452 596170 413746 197208362 210526198 332478058 338644061 X 17420810 -6244137 2141163 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9217 9217 0 Part II-B, Line 1: Portion of annual dues paid to the American Hospital Association and Colorado Health & Hospital Association were used for lobbying purposes. 9277190 9277190 197568547 55973501 141595046 52770328 34451148 18319180 4654315 4654315 173845731 Bond Issuance Costs 863404 Interest in Net Assets of Eagle Health Care Center 7375498 Accrued Interest Receivable 2582555 Assets Held by Trustee Under Reimbursement Agreement 11728868 Assets Externally Restricted by Donor 1491948 24042273 Accrued Salaries and Related Liabilities 5180117 Accrued Malpractice Costs 1151504 6331621 X Part X, Line 2: The Hospital is a tax-exempt corporation as described under Section 501(c)(3) of the Internal Revenue Code; however, it is subject to federal and state income tax on any unrelated business taxable income. The Hospital has reviewed its tax positions for all open tax years and has concluded that no material liabilities exist as of December 31, 2013 and 2012. The Hospital files tax returns in the U.S. federal jurisdiction. The Hospital is generally no longer subject to U.S. federal examinations by tax authorities for years before 2010. 1 1 1 X 1 X 500.000000000000 1 1 1 0 1 1 7903951 7903951 0.05000 28582918 12170742 16412176 0.10380 3254626 555799 2698827 0.01710 39741495 12726541 27014954 0.17090 559697 208000 351697 0.00220 20525 20525 0.00010 580222 208000 372222 0.00230 40321717 12934541 27387176 0.17320 8560000 959200 7600800 0.04810 1611286 1943550 -332264 0.00000 10171286 2902750 7268536 0.04810 1 2808537 2303000 16293492 28275124 -11981632 X 1 1 1 1 Valley View Hospital Association 1906 Blake Ave Glenwood Springs CO 81601 www.vvh.org PDO.0500000 X X X Sole community hospital Valley View Hospital Association 1 1 X X X X X X X X 12 1 0 1 X X X X X X X X 0 0 1 1 200.000000000000 1 500.000000000000 1 X X X 1 1 X X X X X X 1 0 1 X 0 0 Valley View Hospital Association Part V, Section B, Line 3: Valley View Hospital presented the community health needs assessment to representatives of the community. The identity of the persons consulted consisted of members of the Chamber of Commerce, local physicians, community leaders, and business owners. Valley View Hospital Association Part V, Section B, Line 7: Some lower-priority health needs identified, such as untreated tooth decay in third graders, have not been addressed due to lack of resources. Valley View Hospital Association Part V, Section B, Line 20d: The Hospital uses FPG to determine the amount of discount up to 95% to be deducted from gross charges. Part I, Line 7: The best available data was used to calculate the cost amounts reported in Item 7. This includes the overal hospital cost to charge ratio, as well as direct and indirect costs for certain specific departments of the hospital. Part II, Community Building Activities: Part II, Line 2: The Hospital creates new employment opportunities in areas with high rates of joblessness. Part II, Line 3: The Hospital provides mentoring programs for troubled teens in the community. Part II, Line 6: As a member of a larger alliance, the Hospital participates in collaborative efforts with the community to address health and safety issues. Part III, Line 3: The Hospital used a cost to charges methodology in deriving bad debt expense (at cost) attributable to patients eligible under the Hospital's charity care policy. Analysis was done on randomly selected accounts written off to bad debt. In approximately 88% of accounts tested, patients would have qualified for charity care but refused to provide information and documentaion for charity assessment, therefore were included in bad debt. Part III, Line 4: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides contractual allowances based on these amounts. Additionally, an allowance for doubtful accounts and a provision for uncollectible accounts is provided for expected uncollectible deductibles and copayments on accounts for which the patient is responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Hospital's allowance for doubtful accounts was 17.2% and 18.8% of accounts receivable at December 31, 2013 and 2012, respectively. In addition, the Hospital's write-offs were $6,613,506 and $6,409,995 for the years ended December 31 2013 and 2012, respectively. Part III, Line 8: Valley View Hospital is the hospital of choice for the elderly population because medical staff in the surrounding area resists taking care of this population. The Hospital used a cost to charge methodology in deriving Medicare allowable costs. Part III, Line 9b: The Hospital provides care without charge or at amounts less than its established rates to patients meeting certain criteria under its charity care policy. Part VI, Line 2: The Hospital assesses the health care needs of the communities it serves through surveys taken by community health departments and input from community focus groups. Part VI, Line 3: The Hospital employs consulting groups on a full-time basis to assist patients in completing forms that determine their eligibility for attaining financial assistance. Part VI, Line 4: The Hospital serves a resort community with geographic challenges making travel difficult at times, in addition to being challenged by numerous visitors who come to the valley. X 0 1 X X X 0 1 0 0 0 0 0 1 0 Gary Brewer Chief Executive Officer 543309 0 428617 0 24695 0 22026 0 43985 0 1062632 0 0 0 Larry Dupper Chief Financial Officer 298905 0 0 0 5182 0 21989 0 17242 0 343318 0 0 0 Deborah Hill Chief Operating Officer 301258 0 0 0 6504 0 5549 0 6220 0 319531 0 0 0 David Miller MD Neurosurgeon 964462 0 0 0 19801 0 20004 0 31195 0 1035462 0 0 0 Claudio Feler MD Neurosurgeon 916116 0 0 0 23091 0 22506 0 56159 0 1017872 0 0 0 John George MD Cardiologist 833350 0 25000 0 14614 0 18048 0 34773 0 925785 0 0 0 Frank Laws MD Cardiologist 794152 0 25227 0 18831 0 21114 0 17912 0 877236 0 0 0 Bruce Green MD Radiation Oncologist 605487 0 0 0 17500 0 14969 0 29305 0 667261 0 0 0 Part I, Line 1a Christmas gifts of $250 were given to upper management. Part I, Line 4b Gary Brewer, Deborah Hill, David Miller, Claudio Feler, John George, Frank Laws, and Bruce Green participate in a supplemental non-qualified retirement plan. There were no employer contributions to their supplemental non-qualified retirement plans during calendar year 2013. Part I, Line 7 Gary Brewer received a bonus during calendar year 2013. The bonus was determined by the Board Compensation Committee. A Garfield County Colorado 840594277 36565PAB1 2003-05-01 44764767 See Schedule K, Part VI 0 0 0 B Colorado Health Facilities Authority 840953513 19647422V 2006-05-25 30359232 See Schedule K, Part VI 0 0 0 C Colorado Health Facilities Authority 840752932 19648AFS9 2007-10-18 44445997 See Schedule K, Part VI 0 0 0 D Colorado Health Facilities Authority 840752932 19648AH57 2008-05-13 50516309 See Schedule K, Part VI 0 0 0 A 44764767 45869480 3322564 17265000 1284705 23972517 2007 0 0 1 1 B 26506240 30359231 2473367 410031 1213127 26262706 2008 0 0 1 1 C 30359232 4146000 586342 39713655 2012 0 0 1 1 D 50662927 4959475 45000000 556834 2008 1 0 1 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 1 0 0 0 0 C 0 0 0 1 0 0 0 1 0 D 0 0 0 1 0 0 0 0 0 A 0 B 0 C 0 D 0 Date Rebate Computation Performed Issuer Name: Garfield County, Colorado Date the Rebate Computation was Performed: 05/28/2013 Issuer Name: Colorado Health Facilities Authority Date the Rebate Computation was Performed: 05/20/2011 Issuer Name: Colorado Health Facilities Authority Date the Rebate Computation was Performed: 01/20/2012 Issuer Name: Colorado Health Facilities Authority Date the Rebate Computation was Performed: 05/28/2013 Form 990, Schedule K, Part II, Line 3 Issue price and total proceeds of issue are different due to investment earnings and losses. Schedule K, Part I, Line A, Column (f) Obligation to refund Series 1999 bonds and reimburse the Hospital for certain capital expenditures and improvement projects. Schedule K, Part I, Line B, Column (f) Obligation to reimburse the Hospital for certain capital expenditures and improvement projects. Schedule K, Part I, Line C, Column (f) Obligation to reimburse the Hospital for certain capital expenditures and improvement projects. Schedule K, Part I, Line D, Column (f) To refund Series 2003B and Series 2006B bonds. Paul Salmen MD Former Trustee 30600 Services rendered to Valley View Hospital as Director of the Youth Recovery Center. 0 Paul Salmen MD Former Trustee 359324 Physician fees paid by Valley View Hospital to Glenwood Medical Associates, P.C. 0 Paul Salmen MD Former Trustee 263225 Net rent received by Valley View Hospital from Glenwood Medical Associates, P.C. 0 Form 990, Part VI, Section A, line 2 Form 990, Part VI, Section A, Line 2: Trustee. Form 990, Part VI, Section A, line 6 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. Form 990, Part VI, Section A, line 7a Form 990, Part VI, Section A, Line 7a: Each member of the corporation in good standing shall be qualified to vote on election of board members and the disposition of assets 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 nine elected members of the corporation. Form 990, Part VI, Section A, line 7b Form 990, Part VI, Section A, Line 7b: The administrative powers of the Valley View Hospital Association shall be vested in the board of trustees, who shall have charge of the management affairs, funds, and property of the hospital, and who shall have the authority to perform all acts and functions not inconsistent with the bylaws or with any action taken by members of the corporation. Form 990, Part VI, Section B, line 11 Form 990, Part VI, Section B, Line 11: Information for schedules compiled by the assistant controller and the controller, submitted to independent auditors to assemble into forms 990 and 990-T, and reviewed by the CFO and the board of directors before being filed with the IRS. Form 990, Part VI, Section B, line 12c Form 990, Part VI, Section B, Line 12c: Officers, directors, trustees and key employees are required to complete an annual disclosure of interest statement, disclosing any interests which may give rise to a conflict of interest or the appearance of a conflict of interest. The conflict of interest disclosures are monitored by the Board Chair and Administrative Assistant. If a conflict arises, the board member in question is recused from voting on the matter. Form 990, Part VI, Section B, line 15 Form 990, Part VI, Section B, Line 15a: Included, but not limited to, comparability data from 2011/2012 Watson Wyatt Data Services "Survey Report on Hospital and Healthcare Management Compensation," 2012 executive compensation survey for Colorado small and rural hospitals, including critical access hospitals data, and is reviewed and approved by the board of directors. The process for determining the compensation is recorded in the board minutes. Form 990, Part VI, Section B, Line 15b: Included, but not limited to, comparability data from 2011/2012 Watson Wyatt Data Services "Survey Report on Hospital and Healthcare Management Compensation," 2011/2012 Colorado Hospital Association Survey, 2011/2012 Mountain States Employer's Council Survey, and is reviewed and approved by the CEO. The process for determining the compensation is recorded in the board minutes. Form 990, Part VI, Section C, line 19 Form 990, Part VI, Section C, Line 19: Valley View's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part XI, line 9: Valley View Hospital Foundation adjustment 2,141,163. Valley View Hospital Foundation 1906 Blake Avenue Glenwood Springs CO 81601 731664673 Fundraising CO 501(c)(3) Line 11a, I Valley View Hospital Association 1 Silt Imaging Center LLC 1906 Blake Avenue Glenwood Springs CO 816014227 450534711 Imaging Services CO N/A Related 381 2378 0 1 0.45000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Silt Imaging Center LLC A 381 BOOK VALUE