VALLEY VIEW HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY VIEW HOSPITAL ASSOCIATION (EIN 84-0446259)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-15
- IRS object ID
- 201332899349300538
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-15T17:19:52-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22650 | AddressLine1 |
| City | YAKIMA | City |
| State | WA | State |
| ZIP Code | 989072650 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840446259 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VALL | NameControl |
| Phone | 9709456535 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1970 | AddressLine1 |
| City | GLENWOOD SPRINGS | City |
| State | CO | State |
| ZIP Code | 816021970 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LARRY DUPPER | Name |
| Title | CFO | Title |
| Phone | 9709456535 | Phone |
| Date Signed | 2013-10-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER E RIVARD | Name |
| PTIN | P00022321 | PTIN |
| Phone | 5092487750 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY BREWER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1906 BLAKE AVE | AddressLine1 |
| City | GLENWOOD SPRINGS | City |
| State | CO | State |
| ZIP Code | 81601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 238218396 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VVH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1045 | TotalNbrEmployees |
| Total Nbr Volunteers | 300 | TotalNbrVolunteers |
| Total Gross UBI | 8679 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 7277 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 366859 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 187133 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 158794946 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 165252313 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3080931 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3245463 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -260123 | OtherRevenuePriorYear |
| Other Revenue Current Year | -218553 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 161982613 | TotalRevenuePriorYear |
| Total Revenue Current Year | 168466356 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 7500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 68251188 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 76941803 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 12500 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 60649429 | OtherExpensePriorYear |
| Other Expenses Current Year | 67169568 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 128920617 | TotalExpensesPriorYear |
| Total Expenses Current Year | 144113871 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 33061996 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 24352485 | RevenuesLessExpensesCY |
| Total Assets BOY | 314465137 | TotalAssetsBOY |
| Total Assets EOY | 332478058 | TotalAssetsEOY |
| Total Liabilities BOY | 141424307 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 135269696 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 173040830 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 197208362 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO BE THE LEADER FOR EXCELLENCE IN PERSONALIZED CARE AND HEALING. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 26776649 | Expense |
| Revenue | 45126477 | Revenue |
| Description | OPERATING ROOM - TOTAL SURGICAL VISITS OF 3,486.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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15086923 | Expense |
| Revenue | 25425873 | Revenue |
| Description | PHARMACY - TOTAL PATIENT DAYS OF 10,849VALLEY 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11343114 | Expense |
| Revenue | 19116461 | Revenue |
| Description | LAB - TOTAL PATIENT DAYS OF 10,849.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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 56479678 | Expense |
| Grants | 2500 | Grants |
| Revenue | 73242642 | Revenue |
| Description | THE HOSPITAL ALSO OPERATES AN EMERGENCY ROOM, ACUTE CARE, FAMILY BIRTH PLACE, RADIOLOGY, CARDIOLOGY, CRITICAL CARE, AND OTHER PROGRAM SERVICES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 56479678 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 2500 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 73242642 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 109686364 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 102 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1045 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9709456535 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1970 | AddressLine1 |
| City | GLENWOOD SPRINGS | City |
| State | CO | State |
| ZIP Code | 816021970 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MIKE FATTOR | |||||||
| TREASURER, BOARD MEMBER | 1.00 | X | X | 0 | 0 | 0 | |
| JEFF CARLSON | |||||||
| CHAIR, BOARD MEMBER | 1.00 | X | X | 0 | 0 | 0 | |
| STEVE VANDERHOOF | |||||||
| VICE CHAIR, BOARD MEMBER | 1.00 | X | X | 0 | 0 | 0 | |
| LOUIS MEYER | |||||||
| SECRETARY, BOARD MEMBER | 1.00 | X | X | 0 | 0 | 0 | |
| PAUL SALMEN MD | |||||||
| TRUSTEE, BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MATT GOODSTEIN MD | |||||||
| TRUSTEE, BOARD MEMBER | 1.00 | 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 | ||
| LYNN KLEAGER | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| GARY BREWER | |||||||
| CEO | 40.00 | X | 987643 | 0 | 23246 | ||
| LARRY DUPPER | |||||||
| CFO | 40.00 | X | 535052 | 0 | 23311 | ||
| DEB WIEPKING | |||||||
| COO | 40.00 | X | 399644 | 0 | 23078 | ||
| FRANK LAWS MD | |||||||
| CARDIOLOGIST | 40.00 | 803113 | 0 | 23358 | X | ||
| DAVID MILLER MD | |||||||
| NEUROSURGEON | 40.00 | 997563 | 0 | 23357 | X | ||
| CLAUDIO FELER MD | |||||||
| NEUROSURGEON | 40.00 | 931389 | 0 | 6577 | X | ||
| JOHN GEORGE MD | |||||||
| CARDIOLOGIST | 40.00 | 722875 | 0 | 23358 | X | ||
| BRUCE GREENE MD | |||||||
| RADIATION ONCOLOGIST | 40.00 | 583577 | 0 | 1485 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5960856 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 147770 | TotalOtherCompensation |
| Number Individuals GT100 K | 95 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROARING FORK FAMILY PHYSICIANS PC | |||||
| 1340 HIGHWAY 133 | CARBONDALE | CO | 81623 | PROFESSIONAL SERVICES | 399781 |
| ADELMANSHEFF & SMITH LLC | |||||
| 180 ADMIRAL COCHRANE DR STE 370 | ANNAPOLIS | MD | 21401 | LEGAL SERVICES | 339306 |
| GLENWOOD MEDICAL ASSOCIATES PC | |||||
| 1830 BLAKE AVE | GLENWOOD SPRINGS | CO | 81601 | PROFESSIONAL SERVICES | 337685 |
| THOMAS G MORTON MD | |||||
| 1487 COUNTY ROAD 117 | GLENWOOD SPRINGS | CO | 81601 | FAMILY PHYSICIAN | 293158 |
| ROARING FORK SURGICAL ASSOC PC | |||||
| 180 BLAKE AVE STE 202 | GLENWOOD SPRINGS | CO | 81601 | PROFESSIONAL SERVICES | 267000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Government Grants | 34000 | GovernmentGrants |
| All Other Contributions | 153133 | AllOtherContributions |
| Total Contributions | 187133 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| PATIENT SERVICES REVEN | 621400 | 162459075 | 162459075 | ||
| MEDICAL/PHARMACY/MISCELLANEOUS | 561499 | 1322706 | $1,322,706 | ||
| CATERING/CAFETERIA | 722320 | 1009475 | $1,009,475 | ||
| HEALTHCARE MANAGEMENT | 561499 | 195792 | 187113 | 8679 | |
| CHILD CARE | 624410 | 176149 | 176149 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89116 | TotalRevenueColumn |
| Related Or Exempt Function Income | 89116 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 165252313 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2952136 | TotalRevenueColumn |
| Exclusion | $2,952,136 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1011459 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1230012 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -218553 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -218553 | TotalRevenueColumn |
| Exclusion | -$218,553 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 68600934 | Securities |
| Other | 214421 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 68522028 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 78906 | Securities |
| Other | 214421 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 293327 | TotalRevenueColumn |
| Exclusion | $293,327 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 168466356 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162911453 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8679 | UnrelatedBusinessRevenue |
| Exclusion | $5,359,091 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2500 | Total |
| Program Services | 2500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1991974 | Total |
| Management And General | 1991974 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55211792 | Total |
| Program Services | 44092021 | ProgramServices |
| Management And General | 11119771 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2383106 | Total |
| Program Services | 1955887 | ProgramServices |
| Management And General | 427219 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13905813 | Total |
| Program Services | 11084381 | ProgramServices |
| Management And General | 2821432 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3449118 | Total |
| Program Services | 2749306 | ProgramServices |
| Management And General | 699812 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329965 | Total |
| Management And General | 329965 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229529 | Total |
| Management And General | 229529 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11517 | Total |
| Management And General | 11517 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23615 | Total |
| Management And General | 23615 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12864156 | Total |
| Program Services | 5319354 | ProgramServices |
| Management And General | 7544802 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129870 | Total |
| Program Services | 22542 | ProgramServices |
| Management And General | 107328 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15075807 | Total |
| Program Services | 14119968 | ProgramServices |
| Management And General | 955839 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1548382 | Total |
| Program Services | 1548382 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2822558 | Total |
| Program Services | 2314498 | ProgramServices |
| Management And General | 508060 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61260 | Total |
| Program Services | 55328 | ProgramServices |
| Management And General | 5932 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 415157 | Total |
| Program Services | 272366 | ProgramServices |
| Management And General | 142791 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5225228 | Total |
| Management And General | 5225228 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10639505 | Total |
| Program Services | 8937184 | ProgramServices |
| Management And General | 1702321 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1138048 | Total |
| Program Services | 611475 | ProgramServices |
| Management And General | 526573 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| UBIT TAXES | 44000 | 44000 | |
| BAD DEBT EXPENSE | 6959995 | 6959995 | |
| MEDICAID PROVIDER FEES | 6338000 | 6338000 | |
| MEDICAL SPECIALIST FEES | 3303177 | 3303177 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9799 | Total |
| Management And General | 9799 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144113871 | Total |
| Program Services | 109686364 | ProgramServices |
| Management And General | 34427507 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42151953 | BOY |
| EOY | 31650027 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16819670 | BOY |
| EOY | 20138376 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2996804 | BOY |
| EOY | 2920784 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 935248 | BOY |
| EOY | 1258604 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 252846207 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 77762834 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149636266 | BOY |
| EOY | 175083373 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101925196 | BOY |
| EOY | 101426894 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314465137 | BOY |
| EOY | 332478058 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23070877 | BOY |
| EOY | 18269281 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113649164 | BOY |
| EOY | 111494975 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4704266 | BOY |
| EOY | 5505440 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141424307 | BOY |
| EOY | 135269696 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 172327631 | BOY |
| EOY | 196612192 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 713199 | BOY |
| EOY | 596170 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173040830 | BOY |
| EOY | 197208362 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314465137 | BOY |
| EOY | 332478058 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 24352485 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -76684 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -108269 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,517 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11517 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PORTION OF ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND COLORADO HEALTH & HOSPITAL ASSOCIATION WERE USED FOR LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 5640265 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1423992 | OtherCostOrOtherBasis |
| Book Value | 7064257 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 19313301 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 171242106 | OtherCostOrOtherBasis |
| Depreciation | 48757996 | Depreciation |
| Book Value | 141797411 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50427955 | OtherCostOrOtherBasis |
| Depreciation | 29004838 | Depreciation |
| Book Value | 21423117 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4798588 | OtherCostOrOtherBasis |
| Book Value | 4798588 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 175083373 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOND ISSUANCE COSTS, NET | 1154879 |
| INTEREST RECEIVABLE | 606268 |
| INVESTMENT IN EAGLE HEALTH CARE CENTER, INC. | 7545733 |
| OTHER SECURITIES | 92120014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 101426894 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED COMPENSATION RELATED TAXES | $4,434,711 |
| ESTIMATED MALPRACTICE COSTS | $1,070,729 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5505440 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE HOSPITAL ADOPTED THE INCOME TAX STANDARD RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE INCOME TAX STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 0.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6235003 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6235003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25719507 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11447155 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14272352 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10410 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3025338 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 529654 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2495684 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01820 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34979848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11976809 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23003039 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 545604 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 240004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 305600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18300 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 18300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 563904 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 240004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 323900 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35543752 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12216813 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23326939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8560000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1430000 | DirectOffsettingRevenue |
| Net Community Building Expense | 7130000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.05200 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1604000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 910000 | DirectOffsettingRevenue |
| Net Community Building Expense | 694000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3840 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3840 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10167840 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 2340000 | DirectOffsettingRevenue |
| Net Community Building Expense | 7827840 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.05710 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,308,782 | BadDebtExpenseAmount |
| Amount Attributable To | 2713201 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 19085833 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 26655158 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7569325 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW HOSPITAL ASSOCIATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1906 BLAKE AVE | AddressLine1 |
| City | GLENWOOD SPRINGS | City |
| State | CO | State |
| ZIP Code | 81601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.VVH.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | SOLE COMMUNITY HOSPITAL | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 500.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, L7 COL(F): 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 APPROX. 88% OF ACCOUNTS TESTED, PATIENTS WOULD HAVE QUALIFIED FOR CHARITY CARE BUT REFUSED TO PROVIDE INFORMATION AND DOCUMENTATION FOR CHARITY ASSESSMENT, THEREFORE WAS INCLUDED IN BAD DEBT. | ||
| THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON THE HOSPITAL'S WEBSITE. | PART I, LINE 6A: | |
| PART II: 2. THE HOSPITAL CREATES NEW EMPLOYMENT OPPORTUNITIES IN AREAS WITH HIGH RATES OF JOBLESSNESS3. THE HOSPITAL PROVIDES MENTORING PROGRAMS FOR TROUBLED TEENS IN THE COMMUNITY6. 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 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 FORDOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY 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 FOR SELF-PAY PATIENTS INCREASED FROM 83 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 84 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. HOSPITAL'S SELF-PAY WRITEOFFS INCREASED FROM $1,743,949 FOR FISCAL YEAR 2011 TO $1,877,474 FOR FISCAL YEAR 2012. THE HOSPITAL HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE FISCAL YEARS 2012 AND 2011.THE HOSPITAL USED A COST TO CHARGES METHODOLOGY IN DERIVING BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITALS CHARITY CARE POLICY. ANALYSIS WERE 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 DOCUMENTATION FOR CHARITY ASSESSMENT, THEREFORE WERE INCLUDED IN BAD DEBT. | ||
| 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 CHARGES 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 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, HAS 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. | VALLEY VIEW HOSPITAL ASSOCIATION | |
| 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 THE NUMEROUS VISITORS THAT COME TO THE VALLEY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY BREWER | ||||||||||||||
| CEO | 561123 | 0 | 426520 | 0 | 0 | 0 | 20860 | 0 | 2386 | 0 | 1010889 | 0 | 0 | 0 |
| LARRY DUPPER | ||||||||||||||
| CFO | 282603 | 0 | 252449 | 0 | 0 | 0 | 20860 | 0 | 2451 | 0 | 558363 | 0 | 0 | 0 |
| DEB WIEPKING | ||||||||||||||
| COO | 234229 | 0 | 165415 | 0 | 0 | 0 | 20860 | 0 | 2218 | 0 | 422722 | 0 | 0 | 0 |
| FRANK LAWS MD | ||||||||||||||
| CARDIOLOGIST | 744595 | 0 | 58518 | 0 | 0 | 0 | 20860 | 0 | 2498 | 0 | 826471 | 0 | 0 | 0 |
| DAVID MILLER MD | ||||||||||||||
| NEUROSURGEON | 873563 | 0 | 124000 | 0 | 0 | 0 | 20860 | 0 | 2498 | 0 | 1020921 | 0 | 0 | 0 |
| CLAUDIO FELER MD | ||||||||||||||
| NEUROSURGEON | 794989 | 0 | 136400 | 0 | 0 | 0 | 4080 | 0 | 2498 | 0 | 937967 | 0 | 0 | 0 |
| JOHN GEORGE MD | ||||||||||||||
| CARDIOLOGIST | 646186 | 0 | 76689 | 0 | 0 | 0 | 20860 | 0 | 2498 | 0 | 746233 | 0 | 0 | 0 |
| BRUCE GREENE MD | ||||||||||||||
| RADIATION ONCOLOGIST | 507971 | 0 | 75606 | 0 | 0 | 0 | 0 | 0 | 1485 | 0 | 585062 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | CHRISTMAS GIFTS GIVEN TO UPPER MANAGEMENT INCLUDING LARRY DUPPER AND DEB WIEPKING. |
| PART I, LINE 1B | THE CEO DETERMINED CHRISTMAS GIFTS OF $250 WOULD BE GIVEN TO EACH PERSON OF UPPER MANAGEMENT. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| GARFIELD COUNTY COLORADO | ||||||||
| A | 840594277 | 36565PAB1 | 2003-05-01 | 44764767 | SEE SCHEDULE O | 0 | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| B | 840752932 | 1964742X7 | 2006-05-01 | 30359232 | SEE SCHEDULE O | 0 | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| C | 840752932 | 19648AFQ3 | 2007-10-18 | 44445997 | SEE SCHEDULE O | 0 | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| D | 840752932 | 19648AHR9 | 2008-05-06 | 50516309 | SEE SCHEDULE O | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 45869480 | 3322564 | 17265000 | 1284705 | 23972517 | 2007 | 0 | 0 | 1 | 1 |
| B | 30056630 | 2575729 | 332724 | 27161687 | 2008 | 0 | 0 | 1 | 1 | |
| C | 47988053 | 4422563 | 563072 | 43001229 | 2012 | 0 | 0 | 1 | 1 | |
| D | 50662927 | 5118506 | 45000000 | 544422 | 2008 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE K, PART II, LINE 3 | Identifier |
| Explanation | ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE ARE DIFFERENT DUE TO INVESTMENT EARNINGS AND LOSSES. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MATT GOODSTEIN MD | |||
| TRUSTEE | 56532 | RENT PAID TO VVH FOR OFFICE SPACE | 0 |
| PAUL SALMEN MD | |||
| TRUSTEE | 34950 | SERVICES RENDERED TO VVH AS DIRECTOR OF YRC | 0 |
| PAUL SALMEN MD | |||
| TRUSTEE | 274814 | PHYSICIAN FEES PAID BY VVH TO GMA | 0 |
| PAUL SALMEN MD | |||
| TRUSTEE | 536860 | NET RENT RECEIVED BY VVH FROM GMA FOR OFFICE SPACE | 0 |
| ROBERT DERKASH MD | |||
| TRUSTEE | 154808 | RENT RECEIVED BY VVH FROM ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD FOR OFFICE SPACE. | 0 |
| PAUL SALMEN MD | |||
| TRUSTEE | 17135 | SERVICES RENDERED TO VVH IN THE PSYCHIATRY DEPARTMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | VALLEY VIEW HOSPITAL'S CANCER CENTER OPENED FOR BUSINESS IN OCTOBER 2012 |
| FORM 990, PART VI, SECTION A, LINE 2 | TRUSTEE | |
| 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 7/31/95, WILL CONTINUE TO BE LIFE MEMBERS. PERSONS WHO BECOME MEMBERS OF THE ASSOCIATION AFTER 7/31/95, SHALL PAY AN ANNUAL MEMBERSHIP FEE OF $25. EACH MEMBER IN GOOD STANDING SHALL HAVE ONE VOTE IN THE BUSINESS OF THE CORPORATION. | |
| 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 | 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 | INFORMATION FOR SCHEDULES COMPILED BY THE ASSISTANT CONTROLLER AND CONTROLLER, SUBMITTED TO INDEPENDENT AUDITORS TO ASSEMBLE INTO FORM 990 AND 990T, AND REVIEWED BY THE CFO AND BOD BEFORE BEING FILED WITH THE IRS. | |
| 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. | |
| FORM 990, PART VI, SECTION B, LINE 15 | 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 BODS. 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. | |
| FORM 990, PART VI, SECTION C, LINE 18 | UPON REQUEST | |
| 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. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | INCOME FROM COLORADO HOSPITAL ASSOCIATION TRUST -108,269. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW HOSPITAL FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1906 BLAKE AVE | AddressLine1 |
| City | GLENWOOD SPRINGS | City |
| State | CO | State |
| ZIP Code | 81601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731664673 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | CO | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11A, I | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Code VCodeVAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SILT IMAGING CENTER LLC | ||||||||||||||
| 1906 BLAKE AVENUE | GLENWOOD SPRINGS | CO | 816014227 | 450534711 | IMAGING SERVICES | CO | N/A | RELATED | 4382 | 25621 | 0 | 1 | 0.45000 | |
| HEALTHCARE MANAGEMENT LLC | ||||||||||||||
| PO BOX 2907 | GRAND JUNCTION | CO | 81502 | 841238904 | SELF-PAY RECOVERY SERVICES | CO | N/A | RELATED | 192453 | 559995 | 0 | 1 | 0.07180 | $8,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE MANAGEMENT LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionType |
| Amount Involved | 127285 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |