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VALLEY VIEW HOSPITAL ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VALLEY VIEW HOSPITAL ASSOCIATION (EIN 84-0446259)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-15
IRS object ID
201202919349300315
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-10-15T13:16:15-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 22650AddressLine1
CityYAKIMACity
StateWAState
ZIP Code989072650ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840446259EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY VIEW HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone9709456535Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1970AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code816021970ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY DUPPERName
TitleCFOTitle
Phone9709456535Phone
Date Signed2012-09-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRISTOPHER E RIVARDName
PTINP00022321PTIN
Phone5092487750Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY BREWERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11906 BLAKE AVEAddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts235521229GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VVH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionVALLEY 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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees979TotalNbrEmployees
Total Nbr Volunteers265TotalNbrVolunteers
Total Gross UBI7036TotalGrossUBI
Net Unrelated Business Txbl Income5710NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year449992ContributionsGrantsPriorYear
Contributions Grants Current Year366859ContributionsGrantsCurrentYear
Program Service Revenue Prior Year143335563ProgramServiceRevenuePriorYear
Program Service Revenue CY158794946ProgramServiceRevenueCY
Investment Income Prior Year2724091InvestmentIncomePriorYear
Investment Income Current Year3080931InvestmentIncomeCurrentYear
Other Revenue Prior Year294577OtherRevenuePriorYear
Other Revenue Current Year-260123OtherRevenueCurrentYear
Total Revenue Prior Year146804223TotalRevenuePriorYear
Total Revenue Current Year161982613TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year64498510SalariesEtcPriorYear
Salaries Etc Current Year68251188SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year65000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY12500TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12500TotalFundrsngExpCurrentYear
Other Expense Prior Year62888639OtherExpensePriorYear
Other Expenses Current Year60649429OtherExpensesCurrentYear
Total Expenses Prior Year127462149TotalExpensesPriorYear
Total Expenses Current Year128920617TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19342074RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33061996RevenuesLessExpensesCY
Total Assets BOY277019713TotalAssetsBOY
Total Assets EOY314465137TotalAssetsEOY
Total Liabilities BOY138735275TotalLiabilitiesBOY
Total Liabilities EOY141424307TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY138284438NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY173040830NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO BE THE LEADER FOR EXCELLENCE IN PERSONALIZED CARE AND HEALING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25100786Expense
Revenue44970594Revenue
DescriptionOPERATING ROOM - TOTAL SURGICAL VISITS OF 3,518.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

FieldValueIRS element (for citing)
Expense14114285Expense
Revenue25287167Revenue
DescriptionPHARMACY - TOTAL PATIENT DAYS OF 10,760VALLEY 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

FieldValueIRS element (for citing)
Expense10343251Expense
Revenue19305456Revenue
DescriptionLAB - TOTAL PATIENT DAYS OF 10,760VALLEY 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

FieldValueIRS element (for citing)
Expense48621506Expense
Grants7500Grants
Revenue67723720Revenue
DescriptionTHE HOSPITAL ALSO OPERATES AN EMERGENCY ROOM, ACUTE CARE, FAMILY BIRTH PLACE, RADIOLOGY, CARDIOLOGY, CRITICAL CARE, AND OTHER PROGRAM SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp48621506TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt7500TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev67723720TotalOfOtherProgramServiceRev
Total Program Service Expense98179828TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109685NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees979NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9709456535TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1970AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code816021970ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MIKE FATTOR
TREASURER1.00XX000
JEFF CARLSON
CHAIR1.00XX000
PAUL SALMEN MD
TRUSTEE1.00X000
MATT GOODSTEIN MD
TRUSTEE1.00X000
MARIANNE VIRGILI
TRUSTEE1.00X000
LOUIS MEYER
SECRETARY1.00XX000
ROBERT DERKASH MD
TRUSTEE1.00X000
STEVE VANDERHOOF
VICE CHAIR1.00XX000
LYNN KLEAGER
TRUSTEE1.00X000
GARY BREWER
CEO40.00X988042023187
LARRY DUPPER
CFO40.00X417613023187
DEB WIEPKING
COO40.00X319550022925
FRANK LAWS MD
CARDIOLOGIST40.00812443023187X
DAVID MILLER MD
NEUROSURGEON40.00983510023187X
BRIAN MURPHY MD
UROLOGIST40.00474191023187X
JEFFREY FEGAN MD
UROLOGIST40.00469339023187X
JAMIE LOWE MD
UROLOGIST40.00486271023187X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4950959TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation185234TotalOtherCompensation
Number Individuals GT100 K80NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HFR DESIGN INC
PO BOX 1974BRENTWOODTN370241974ARCHITECTURAL SERVICES1343239
MORRISON MGMT SPECIALISTS
PO BOX 102289ATLANTAGA303682289FOOD MGMT SERVICES436817
A-1 COLLECTION AGENCY
PO BOX 1929GRAND JUNCTIONCO81502COLLECTION SERVICES391233
ROARING FORK ANESTHESIA
PO BOX 1150GLENWOOD SPRINGSCO81602ANESTHESIA SERVICES374506
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN554809146PATHOLOGICAL SERVICES372652
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
All Other Contributions366859AllOtherContributions
Total Contributions366859TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES REVEN621400157075455157075455
CATERING/CAFETERIA722320947580$947,580
MEDICAL/PHARMACY/MISCE561499273897$273,897
HEALTHCARE MANAGEMENT5614991962281891927036
CHILD CARE624410179016$179,016

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column122770TotalRevenueColumn
Related Or Exempt Function Income22290RelatedOrExemptFunctionIncome
Exclusion$100,480ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue158794946TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2929274TotalRevenueColumn
Exclusion$2,929,274ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1282271Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1542394Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-260123Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-260123TotalRevenueColumn
Exclusion-$260,123ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities71945035Securities
Other202844Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities71794251Securities
Other201971Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities150784Securities
Other873Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column151657TotalRevenueColumn
Exclusion$151,657ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column161982613TotalRevenueColumn
Related Or Exempt Function Income157286937RelatedOrExemptFunctionIncome
Unrelated Business Revenue7036UnrelatedBusinessRevenue
Exclusion$4,321,781ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7500Total
Program Services7500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1794504Total
Management And General1794504ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total48346338Total
Program Services38555888ProgramServices
Management And General9790450ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2215919Total
Program Services1762823ProgramServices
Management And General453096ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12725618Total
Program Services10123570ProgramServices
Management And General2602048ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3168809Total
Program Services2520872ProgramServices
Management And General647937ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total382711Total
Management And General382711ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total140825Total
Management And General140825ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total10300Total
Management And General10300ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total12500Total
Fundraising12500Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20229Total
Management And General20229ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12076419Total
Program Services5151541ProgramServices
Management And General6924878ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total69176Total
Program Services16333ProgramServices
Management And General52843ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total887418Total
Program Services560850ProgramServices
Management And General326568ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total962403Total
Program Services962403ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2597944Total
Program Services2130314ProgramServices
Management And General467630ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total72584Total
Program Services47944ProgramServices
Management And General24640ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total404377Total
Program Services245080ProgramServices
Management And General159297ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4764125Total
Management And General4764125ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9325643Total
Program Services7833540ProgramServices
Management And General1492103ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1121186Total
Program Services602743ProgramServices
Management And General518443ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1364672813496124150604
BAD DEBT EXPENSE70704017070401
MEDICAID PROVIDER FEES43212994321299
MEDICAL SPECIALIST FEES27706032770603

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5058Total
Management And General5058ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total128920617Total
Program Services98179828ProgramServices
Management And General30728289ManagementAndGeneral
Fundraising12500Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33068600BOY
EOY42151953EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14764682BOY
EOY16819670EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3055913BOY
EOY2996804EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY956572BOY
EOY935248EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis218345455LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68709189LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY119231373BOY
EOY149636266EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY105942573BOY
EOY101925196EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY277019713BOY
EOY314465137EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18712202BOY
EOY23070877EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY115720885BOY
EOY113649164EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4302188BOY
EOY4704266EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY138735275BOY
EOY141424307EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY137315209BOY
EOY172327631EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY969229BOY
EOY713199EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY138284438BOY
EOY173040830EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY277019713BOY
EOY314465137EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses33061996ReconcilationRevenueExpenses
Reconcilation Other Changes1694396ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,300OtherActivitiesAmount
Total Lobbying Expenditures IIB10300TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationPORTION 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

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5640265InvestmentCostOrOtherBasis
Other Cost Or Other Basis244308OtherCostOrOtherBasis
Book Value5884573BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis20322344InvestmentCostOrOtherBasis
Other Cost Or Other Basis109906166OtherCostOrOtherBasis
Depreciation42233781Depreciation
Book Value87994729BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis40113931OtherCostOrOtherBasis
Depreciation26475408Depreciation
Book Value13638523BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42118441OtherCostOrOtherBasis
Book Value42118441BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings149636266TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
BOND ISSUANCE COSTS, NET1274284
INTEREST RECEIVABLE679030
INVESTMENT IN EAGLE HEALTH CARE CENTER, INC.7644844
OTHER SECURITIES92327038
FieldValueIRS element (for citing)
Total Book Value Other Assets101925196TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED COMPENSATION RELATED TAXES$3,883,815
ESTIMATED MALPRACTICE COSTS$820,451
FieldValueIRS element (for citing)
Total Of Amounts4704266TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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, 2011.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage0.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6675914TotalCommunityBenefitExpense
Net Community Benefit Expense6675914NetCommunityBenefitExpense
Percent Of Total Expense0.05480PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18695770TotalCommunityBenefitExpense
Direct Offsetting Revenue7895178DirectOffsettingRevenue
Net Community Benefit Expense10800592NetCommunityBenefitExpense
Percent Of Total Expense0.08860PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense3553100TotalCommunityBenefitExpense
Direct Offsetting Revenue604027DirectOffsettingRevenue
Net Community Benefit Expense2949073NetCommunityBenefitExpense
Percent Of Total Expense0.02420PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28924784TotalCommunityBenefitExpense
Direct Offsetting Revenue8499205DirectOffsettingRevenue
Net Community Benefit Expense20425579NetCommunityBenefitExpense
Percent Of Total Expense0.16760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense554630TotalCommunityBenefitExpense
Direct Offsetting Revenue209477DirectOffsettingRevenue
Net Community Benefit Expense345153NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense17250TotalCommunityBenefitExpense
Net Community Benefit Expense17250NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense571880TotalCommunityBenefitExpense
Direct Offsetting Revenue209477DirectOffsettingRevenue
Net Community Benefit Expense362403NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense29496664TotalCommunityBenefitExpense
Direct Offsetting Revenue8708682DirectOffsettingRevenue
Net Community Benefit Expense20787982NetCommunityBenefitExpense
Percent Of Total Expense0.17050PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense8477000TotalCommunityBuildingExpense
Direct Offsetting Revenue1574000DirectOffsettingRevenue
Net Community Building Expense6903000NetCommunityBuildingExpense
Percent Of Total Expense0.05670PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1540000TotalCommunityBuildingExpense
Direct Offsetting Revenue913000DirectOffsettingRevenue
Net Community Building Expense627000NetCommunityBuildingExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense3840TotalCommunityBuildingExpense
Net Community Building Expense3840NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense40000TotalCommunityBuildingExpense
Net Community Building Expense40000NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense10060840TotalCommunityBuildingExpense
Direct Offsetting Revenue2487000DirectOffsettingRevenue
Net Community Building Expense7573840NetCommunityBuildingExpense
Percent Of Total Expense0.06210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,866,129BadDebtExpenseAmount
Amount Attributable To2527926AmountAttributableTo
Amount Reimbursed By Medicare15561397AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20707042CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5145645MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY VIEW HOSPITAL ASSOCIATIONBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11906 BLAKE AVEAddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81601ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSOLE COMMUNITY HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1VALLEY VIEW HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent500.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7070401.
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 SURROUNDING COMMUNITIES6. AS A MEMBER OF A LARGER ALLIANCE, THE HOSPITAL PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH AND SAFETY ISSUES7. THE HOSPITAL SENT MEDICAL SUPPLIES TO THIRD WORLD COUNTRIES TO SAFEGUARD OR IMPROVE PUBLIC HEALTH AND ACCESS TO HEALTH CARE SERVICES
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 AGAINSTTHE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 78 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2010, TO 83 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011. HOSPITAL'S SELF-PAY WRITEOFFS DECREASED FROM $2,252,572 FOR FISCAL YEAR 2010 TO $1,743,949 FOR FISCAL YEAR 2011. THE HOSPITAL HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE FISCAL YEARS 2011 AND 2010.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. ANALYSES 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 19D: 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients2NumberOfRecipients
Amount Of Cash Grant7500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationAPPLICANTS APPLYING FOR THE NURSING STUDENT FINANCIAL ASSISTANCE PROGRAM MUST BE ENROLLED AS A FULL-TIME STUDENT IN AN ACCREDITED NURSING PROGRAM AND HAVE A CUMULATIVE GRADE POINT AVERAGE OF AT LEAST 2.5. AWARDS WERE DISBURSED IN TWO EQUAL INSTALLMENTS, AT THE BEGINNING OF EACH SEMESTER, CONTINGENT UPON PROOF OF A CUMULATIVE GRADE POINT AVERAGE OF AT LEAST 2.5. EACH STUDENT RECEIVING FINANCIAL ASSISTANCE WILL PRACTICE NURSING AT VVH FOR ONE YEAR, FOR EACH YEAR OF FINANCIAL ASSISTANCE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY BREWER
5666910421351000205010268601011229000
LARRY DUPPER
296080012153300020501026860440800000
DEB WIEPKING
3195500000020501024240342475000
FRANK LAWS MD
74561106683200020501026860835630000
DAVID MILLER MD
8835100100000000205010268601006697000
BRIAN MURPHY MD
347656012653500020501026860497378000
JEFFREY FEGAN MD
346304012303500020501026860492526000
JAMIE LOWE MD
359736012653500020501026860509458000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ACHRISTMAS GIFTS GIVEN TO UPPER MANAGEMENT INCLUDING LARRY DUPPER AND DEB WIEPKING.
PART I, LINE 1BTHE 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)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
GARFIELD COUNTY COLORADO
84059427736565PAB12003-05-0144764767SEE SCHEDULE O000
COLORADO HEALTH FACILITIES AUTHORITY
8407529321964742X72006-05-0130359232SEE SCHEDULE O000
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648AFQ32007-10-1844445997SEE SCHEDULE O000
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648AHR92008-05-0650516309SEE SCHEDULE O000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4586948033472581726500012847052397251720070011
3005663025622193327242716168720080011
4798805344237535630724300122920120011
5066292751185064500000054442220081011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000000
00000.000000.000000.000000
00000.000000.000000.000000
00000.000000.000000.000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000010
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MATT GOODSTEIN MD
TRUSTEE63668RENT PAID TO VVH FOR OFFICE SPACE0
PAUL SALMEN MD
TRUSTEE23775SERVICES RENDERED TO VVH AS DIRECTOR OF YRC0
PAUL SALMEN MD
TRUSTEE261247PHYSICIAN FEES PAID BY VVH TO GMA0
PAUL SALMEN MD
TRUSTEE558471NET RENT RECEIVED BY VVH FROM GMA FOR OFFICE SPACE0
ROBERT DERKASH MD
TRUSTEE165958RENT RECEIVED BY VVH FROM ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD FOR OFFICE SPACE.0
PAUL SALMEN MD
TRUSTEE7500PAYMENTS RECEIVED FROM GMA FOR USAGE OF RADIOLOGY FACILITIES.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2STEVE VANDERHOOF, VP OF US BANK, PROVIDES BANKING SERVICES PAUL SALMEN, M.D., A PARTNER OF GLENWOOD MEDICAL ASSOCIATES (GMA) AND A FAMILY PRACTICE PHYSICIAN, PROVIDES MEDICAL SERVICES TO PATIENTS AT GMA AND IS THE DIRECTOR OF VVH YOUTH RECOVERY CENTER MATT GOODSTEIN, M.D., ONTOLARYNGOLOGIST, PROVIDES MEDICAL SERVICES MARIANNE VIRGILI, PRESIDENT-CEO GLENWOOD SPRINGS CHAMBER RESORT ASSOCIATION, PROVIDES CHAMBER MEMBERSHIP, GOODS AND SERVICES ROBERT DERKASH, M.D., ORTHOPAEDIC SURGEON AND PARTNER OF ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD, PROVIDES MEDICAL SERVICES JEFF CARLSON IS THE OWNER OF A LOCAL CAR DEALERSHIP MIKE FATTOR, PRESIDENT OF WESTERN PETROLEUM, SELLS PETROLEUM BASED PRODUCTS LYNN KLEAGER, CPA, ABV, CFF, AND PRINCIPAL AT DALBY, WENDLAND & CO., P.C., PROVIDES ACCOUNTING, AUDIT, TAX AND BUSINESS SERVICES
FORM 990, PART VI, SECTION A, LINE 6THERE 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 7AEACH 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 7BTHE 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 11INFORMATION 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 12COFFICERS, 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 15LINE 15A: INCLUDED BUT NOT LIMITED TO COMPARABILITY DATA FROM 2010/2011 WATSON WYATT DATA SERVICES "SURVEY REPORT ON HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION", 2011 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 2010/2011 WATSON WYATT DATA SERVICES "SURVEY REPORT ON HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION", 2010/2011 COLORADO HOSPITAL ASSOCIATION SURVEY, 2010/2011 MOUNTAIN STATES EMPLOYER'S COUNCIL SURVEY, AND IS REVIEWED AND APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19VALLEY VIEW'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 2,175,335. PRIOR PERIOD ADJUSTMENTS: -314,205. INCOME FROM COLORADO HOSPITAL ASSOCIATION TRUST -166,734. TOTAL TO FORM 990, PART XI, LINE 5: 1,694,396.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:NO CHANGE FROM THE PRIOR YEAR.
SCHEDULE K, PART I, BOND ISSUES:A) ISSUER NAME: GARFIELD COUNTY, COLORADO (C)CUSIP #: 36565P AB 1 36565P AC 9 36565P AD 7 36565P AE 5 36565P AF 2 36565P AG 0 36565P AH 8 36565P AJ 4 36565P AK 1 36565P AL 9 36565P AM 7 36565P AN 5 36565P AP 0 36565P AQ 8 36565P AR 6 (F)DESCRIPTION OF PURPOSE: HOSPITAL REVENUE BONDS, SERIES 2003 OBLIGATION TO REFUND SERIES 1999 BONDS AND REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECTS.
SCHEDULE K, PART I, BOND ISSUES:(A) ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY (C) CUSIP #: 196474 2X7 196474 2Y5 196474 2Z2 196474 3A6 196474 3B4 196474 3C2 196474 3D0 196474 3E8 196474 3F5 196474 2V1 (F)DESCRIPTION OF PURPOSE: HOSPITAL REVENUE BONDS, SERIES 2006 OBLIGATION TO REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECTS.
SCHEDULE K, PART I, BOND ISSUES:(A)ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY (C) CUSIP #: 19648AFQ3 19648AFR1 19648AFS9 (F) DESCRIPTION OF PURPOSE: HOSPITAL REVENUE BONDS, SERIES 2007 OBLIGATION TO REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECTS.
SCHEDULE K, PART I, BOND ISSUES:(A)ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY (C)CUSIP #: 19648AHR9 19648AHS7 (F) DESCRIPTION OF PURPOSE: HOSPITAL REVENUE BONDS, SERIES 2008 OBLIGATION TO REFUND SERIES 2003B AND SERIES 2006B BONDS.