2012-05-10T08:26:18-07:00 2011-06-30 Hansen Barnett & Maxwell PC 5 Triad Center Suite 750 Salt Lake City UT 84180 990 2010-07-01 870419324 CENTRAL VALLEY MEDICAL CENTER CENT 4356233000 PO BOX 412 NEPHI UT 84648 Mr Mark Stoddard 2012-05-09 L MATTHEW EGNEW CPA 8015322200 2010 2016-02-24 21:20:13Z Mr Mark Stoddard 436 N 800 E Nephi UT 84648 32903300 false false X WWW.CVMED.NET X 1984 UT HOSPITAL SERVICES 6 6 276 6 2687395 49099 68258 24591170 28213357 1222053 836371 0 25862322 29117986 3000 4000 0 9315705 9557037 0 77827 14656343 17284991 23975048 26846028 1887274 2271958 35650094 39697400 14733398 16461950 20916696 23235450 HOSPITAL SERVICES false false 23052228 28213357 CENTRAL VALLEY MEDICAL CENTER OPERATES A HOSPITAL AND TWO MEDICAL CLINICS PROVIDING MEDICAL CARE TO RURAL COMMUNITIES. 23052228 true true false false false false false false false false true false false true false false true false false false false false false false false false true true false false true false false false false false false false false false false true false false false false false false false false false false true 44 0 true 276 true true true false false false false false false false false false 0 false false false false false false false false false false false X 6 6 true true false false false false false true true false false false true true true true true true true true false false X Central Valley Medical Center 4356233000 48 W 1500 N Nephi UT 84648 X Steve Breckenridge 40.00 X 131952 0 24650 Shauna Archibald 40.00 X 110162 0 13143 Randy Allinson 40.00 X 107687 0 7291 Mrs Gayle Ludlow 1.00 X 0 0 0 Mrs Betty Mikkelsen 1.00 X 0 0 0 Mr William D Howard 1.00 X 0 0 0 Mr Mark Stoddard 50.00 X 263135 0 41226 Mr Mark Chase 1.00 X 0 0 0 Mr John E Gledhill 40.00 X X 124568 0 7766 Mr Duane Crutchfield 1.00 X 0 0 0 Mr Brent Davis 50.00 X 101135 0 23495 Mr Alan Kennison 1.00 X 0 0 0 Kecia White 40.00 X 132613 0 8787 967634 126358 7 false true true SW Rehab Inc 887 N 800 E Nephi UT 84648 Physical Therapy Ser 788190 Rural Health Management Corporation 48 W 1500 N Nephi UT 84648 Physician Services 3090012 Rural Health Group Inc 48 W 1500 N Nephi UT 84648 Management Services 1168793 BP CONSULTING INC PO BOX 140095 BOISE ID 83714 MOBILE MRI 157811 ARCHITECTURAL NEXUS 595 S RIVERWOODS PARK STE 250 LOGAN UT 84321 ARCHICTECTURAL 167510 5 61343 6915 68258 RETAIL PHARMACY 446110 2662573 2662573 Medical Services 621110 25441255 25441255 Daycare 624410 24822 24822 CAFETERIA/RECORDS/OTHER 900099 84707 84707 28213357 228098 228098 0 0 0 4392337 1250 3773600 11714 618737 -10464 608273 608273 0 0 0 0 29117986 25525962 2687395 836371 0 4000 4000 0 0 557707 308308 249399 0 6812421 6035310 723881 53230 367137 326600 36615 3922 1300860 1180484 105706 14670 518912 467143 48363 3406 1347512 1347512 12375 12375 26585 26585 0 0 0 4592706 4448430 144276 54117 28366 25751 338693 210896 125370 2427 167114 81586 85528 0 340557 272446 68111 120568 63134 57323 111 0 0 758350 758350 0 1481575 1331121 150454 373933 223431 150502 SUPPLIES 4990451 4990451 PROVISION FOR DOUBTFUL ACCOUNT 1944540 1944540 OTHER EXPENSES 365963 31895 334068 MAINTENANCE 312549 300294 12194 61 EDUCATION 57403 45443 11960 0 26846028 23052228 3715973 77827 1163750 774944 6515111 6940540 0 4118959 4788736 0 0 2101667 2811264 926272 1257016 242656 337914 29841678 10404692 16385362 19436986 2196317 0 0 0 0 2000000 3350000 35650094 39697400 1441082 2043711 13292316 14418239 14733398 16461950 X 20916696 23235450 20916696 23235450 35650094 39697400 X 2271958 46796 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1296178 1296178 18819590 4609073 14210517 8757059 5245938 3511121 968851 549681 419170 19436986 3350000 29117986 26846028 2271958 46796 46796 2318754 29164782 46796 46796 29117986 29117986 26846028 26846028 26846028 true true true X true X true true true false true true 597573 597573 0.02230 2833686 2439567 394119 0.01470 3431259 2439567 991692 0.03700 7 513267 241260 272007 0.01010 77727 77727 0.00290 7 590994 241260 349734 0.01300 7 4022253 2680827 1341426 0.05000 1 3000 3000 0.00010 1 3000 3000 0.00010 true 1283397 423500 6299114 6853849 -554735 X true true RURAL HEALTH GROUP INC MANAGEMENT SERVICES 1 0 CENTRAL VALLEY MEDICAL CENTER

48 W 1500 N NEPHI UT 84648

X CENTRAL VALLEY MEDICAL CENTER 1 false true true 100.0000 true 250.0000 true X true true X X true X X true X X X X true X false false 4 FOUNTAIN GREEN CLINIC

275 W 300 S FOUNTAIN GREEN UT 84632

PHYSICIAN CLINIC CENTRAL VALLEY COMMUNITY PHARMACY

152 W 1500 N NEPHI UT 84648

RETAIL PHARMACY SERVICES CENTRAL VALLEY HOME HEALTH HOSPICE & HME

152 W 1500 N NEPHI UT 84648

HOME HEALTH, HOSPICE AND HME SERVICES NEPHI MEDICAL CLINIC

48 W 1500 N NEPHI UT 84648

PHYSICIAN CLINIC Part V - Explanation of Number of Facility Type 1 CRITICAL ACCESS HOSPITAL Part VI - States Where Community Benefit Report Filed UT Part VI - Explanation Of How Organization Furthers Its Exempt Purpose CVMC PARTICIPATES IN COMMUNITY HEALTH INITIATIVES THROUGH CASH DONATIONS AND EMPLOYEE INVOLVEMENT AND SUPPORT. THE BOARD OF DIRECTORS IS SELECTED FROM THE DIFFERENT COMMUNITIES SERVED BY THE ORGANIZATION TO REPRESENT THE NEEDS OF THESE COMMUNITIES. THE BOARD SERVES AS VOLUNTEERS TO REMOVE FINANCIAL INTEREST CONFLICTS. Part VI - Community Building Activities THE ORGANIZATION SUPPORTS AND PARTICIPATES IN COMMUNITY SERVICE AND HEALTH PROMOTION ACTIVITIES THROUGH EMPLOYEE INVOLVEMENT AND CASH DONATIONS. COMMUNITY HEALTH IS OF PRIME IMPORTANCE TO OUR ORGANIZATION AND WE STRIVE TO PROMOTE THAT IN THE COMMUNITIES WE SERVE. Part VI - Community Information THE ORGANIZATION SERVES PATIENTS FROM JUAB, SANPETE AND MILLARD COUNTIES IN CENTRAL UTAH. Part VI - Patient Education of Eligibility for Assistance SIGNS ARE PLACED AT THE REGISTRATION DESKS THROUGHOUT THE FACILITY INFORMING PATIENTS OF CHARITY ASSISTANCE THAT IS AVAILABLE. OUR REGISTRATION PERSONNEL WORK WITH UNINSURED PATIENTS TO QUALIFY THEM FOR PUBLIC INSURANCE PROGRAMS AND AVAILABLE CHARITY ASSISTANCE. Part VI - Needs Assessment COMMUNITY NEEDS ARE ASSESSED THROUGH COMMUNITY AND PHYSICIAN INPUT. Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance 10 PERCENT DISCOUNT IF PAID WITHIN 30 DAYS - SAME AS AVERAGE PRIVATE INSURANCE DISCOUNT. Number of Hospital Faciltiy - 0 Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged WAGE GARNISHMENTS Number of Hospital Faciltiy - 0 Part V, Line 15e - Other Collection Actions Against a Patient WAGE GARNISHMENTS Number of Hospital Faciltiy - 0 Part V, Line 13g - Other Means Hospital Facility Publicized the Policy POSTED SIGNS INDICATING HOSPITAL HAD ASSISTANCE PROGRAM Part III, Line 9b - Provisions On Collection Practices For Qualified Patients ALL PATIENTS ARE GIVEN AN OPPORTUNITY TO APPLY FOR CHARITABLE ASSISTANCE IF THEY DESIRE. APPROPRIATE REDUCTIONS ARE TAKEN IN THEIR PATIENT ACCOUNT BALANCE BASED ON INCOME AND ABILITY TO PAY. X X X X false false false true false false false false false false Steve Breckenridge 131952 7917 16733 156602 Mr Mark Stoddard 213864 53218 24500 16726 308308 Mr Brent Davis 102652 6769 16726 126147 RURAL HEALTH MANAGEMENT CORP COMMON PRESIDENT 3090012 PHYSICIAN SERVICES false RURAL HEALTH GROUP INC COMMON PRESIDENT 1168793 MANAGEMENT FEES false FORM 990 PART IV LINE 20B AUDITED FINANCIAL STATEMENTS Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available AVAILABLE UPON REQUEST Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE ORGANIZATION UTILIZED A COMPENSATION COMMITTEE, COMPARABLE FORM 990S OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS AND STUDIES, AND APPROVAL OF A COMPENSATION COMMITTEE TO ESTABLISH THE REASONABLENESS OF INSIDER COMPENSATION. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts VERBAL DISCLOSURE IS MADE ANNUALLY BY BOARD MEMBERS AND OFFICERS. PAPER QUESTIONAIRES WILL BE DISTRIBUTED IN THE FUTURE. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE BEFORE IT IS FILED. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company MANAGEMENT CONTRACT FOR CEO, CFO AND IT SERVICES WITH RURAL HEALTH GROUP, INC. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et CEO IS MAJORITY OWNER OF RURAL HEALTH GROUP, INC. CFO IS A MINORITY OWNER (2%) OF SAME CORPORATION. Client Note 1 - REASONABLE CAUSE FOR LATE-FILING:FORM 8868, APPLICATION FOR EXTENSION OF TIME TO FILE AN EXEMPT ORGANIZATION RETURN, WAS MAILED VIA CERTIFIED MAIL ON FEBRUARY 10, 2012 (PRIOR TO THE FEBRUARY 15, 2012 DEADLINE) BY OUR CPA FIRM. THE UNITED STATES POST OFFICE ACCEPTED THE ENVELOPE CONTAINING THE EXTENSION AND STAMPED IT AS RECEIVED. HOWEVER, THEY SUBSEQUENTLY DECLINED TO MAIL IT DUE TO INSUFFICIENT POSTAGE BUT DID NOT ALERT THE CPA FIRM OF THE PROBLEM UNTIL THREE WEEKS LATER WHEN THE ENVELOPE WAS RETURNED TO THEM. BY THEN THE DEADLINE FOR FILING THE EXTENSION HAD PASSED. IMMEDIATELY UPON RECEIVING THE RETURNED ENVELOPE FROM THE POST OFFICE, THE CPA FIRM SENT A LETTER TO THE IRS EXPLAINING THE ERROR AND REQUESTED ACCEPTANCE OF THE EXTENSION. HOWEVER, THIS REQUEST WAS DENIED. WE REQUEST THAT THIS FORM 990 BE ACCEPTED AS TIMELY FILED DUE TO REASONABLE CAUSE AS EXPLAINED ABOVE. CENTRAL VALLEY MEDICAL CENTER AND OUR CPA FIRM ACTED IN GOOD FAITH AND WITH DUE DILIGENCE TO OBTAIN AN EXTENSION OF TIME TO FILE. THE POST OFFICE FAILED TO VERIFY PROPER POSTAGE AT THE TIME OF SUBMISSION AND DID NOT RETURN THE ENVELOPE IN A TIMELY MANNER.