2011-10-12T11:22:38-05:00 2010-12-31 MOSS ADAMS LLP PO BOX 22650 YAKIMA WA 989072650 990 2010-01-01 840446259 VALLEY VIEW HOSPITAL ASSOCIATION VALL 9709456535 PO BOX 1970 GLENWOOD SPRINGS CO 816021970 LARRY DUPPER 9709456535 2011-10-03 1 CATHY STERBENZ 5092487750 2010 2016-03-07 17:11:31Z GARY BREWER 1906 BLAKE AVE GLENWOOD SPRINGS CO 81601 218878315 0 X WWW.VVH.ORG X 1950 CO VALLEY VIEW HOSPITAL IS AN ACUTE CARE HOSPITAL OWNED BY VALLEY VIEW HOSPITAL ASSOCIATION, INC., A NOT-FOR-PROFIT CORPORATION. THE HOSPITAL PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN GLENWOOD SPRINGS, COLORADO. 9 6 924 300 216503 173303 558258 449992 133150246 143335563 1756033 2724091 -94400 294577 135370137 146804223 17500 10000 0 0 59880828 64498510 27000 65000 65000 59709782 62888639 119635110 127462149 15735027 19342074 254604853 277019713 137062081 138735275 117542772 138284438 X TO BE THE LEADER FOR EXCELLENCE IN PERSONALIZED CARE AND HEALING. 0 0 18251085 42737510 OPERATING ROOM - TOTAL SURGICAL VISITS OF 3,359.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. 9770104 22878089 PHARMACY - TOTAL PATIENT DAYS OF 10,021VALLEY 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. 6935992 16241611 LAB - TOTAL PATIENT DAYS OF 10,021VALLEY 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. 63353814 59752872 THE HOSPITAL ALSO OPERATES AN EMERGENCY ROOM, ACUTE CARE, FAMILY BIRTH PLACE, RADIOLOGY, CARDIOLOGY, CRITICAL CARE, AND OTHER PROGRAM SERVICES. 63353814 59752872 98310995 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 88 0 1 924 1 1 1 0 0 0 0 0 0 0 X 9 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CO X THE ORGANIZATION 9709456535 PO BOX 1970 GLENWOOD SPRINGS CO 81602 PAUL SALMEN MD 1.00 X 0 0 0 MARIANNE VIRGILI 1.00 X 0 0 0 LOUIS MEYER 1.00 X 0 0 0 ROBERT DERKASH MD 1.00 X 0 0 0 STEVE VANDERHOOF 1.00 X 0 0 0 MIKE FATTOR 1.00 X 0 0 0 JEFF CARLSON 1.00 X 0 0 0 JAN SHUGART 1.00 X 0 0 0 MATT GOODSTEIN MD 1.00 X 0 0 0 GARY BREWER 40.00 X 967384 0 23187 LARRY DUPPER 40.00 X 416009 0 23705 DEB WIEPKING 40.00 X 299964 0 16162 FRANK LAWS MD 40.00 X 803851 0 23076 DAVID MILLER MD 40.00 X 1008698 0 23187 BRIAN MURPHY MD 40.00 X 407999 0 23187 JEFFREY FEGAN MD 40.00 X 406430 0 23187 JAMIE LOWE MD 40.00 X 406079 0 23187 MARK GOULD 1.00 X 0 0 0 4716414 0 178878 62 0 1 0 HFR DESIGN INC PO BOX 1974 BRENTWOOD TN 370241974 ARCHITECTURAL SERVICES 2004607 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 MEDICAL PROFESSIONAL SERVICES 794150 MICHAEL BARNES MD PC PO BOX 261 GLENWOOD SPRINGS CO 81602 MEDICAL PROFESSIONAL SERVICES 623312 MORRISON MGMT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 FOOD MGMT SERVICES 386999 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 554809146 PATHOLOGICAL SERVICES 313536 33 449992 449992 PATIENT SERVICES REVEN 621400 141610082 141610082 CATERING/CAFETERIA 722320 918181 37155 881026 MEDICAL/PHARMACY/MISCE 561499 374411 374411 CHILD CARE 624410 152818 152818 HEALTHCARE MANAGEMENT 561499 119261 119261 160810 60087 100723 143335563 2660628 2660628 1029368 734791 294577 294577 294577 71374912 27852 71321736 17565 53176 10287 63463 63463 146804223 141610082 216503 4527646 10000 10000 1746411 1746411 43910703 34417122 9493581 2447539 1911207 536332 13432763 10489225 2943538 2961094 2312226 648868 326139 326139 143279 143279 9505 9505 65000 65000 15553 15553 11865951 6505196 5360755 89712 15260 74452 891322 574039 317283 742352 742352 2685527 2202132 483395 34359 23428 10931 345035 163839 181196 4735503 4735503 9555801 8026873 1528928 848482 455700 392782 SUPPLIES 13213038 13083950 129088 BAD DEBT EXPENSE 8676578 8676578 MEDICAID PROVIDER FEES 5293087 5293087 MEDICAL SPECIALIST FEES 3408781 3408781 TAXES ON PREMIUMS 7092 7092 1543 1543 127462149 98310995 29086154 65000 27352813 33068600 16150227 14764682 2775406 3055913 967505 956572 179177658 59946285 110473964 119231373 96884938 105942573 254604853 277019713 14725349 18712202 117715188 115720885 4621544 4302188 137062081 138735275 X 117025629 137315209 517143 969229 117542772 138284438 254604853 277019713 X 19342074 1399592 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9505 9505 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PORTION OF ANNUAL DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND COLORADO HEALTH & HOSPITAL ASSOCIATION WERE USED FOR LOBBYING PURPOSES. 5207818 244308 5452126 20974857 109028834 36864501 93139190 33785878 23081784 10704094 9935963 9935963 119231373 BOND ISSUANCE COSTS, NET 1402793 INTEREST RECEIVABLE 622791 INVESTMENT IN EAGLE HEALTH CARE CENTER, INC. 7759062 OTHER SECURITIES 96157927 105942573 ACCRUED COMPENSATION RELATED TAXES 3594284 ESTIMATED MALPRACTICE COSTS 707904 4302188 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: EFFECTIVE JANUARY 1, 2009, 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, 2010. X 1 HILLARY LYONS ASSOCIATES PO BOX 99 DIMONDALE MI 488210099 SEE SCHEDULE O 0 0 65000 -65000 65000 -65000 CO 1 1 1 X 500.000000000000 1 X 500.000000000000 1 1 1 0 1 1 6715511 0 6715511 0.05270 17188525 7962971 9225554 0.07240 3213670 546324 2667346 0.02090 27117706 8509295 18608411 0.14600 509315 207733 301582 0.00240 26492 26492 0.00020 535807 207733 328074 0.00260 27653513 8717028 18936485 0.14860 7870000 2100000 5770000 0.04530 1600000 1500000 100000 0.00080 3840 3840 0.00000 20000 20000 0.00020 9493840 3600000 5893840 0.04630 1 3748282 3305985 15647965 20721374 -5073409 X 1 1 1 1 VALLEY VIEW HOSPITAL ASSOCIATION

1906 BLAKE AVE GLENWOOD SPRINGS CO 81601

X X X SOLE COMMUNITY HOSPITAL VALLEY VIEW HOSPITAL ASSOCIATION 1 PART I, LINE 6A: THE ANNUAL COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. 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: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS, AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNTS.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. 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 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. 1 SCHOLARSHIPS 3 10000 OTHER INFORMATION: PART IV: APPLICANTS 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. X 0 1 X X X X 0 1 0 0 0 0 0 0 0 GARY BREWER 553748 0 413636 0 0 0 20501 0 2686 0 990571 0 0 0 LARRY DUPPER 293731 0 122278 0 0 0 20501 0 3204 0 439714 0 0 0 DEB WIEPKING 299964 0 0 0 0 0 14281 0 1881 0 316126 0 0 0 FRANK LAWS MD 745436 0 58415 0 0 0 20501 0 2575 0 826927 0 0 0 DAVID MILLER MD 983900 0 24798 0 0 0 20501 0 2686 0 1031885 0 0 0 BRIAN MURPHY MD 357999 0 50000 0 0 0 20501 0 2686 0 431186 0 0 0 JEFFREY FEGAN MD 356430 0 50000 0 0 0 20501 0 2686 0 429617 0 0 0 JAMIE LOWE MD 352579 0 53500 0 0 0 20501 0 2686 0 429266 0 0 0 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. GARFIELD COUNTY COLORADO 840594277 36565PAB1 2003-05-01 44764767 SEE SCHEDULE O 0 0 0 COLORADO HEALTH FACILITIES AUTHORITY 840752932 1964742X7 2006-05-01 30359232 SEE SCHEDULE O 0 0 0 COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AFQ3 2007-10-18 44445997 SEE SCHEDULE O 0 0 0 COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AHR9 2008-05-06 50516309 SEE SCHEDULE O 0 0 0 45893037 3370814 17265000 1284705 23972517 2007 0 0 1 1 30036092 2541681 332724 27161687 2008 0 0 1 1 47865537 4350174 563072 19788384 23163908 0 0 1 1 50662937 5118515 45000000 544422 2008 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MATT GOODSTEIN MD SECRETARY -54329 RENT PAID TO VVH FOR OFFICE SPACE 0 PAUL SALMEN MD TRUSTEE 27150 SERVICES RENDERED TO VVH AS DIRECTOR OF YRC 0 PAUL SALMEN MD TRUSTEE 279956 PHYSICIAN FEES PAID BY VVH TO GMA 0 PAUL SALMEN MD TRUSTEE -517071 NET RENT RECEIVED BY VVH FROM GMA FOR OFFICE SPACE 0 JERRY STEINBRECHER MD FORMER SECRETARY 226610 SERVICES RENDERED FROM PATHOLOGY ASSOCIATES OF ROARING FORK VALLEY P.C. 0 ROBERT DERKASH MD TRUSTEE -144059 RENT RECEIVED BY VVH FROM ORTHOPAEDIC ASSOCIATES OF ASPEN AND GLENWOOD FOR OFFICE SPACE. 0 FORM 990, PART VI, SECTION A, LINE 2 STEVE 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 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 2009/2010 WATSON WYATT DATA SERVICES "SURVEY REPORT ON HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION", 2010 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 2009/2010 WATSON WYATT DATA SERVICES "SURVEY REPORT ON HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION", 2009/2010 COLORADO HOSPITAL ASSOCIATION SURVEY, 2009/2010 MOUNTAIN STATES EMPLOYER'S COUNCIL SURVEY, AND IS REVIEWED AND APPROVED BY THE CEO. 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 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,551,205. PRIOR PERIOD ADJUSTMENTS: -92,869. INCOME FROM COLORADO HOSPITAL ASSOCIATION TRUST -58,744. TOTAL TO FORM 990, PART XI, LINE 5: 1,399,592. 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. FORM 990, SCHEDULE G, PART I, LINE 2B(II): TRAINS VOLUNTEERS AND EMPLOYEES ON EFFECTIVE FUNDRAISING.