2022-11-14T11:57:59-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 421599749 LEWIS COUNTY COMMUNITY HEALTH SERVICES LEWI 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 HOLLY SLIVA CFO 3603309595 2022-11-14 1 HOLLY SLIVA 999009999 KURT BENNION CPA P01469618 4252506100 2022-11-14 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z VALLEY VIEW HEALTH CENTER GAELON SPRADLEY 2690 NE KRESKY AVENUE CHEHALIS WA 98532 32379798 0 X WWW.VVHC.ORG X 2004 WA TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE, RESPECTING INDIVIDUAL AND CULTURAL DIVERSITY. 11 11 291 44 0 0 5978881 8245161 20166182 23840953 81557 -17202 80574 263169 26307194 32332081 0 13000 0 0 16214969 17737261 0 0 0 6473877 7167155 22688846 24917416 3618348 7414665 23617603 29600058 8539157 7017332 15078446 22582726 X TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY AND COMPASSIONATE HEALTH CARE SERVICES IN A PATIENT-CENTERED ATMOSPHERE, RESPECTING INDIVIDUAL AND CULTURAL DIVERSITY. 0 0 12113271 13000 13542728 VALLEY VIEW HEALTH CENTER (THE CENTER) PROVIDES MEDICAL SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2021, THE CENTER PROVIDED 53,072 MEDICAL ENCOUNTERS TO 23,535 PATIENTS. 5552349 0 6207568 THE CENTER PROVIDES DENTAL-RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2021, THE CENTER PROVIDED 16,775 DENTAL ENCOUNTERS TO 6,199 PATIENTS. 2472329 0 2764082 THE CENTER PROVIDES PHARMACY-RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2021, THE CENTER'S PHARMACY FILLED 70,924 PRESCRIPTIONS. 1186552 0 1326575 THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES, PRIMARILY TO LOW-INCOME INDIVIDUALS. IN 2021, THE CENTER PROVIDED 3,255 BEHAVIORAL HEALTH ENCOUNTERS TO 478 PATIENTS. 1186552 0 1326575 21324501 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 32 0 291 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 X HOLLY SLIVA 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 GREG MARTIN PRESIDENT 1.00 X X 0 0 0 RACHEL WOOD VICE PRESIDENT 1.00 X X 0 0 0 MARRIANNE SCHUMACHER SECRETARY & BOARD MEMBER 1.00 X X 0 0 0 DANIEL STUSSER BOARD MEMBER & SECRETARY 1.00 X X 0 0 0 KIANDRE BRASHER BOARD MEMBER & TREASURER 1.00 X X 0 0 0 JOHN BURTON PAST PRESIDENT 1.00 X X 0 0 0 BOBBY BURGER BOARD MEMBER 1.00 X 0 0 0 TONI GWIN BOARD MEMBER 1.00 X 0 0 0 ROBERT MOHRBACHER BOARD MEMBER 1.00 X 0 0 0 ANNDRIA ROSE BOARD MEMBER (THROUGH MAY 2021) 1.00 X 0 0 0 ROBERT CHRIS RUST BOARD MEMBER 1.00 X 0 0 0 GRICELDA SANCHEZ BOARD MEMBER 1.00 X 0 0 0 GAELON SPRADLEY CEO 40.00 X 237288 0 33132 HOLLY SLIVA CFO 40.00 X 154977 0 13560 THOMAS DONOVAN REGIONAL ADMINISTRATOR & COO 40.00 X 100331 0 12574 DUANE ROGERS COO 40.00 X 187500 0 8059 HEIDI ZIPPERER CAO 40.00 X 123806 0 15583 LESLIE WOHLD CHRO 40.00 X 107629 0 14920 DAVID LITTLE MEDICAL DIRECTOR 40.00 X 253285 0 41841 LOU ANN MERCIER DENTAL DIRECTOR 40.00 X 230203 0 32594 SARAH BAGBY PHARMACY DIRECTOR 40.00 X 174927 0 7707 STEPHEN HENNESSEY ASSISTANT MD 40.00 X 185306 0 18027 SUNDY HOLLAND PHYSICIAN 40.00 X 243006 0 23682 SARAH LANDRUM ASSISTANT MD 40.00 X 242567 0 22197 GARETT GODFREY DENTIST 40.00 X 253172 0 25459 WARREN HALL PHARMACIST 40.00 X 186135 0 14939 2680132 0 284274 41 0 1 0 HUTCH-CON CONSTRUCTION 5139 SE MILE HILL DRIVE PORT ORCHARD WA 98366 CONSTRUCTION SERVICES 912720 BLUENOVO INC 8070 GEORGIA AVENUE SUITE 302 SILVER SPRING MD 20910 IT SERVICES 347005 LEWIS CUTLER CONSTRUCTION 2110 52ND AVENUE NW 3 OLYMPIA WA 98502 CONSTRUCTION SERVICES 209087 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC STREET SEATTLE WA 98195 PSYCHIATRIC SERVICES 189533 FIRST RULE GROUP 1001 COOPER POINT ROAD SW SUITE 14 OLYMPIA WA 98502 PROJECT CONSULTING 148980 6 8171219 73942 164839 8245161 NET PATIENT REVENUE 624100 22695979 22695979 CAPITATION REVENUE 624100 1144974 1144974 23840953 30515 30515 43859 0 43859 43859 43859 47717 -47717 -47717 -47717 OTHER INCOME 900099 202724 202724 MEDICAL RECORDS REVENUE 900099 16586 16586 219310 32332081 23840953 0 245967 13000 13000 1749916 740557 1009359 12961356 12173561 787795 312896 304499 8397 1724397 1475537 248860 988696 801823 186873 1667057 1204799 462258 96591 24211 72380 668345 589988 78357 495271 384738 110533 109879 93186 16693 4604 3509 1095 200637 169422 31215 577092 558904 18188 76716 1014 75702 MEDICAL SUPPLIES 1827874 1826427 1447 DUES & SUBSCRIPTIONS 562190 347271 214919 OTHER EXPENSES 240789 195218 45571 MINOR EQUIPMENT 221587 129912 91675 418523 286925 131598 24917416 21324501 3592915 0 6795993 10298548 4604215 5401668 524519 325795 1040787 2420440 419725 269046 232638 259943 14338830 6185423 7490813 8153407 2475858 2465357 33055 5854 23617603 29600058 1939269 2109996 68074 684264 5354 5854 6366461 4067059 159999 150159 8539157 7017332 X 15078446 22582726 15078446 22582726 23617603 29600058 X 7414665 -37138 126753 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1124275 1124275 7901331 3984192 3917139 2205833 67929 2137904 2621593 2133302 488291 485798 485798 8153407 RISK POOL 150159 150159 X 31885230 -37138 23970 47717 34549 31850681 481400 481400 32332081 24722737 23970 23970 24698767 218649 218649 24917416 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS OF LEASED SPACE. THE FUNDS WILL BE REFUNDED, LESS ANY REPAIRS FOR DAMAGES, WHEN THE LEASE IS TERMINATED. PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2021 AND 2020, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 47,717. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS 262,751. BAD DEBT EXPENSE 218,649. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 218,649. 1 THE EQUITY INSTITUTE PO BOX 13501 OLYMPIA WA 98508 852534804 13000 0 CO-SPONSOR TWO OUTREACH COMMUNITY HEALTH FAIRS AND ENGAGE THE SPANISH SPEAKING POPULATION 0 1 PART I, LINE 2: WHEN VALLEY VIEW GIVES MONEY TO OTHER ORGANIZATIONS, THE OUTREACH TEAM ATTENDS EVENTS THAT WE SPONSOR TO EVALUATE THE USE OF THE FUNDS. X X X X X 0 0 0 0 0 0 0 0 0 DAVID LITTLE MEDICAL DIRECTOR 253285 0 0 0 0 0 8876 0 32965 0 295126 0 0 0 GARETT GODFREY DENTIST 253172 0 0 0 0 0 9796 0 15663 0 278631 0 0 0 GAELON SPRADLEY CEO 237288 0 0 0 0 0 0 0 33132 0 270420 0 0 0 SUNDY HOLLAND PHYSICIAN 243006 0 0 0 0 0 8515 0 15167 0 266688 0 0 0 SARAH LANDRUM ASSISTANT MD 240067 0 2500 0 0 0 9671 0 12526 0 264764 0 0 0 LOU ANN MERCIER DENTAL DIRECTOR 230203 0 0 0 0 0 9208 0 23386 0 262797 0 0 0 STEPHEN HENNESSEY ASSISTANT MD 185306 0 0 0 0 0 7412 0 10615 0 203333 0 0 0 WARREN HALL PHARMACIST 186135 0 0 0 0 0 0 0 14939 0 201074 0 0 0 DUANE ROGERS COO 187500 0 0 0 0 0 7107 0 952 0 195559 0 0 0 SARAH BAGBY PHARMACY DIRECTOR 174927 0 0 0 0 0 6997 0 710 0 182634 0 0 0 HOLLY SLIVA CFO 154977 0 0 0 0 0 1550 0 12010 0 168537 0 0 0 X 2413 164839 INVOICE PRICE 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN B REPRESENTS THE NUMBER OF DONATED ITEMS RECEIVED DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE CEO AND CFO WHO REVIEWED THE FORM AND SCHEDULES. ALL COMMENTS OR QUESTIONS WERE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT WAS PRESENTED TO THE FINANCE COMMITTEE. A COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS. ONCE APPROVED, THE CEO SIGNED THE FORM 8879-TE, AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE CENTER TO ENSURE TRANSPARENCY REGARDING ANY CONFLICTS OF INTEREST AND PREVENT ANY REAL OR PERCEIVED CONFLICTS FO INTEREST FROM OCCURRING WITH RESPECT OT HEALTH CENTER EMPLOYEES, OFFICERS, GOVERNING BOARD MEMBERS, AND AGENTS. ALL INDIVIDUALS AFFILIATED WITH VVHC MUST READ AND SIGN THE STANDARDS OF CONDUCT POLICY WITH THE CONFLICT OF INTEREST DISCLOSURE FORM AND DISCLOSE ALL CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST UPON INITIAL AFILIATION WITH VVHC, AND ANNUALLY THEREAFTER. IF A PERSON HAS A POTENTIAL CONFLICT OF INTEREST, THEY ARE REQUIRED TO DISCLOSE THE RELEVANT FACTS AND ANSWER QUESTIONS, AFTER WHICH THEY LEAVE THE MEETING FOR REMAINING DISCUSSIONS AND VOTING. IF A CONFLICT EXISTS, THE BOARD EVALUATES WHETHER ANOTHER TRANSACTION CAN BE IDENTIFIED THAT WOULD NOT INVOLVE A CONFLICT OF INTEREST. IF AN INDIVIDUAL FAILS TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST, APPROPRIATE CORRECTIVE AND DISCIPLINARY ACTIONS ARE TAKEN. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE SETS THE COMPENSATION OF THE CEO. IN 2021, A COMPENSATION CONSULTANT ANALYZED THE COMPENSATION STRUCTURES OF ALL OFFICERS AND EMPLOYEES, UTILIZING THE CURRENT WASHINGTON STATE RANGES IN THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AS WELL AS OTHER REGIONAL BENCHMARKS. THE CEO'S PAY FOR PERFORMANCE IS SET BASED ON THE DIFFERENCE BETWEEN THE BASE SALARY AND 100TH PERCENTILE. THE COMPENSATION REVIEW FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED USING NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARIES ARE REVIEWED AND UPDATED ANNUALLY OR ON THE EMPLOYEE'S CONTRACT TERMS. THIS PROCESS MOST RECENTLY INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: RISK POOL SETTLEMENT 126,753.