2019-09-06T14:14:26-05:00 2018-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2018-01-01 421599749 LEWIS COUNTY COMMUNITY HEALTH SERVICES LEWI 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 STEVEN CLARK EXECUTIVE DIRECTOR 3603309595 2019-06-17 true THOMAS DINGUS P00951009 5092420874 2019-09-06 63.131.236.90 2019-09-06 14:14:26 CD P 2474EFBFE268E1323248D70D812BABF32F861C74 AB0260C9A42DF407710DF0D66D93E7824888E325 2018 2019-02-21 02:37:17Z VALLEY VIEW HEALTH CENTER GAELON SPRADLEY 2690 NE KRESKY AVENUE CHEHALIS WA 98532 20863593 false 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. 13 13 264 13 0 3451704 2791480 15615217 17759673 72971 -12718 414846 168140 19554738 20706575 0 0 12977989 14312130 0 0 5035512 5187493 18013501 19499623 1541237 1206952 17440080 17796508 8548318 8003241 8891762 9793267 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. false false 9554121 10138518 VALLEY VIEW HEALTH CENTER (THE CENTER) PROVIDES MEDICAL SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2018, THE CENTER PROVIDED 58,327 MEDICAL ENCOUNTERS, TO 19,915 PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CHARITY CARE TO THESE PATIENTS WAS APPROXIMATELY 444,000. 4136038 4079111 THE CENTER PROVIDES DENTAL RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2018, THE CENTER PROVIDED 21,483 DENTAL ENCOUNTERS TO 7,307 PATIENTS. 1329012 3246923 THE CENTER PROVIDES PHARMACY RELATED SERVICES TO LOW INCOME INDIVIDUALS. IN 2018, THE CENTER'S PHARMACY FILLED OVER 53,944 PRESCRIPTIONS AND SERVED 4,290 PATIENTS. 854100 295121 THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2018, THE CENTER PROVIDED 3,151 BEHAVIORAL HEALTH ENCOUNTERS TO 572 PATIENTS. 854100 295121 15873271 true false false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 40 0 true 264 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X HOLLY SLIVA 3603309595 2690 NE KRESKY AVENUE CHEHALIS WA 98532 MICHAEL LECLAIR BOARD MEMBER 1.00 X 10456 0 0 JOHN BURTON PRESIDENT 1.00 X X 0 0 0 GREG MARTIN VICE PRESIDE 1.00 X X 0 0 0 DAVID PAVLETICH SECRETARY 1.00 X X 0 0 0 JEREMY GERMANN TREASURER 1.00 X X 0 0 0 BRUCE BINDER BOARD MEMBER 1.00 X 0 0 0 STEVE ENDERS BOARD MEMBER 1.00 X 0 0 0 MARIANNE SCHUMACHER BOARD MEMBER 1.00 X 0 0 0 KIANDRE BRASHER BOARD MEMBER 1.00 X 0 0 0 LYNDA NANNEY BOARD MEMBER 1.00 X 0 0 0 TONI GWIN BOARD MEMBER 1.00 X 0 0 0 PATRICIA SNYDER BOARD MEMBER 1.00 X 0 0 0 ANDY SKINNER BOARD MEMBER 1.00 X 0 0 0 GRICELDA SANCHEZ BOARD MEMBER 1.00 X 0 0 0 STEVEN CLARK EXECUTIVE DI 40.00 X 250597 0 19114 HOLLY SLIVA CFO 40.00 X 136012 0 10897 DAVID LITTLE MEDICAL DIRE 40.00 X 227415 0 18634 LOU ANN MERCIER DENTAL DIREC 40.00 X 194435 0 16686 SARAH BAGBY PHARMACY DIR 40.00 X 151318 0 6708 STEPHEN HENNESSEY ASSISTANT MD 40.00 X 207753 0 17566 SUNDY HOLLAND PHYSICIAN 40.00 X 200069 0 17540 SARAH LANDRUM ASSISTANT MD 40.00 X 190432 0 17154 KEITH DOYLE DENTIST 40.00 X 159517 0 15918 AMANDA CORDERO DENTIST 40.00 X 153612 0 15491 1881616 155708 28 false true false COMPUTER CONNECTIONS 213 E MAIN ST CENTRALIA WA 98531 IT SERVICES 506627 MSGS ARCHITECTS INC 510 CAPITOL WAY SOUTH OLYMPIA WA 98501 ARCHITECT 126265 SWORDFISH HEALTHCARE LLC PO BOX 821145 N RICHLAND HILLS TX 76182 STAFFING 122020 UNIVERSITY OF WASHINGTON 1959 NE PACIFIC ST SEATTLE WA 98195 PYSCHIATRIC 113394 4 2786924 4556 2791480 PROGRAM SERVICE REVENUE, NET 624100 17388105 17388105 CAPITATION REVENUE 624100 371568 371568 17759673 94300 94300 39108 39108 39108 39108 50000 157018 -107018 -107018 -107018 HEALTHCARE INITIATIVE REVENUE 900099 86100 86100 MEDICAL RECORDS REVENUE 900099 22184 22184 OTHER REVENUE 900099 20748 20748 129032 20706575 17759673 155422 1031814 615194 416620 10877663 9350353 1527310 314796 251770 63026 1187035 993910 193125 900822 727864 172958 1505236 933743 571493 26989 26989 867392 631451 235941 458509 354761 103748 40705 24548 16157 106973 72503 34470 176612 175656 956 603390 576672 26718 77953 16062 61891 MEDICAL SUPPLIES 1056539 1056539 DUES & SUBSCRIPTIONS 81122 41860 39262 LICENSES & FEES 26835 21176 5659 159238 29209 130029 19499623 15873271 3626352 0 431194 215031 2620619 3758244 465510 97804 708618 966003 140607 172088 65232 92193 12701743 4602412 8418555 8099331 4099178 4160366 490567 235448 17440080 17796508 1108033 1196412 4283379 4134011 3156906 2672818 8548318 8003241 X 8891762 9793267 8891762 9793267 17440080 17796508 X 1206952 -29619 -275828 X false true X true true true X 1124276 1124276 8824569 2674145 6150424 2590660 1928267 662393 162238 162238 8099331 ESTIMATED THIRD-PARTY SETTLEMENTS 2672818 2672818 X 20401128 -29619 -275828 -305447 20706575 20706575 19499623 19499623 19499623 SCHEDULE D, PAGE 3, PART X 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, 2018 AND 2017, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHPW POOL SETTLEMENT -275,828 X X X false false false false false false false true false STEVEN CLARK EXECUTIVE DIRECTOR 242640 7957 9660 9454 269711 DAVID LITTLE MEDICAL DIRECTOR 219150 8265 9097 9537 246049 LOU ANN MERCIER DENTAL DIRECTOR 185572 8863 7456 9230 211121 SARAH BAGBY PHARMACY DIRECTOR 131118 20200 6053 655 158026 STEPHEN HENNESSEY ASSISTANT MD 199675 8078 8310 9256 225319 SUNDY HOLLAND PHYSICIAN 192591 7478 8003 9537 217609 SARAH LANDRUM ASSISTANT MD 186394 4038 7617 9537 207586 KEITH DOYLE DENTIST 153323 6194 6381 9537 175435 AMANDA CORDERO DENTIST 146752 6860 6145 9346 169103 SCHEDULE J, PAGE 1, PART I, LINE 7 THE EXECUTIVES AND PHYSICIANS ARE EVALUATED BASED ON MULTIPLE MEASURES OF PERFORMANCE. MEASURES INCLUDE QUALITY OF PATIENT CARE METRICS AND PRODUCTIVITY STANDARDS. THESE METRICS ARE EVALUATED QUARTERLY AND ANNUALLY, AND HAVE AN IMPACT ON PAY-FOR-PERFORMANCE AND PAY INCREASES. FORM 990, PAGE 2, PART III, LINE 4D THE CENTER PROVIDES BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. IN 2018, THE CENTER PROVIDED 3,151 BEHAVIORAL HEALTH ENCOUNTERS TO 572 PATIENTS. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND CFO WHO REVIEW THE FORM AND SCHEDULES. ALL COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE EXECUTIVE DIRECTOR SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C IT IS THE POLICY OF THE CENTER TO ENSURE TRANSPARENCY REGARDING ANY CONFLICTS OF INTEREST AND PREVENT ANY REAL OR PERCEIVED CONFLICTS OF INTERESTS FROM OCCURRING WITH RESPECT TO BOARD MEMBERS, EMPLOYEES, CONSULTANTS, AND THOSE WHO FURNISH GOODS OR SERVICES. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON; HAS RECEIVED, REVIEWED, AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH MEMBER OF THE CENTER'S MANAGEMENT TEAM COMPLETES THE CONFLICT OF INTEREST STATEMENT ANNUALLY. POTENTIAL CONFLICTS AT THE BOARD LEVEL ARE REVIEWED BY THE GOVERNING BOARD. ALL EMPLOYEES ARE EXPECTED TO AVOID PLACING THEMSELVES IN A POSITION THAT MAY CREATE OR LEAD TO A CONFLICT OF INTEREST OR THE APPEARANCE OF ONE. THEY ARE PROHIBITED FROM ENGAGING IN ANY OUTSIDE BUSINESS ACTIVITY, FINANCIAL RELATIONSHIP, OR INVESTMENT THAT CONFLICTS WITH THE CENTER'S INTERESTS, COMPETES WITH THE CENTER, OR MAY INTERFERE WITH THEIR RESPONSIBILITIES TO THE CENTER, OR HAS THE APPEARANCE OF INFLUENCING THEM TO ACT OR MAKE DECISIONS IN A BIASED MANNER OR CONTRARY TO THE BEST INTERESTS OF THE CENTER. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE SETS THE COMPENSATION OF THE EXECUTIVE DIRECTOR EQUAL TO THE FIFTIETH PERCENTILE OF THE CURRENT NATIONAL SALARY SURVEYS FOR THE STATE OF WASHINGTON, SUBJECT TO INCREASES AND DECREASES DUE TO ECONOMIC NECESSITY. THE NATIONAL SURVEY IS OBTAINED ANNUALLY BY HUMAN RESOURCES, AND REVIEWED AND UPDATED ANNUALLY BY THE EXECUTIVE COMMITTEE. PAY FOR PERFORMANCE IS CALCULATED AND ADJUSTED ANNUALLY BASED ON THE DIFFERENCE BETWEEN THE BASE SALARY AND THE SEVENTY- FIFTH PERCENTILE OF THE CURRENT NATIONAL SALARY SURVEYS FOR THE STATE OF WASHINGTON AND BASED ON FINANCIAL AND QUALITY PERFORMANCE METRICS OF THE CENTER. IN THE EVENT THAT THE SALARY LEVEL DECREASES ACCORDING TO THE SURVEY, THE ANNUAL BASE COMPENSATION WILL REMAIN UNCHANGED. FORM 990, PAGE 6, PART VI, LINE 15B 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 INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION IN 2018. FORM 990, PAGE 6, PART VI, LINE 19 THE CENTER MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHPW POOL SETTLEMENT -275,828