LEWIS COUNTY COMMUNITY HEALTH SERVICES: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LEWIS COUNTY COMMUNITY HEALTH SERVICES (EIN 42-1599749)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-09-23
IRS object ID
201612679349300986
Schema version
2015v2.1
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)
Return2016-09-23T16:42:36-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421599749EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEWIS COUNTY COMMUNITY HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEWIBusinessNameControlTxt
Phone3603309595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12690 NE KRESKY AVENUEAddressLine1Txt
CityCHEHALISCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98532ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN CLARKPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3603309595PhoneNum
Signature2016-09-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1VALLEY VIEW HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEVEN CLARKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12690 NE KRESKY AVENUEAddressLine1Txt
CityCHEHALISCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98532ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,079,593GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VVHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionIMPROVE THE HEALTH & WELL-BEING OF THE COMMUNITY BY PROVIDING QUALITY & COMPASSIONATE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee202TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,946,329PYContributionsGrantsAmt
CY Contributions Grants$2,228,563CYContributionsGrantsAmt
PY Program Service Revenue$10,575,328PYProgramServiceRevenueAmt
CY Program Service Revenue$12,673,485CYProgramServiceRevenueAmt
PY Investment Income$21,303PYInvestmentIncomeAmt
CY Investment Income$45,822CYInvestmentIncomeAmt
PY Other Revenue$150,685PYOtherRevenueAmt
CY Other Revenue$131,723CYOtherRevenueAmt
PY Total Revenue$12,693,645PYTotalRevenueAmt
CY Total Revenue$15,079,593CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,670,948PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,348,211CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,826,319PYOtherExpensesAmt
CY Other Expenses$3,551,521CYOtherExpensesAmt
PY Total Expenses$11,497,267PYTotalExpensesAmt
CY Total Expenses$13,899,732CYTotalExpensesAmt
PY Revenues Less Expenses$1,196,378PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,179,861CYRevenuesLessExpensesAmt
Total Assets BOY$12,081,172TotalAssetsBOYAmt
Total Assets EOY$13,169,294TotalAssetsEOYAmt
Total Liabilities BOY$6,013,588TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,949,384TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,067,584NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,219,910NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,080,644ExpenseAmt
Grant$0GrantAmt
Revenue$12,673,485RevenueAmt
DescVALLEY VIEW HEALTH CENTER ("THE CENTER") PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH AND RELATED SERVICES PRIMARILY TO LOW INCOME INDIVIDUALS. THE UNREIMBURSED VALUE OF PROVIDING CHARITY CARE TO THESE PATIENTS WAS $366,579. THE CENTER PROVIDED 49,245 MEDICAL, 20,146 DENTAL AND 3,400 BEHAVIORAL HEALTH ENCOUNTERS FOR THE YEAR.Desc
Total Program Service Expenses$11,080,644TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee202EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLY SLIVABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3603309595PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12690 NE KRESKY AVENUEAddressLine1Txt
CityCHEHALISCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98532ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LYNDA NANNEY
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MARIA GRAHAM
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DR ROBERT ENDERS
TREASURER1.00Yes (X)Yes (X)$0$0$0
JOHN BURTON
DIRECTOR1.00Yes (X)$0$0$0
SEAN FITZGERALD
DIRECTOR1.00Yes (X)$0$0$0
TONI GWIN
DIRECTOR1.00Yes (X)$0$0$0
DR MICHAEL J LECLAIR
DIRECTOR1.00Yes (X)$0$0$0
GREG MARTIN
DIRECTOR1.00Yes (X)$0$0$0
CHERYL MILLMAN
DIRECTOR1.00Yes (X)$0$0$0
JANICE SMITH
DIRECTOR1.00Yes (X)$0$0$0
STEVEN CLARK
EXECUTIVE DIRECTOR40.00Yes (X)$205,335$0$19,136
HOLLY SLIVA
CFO40.00Yes (X)$117,128$0$10,511
LOU ANN MERCIER
DENTAL DIRECTOR40.00$176,486$0$15,980Yes (X)
DAVID LITTLE
MEDICAL DIRECTOR40.00$181,541$0$13,970Yes (X)
DAVID LUSH
PHYSICIAN40.00$167,404$0$6,615Yes (X)
STEPHEN HENNESSEY
ASSISTANT MEDICAL DIRECTOR40.00$165,561$0$18,097Yes (X)
ELISSA MAYNARD
DENTIST40.00$149,641$0$16,107Yes (X)
LAWRENCE LI
DENTIST40.00$147,987$0$5,911Yes (X)
CHARLOTTE CLARK-NEITZEL
PHYSICIAN40.00$141,269$0$5,644Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,452,352TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$111,971TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMPUTER CONNECTIONS
213 EAST MAIN STREETCENTRALIAWA98531IT SERVICES$316,844
INTEGRITY HEALTHCARE LOCUMS
8877 SANDY CREST LANEBOYNTON BEACHFL33437LOCUM SERVICES$205,683
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$2,053,499GovernmentGrantsAmt
All Other Contributions$175,064AllOtherContributionsAmt
Total Contributions$2,228,563TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE REVENUE624100$11,885,739$11,885,739
CAPITATION REVENUE624100$787,746$787,746
FieldValueIRS element (for citing)
Total Program Service Revenue$12,673,485TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,822TotalRevenueColumnAmt
Exclusion$45,822ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$35,003RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$35,003RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,003TotalRevenueColumnAmt
Exclusion$35,003ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER REVENUE900099$69,185$69,185
MEDICAL RECORDS REVENUE900099$27,535$27,535
FieldValueIRS element (for citing)
Other Revenue Total$96,720OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,079,593TotalRevenueColumnAmt
Related Or Exempt Func Income$12,673,485RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$177,545ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$740,087TotalAmt
Program Services$242,105ProgramServicesAmt
Management And General$497,982ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,931,302TotalAmt
Program Services$7,064,479ProgramServicesAmt
Management And General$866,823ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$203,280TotalAmt
Program Services$140,017ProgramServicesAmt
Management And General$63,263ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$831,181TotalAmt
Program Services$551,518ProgramServicesAmt
Management And General$279,663ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$642,361TotalAmt
Program Services$421,458ProgramServicesAmt
Management And General$220,903ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,362TotalAmt
Management And General$32,362ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$991,783TotalAmt
Program Services$784,383ProgramServicesAmt
Management And General$207,400ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,097TotalAmt
Program Services$6,817ProgramServicesAmt
Management And General$6,280ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$562,042TotalAmt
Program Services$422,692ProgramServicesAmt
Management And General$139,350ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$289,351TotalAmt
Program Services$227,767ProgramServicesAmt
Management And General$61,584ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,986TotalAmt
Program Services$16,438ProgramServicesAmt
Management And General$16,548ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$86,406TotalAmt
Program Services$46,412ProgramServicesAmt
Management And General$39,994ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$192,132TotalAmt
Program Services$144,779ProgramServicesAmt
Management And General$47,353ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$498,779TotalAmt
Program Services$323,209ProgramServicesAmt
Management And General$175,570ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,099TotalAmt
Program Services$6,408ProgramServicesAmt
Management And General$55,691ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$394,905$394,905
MISCELLANEOUS$158,769$145,011$13,758
RISK POOL SETTLEMENT$109,851$109,851
DUES & SUBSCRIPTIONS$44,355$9,092$35,263

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$82,604TotalAmt
Program Services$23,303ProgramServicesAmt
Management And General$59,301ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,899,732TotalAmt
Program Services$11,080,644ProgramServicesAmt
Management And General$2,819,088ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$120,357BOYAmt
EOY$153,915EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,938,076BOYAmt
EOY$2,159,338EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$87,912BOYAmt
EOY$366,400EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$869,302BOYAmt
EOY$722,321EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$43,002BOYAmt
EOY$61,469EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$12,355EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,867,949LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,143,381LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,518,677BOYAmt
EOY$6,724,568EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,196,200BOYAmt
EOY$2,962,238EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$5,992BOYAmt
EOY$5,036EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$296,654BOYAmt
EOY$1,654EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,081,172BOYAmt
EOY$13,169,294EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$947,875BOYAmt
EOY$1,266,515EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$73,627BOYAmt
EOY$46,851EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,727,686BOYAmt
EOY$4,623,294EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$264,400BOYAmt
EOY$12,724EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,013,588BOYAmt
EOY$5,949,384EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,067,584BOYAmt
EOY$7,219,910EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,067,584BOYAmt
EOY$7,219,910EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,081,172BOYAmt
EOY$13,169,294EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,179,861ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$27,535NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$1,454BeginningBalanceAmt
Additions During Year$402AdditionsDuringYearAmt
Distributions During Year$700DistributionsDuringYearAmt
Ending Balance$1,156EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,168,316OtherCostOrOtherBasisAmt
Book Value$1,168,316BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,786,686OtherCostOrOtherBasisAmt
Depreciation$1,746,016DepreciationAmt
Book Value$5,040,670BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,912,947OtherCostOrOtherBasisAmt
Depreciation$1,397,365DepreciationAmt
Book Value$515,582BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,724,568TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED THIRD-PARTY SETTLEMENTSDesc
Amt$12,724Amt
FieldValueIRS element (for citing)
Total Liability$12,724TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,028,390TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$27,535NetUnrealizedGainsInvstAmt
Revenue Not Reported-$27,535RevenueNotReportedAmt
Revenue Subtotal$15,055,925RevenueSubtotalAmt
Other Revenues Not Included$23,668OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$23,668RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,079,593TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,789,881TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,789,881ExpensesSubtotalAmt
Other Expenses Not Included$109,851OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$109,851ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,899,732TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 1B:VALLEY VIEW HEALTH CENTER HOLDS THE BANK ACCOUNT FOR A SMALL LOCAL ORGANIZATION THAT IS IN THE PROCESS OF OBTAINING ITS OWN TAX-EXEMPT STATUS.
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 UNCERTAINITY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2015 AND 2014, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS 5,381. INTEREST INCOME 18,287.
PART XII, LINE 4B - OTHER ADJUSTMENTS:COMMUNITY HEALTH PLAN OF WASHINGTON RISK POOL DISTRIBUTIONS 109,851.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN CLARK
EXECUTIVE DIRECTOR$198,925$0$6,410$0$0$0$8,315$0$10,821$0$224,471$0$0$0
LOU ANN MERCIER
DENTAL DIRECTOR$172,586$0$3,900$0$0$0$6,957$0$9,023$0$192,466$0$0$0
DAVID LITTLE
MEDICAL DIRECTOR$175,666$0$5,875$0$0$0$7,355$0$6,615$0$195,511$0$0$0
DAVID LUSH
PHYSICIAN$150,404$0$17,000$0$0$0$0$0$6,615$0$174,019$0$0$0
STEPHEN HENNESSEY
ASSISTANT MEDICAL DIRECTOR$157,266$0$8,295$0$0$0$6,792$0$11,305$0$183,658$0$0$0
ELISSA MAYNARD
DENTIST$141,248$0$8,393$0$0$0$6,132$0$9,975$0$165,748$0$0$0
LAWRENCE LI
DENTIST$139,754$0$8,233$0$0$0$5,911$0$0$0$153,898$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 5THE 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.
PART I, LINE 6SEE NARRATIVE FOR SCHEDULE J, PART I, LINE 5A.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO THE EXECUTIVE DIRECTOR AND CFO WHO REVIEWED THE FORM AND SCHEDULES. ALL COMMENTS AND QUESTIONS WERE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT WAS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVED THE FORM 990. ONCE MANAGEMENT WAS SATISFIED WITH THE FORM 990, THE EXECUTIVE DIRECTOR SIGNED THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF VALLEY VIEW HEALTH CENTER ("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 WILL COMPLETE THE CONFLICT OF INTEREST STATEMENT ANNUALLY. POTENTIAL CONFLICTS AT THE BOARD LEVEL ARE REVIEWED BY THE ENTIRE BOARD OF DIRECTORS. 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 YOUR RESPONSIBILITIES TO THE CENTER, OR HAS THE APPEARANCE OF INFLUENCING YOU TO ACT OR MAKE DECISIONS IN A BIASED MANNER OR CONTRARY TO THE BEST INTERESTS OF THE CENTER.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR USING THEIR PERSONAL EXPERIENCE AND CURRENT NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARY IS REVIEWED AND UPDATED ANNUALLY. THIS PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2015. THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED USING NATIONAL SALARY SURVEYS OBTAINED BY HUMAN RESOURCES. THE SALARY IS REVIEWED AND UPDATED ANNUALLY OR ON THE EMPLOYEE'S CONTRACT TERMS. THIS PROCESS INCLUDED COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2015, BUT DOES NOT INCLUDE REVIEW AND APPROVAL BY INDEPENDENT PERSONS.
FORM 990, PART VI, SECTION C, LINE 19THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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