2016-11-14T16:37:32-06:00 2015-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2015-01-01 840446259 VALLEY VIEW HOSPITAL ASSOCIATION % MICHELLE KENNEY VALL 9709456535 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 LARRY DUPPER CFO 9709456535 2016-11-11 true David S Mason CPA P00137279 7194714290 2015 2017-02-10 21:41:12Z LARRY DUPPER 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 222087689 false 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. 7 6 1304 152 0 870027 1109499 186293619 213868912 3485713 2826508 1423431 1834492 192072790 219639411 0 63663 0 0 90722195 106622517 0 0 0 79636098 96187861 170358293 202874041 21714497 16765370 371941574 451502842 137041615 197210234 234899959 254292608 X TO BE THE LEADER FOR EXCELLENCE IN PERSONALIZED CARE AND HEALING. false false 166304758 63663 213653894 SEE SCHEDULE O. 166304758 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 178 0 true 1304 true false false false false false false false false false false X 7 6 false false false false true true true true true false false true true true true true true true true false CO X MICHELLE KENNEY 9709456535 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 X STEVEN VANDERHOOF CHAIR, BOARD MEMBER 1.0 0.0 X X 0 0 0 JEFF CARLSON PAST CHAIR, TERM ENDED 3/31/15 1.0 0.0 X X 0 0 0 LYNN KLEAGER TREASURER, BOARD MEMBER 1.0 0.0 X X 0 0 0 LOUIS MEYER SECRETARY, TERM ENDED 3/31/15 1.0 0.0 X X 0 0 0 ROBERT DERKASH MD TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 BRIAN MURPHY MD TRUSTEE, BOARD MEMBER 40.0 0.0 X 503958 0 59740 MIKE FATTOR TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN BOSCO TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 BRIAN LEASURE TRUSTEE, BOARD MEMBER 1.0 0.0 X 0 0 0 GARY BREWER CHIEF EXECUTIVE OFFICER 40.0 0.0 X 891284 0 221143 LARRY DUPPER CHIEF FINANCIAL OFFICER 40.0 0.0 X 454144 0 47730 DAVID MILLER MD NEUROSUGEON 40.0 0.0 X 1095686 0 51933 WADE CEOLA MD NEUROSURGEON 40.0 0.0 X 967192 0 39108 ROBERT ADAMS MD ORTHOPAEDIC SURGEON 40.0 0.0 X 864869 0 61942 MARCUS HOWELL MD INTERVENTIONAL CARDIOLOGIST 40.0 0.0 X 837672 0 73535 BRUCE GREENE MD RADIATION ONCOLOGIST 40.0 0.0 X 636004 0 49542 6250809 0 604673 152 false true false INLAND NORTHWEST HEALTH SERVICES PO BOX 469 SPOKANE WA 992100469 CONSULTING 2895617 VYTL LLC 2638 ACCOMAC STREET ST LOUIS MO 63104 CONSULTING 2013727 LEIDOS HEALTH PO BOX 223866 PITTSBURGH PA 152512886 CONSULTING 1205875 THE ADVISORY BOARD PO BOX 79461 BALTIMORE MD 212790461 CONSULTING 885624 ATHENA HEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 CLOUD-BASED SERVICES 807328 29 1041570 67929 1109499 PATIENT SERVICE REVENUE 621400 212615991 212615991 DAY CARE 624410 215018 215018 MEDICAL/PHARMACY 561499 214953 214953 MISCELLANEOUS PROGRAM INCOME 900099 822950 822950 213868912 4095849 4095849 0 0 883125 361033 522092 0 522092 522092 153476 664428 2087245 153476 -1422817 -1269341 -1269341 0 0 13465 13465 13465 CAFETERIA 722514 1298935 1298935 1298935 219639411 213653894 4876018 63663 63663 0 0 0 2177999 2177999 0 76301761 60999810 15301951 3361745 2612924 748821 19992626 15539313 4453313 4788386 3721784 1066602 0 661413 3213 658200 96152 96152 8908 8908 0 18648 18648 20209147 14747523 5461624 0 306215 29036 277179 2511271 1497887 1013384 12836290 12836290 0 2782822 2281914 500908 107129 95524 11605 0 720818 451368 269450 5589939 4583750 1006189 0 15154889 12730107 2424782 969105 522762 446343 SUPPLIES 22209484 22152483 57001 BAD DEBT 5179770 5179770 MEDICAID PROVIDER FEES 5717103 5717103 BOOKS, DUES, LICENSES 1104376 538534 565842 4382 4382 202874041 166304758 36569283 0 3928019 3672286 27878510 30428898 0 0 19452631 29335331 0 0 0 0 0 0 3036857 3543293 1272726 1701396 314216036 117526181 182120663 196689855 125978404 174310033 0 0 7212948 7043438 0 0 1060816 4778312 371941574 451502842 25680191 32033479 0 0 0 0 111361424 163498461 0 0 0 0 0 1678294 0 0 0 0 137041615 197210234 X 234484972 250569999 414987 3722609 0 0 234899959 254292608 371941574 451502842 X 16765370 -654766 3282045 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8908 8908 false false Schedule C, Part II-B, Line 1g THE Portion of annual dues paid to the American Hospital Association and Colorado Health Association that were used for lobbying purposes. 9373226 9373226 217948615 63591659 154356956 2268366 1730516 537850 67862045 46170392 21691653 16763784 6033614 10730170 196689855 213770882 -654766 808237 153471 213617411 6022000 6022000 219639411 198419722 977747 977747 197441975 5432066 5432066 202874041 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D REVENUE ON BOOKS, NOT ON RETURN RENTAL EXPENSES 361,033 INTERCOMPANY RENTAL INCOME 616,714 LOSS FROM EQUITY METHOD INVESTMENT (169,510) --------- TOTAL 808,237 SCHEDULE D, PART XI, LINE 4B REVENUE ON RETURN, NOT ON BOOKS ELIMINATED CONTRIBUTIONS FROM FOUNDATION 572,343 BAD DEBT EXPENSE 5,179,770 GRANTOR TRUST INCOME 269,887 --------- TOTAL 6,022,000 SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN RENTAL EXPENSES 361,033 INTERCOMPANY RENTAL EXPENSES 616,714 --------- TOTAL 977,747 SCHEDULE D, PART XII, LINE 4B EXPENSES ON RETURN, NOT ON BOOKS BAD DEBT EXPENSE 5,179,770 ELIMINATED CONTRIBUTIONS FROM FOUNDATION 139,447 GRANTOR TRUST EXPENSE 112,849 --------- TOTAL 5,432,066 true true X true X true X true true true false true true 5631531 5631531 0.02850 35385835 33316239 2069596 0.01050 41017366 33316239 7701127 0.03900 624991 165400 459591 0.00230 63663 63663 0.00030 688654 165400 523254 0.00260 41706020 33481639 8224381 0.04160 1794438 1846812 0 230476 140040 90436 0.00050 2024914 1986852 90436 0.00050 true 5179770 4558198 23245340 36086867 -12841527 X true true 1 1 Valley View hospital Association PO BOX 1970 Glenwood Springs CO 81601 www.vvh.org PDO.0500000005 X X X Sole community hospital Valley view hospital association 1 false false true X X X X X X X X 15 true false false true X SEE PART V, SECTION C X true 15 true WWW.VVH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false false true X 200. 400. X X X true true X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 VALLEY VIEW HOSPITAL PRESENTED THE COMMUNITY HEALTH NEEDS ASSESSMENT TO REPRESENTATIVES OF THE COMMUNITY. THE IDENTITY OF THE PERSONS CONSULTED CONSISTED OF MEMBERS OF THE CHAMBER OF COMMERCE, LOCAL PHYSICIANS, COMMUNITY LEADERS, AND BUSINESS OWNERS. SCHEDULE H, PART V, SECTION B, LINE 7A HTTP://WWW.VVH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 11 SOME LOWER-PRIORITY HEALTH NEEDS IDENTIFIED, SUCH AS UNTREATED TOOTH DECAY IN THIRD GRADERS, HAVE NOT BEEN ADDRESSED DUE TO LACK OF RESOURCES. SCHEDULE H, PART V, SECTION B, LINE 13B FAMILY SIZE - INCOME MAXIMUM: 1 - $58,850; 2 - $79,650; 3 - $100,450; 4 - $121,250; 5 - $142,050; 6 - $162,850; 7 - $183,650; 8 - $204,450. HOUSEHOLD NET ASSETS CANNOT EXCEED $20,000 OR THREE (3) TIMES THE AMOUNT OWED, WHICHEVER IS LOWER. THE APPLICANT MAY SPEND DOWN HIS ASSETS TO THE $20K AND THEN REACH ELIGIBILITY STATUS. ASSETS INCLUDE CASH, STOCKS & BONDS, TRUSTS, ANNUITIES, LIFE INSURANCE POLICY WITH CASH VALUE, ASSET VALUE IN HOMESTEAD THAT EXCEEDS $500,000 PLUS ANY OTHER REAL PROPERTY AND ITS APPRAISED VALUE, AND VEHICLES IN GREATER NUMBER THAN THE NUMBER OF DRIVERS IN THE HOUSEHOLD. SCHEDULE H, PART V, SECTION B, LINE 16A HTTP://WWW.VVH.ORG/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16B HTTP://WWW.VVH.ORG/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16C HTTP://WWW.VVH.ORG/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 22D VVH is a not-for-profit hospital that conforms with the final IRC 501(r) rules. The Amount Generally Billed (AGB) is a calculated percent of the total reimbursement for hospital charges that the hospital received from Medicare and commercial insurance companies over the previous 12-month look-back period. The AGB is recalculated annually on remittances received from the most recent prior period from October 1 to September 30. IF A FAMILY QUALIFIES FOR FAP THE MAXIMUM ANNUAL OUT-OF-POCKET EXPENSE FOR HOSPITAL SERVICES IS LIMITED TO 10% OF THE FAMILY'S ANNUAL INCOME. SCHEDULE H, PART I, LINE 3C THE HOSPITAL USED FACTORS SUCH AS INCOME LEVEL OTHER THAN FPG, ASSET LEVEL, AND INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FREE CARE. SCHEDULE H, PART I, LINE 7 THE COST METHOD USED TO CALCULATE THE AMOUNTS IN THIS TABLE IS A COST TO CHARGE RATIO. SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSES INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,179,770 SCHEDULE H, PART II THE HOSPITAL PROVIDES MENTORING PROGRAMS FOR TROUBLED TEENS IN THE COMMUNITY. THE HOSPITAL ALSO PROVIDES FAIRS TO PROMOTE PUBLIC HEALTH IN THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 3 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. ANALYSIS WAS 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 DOCUMENTAION FOR CHARITY ASSESSMENT, AND WERE THEREFORE INCLUDED IN BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 4 THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS IN AUDIT NOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, 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 CHARGE METHODOLOGY IN DERIVING MEDICARE ALLOWABLE COSTS. SCHEDULE H, PART III, SECTION C, 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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT 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. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL EMPLOYS CONSULTING GROUPS ON A FULL-TIME BASIS TO ASSIST PATIENTS IN COMPLETING FORMS THAT DETERMINE THEIR ELIGIBILITY FOR ATTAINING FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE HOSPITAL SERVES A RESORT COMMUNITY WITH GEOGRAPHIC CHALLENGES MAKING TRAVEL DIFFICULT AT TIMES, IN ADDITION TO BEING CHALLENGED BY NUMEROUS VISITORS WHO COME TO THE VALLEY. ACCORDING TO GOVERNMENT CENSUS INFORMATION, FOR 2009-2013 GLENWOOD SPRINGS HAD 18.7% PERSONS BELOW THE POVERTY LEVEL WHICH IS BELOW THE OVERALL PERCENTAGE OF 13.2% FOR THE STATE OF COLORADO. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH AS A MEMBER OF A LARGER ALLIANCE, THE HOSPITAL PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH AND SAFETY ISSUES. true Susan G Komen for the Cure 50 S Steele St Ste 100 denver CO 80209 751835298 501(c)(3) 10000 sponsorship Aspen Community Foundation 0401 Castle Creek Rd Aspen CO 81611 840829226 501(c)(3) 7500 Quality of Life Sponsorship 2 SCHEDULE I, PART I, LINE 2 Valley View Hospital does not offer grants to the organizations, they are donations and sponsorships. The Foundation Department monitors and selects which organizations Valley View Hospital will support with donations. X false true X X X false true false false false false false true false BRIAN MURPHY MD TRUSTEE, BOARD MEMBER 500307 0 0 0 3651 0 22015 0 37725 0 563698 0 0 0 GARY BREWER CHIEF EXECUTIVE OFFICER 586753 0 282781 0 21750 0 182015 0 39128 0 1112427 0 0 0 LARRY DUPPER CHIEF FINANCIAL OFFICER 310571 0 133483 0 10090 0 22015 0 25715 0 501874 0 0 0 DAVID MILLER MD NEUROSUGEON 999364 0 87500 0 8822 0 22015 0 29918 0 1147619 0 0 0 WADE CEOLA MD NEUROSURGEON 884135 0 80000 0 3057 0 0 0 39108 0 1006300 0 0 0 ROBERT ADAMS MD ORTHOPAEDIC SURGEON 748030 0 113496 0 3343 0 22015 0 39927 0 926811 0 0 0 MARCUS HOWELL MD INTERVENTIONAL CARDIOLOGIST 757336 0 75000 0 5336 0 22015 0 51520 0 911207 0 0 0 BRUCE GREENE MD RADIATION ONCOLOGIST 623313 0 0 0 12691 0 22015 0 27527 0 685546 0 0 0 SCHEDULE J, PART I, LINE 1A CHRISTMAS GIFTS OF $250 WERE GIVEN TO UPPER MANAGEMENT. SCHEDULE J, PART I, LINE 1B THE CHRISTMAS GIFTS ARE DISCRETIONARY AND IMMATERIAL, THEREFORE, NO WRITTEN POLICY HAS BEEN IMPLEMENTED. SCHEDULE J, PART I, LINE 4B DAVID MILLER, BRIAN MURPHY, ROBERT ADAMS, GARY BREWER, LARRY DUPPER, AND BRUCE GREENE PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THERE WERE NO EMPLOYER CONTRIBUTIONS TO THEIR SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS DURING CALENDAR YEAR 2015. GARY BREWER PARTICIPATES IN A SERP PLAN AND EMPLOYER CONTRIBUTIONS DURING CALENDAR YEAR 2015 WERE $160,000. SCHEDULE J, PART I, LINE 7 GARY BREWER, LARRY DUPPER, DAVID MILLER, MARCUS HOWELL, ROBERT ADAMS, AND WADE CEOLA RECEIVED A BONUS DURING CALENDAR YEAR 2015. THE BONUS WAS DETERMINED BY THE BOARD COMPENSATION COMMITTEE. THE BONUS IS BASED ON MULTIPLE FACTORS INCLUDING, BUT NOT LIMITED TO: SALARY, PRODUCTIVITY, COLLECTIONS, AND PATIENT SATISFACTION. A COLORADO HEALTH FACILITIES AUTHORITY 840953513 19647422V 2006-05-25 30359231 SEE SCHEDULE K, PART VI false false false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AFS9 2007-10-18 44445997 SEE SCHEDULE K, PART VI false false false C COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AH57 2008-05-13 50516309 See Schedule K, Part VI false false false D COLORADO HEALTH FACILITIES AUTHROITY 840752932 2014-10-31 20000000 See Schedule K, Part VI false false false A 27734758 0 30359231 2579749 0 0 410031 1213127 0 26262706 0 0 2008 false false true true B 0 0 44445997 4285957 0 0 586342 0 0 39713655 0 0 2012 false false true true C 0 0 50662927 5050590 0 0 556834 0 0 0 45000000 0 2008 true false true true D 0 0 20000000 0 0 0 155000 0 0 19845000 0 0 2014 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true true false 0 false 0 false true B false true false false 0 false 0 true true C false true false false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true SCHEDULE K, PART 1, GROUP 1, LINE A, COLUMN (F) OBLIGATION TO REFUND SERIES 1999 BONDS AND REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECTS. SCHEDULE K, PART 1, GROUP 1, LINE B, COLUMN (F) OBLIGATION TO REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECT. SCHEDULE K, PART 1, GROUP 1, LINE C, COLUMN (F) OBLIGATION TO REFUND SERIES 2006B BONDS. SCHEDULE K, PART 1, GROUP 1, LINE D, COLUMN (F) OBLIGATION TO REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECTS. SCHEDULE K, GROUP 1, COLUMN C, PART II, LINE 3 ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE ARE DIFFERENT DUE TO INVESTMENT EARNINGS AND LOSSES. SCHEDULE K, GROUP 1, COLUMN A, PART IV, LINE 2C THE ARBITRAGE REBATE ANAYSIS WAS PERFORMED MAY 20, 2012. SCHEDULE K, GROUP 1, COLUMN B, PART IV, LINE 2C THE ARBITRAGE REBATE ANAYSIS WAS PERFORMED JANUARY 20, 2012. SCHEDULE K, GROUP 1, COLUMN C, PART IV, LINE 2C THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED MAY 28, 2013. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A5G6 2015-12-01 48891253 SEE SCHEDULE K, PART VI false false false A 0 0 48891253 0 0 0 434759 0 0 13118261 0 35772992 false false true true A false false false false 0 false false false true A false true false false 0 false 0 false true A true SCHEDULE K, PART 1, GROUP 2, LINE A, COLUMN (F) OBLIGATION TO REIMBURSE THE HOSPITAL FOR CERTAIN CAPITAL EXPENDITURES AND IMPROVEMENT PROJECTS. FORM 990, PART I, LINE 1 THE HOSPITAL PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN GLENNWOOD SPRINGS, COLORADO. FORM 990, PART III, LINE 4A OPERATING ROOM - TOTAL SURGICAL VISITS OF 3,370. PHARMACY - ORDERS PROCESSED OF 224,573. LAB - BILLABLE TESTS OF 161,644. 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 EDUCATIONS PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL ALSO OPERATES AN EMERGENCY ROOM, ACUTE CARE, FAMILY BIRTH PLACE, RADIOLOGY, CARDIOLOGY, CRITICAL CARE, AND OTHER PROGRAM SERVICES. 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 7/31/1995 WILL CONTINUE TO BE LIFE MEMBERS. PERSONS WHO BECOME MEMBERS OF THE ASSOCIATION AFTER 7/31/1995 SHALL PAY AN ANNUAL MEMBERSHIP FEE OF $25.00. EACH MEMBER IN GOOD STANDING SHALL HAVE ONE VOTE IN THE BUSINESS OF THE CORPORATION. AS OF 12/31/2015 THERE WERE 64 LIFETIME MEMBERS AND 18 ANNUAL MEMBERS. 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 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 SEVEN ELECTED MEMBERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON THE DISPOSITION OF ASSETS. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR SCHEDULES IS COMPILED BY THE SENIOR STAFF ACCOUNTANT AND THE CONTROLLER, SUBMITTED TO INDEPENDENT TAX ADVISORS TO ASSEMBLE INTO THE FORM 990. THEN THE FORM 990 IS REVIEWED BY THE CFO AND THE BOARD OF DIRECTORS 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. THE CONFLICT OF INTEREST DISCLOSURES ARE MONITORED BY THE BOARD CHAIR AND ADMINISTRATIVE ASSISTANT. IF A CONFLICT ARISES, THE BOARD MEMBER IN QUESTION IS RECUSED FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A In setting the CEO's compensation, the board used comparability data, including but limited to: the 2014 Towers Watson Survey Report on Hospital and Healthcare Management Compensation and the 2014 Sullivan Cotter Manager and Executive Compensation in Hospitals and Health Systems Survey Report. The CEO's compensation is reviewed and approved by the board of directors. The process for determining the compensation is recorded in the board minutes. FORM 990, PART VI, SECTION B, LINE 15B In setting officer and key employee compensation, the CEO used comparability data, including, but not limited to: the 2014 Towers Watson Survey Report on Hospital and Healthcare Management Compensation and the 2014 Sullivan Cotter Manager and Executive Compensation in Hospitals and Health Systems Survey Report. Officer and key employee compensation is reviewed and approved by the CEO. The process for determining the compensation is recorded in the board minutes and employee files. 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 FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART XII, LINE 9 RECORD BENEFICIAL INTEREST IN FOUNDATION 4,028,299 CHANGE IN VALUE OF INTEREST IN FOUNDATION (419,706) LOSS FROM EQUITY METHOD INVESTMENT (169,510) GRANTOR TRUST ADJUSTMENT (157,038) ----------- TOTAL 3,282,045 VALLEY VIEW HOSPITAL FOUNDATION 1906 BLAKE AVENUE GLENWOOD SPRINGS CO 81601 731664673 FUNDRAISING CO 501(C)(3) 11A VVH true true false true false false false false false false false false false true true true false false false false VALLEY VIEW HOSPITAL FOUNDATION C 1041570 CASH TRANSFER