VALLEY-WIDE HEALTH SYSTEMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VALLEY-WIDE HEALTH SYSTEMS INC (EIN 84-0706945)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-01-30
IRS object ID
201420309349300122
Schema version
2012v2.3
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)
Timestamp2014-01-30T10:27:21-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STOCKMAN KAST RYAN & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1102 N CASCADE AVENUE SUITE 400AddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840706945EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Valley-Wide Health Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MANDI WEEDInCareOfName
Name ControlVALLNameControl
Phone7195895161Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1128 Market StreetAddressLine1
Address Line2SuiteAddressLine2
CityAlamosaCity
StateCOState
ZIP Code81101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANNE DARRICADESName
TitlePRESIDENT & CEOTitle
Phone7195895161Phone
Date Signed2014-01-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOREEN B MERZName
Phone7196301186Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJeanne DarricadesNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1128 Market StreetAddressLine1
CityAlamosaCity
StateCOState
ZIP Code81101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32147952GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vwhs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionVALLEY WIDE HEALTH SYSTEMS IS COMMITTED TO PROVIDING SAFE AND effective HEALTH CARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER with special CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees419TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7591798ContributionsGrantsPriorYear
Contributions Grants Current Year11786861ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19003141ProgramServiceRevenuePriorYear
Program Service Revenue CY20156674ProgramServiceRevenueCY
Investment Income Prior Year34564InvestmentIncomePriorYear
Investment Income Current Year-1941InvestmentIncomeCurrentYear
Other Revenue Prior Year205418OtherRevenuePriorYear
Other Revenue Current Year195400OtherRevenueCurrentYear
Total Revenue Prior Year26834921TotalRevenuePriorYear
Total Revenue Current Year32136994TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY35300GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18229529SalariesEtcPriorYear
Salaries Etc Current Year17766610SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year361540TotalFundrsngExpCurrentYear
Other Expense Prior Year7041230OtherExpensePriorYear
Other Expenses Current Year10433373OtherExpensesCurrentYear
Total Expenses Prior Year25270759TotalExpensesPriorYear
Total Expenses Current Year28235283TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1564162RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3901711RevenuesLessExpensesCY
Total Assets BOY19682487TotalAssetsBOY
Total Assets EOY21760723TotalAssetsEOY
Total Liabilities BOY7524290TotalLiabilitiesBOY
Total Liabilities EOY5700815TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12158197NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16059908NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionVALLEY-WIDE HEALTH SYSTEMS IS COMMITTED TO PROVIDING SAFE AND EFFECTIVE HEALTH CARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense22887223Expense
Revenue20185664Revenue
DescriptionVALLEY-WIDE HEALTH SYSTEMS, INC. IS A PRIVATE, NON-PROFIT, COMMUNITY HEALTH CENTER, SERVING 17 COUNTIES IN SOUTHERN RURAL COLORADO SINCE 1976, WITH FULL JOINT COMMISSION ACCREDITATION SINCE 1997. SEE SCHEDULE O FOR CONTINUATIONDescription
Total Program Service Expense22887223TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109667NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees419NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMANDI WEEDNamePerson
Telephone Number7195895161TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1128 MARKET STREETAddressLine1
CityALAMOSACity
StateCOState
ZIP Code81101ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationHighest Compensated EmployeeHighestCompensatedEmployee
Mitch Garcia
Member1.0X0
Aurora Martinez
Member1.0X0
Julio Paez
Member1.0X0
Richard Ritter
Member1.0X0
John Taylor
Member1.0X00
Frances Valdez
Member1.0X0
Vivian Gallegos
chair2.0XX
Lucy Cordova
Vice Chair2.0X0X
Tressea Martinez
Secretary2.0X0X
Kevin Ditmore
Treasurer2.0X0X
Jeanne Darricades
President & CEO40.04638X164309
Benjamin Duarte
HR Director40.015056X92342
Nancy Goodare-Rosenthal
Dental Director40.018944X181320
Larry Helms
Chief Information Officer40.015780X72662
Christine Hettinger-Hunt
Dir. Program operations40.019198X99058
Alonzo Payne
Chief Administrative officer40.016141X84731
Amanda Weed
CFO40.023426X114154
Ricardo Velasquez
Chief Medical Officer40.014165X200464
Angela Fryer
Medical Director/Physician40.020444160573X
Michael Gruber
Physician40.07997174529X
Marc Rosenthal
Dentist40.06799170533X
Roberto Silva
Physician40.022113164763X
Justin Wheeler
Physician40.017359197116X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1876554TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation202060TotalOtherCompensation
Number Individuals GT100 K28NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonTerras cleaning LLCNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14017 W County Road 8 NorthAddressLine1
CityDEL NORTECity
StateCOState
ZIP Code81132ZIPCode
FieldValueIRS element (for citing)
Compensation407750Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events35300FundraisingEvents
Government Grants11751561GovernmentGrants
Noncash Contributions1083298NoncashContributions
Total Contributions11786861TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE6214001530691715306917
CONTRACT SERVICES62140042972574297257
MEANINGFUL USE REVENUE621400552500552500
FieldValueIRS element (for citing)
Total Program Service Revenue20156674TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4435TotalRevenueColumn
Exclusion$4,435ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18580Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18580Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18580TotalRevenueColumn
Related Or Exempt Function Income18580RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4582Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other10958Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-6376Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6376TotalRevenueColumn
Exclusion-$6,376ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events35300CntrbtnsRprtdFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
FOOD REVENUE90009917201720
TRANSPORTATION REVENUE90009986908690
OTHER REVENUE900099166410$166,410
FieldValueIRS element (for citing)
Total Other Revenue176820TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32136994TotalRevenueColumn
Related Or Exempt Function Income20185664RelatedOrExemptFunctionIncome
Exclusion$164,469ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total35300Total
Program Services35300ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1164506Total
Program Services142695ProgramServices
Management And General881449ManagementAndGeneral
Fundraising140362Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14216622Total
Program Services11935745ProgramServices
Management And General2105632ManagementAndGeneral
Fundraising175245Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2385482Total
Program Services1935714ProgramServices
Management And General435594ManagementAndGeneral
Fundraising14174Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9847Total
Management And General9847ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total177835Total
Management And General177835ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total25000Total
Management And General25000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2722256Total
Program Services2468464ProgramServices
Management And General253792ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total106826Total
Program Services79792ProgramServices
Management And General27034ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total565633Total
Program Services465105ProgramServices
Management And General68769ManagementAndGeneral
Fundraising31759Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total428434Total
Program Services305645ProgramServices
Management And General122789ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total232771Total
Program Services139882ProgramServices
Management And General92889ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total749874Total
Program Services451786ProgramServices
Management And General298088ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES24842182359240124978
BAD DEBT EXPENSE971948971948
SUPPLEMENTAL NUTRITION10832981083298
TELEPHONE32994423154398401

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total545489Total
Program Services281066ProgramServices
Management And General264423ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28235283Total
Program Services22887223ProgramServices
Management And General4986520ManagementAndGeneral
Fundraising361540Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY68499BOY
EOY72816EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1986348BOY
EOY953864EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY590858BOY
EOY632019EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1028422BOY
EOY991778EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY398849BOY
EOY324893EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY379961BOY
EOY434150EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22681076LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5120597LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14831322BOY
EOY17560479EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY398228BOY
EOY790724EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19682487BOY
EOY21760723EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2051160BOY
EOY1730260EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1587157BOY
EOY341524EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3885973BOY
EOY3629031EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7524290BOY
EOY5700815EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12158197BOY
EOY16059908EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12158197BOY
EOY16059908EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19682487BOY
EOY21760723EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3901711ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5701560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6235072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6805070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7591798CurrentTaxYearMinus1Year
Current Tax Year11751561CurrentTaxYear
Total38085061Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5701560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6235072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6805070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7591798CurrentTaxYearMinus1Year
Current Tax Year11751561CurrentTaxYear
Total38085061Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17038085061PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56358CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59032CurrentTaxYearMinus1Year
Current Tax Year4435CurrentTaxYear
Total253693Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years305326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years198772CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years318879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year180950CurrentTaxYearMinus1Year
Current Tax Year166410CurrentTaxYear
Total1170337Total
FieldValueIRS element (for citing)
Total Support39509091TotalSupport
Gross Receipts From Admissions Etc99563818GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96396PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95438PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals116703FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals116703FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals25154056FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals25270759FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3281183CurrentYearMinus3
Current Year Minus275882CurrentYearMinus2
Current Year Minus1105335CurrentYearMinus1
Current Year116703CurrentYear
Total579103Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus319485CurrentYearMinus3
Total19485Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis653736OtherCostOrOtherBasis
Book Value653736BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18056310OtherCostOrOtherBasis
Depreciation2848331Depreciation
Book Value15207979BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis72933OtherCostOrOtherBasis
Depreciation57735Depreciation
Book Value15198BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3841607OtherCostOrOtherBasis
Depreciation2158038Depreciation
Book Value1683569BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56490OtherCostOrOtherBasis
Depreciation56490Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17560482TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt31325122TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities195376DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990195376RevenueNotRptdF990
Revenue Subtotal31129746RevenueSubtotal
Other Revenues Not Included1007248OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1007248RevenueNotRptdOnFinStmt
Total Revenue Per Form99032136994TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27423411TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities195376DonatedServicesUseOfFacilities
Expenses Not Rptd F990195376ExpensesNotRptdF990
Expenses Subtotal27228035ExpensesSubtotal
Other Expenses Not Included1007248OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1007248ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028235283TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE D, PART V, LINE 4The Health System is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code and a similar provision of state law. The Health System believes that it does not have any uncertain tax positions that are material to the financial statements. The Health Systems income tax returns for 2010 through the current period remain open to examination by the Internal Revenue Service and relevant state authorities.
PART XI, LINE 4BBAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $971,948 PASS THROUGH GRANT INCOME NOT REPORTED ON AUDIT: $35,300
PART XII, LINE 4BBAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $971,948 PASS THROUGH GRANT EXPENSES NOT REPORTED ON AUDIT: $35,300

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1EVENING THEATRENameOfEvent1
Gross Receipts Event135300GrossReceiptsEvent1
Gross Revenue Event135300GrossRevenueEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total35300GrossReceiptsTotal
Gross Revenue Total Events35300GrossRevenueTotalEvents
Net Income Summary35300NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1LA PUENTE HOUSING CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1911 STATE AVENUEAddressLine1
CityALAMOSACity
StateCOState
ZIP Code81101ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient840799121EINOfRecipient
IRC Section501(C)(2)IRCSection
Amount Of Cash Grant35300AmountOfCashGrant
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPart I line 2Identifier
ExplanationAnnual fundraiser proceeds are given to specified organization. No other grants are approved.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
Jeanne Darricades
President & CEO16357173804638168947
Nancy Goodare-Rosenthal
Dental Director1790512269018944200264
Ricardo Velasquez
Chief Medical Officer19023310231014165214629
Angela Fryer
Medical Director/Physician13542315002044418101725000
Michael Gruber
Physician17452907997182526
Marc Rosenthal
Dentist17053306799177332
Roberto Silva
Physician164763022113186876
Justin Wheeler
Physician17982701735921447517289

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionWIC VOUCHERSDescription
Number Of Contributions0NumberOfContributions
Noncash Contribs Rptd F9901083298NoncashContribsRptdF990
Method Of Determining RevenuesSTATED VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
PART III, LINE 4ACONTINUED: THE MISSION OF THE ORGANIZATION DIRECTS VALLEY-WIDE'S SCOPE OF SERVICES WHICH IS TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER, WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS. THIS SPECIFICALLY INCLUDES PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR WHO HAVE LIMITED ACCESS TO PRIMARY HEALTH AND DENTAL CARE SERVICES. VALLEY WIDE PROVIDES SAFE AND EFFECTIVE COMPREHENSIVE PRIMARY AND ORAL HEALTH CARE SERVICES, IN ADDITION TO A FARMWORKER HEALTH SERVICE PROGRAM THAT PROVIDES SERVICES THROUGH VOUCHERS IN AREAS OF THE STATE THAT DO NOT HOUSE C/MHCS AND TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. FOR THE CALENDAR YEAR ENDED 2012, VALLEY WIDE SERVED 35,552 PATIENTS THROUGH 144,250 VISITS AND OUTREACH SERVICES.
PART VI, SECTION A, LINE 2The Dental Director (officer) is married to one of the 5 highest compensated employees who receive reportable compensation of more than $150,000. PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED AT THE MONTHLY BOARD OF DIRECTORS MEETING PRIOR TO THE SUBMISSION OF THE 990 TO THE INTERNAL REVENUE SERVICE.
PART VI, SECTION B, LINE 12CREVIEWED ANNUALLY, CONFLICTS ARE DECLARED AT THE BEGINNING OF EACH BOARD OF DIRECTORS MEETING. EMPLOYEES ARE REQUIRED TO UPDATE ON AN ANNUAL BASIS.
PART VI, SECTION B, LINE 15MARKET SURVEY FROM NUMEROUS SOURCES, INCLUDING CCHN, BOFL AND MOUNTAIN STATE EMPLOYERS.
PART VI, SECTION C, LINE 19AVAILABALE UPON REQUEST

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