2013-11-15T15:44:44-06:00 2012-12-31 202253063 TANNER LLC 36 S STATE STREET SUITE 600 SALT LAKE CITY UT 84111 990 2012-01-01 942938348 VALLEY MENTAL HEALTH INCORPORATED VALL 8012637100 5965 SOUTH 900 EAST NO 420 SALT LAKE CITY UT 84121 GWEN FONAROW 8012637100 2013-11-14 1 DAVID SPERRY P00176382 8015327444 2012 2016-03-07 17:11:31Z DALE NEWTON 5965 SOUTH 900 EAST STE 420 SLC UT 84121 69360094 0 X N/A X 1984 UT TO PROVIDE AND ADMINISTER MENTAL HEALTH AND ALCOHOL AND DRUG ABUSE SERVICES FOR THE SALT LAKE, SUMMIT AND TOOELE COUNTY, UTAH AREAS. 12 12 1344 78 0 -78969 32495951 40275286 31899440 10783912 798360 8242711 637734 99360 65831485 59401269 0 0 0 0 48841601 40881647 0 0 351522 25486843 17561256 74328444 58442903 -8496959 958366 84411408 70830656 23047562 9151244 61363846 61679412 X TO PROVIDE AND ADMINISTER MENTAL HEALTH AND ALCOHOL AND DRUG ABUSE SERVICES FOR THE SALT LAKE, SUMMIT AND TOOELE COUNTY, UTAH AREAS. 0 0 19399764 8686961 ADULT SERVICES-PROVIDES OUTPATIENT AND INPATIENT SERVICES FOR MENTALLY ILL ADULTS 1146447 730979 CLIENT SERVICES-PROVIDES VARIOUS ADDITIONAL PSYCHIATRIC SERVICES FOR CLIENTS 10215017 2305426 CONTRACT SERVICES-PROVIDES SERVICES FOR PATIENTS THROUGH CONTRACTS WITH HOSPITALS AND OTHER OUTSIDE PARTIES 14312037 7092637 CHILDREN SERVICES-PROVIDES RESIDENTIAL DAY TREATMENTS, OUTPATIENT INDIVIDUAL AND FAMILY SERVICES FOR MENTALLY ILL AND TROUBLED ADOLESCENTS 14312037 7092637 45073265 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 269 0 1344 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 UT X X GWEN FONAROW 8012637100 5965 SOUTH 900 EAST STE 420 SALT LAKE CITY UT 84121 BRUCE CUMMINGS 1.00 X X 0 0 0 JULIA D REAGAN 1.00 X X 0 0 0 RICHARD C BULLOUGH 1.00 X X 0 0 0 DEAN HUNGER 1.00 X X 0 0 0 JEAN PERSCHON 1.00 X 0 0 0 DAVID CLARK 1.00 X 0 0 0 RUSS ELBEL 1.00 X 0 0 0 STEVEN MARSDEN 1.00 X 0 0 0 JOHN NEAL 1.00 X 0 0 0 JOHN C PINGREE 1.00 X 0 0 0 CHERYL C SMITH 1.00 X 0 0 0 DEBRA FALVO 40.00 X 347490 0 60569 GARY G LARCENAIRE 40.00 X 236875 0 39510 DALE NEWTON 40.00 X 163013 0 37930 JOSEPH YAU 40.00 X 251524 0 96320 B TODD THATCHER 40.00 X 220114 0 50245 THOMAS MICHAEL REID 40.00 X 193178 0 50938 NUSRAT AHMED 40.00 X 182724 0 50394 RENE JOSEPH VALLES 40.00 X 184843 0 61880 POONAM SONI 40.00 X 179148 0 77861 1958909 0 525647 18 0 1 0 JAMAL HEJAZI MD 3044 E PINE VIEW DR SALT LAKE CITY UT 84121 CONTRACT LABOR 168767 RICHARD W MICKELSEN MD PC 13466 ALPINE COVE DR ALPINE UT 84004 CONTRACT LABOR 109577 STARKEY CONSULTING INC 18 REDHAWK RIDGE PARK CITY UT 84098 CONSULTING 107442 3 40275286 40275286 MEDICAID & MEDICARE 10783912 10783912 10783912 309980 309980 99360 0 99360 99360 99360 7534420 10357136 7242128 2716697 292292 7640439 7932731 7932731 59401269 18816003 0 309980 30836482 25734891 4841643 259948 7384252 6120464 1201965 61823 2660913 2287694 350111 23108 3200685 657671 2536371 6643 1239033 328182 910851 420194 276754 143440 590274 508525 81749 294235 103760 190475 393476 1145 392331 3296187 2112976 1183211 1023872 773923 249949 MAINTENANCE 2443345 1861615 581730 UTILITIES 1888747 1467590 421157 PROVISIONS 1431560 1403876 27684 CONTRACTED HOSPITALS 1272491 1265306 7185 67157 168893 -101736 58442903 45073265 13018116 351522 18220273 10951462 3769715 2972754 70629643 32893134 43049630 37736509 13417692 13664773 5954098 5505158 84411408 70830656 12752549 9151244 10295013 0 23047562 9151244 X 56555526 56752487 4291580 4410185 516740 516740 61363846 61679412 84411408 70830656 X 958366 -240203 -402597 X X 0 1 X 1 1 1 X 80934650 86584328 88311109 64395391 51059198 371284676 80934650 86584328 88311109 64395391 51059198 371284676 371284676 2830964 2474071 1818042 1436094 8342071 16901242 -51844 -52126 -50312 -299340 -78969 -532591 387653327 194505181 0.95780 0.97530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8886782 8886782 39635413 18503833 21131580 8202484 3709852 4492632 1084182 786877 297305 12820782 9892572 2928210 37736509 INTEREST IN NET ASSETS OF VMH FOUNDATION 2672823 C CAPITAL INVESTMENTS VALLEY WOODS 988661 C CAPITAL INVESTMENTS VALLEY SAFE HAVEN II 1534632 C CAPITAL INVESTMENTS AVALON VALLEY 2035052 C CAPITAL INVESTMENTS VALLEY HORIZONS 190621 C CAPITAL INVESTMENTS VALLEY MEADOWS 294326 C CAPITAL INVESTMENTS SAFE HAVEN I 760881 C CAPITAL INVESTMENTS HIDDEN OAKS 5103988 C CAPITAL INVESTMENTS IRON HORSE 83789 C 13664773 OTHER 941745 INVST IN WHOLLY OWNED HUD PROJECT 1547167 CONSTRUCTION IN PROGRESS 305791 ADVANCES TO VMH FOUNDATION 2710455 5505158 58607710 -240203 -402597 -642800 59250510 150759 150759 59401269 58292145 0 58292145 150758 150758 58442903 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FUNDED STATUS OF RETIREMENT PLAN PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS GAIN ON RATE SWAP FROM INCOME RECLASS RELATED PARTY PROGRAM REVENUE FROM EXPENSES RECLASS LOSS ON SALE OF ASSETS FROM EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS GAIN ON RATE SWAP TO EXPENSES RECLASS RELATED PARTY PROGRAM REVENUE TO INCOME RECLASS LOSS ON SALE OF ASSETS FROM EXPENSES THE $150,759 ON PART XII 4B AND PART XIII LINE 4B REPRESENT RECLASSIFICATIONS BETWEEN INCOME AND EXPENSES REPORTED ON THE 990 COMPARED TO WHAT WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIALS. THE AMOUNT ON PART XII 2D IS THE "CHANGE IN FUNDED STATUS OF RETIREMENT PLAN" THAT IS NOT REPORTED ON THE 990. USING THE GUIDANCE OF FASB ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740-10 AS IT RELATES TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT REQUIRE EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX FILINGS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE ARE THOSE FOR THE YEARS 2008, 2009, 2010, 2011 AND 2012. NO TAX EXAMINATIONS ARE CURRENTLY IN PROGRESS. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 DEBRA FALVO 204000 0 0 0 143490 0 22573 0 37996 0 408059 0 0 0 GARY G LARCENAIRE 236875 0 0 0 0 0 11813 0 27697 0 276385 0 0 0 DALE NEWTON 153008 0 0 0 10005 0 3600 0 34330 0 200943 0 0 0 JOSEPH YAU 216726 0 0 0 34798 0 52248 0 44072 0 347844 0 0 0 B TODD THATCHER 187509 0 0 0 32605 0 7742 0 42503 0 270359 0 0 0 THOMAS MICHAEL REID 193017 0 0 0 161 0 10441 0 40497 0 244116 0 0 0 NUSRAT AHMED 182724 0 0 0 0 0 22320 0 28074 0 233118 0 0 0 RENE JOSEPH VALLES 184443 0 0 0 400 0 22650 0 39230 0 246723 0 0 0 POONAM SONI 145663 0 0 0 33485 0 47600 0 30261 0 257009 0 0 0 PART I, LINE 1A THIS IS AN EXPENSE ALLOWANCE FOR VARIOUS BUSINESS EXPENSES [NOT RELATED TO OUT OF TOWN BUSINESS TRAVEL]. IF THE ENTIRE AMOUNT IS NOT USED, IT THEN BECOMES TAXABLE COMPENSATION TO THE OFFICER OR EMPLOYEE. DEBRA FALVO DEBRA SERVES AS PAID BOARD MEMBER OF MHRRG & CEO OF VMH 344612 VALLEY MENTAL HEALTH, INCORPORATED OBTAINED SOME OF ITS LIABILITY INSURANCE COVERAGE FROM MENTAL HEALTH RISK RETENTION GROUP (MHRRG). VALLEY MENTAL HEALTH, INCORPORATED PAID PREMIUMS TO MHRRG DURING 2012. 0 DEBRA FALVO DEBRA SERVES AS PAID BOARD MEMBER OF MHRRG & CEO OF VMH 50834 VALLEY MENTAL HEALTH, INCORPORATED RECEIVED DIVIDEND INCOME FROM MENTAL HEALTH RISK RETENTION GROUP (MHRRG). 0 FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS TO COMPLETE AND REVIEW THE FORM 990 [PRIOR TO FILING WITH THE IRS] IS A COLLABORATIVE EFFORT ON THE PART OF THE SENIOR MANAGEMENT TEAM OF THE COMPANY [INCLUDING LEGAL COUNSEL] AND THE ENGAGED ACCOUNTING FIRM. THE COMPLETED DOCUMENTS ARE THE RESULT OF VARIOUS MEETINGS, DISCUSSIONS AND E-MAIL TRANSMISSIONS BETWEEN ALL OF THE ABOVE LISTED PARTIES. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE AND BOARD MEMBER SIGNS AND SUBMITS ANNUALLY A CONFLICT OF INTEREST STATEMENT. THE EMPLOYEES AND BOARD MEMBERS ARE TO SUBMIT APPLICABLE CHANGES TO AREAS OF POTENTIAL CONFLICT OF INTEREST AS THEY OCCUR DURING THE YEAR. THE EXECUTIVE COMMITTEE REVIEWS ALL STATEMENTS AND APPROVES THOSE WHICH INDICATE OUTSIDE EMPLOYMENT OR A POTENTIAL CONFLICT OF INTEREST WITH VALLEY MENTAL HEALTH. BOARD MEMBERS WHO DO HAVE A CONFLICT OF INTEREST WITH RESPECT TO CERTAIN ISSUES DECLARE THE CONFLICT AND ABSTAIN FROM VOTING ON THAT PARTICULAR ISSUE. FORM 990, PART VI, SECTION B, LINE 15 A MARKET ANALYSIS AND RECOMENDATIONS ARE PROVIDED TO THE BOARD OFFICERS TO DETERMINE THE SALARY OF THE CEO. A FORMAL ANALYSIS FOR OTHER VMH OFFICERS IS NOT COMPLETED ON AN ANNUAL BASIS, BUT RATHER IS PERFORMED PERIODICALLY. HOWEVER, BENCHMARK POSITIONS THROUGHOUT VMH ARE REVIEWED EVERY YEAR TO DETERMINE WHAT CHANGES, IF ANY, ARE NEEDED TO ADJUST OFFICER AND EXECUTIVE COMPENSATION. ON AN AD HOC BASIS, ADJUSTMENTS ARE MADE BASED ON EXCEPTIONAL PERFORMANCE OR JOB PROMOTIONS. OFTEN PAY IS SET UPON HIRING AND IS BASED ON EDUCATION, PRIOR COMPENSATION, AND INTERNAL EQUITY. THE CEO APPROVES ALL NEW HIRE SALARIES AND ANY PAY ADJUSTMENTS TO ANYONE ON THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE PROVIDED TO VARIOUS STATE AND COUNTY GOVERNMENTS. THEY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF RETIREMENT PLAN -402,597. PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. VALLEY SERVICES 3685 WEST 6200 SOUTH SALT LAKE CITY UT 84118 870503440 TO PROVIDE EMPLOYMENT OPPORTUNITIES TO THE MENTALLY ILL. UT 501(C)(3) YES N/A 0 VALLEY MENTAL HEALTH FOUNDATION 4460 S HIGHLAND DR STE 100 SALT LAKE CITY UT 84124 870533564 FUNDRAISING ACTIVITIES FOR VALLEY MENTAL HEALTH INC. UT 501(C)(3) YES N/A 0 VALLEY CROSSROADS 5965 SOUTH 900 EAST STE 310 SALT LAKE CITY UT 84121 870536602 TO PROVIDE ELDERLY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES. UT 501(C)(3) YES N/A 0 VALLEY VILLA 5965 SOUTH 900 EAST SALT LAKE CITY UT 84121 870516364 TO PROVIDE ELDERLY PERSONS AND HANDICAPPED PERSONS WITH HOUSING FACILITIES. UT 501(C)(3) YES N/A 0 SALT LAKE MENTAL HEALTH HOUSING INC 5965 SOUTH 900 EAST SALT LAKE CITY UT 84121 942938347 PROVIDE LOW INCOME HOUSING TO MENTALLY ILL PEOPLE WHO COULD NOT AFFORD IT. UT 501(C)(3) YES N/A 0 AVALON VALLEY CARE CENTER 255 EAST 400 SOUTH STE 200 SALT LAKE CITY UT 84111 201722131 FACILITATE PLACEMENT AND TREATMENT OF CERTAIN MENTAL HEALTH CLIENTS. UT VMH RELATED 367299 1801053 0 1 0.50990 HIDDEN OAKS 301 WEST 5400 SOUTH STE 201 MURRAY UT 84107 870517174 LOW INCOME HOUSING COMPLEX UT VMH RELATED 244385 5233772 0 0 0.70310 VALLEY HORIZONS LLC 5965 S 900 E SALT LAKE CITY UT 84121 870647821 LOW INCOME HOUSING UT VMH RELATED -4 103 0 1 0.00010 VALLEY SAFE HAVEN LLC 5965 S 900 E SALT LAKE CITY UT 84121 870632935 LOW INCOME HOUSING UT VMH RELATED -1690 14325 0 1 0.01000 SAFE HAVEN II LLC 5965 S 900 E SALT LAKE CITY UT 84121 043719958 LOW INCOME HOUSING UT VMH RELATED -1059 19072 0 1 0.01000 VALLEY WOODS I LC 5965 S 900 E SALT LAKE CITY UT 84121 870550386 LOW INCOME HOUSING UT VMH RELATED -192361 1463597 0 1 0.01000 VALLEY MEADOWS LLC 118 EAST VINESTREET TOOELE UT 84074 870587071 LOW INCOME HOUSING UT VMH RELATED -380 8599 0 1 0.00500 AVALON VALLEY REHABILITATION CENTER 255 EAST 400 SOUTH STE 200 SALT LAKE CITY UT 84111 870301532 FACILITATE PLACEMENT AND TREATMENT OF CERTAIN CLIENTS. UT VMH S -78969 3133694 0.50990 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 0 VALLEY SERVICES J 144000 FAIR MARKET VALUE VALLEY SERVICES M 3480000 FAIR MARKET VALUE VALLEY MENTAL HEALTH FOUNDATION P 100000 FAIR MARKET VALUE VALLEY MENTAL HEALTH FOUNDATION R 940000 FAIR MARKET VALUE VALLEY MENTAL HEALTH FOUNDATION D 2710455 FAIR MARKET VALUE