President and CEO

2012-12-20T14:04:30-07:00 2012-06-30 202707086 TCA Partners LLP 1111 E Herndon Avenue Suite 211 Fresno CA 93720 990 2011-07-01 840706945 Valley-Wide Health Systems Inc VALL 7195895161 128 Market Street Alamosa CO 81101 Jeanne Darricades President and CEO 7195895161 2012-12-19 1 Jeremy Ware P00642659 5594317708 2012-12-10 2011 2016-02-24 21:20:13Z Jeanne Darricades 128 Market Street Alamosa CO 81101 26834921 0 X www.vwhs.org X 1976 CO Valley-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. 13 13 422 0 0 0 6805070 7591798 19963137 19003141 19063 34564 364021 205418 27151291 26834921 0 0 0 0 17434708 18229529 0 0 277312 8403496 7041230 25838204 25270759 1313087 1564162 17710808 19682487 7116773 7524290 10594035 12158197 Valley-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. 0 0 20362477 0 19003141 Valley-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. 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 year ending June 30, 2012, Valley-Wide served 36,806 patients through 144,308 visits and outreach services. 0 0 0 20362477 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 93 0 1 422 1 0 0 0 0 0 0 X 13 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X Mandi Weed 7195895161 128 Market Street Alamosa CO 81101 Aurora Martinez Chair 2 X 1100 0 0 Lucy Cordova Vice Chair 2 X 1100 0 0 Kevin Ditmore Treasurer 2 X 700 0 0 Teresa Martinez Secretary 2 X 1200 0 0 Vivian Gallegos Member 2 X 1200 0 0 William Warren Member 2 X 1100 0 0 Mary Young Member 2 X 1000 0 0 Julio Paez Member 2 X 900 0 0 Joseph Gambone DO Member 2 X 700 0 0 Frances Valadez Member 2 X 0 0 0 Annette Mullikin Member 2 X 1100 0 0 Richard Ritter Member 2 X 0 0 0 Keith Hovland Member 2 X 600 0 0 Ricardo Velasquez Chief Medical Officer 40 X 200864 0 24554 Alonzo Payne Chief Administrative Officer 40 X 71790 0 12968 Christine Hettinger Hunt Dir of Program Ops 40 X 111969 0 14861 Jeanne Darricades President and CEO 40 X 139768 0 2791 Ben Duarte HR Director 40 X 82533 0 12482 Mandi Weed CFO 40 X 123615 0 16590 Nancy Goodare Rosenthal Dental Director 40 X 182147 0 24410 Marc Rosenthal Dentist 40 X 166462 0 12653 Vui Mai Physician 40 X 221873 0 13934 Roberto Silva Physician 40 X 160919 0 17699 Justin Wheeler Physician 40 X 187998 0 14516 Jarette Beck Physician 40 X 158438 0 11065 1819076 0 178523 28 0 1 0 Terras Cleaning LLC 4017 W County Road 8 North Del Norte CO 81132 Janitorial Service 406230 HE Whitlock 4808 Dillon Drive Pueblo CO 81008 Construction Contractor 1796625 CompHealth Inc PO Box 972651 Dallas TX 75397 Contracted Physicians 236415 Abel Consulting Services 102 Oneida St Pueblo CO 81003 Construction Contractor 129164 San Luis Valley Regional Medical Center 106 Blanca Avenue Alamosa CO 81101 Medical Services 110311 5 0 0 37390 0 7554408 0 0 7591798 Net Patient Service Revenue 621400 15465369 15465369 0 0 Net Contract Service Revenue 621400 3485756 3485756 0 0 52016 52016 0 0 19003141 25529 25529 0 0 0 0 0 0 0 0 0 0 24468 0 0 0 24468 0 24468 24468 0 0 0 9035 0 0 0 9035 9035 9035 0 0 37390 180950 180950 0 0 180950 26834921 19243123 0 0 912686 761960 150726 14443674 12561747 1824160 57767 164056 128967 33843 1246 1644078 1275070 346658 22350 1065035 876339 173559 15137 101929 23050 78879 3529 2890 639 182063 1748 180315 25000 25000 540184 487878 52306 71716 38326 33390 208782 166868 41914 378466 300215 78251 1095290 861177 204027 30086 301605 267637 33968 52960 40709 12251 250224 144450 105774 640951 388999 251952 127730 10444 117286 Medical Supplies 1528640 1492312 36328 0 Professional Fees Contract Phys 1185229 1103424 81805 0 Publications and Postage 57530 34422 23108 0 Equipment rental 101010 68527 32483 0 188392 87278 101114 25270759 20362477 4630970 277312 52815 68499 1929747 1986348 269417 590858 1326751 1028422 346492 398849 365669 379961 20187728 5356406 13001575 14831322 418342 398228 17710808 19682487 1877436 2051160 1150732 1587157 4088605 3885973 7116773 7524290 X 10594035 12158197 0 0 0 0 10594035 12158197 17710808 19682487 1564162 0 X 0 1 1 X 1 1 X 5277000 5701560 6235072 6805070 7591798 31610500 5277000 5701560 6235072 6805070 7591798 31610500 31610500 80019 56358 69663 64205 59032 329277 177630 305326 198772 318879 180950 1181557 33121334 0.95438 0.93981 X NA 0 105335 105335 25165424 25270759 1000000 250000 0 0 0 1000000 1000000 1000000 3000000 4500000 0 281183 75882 105335 462400 0 250000 250000 250000 750000 1125000 0 19485 0 0 19485 0 600486 600486 0 13939191 2148861 11790330 0 116689 84389 32300 0 4610348 3123156 1487192 0 921014 0 921014 14831322 26834921 25270759 1564162 0 0 0 0 0 0 1564162 26924237 0 89316 0 0 89316 26834921 0 0 0 26834921 25360075 89316 0 0 0 89316 25270759 0 0 0 25270759 Evening at the ASC Theatre 37390 0 37390 0 0 0 0 0 0 0 0 37390 0 37390 0 0 0 0 0 0 0 37390 0 0 0 0 0 0 0 0 0 Ricardo Velasquez 183086 0 9000 0 8778 0 6898 0 17656 0 225418 0 0 0 Nancy Goodare Rosenthal 181413 0 0 0 735 0 7164 0 17246 0 206558 0 0 0 Vui Mai 198417 0 22080 0 1376 0 6752 0 7182 0 235807 0 0 0 Justin Wheeler 167363 0 20635 0 0 0 6656 0 7860 0 202514 0 0 0 Roberto Silva 151813 0 5928 0 3178 0 0 0 17699 0 178618 0 0 0 Marc Rosenthal 166462 0 0 0 0 0 6658 0 5994 0 179114 0 0 0 Jarette Beck 150099 0 4788 0 3551 0 6100 0 4966 0 169504 0 0 0 X 2 89316 FMV 0 0 0 0 F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Dental Director (officer) is married to a key employee with a salary greater than $150,000. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The 990 is reviewed at the monthly Board of Directors meeting prior to submission of the 990 to the Internal Revenue Service. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Reviewed annually, conflicts are declared at the beginning of each Board of Directors meeting. Employees are required to update on an annual basis. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Market survey from numerous sources, including CCHN, BofL and Mountain State Employers. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Available upon request.