President and CEO

2012-03-19T17:51:34-07:00 2011-06-30 TCA Partners LLP 1111 E Herndon Avenue Suite 211 Fresno CA 93720 990 2010-07-01 840706945 Valley-Wide Health Systems Inc VALL 7195895161 128 Market Street Alamosa CO 81101 Jeanne Darricades President and CEO 7195895161 2012-01-17 1 Jeremy Ware 5594317708 2012-01-02 2010 2016-02-24 21:20:13Z Jeanne Darricades C/O VWHS 128 Market Street Alamosa CO 81101 27151291 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 13 430 0 0 0 6235072 6805070 19469922 19963137 -52511 19063 246172 364021 25898655 27151291 27719 0 0 17553482 17434708 0 283733 7449910 8403496 25031111 25838204 867544 1313087 17894164 17710808 8613216 7116773 9280948 10594035 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 20679893 0 19963137 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. In 2010, Valley Wide served 36,353 patients through 147,840 visits and outreach services. 0 0 0 20679893 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 0 0 0 0 0 0 0 0 0 0 1 81 0 1 430 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 William Warren Member 2 X 1400 0 0 Vivian Gallegos Member 2 X 1300 0 0 Teresa Martinez Secretary 2 X 1400 0 0 Mary Trujillo-Young Member 2 X 1100 0 0 Julio Paez Member 2 X 1300 0 0 Joseph Gambone DO Member 2 X 900 0 0 Herman Martinez PhD Member 2 X 1300 0 0 Aurora Martinez Chair 2 X 1200 0 0 Annette Mullikin Member 2 X 1200 0 0 Andrea Balmores Member 2 X 600 0 0 Kevin Ditmore Member 2 X 0 0 0 Keith Hovland Treasurer 2 X 0 0 0 Lucy Cordova Vice Chair 2 X 1200 0 0 Ricardo Velasquez Chief Medical Officer 40 X 189298 0 18473 Alonzo Payne Compliance Officer 40 X 0 0 0 Christine Hettinger Hunt Dir of Program Ops 40 X 101329 0 13226 Jeanne Darricades President and CEO 40 X 0 0 0 Ben Duarte HR Directer 40 X 0 0 0 Mandi Weed CFO 40 X 102146 0 10400 Nancy Goodare Rosenthal Dental Director 40 X 174558 0 18090 Marc Rosenthal Dentist 40 X 163990 0 9980 Vui Mai Physician 40 X 232482 0 10650 Kristina Steinberg Physician 40 X 151918 0 16725 Justin Wheeler Physician 40 X 173717 0 10164 Jason Morgensen Physician 40 X 159040 0 10920 1461378 0 118628 25 0 1 0 Terras Cleaning LLC 4017 W County Road 8 North Del Norte CO 81132 Janitorial Service 387263 HE Whitlock 4808 Dillon Drive Pueblo CO 81008 Construction Contractor 1242122 Alcon Construction 12233 Country Road 5 South Alamosa CO 81101 Construction Contractor 663407 Linde Healthcare Staffing PO Box 915241 Dallas TX 75391 Contracted Physicians 236551 Bassett Construction Company PO Box 173 Pueblo CO 81002 Construction Contractor 221181 8 0 0 46190 0 6758880 0 0 6805070 Patient and Contract Services 623990 19963137 19963137 0 0 0 0 0 0 19963137 19063 19063 0 0 0 0 0 0 0 0 0 0 45142 0 0 0 45142 0 45142 45142 0 0 0 0 46190 318879 318879 0 0 318879 27151291 20346221 0 0 480178 343188 136990 14249544 11883439 2267207 98898 260955 197085 58295 5575 1423162 1105188 295164 22810 1020869 824560 179146 17163 237435 17182 220253 8698 8698 174173 174173 25000 25000 1067396 1015396 52000 73857 33529 40328 100702 82579 18123 408877 310623 98254 852901 670015 180589 2297 296612 237911 58701 66652 39170 27482 258908 148839 110069 527140 272126 255014 65095 41887 23208 Supplies 1601784 1505577 96207 0 Professional Fees 920025 836299 83726 0 Bad Debt 961304 961304 0 0 Postage and Shipping 44538 29388 15150 0 Equipment Rental 311268 250373 60895 0 401131 217423 183708 25838204 20679893 4874578 283733 95869 52815 3740961 1929747 1087217 269417 952810 1326751 373581 346492 405130 365669 17747070 4745495 11010120 13001575 228476 418342 17894164 17710808 2059524 1877436 2239361 1150732 4314331 4088605 8613216 7116773 X 9280948 10594035 0 0 0 0 9280948 10594035 17894164 17710808 1313087 0 X 1 1 1 X 1 1 X 5221264 5277000 5701560 6235072 6805070 29239966 5221264 5277000 5701560 6235072 6805070 29239966 29239966 148805 80019 56358 69663 64205 419050 453078 177630 305326 198772 318879 1453685 31112701 0.93981 0.9412 X None. 0 75882 75882 25762322 25838204 1000000 250000 0 0 0 0 1000000 1000000 2000000 3000000 0 0 281183 75882 357065 0 0 250000 250000 500000 750000 0 0 19485 0 19485 600486 0 600486 10862444 0 4745495 6116949 0 0 0 0 4123892 0 0 4123892 2160248 0 0 2160248 13001575 27151291 25838204 1313087 0 0 0 0 0 0 1313087 27151291 0 0 0 0 0 27151291 0 0 0 27151291 25838204 0 0 0 0 0 25838204 0 0 0 25838204 Charity Play 46190 46190 0 0 0 0 0 0 0 0 0 46190 46190 0 0 0 0 0 0 0 0 0 X X 0 0 0 0 0 0 0 0 0 Ricardo Velasquez 189298 0 0 0 0 0 0 0 11307 0 200605 0 211827 0 Nancy Goodare Rosenthal 174558 0 0 0 0 0 0 0 11201 0 185759 0 180686 0 Vui Mai 232482 0 22596 0 11940 0 0 0 3864 0 270882 0 217015 0 Marc Rosenthal 163990 0 0 0 0 0 0 0 3550 0 167540 0 167540 0 Justin Wheeler 173717 0 19712 0 322 0 0 0 3624 0 197375 0 160096 0 Kristina Steinberg 151918 0 2865 0 413 0 0 0 11008 0 166204 0 0 0 Jason Morgensen 159040 0 13391 0 4240 0 0 0 10920 0 187591 0 151449 0 F990_P00_S00_L0A Form 990, Header, Line A Paper Filing Pursuant to Notice 2012-4. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Dental director (officer) is married to a key employee with salary greater than $150,000 F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a 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 Upon request Additional time to gather information for return.