VALLEY VIEW FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY VIEW FOUNDATION INC (EIN 73-0630359)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201222289349303457
- Schema version
- 2010v3.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T15:19:02-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6120 S Yale 1400 | AddressLine1 |
| City | Tulsa | City |
| State | OK | State |
| ZIP Code | 741364223 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730630359 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VALL | NameControl |
| Phone | 5804211412 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 N MONTE VISTA | AddressLine1 |
| City | ADA | City |
| State | OK | State |
| ZIP Code | 74820 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY GARBER | Name |
| Title | CFO | Title |
| Phone | 5804211412 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Anne M Adams | Name |
| Phone | 9185842900 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | W KENT ROGERS CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 N MONTE VISTA | AddressLine1 |
| City | ADA | City |
| State | OK | State |
| ZIP Code | 74820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 71827061 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VALLEYVIEWREGIONAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1935 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | THROUGH QUALITY HEALTH CARE, VALLEY VIEW REGIONAL HOSPITAL WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 816 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8645080 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 202539 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 68097923 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 70607609 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -116553 | InvestmentIncomePriorYear |
| Investment Income Current Year | -259149 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1179544 | OtherRevenuePriorYear |
| Other Revenue Current Year | 888252 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 77805994 | TotalRevenuePriorYear |
| Total Revenue Current Year | 71439251 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 28795 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 47033 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31464573 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34458999 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 32998050 | OtherExpensePriorYear |
| Other Expenses Current Year | 32195002 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 64491418 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66701034 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13314576 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4738217 | RevenuesLessExpensesCY |
| Total Assets BOY | 40587483 | TotalAssetsBOY |
| Total Assets EOY | 46714771 | TotalAssetsEOY |
| Total Liabilities BOY | 6483402 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7872473 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34104081 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 38842298 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION'S MISSION IS TO PROVIDE A CULTURE OF SAFETY THAT CREATES A PATIENT SAFETY COMMITMENT FROM ALL EMPLOYEES IN WHICH PATIENT CARE PROCESSES ARE DEVELOPED AND IMPROVED. THE HEALTH CARE TEAM CARES FOR THOSE WHO NEED IT REGARDLESS OF THEIR ABILITY TO PAY. SERVICES ARE MATCHED TO PATIENTS NEEDS AND IT INSPIRES AND EMPOWERS THE HEALTH CARE TEAM TO SEEK OUT THE OPPORTUNITIES FOR PERFORMANCE IMPROVEMENT. THE ORGANIZATION ENCOURAGES PREVENTION, WELLNESS, AND IMPROVEMENT IN PATIENT'S QUALITY OF LIFE AND REMAINS AWARE OF OUR FISCAL RESPONSIBILITY TO THE COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 53230641 | Expense |
| Grants | 47033 | Grants |
| Revenue | 70818722 | Revenue |
| Description | VALLEY VIEW REGIONAL HOSPITAL IS A 157 BED ACUTE CARE HOSPITAL PROVIDING HEALTH CARE TO THE GENERAL PUBLIC REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. | Description |
| Total Program Service Expense | 53230641 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 75 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 816 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARY GALLUP CFO | NamePerson |
| Telephone Number | 5804211412 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 N MONTE VISTA | AddressLine1 |
| City | ADA | City |
| State | OK | State |
| ZIP Code | 74820 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BILL G LANCE JR | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| DALE BOATWRIGHT | |||||||
| CHAIRMAN | 1.0 | X | 0 | 0 | 0 | X | |
| THOMAS C BOLITHO | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CC BUXTON III | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JO ANN CARPENTER MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| JIM E DICUS | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| FRANK CARTMELL MD | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| DAN NORTHCUTT | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| DEAN PETERSON | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CARLTON TILLEY | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| BART MCCORTNEY | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARK WEEMS DDS | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| CHARLES R METTRY DO | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| MARY E GARBER | |||||||
| CFO | 40.0 | 0 | 0 | 0 | X | ||
| W KENT ROGERS | |||||||
| PRESIDENT/CEO | 40.0 | 0 | 0 | 0 | X | ||
| DR KIMBALL PRATT | |||||||
| PHYSICIAN | 32.0 | 693427 | 0 | 11476 | X | ||
| DR CHARLES VEST | |||||||
| Physician | 40.0 | 355820 | 0 | 9080 | X | ||
| STEVEN FILLMORE | |||||||
| VP/CHIEF MEDICAL OFFICER | 27.0 | 338266 | 0 | 6191 | X | ||
| DR LEWIS WALLACE | |||||||
| Physician | 40.0 | 333721 | 0 | 4900 | X | ||
| DR IMTIAZ AHMED | |||||||
| Physician | 40.0 | 186466 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1907700 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 31647 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHABCARE GROUP INC | |||||
| 733 FORSYTH BLVD STE 2300 | ST LOUIS | MO | 63150 | REHAB MANAGEMENT | 914747 |
| MID-AMERICA PHYSICIAN SERVICES | |||||
| 430 N MONTE VISTA | ADA | OK | 74820 | ER PHYSICIAN MGMT | 1528944 |
| MERCY HEALTH SYSTEMS OF OK | |||||
| 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | MANAGEMENT SVCS | 821514 |
| ADA ANESTHESIA ASSOCIATES PLLC | |||||
| 1621 CRADDUCK RD | ADA | OK | 74820 | ANESTHESIA SERVICES | 599562 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 636981 | CINCINNATTI | OH | 452636981 | WOUND CARE MGMT | 562893 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Government Grants | 187615 | GovernmentGrants |
| All Other Contributions | 14924 | AllOtherContributions |
| Total Contributions | 202539 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Service Revenue | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 70607609 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70607609 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 70607609 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 121114 | TotalRevenueColumn |
| Exclusion | $121,114 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43850 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 43850 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43850 | TotalRevenueColumn |
| Exclusion | $43,850 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7547 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 385909 | Securities |
| Other | 1901 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -385909 | Securities |
| Other | 5646 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -380263 | TotalRevenueColumn |
| Exclusion | -$380,263 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria Income | 722210 | 633289 | $633,289 | |
| Gift Shop | 453220 | 115468 | 115468 | |
| Purchase Discounts | 900099 | 7709 | 7709 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87936 | TotalRevenueColumn |
| Related Or Exempt Function Income | 87936 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 844402 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71439251 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70818722 | RelatedOrExemptFunctionIncome |
| Exclusion | $417,990 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47033 | Total |
| Program Services | 47033 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139967 | Total |
| Program Services | 104975 | ProgramServices |
| Management And General | 34992 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27593373 | Total |
| Program Services | 20695030 | ProgramServices |
| Management And General | 6898343 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1028392 | Total |
| Program Services | 771294 | ProgramServices |
| Management And General | 257098 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3668846 | Total |
| Program Services | 2751634 | ProgramServices |
| Management And General | 917212 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2028421 | Total |
| Program Services | 1521316 | ProgramServices |
| Management And General | 507105 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 584927 | Total |
| Program Services | 438695 | ProgramServices |
| Management And General | 146232 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120092 | Total |
| Program Services | 90069 | ProgramServices |
| Management And General | 30023 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142904 | Total |
| Program Services | 107178 | ProgramServices |
| Management And General | 35726 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 831714 | Total |
| Program Services | 623786 | ProgramServices |
| Management And General | 207928 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171292 | Total |
| Program Services | 128469 | ProgramServices |
| Management And General | 42823 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166646 | Total |
| Program Services | 124984 | ProgramServices |
| Management And General | 41662 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3197022 | Total |
| Program Services | 2397767 | ProgramServices |
| Management And General | 799255 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1294014 | Total |
| Program Services | 970510 | ProgramServices |
| Management And General | 323504 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 7532035 | 7532035 | |
| PHARMACY | 3031505 | 3031505 | |
| SUPPLIES | 7969890 | 5977418 | 1992472 |
| EQUIPMENT RENTAL & MAINTENANCE | 2301260 | 1725945 | 575315 |
| NEUROSCIENCE EXPENSE | 1127000 | 1127000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3724701 | Total |
| Program Services | 3063998 | ProgramServices |
| Management And General | 660703 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66701034 | Total |
| Program Services | 53230641 | ProgramServices |
| Management And General | 13470393 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1143454 | BOY |
| EOY | 6385171 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3406580 | BOY |
| EOY | 6176026 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8504756 | BOY |
| EOY | 8676719 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145080 | BOY |
| EOY | 228525 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2233405 | BOY |
| EOY | 2169939 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 706999 | BOY |
| EOY | 647658 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 74905357 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 57439488 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19366152 | BOY |
| EOY | 17465869 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1086716 | BOY |
| EOY | 1346562 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 938278 | BOY |
| EOY | 961250 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3056063 | BOY |
| EOY | 2657052 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40587483 | BOY |
| EOY | 46714771 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3222780 | BOY |
| EOY | 5771943 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3260622 | BOY |
| EOY | 2100530 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6483402 | BOY |
| EOY | 7872473 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17868062 | BOY |
| EOY | 23454007 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16236019 | BOY |
| EOY | 15388291 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34104081 | BOY |
| EOY | 38842298 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40587483 | BOY |
| EOY | 46714771 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4738217 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30619135 | OtherCostOrOtherBasis |
| Depreciation | 24318389 | Depreciation |
| Book Value | 6300746 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 117579 | OtherCostOrOtherBasis |
| Depreciation | 15250 | Depreciation |
| Book Value | 102329 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42939317 | OtherCostOrOtherBasis |
| Depreciation | 32688426 | Depreciation |
| Book Value | 10250891 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1229326 | OtherCostOrOtherBasis |
| Depreciation | 417423 | Depreciation |
| Book Value | 811903 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17465869 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| NET PENSION ASSET | 2379010 |
| CSV OF LIFE INSURANCE | 198042 |
| DUE FROM MEDICARE | 80000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2657052 | TotalBookValueOtherAssets |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 781018 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 781018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9733290 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9800209 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10514308 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9800209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 781018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36323 | TotalCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22200 | TotalCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 58523 | TotalCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10572831 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9800209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 781018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01250 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 27175 | TotalCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3169 | TotalCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 30344 | TotalCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,268,425 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 24906780 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17028799 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 7877981 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW REGIONAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 N MONTE VISTA | AddressLine1 |
| City | ADA | City |
| State | OK | State |
| ZIP Code | 74820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
| Other | SOLE COMMUNITY HOSP | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | SCHEDULE H, PART III, LINE 3 & 4 | LINE 3: THE HOSPITAL ELECTED NOT TO ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE AT COST. LINE 4: THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PATERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. |
| 2 | SCHEDULE H, PART III, LINE 8 & 9B | THE COST TO CHARGE RATIO WAS APPLIED TO BAD DEBT EXPENSE TO CALCULATE BAD DEBT EXPENSE AT COST. THE ORGANIZATION HAS A CHARITY CARE POLICY AND A WRITTEN COLLECTION POLICY. THE WRITTEN COLLECTION POLICY DOES NOT CONTAIN PROVISIONS ON PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. THE CHARITY CARE POLICY IS DESIGNED TO PROVIDE A PROCESS TO EFFECTIVELY EVALUATE CANDIDATES THAT MAY QUALIFY FOR CHARITY CARE. THE PROGRAM IS DESIGNED TO AID THE ORGANIZATION IN DISTINGUISHING TRUE BAD DEBT EXPENSE FROM CHARITY CARE, AND TO INCREASE THE PUBLIC'S AWARENESS OF THE CHARITY CARE PROVIDED TO THE COMMUNITY. THE DETERMINATION FOR CHARITY CARE REQUIRES PARTICIPATION AND COOPERATION FROM THE PATIENT/GUARANTOR TO PROVIDE NECESSARY DOCUMENTATION, AND PATIENTS THAT FAIL TO PAY ANY REMAINING BALANCE AFTER THE CHARITY CARE DEDUCTION IS MADE BECOMES SUBJECT TO NORMAL COLLECTION PROCEDURES. |
| 3 | SCHEDULE H, PART VI, LINE 2 | VVRH IN CONJUNCTION WITH MERCY HEALTH SYSTEMS HOSTS ANNUALLY A COMMUNITY ROUNDTABLE DISCUSSION. IN THIS VENUE COMMUNITY MEMBERS ARE INVITED TO PARTICIPATE IN PLANNING FUTURE HEALTH NEEDS OF THE COMMUNITY. THEY ARE ALSO INVITED TO SHARE THEIR CONCERNS AND OFFER THEIR OPINIONS. |
| 4 | SCHEDULE H, PART VI, LINE 3 | WE HAVE AN ONSITE REPRESENTATIVE FROM HCFS THAT SCREENS ALL OF OUR INPATIENT, ONE DAY SURGERY, AND ER SELF PAY PATIENTS, AS WELL AS ANY OTHER OUTPATIENTS THAT ARE REFERRED, FOR ANY TYPE OF ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MIGHT QUALIFY. IF NO ASSISTANCE IS AVAILABLE, THEY ARE GIVEN AN APPLICATION OR INFORMED OF OUR FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM. OUR PATIENT FINANCIAL COUNSELORS ALSO INFORM THE PATIENTS OF THESE POLICIES DURING THE PRE-REGISTRATION PROCESS. |
| 5 | SCHEDULE H, PART VI, LINE 4 | VVRH, IS LOCATED IN ADA OKLAHOMA , AND IS THE COUNTY SEAT FOR PONTOTOC COUNTY. VALLEY VIEW SERVES A NINE COUNTY AREA IN SOUTH CENTRAL OKLAHOMA. IN ADDITION THE HOSPITAL OWNS A RURAL HEALTH CLINIC IN STRATFORD, OK, A ECONOMICALLY DISADVANTAGE COMMUNITY OF APPROXIMATELY 1,200 PEOPLE, WHO ARE OVER THE AGE OF 65. |
| 6 | SCHEDULE H, PART VI, LINE 5 | VALLEY VIEW REGIONAL HOSPITAL PARTICIPATES IN COMMUNITY EVENTS SPONSORED BY THE ADA REGIONAL UNITED WAY, BY PROVIDING NUTRITIONAL SNACKS AND EXERCISES DURING THEIR KIDS FAIR THAT IS HELD ANNUALLY AT WINTERSMITH PARK. THE AUDIENCE AGES RANGE FROM INFANTS UP TO ADULTS. WE PARTNER WITH THE BOY SCOUTS OF AMERICA AND PROVIDE PHYSICALS ANNUALLY TO THE BOY SCOUTS. WE ALSO PROVIDE MEDICAL SUPPLIES TO AREA SCHOOLS, BOY SCOUT SUMMER CAMP, AND ADA BOYS AND GIRLS CLUB. THE DIRECTOR OF EDUCATIONAL SERVICES SERVES ON THE PONTOTOC COUNTY BOARD OF THE AMERICAN CANCER SOCIETY AND HAS BEEN SURVIVOR CHAIR OF THE RELAY FOR LIFE EVENT FOR 12 YEARS. THE HOSPITAL HAS PROVIDED CANCER INFORMATION AND BROCHURES, AS WELL AS GOODIE BAGS FOR OVER 300 SURVIVORS FOR MANY YEARS, AS WELL AS DONATING THE COST OF POSTAGE TO SEND RELAY INFORMATION TO OVER 600 CANCER SURVIVORS. THE EDUCATIONAL SERVICES DEPARTMENT ALSO DONATES DIAPERS AND SUPPLIES FROM PRE-NATAL CLASSES TO THE LOCAL WOMEN'S CRISIS CENTER UPON RECEIVING A NEW SHIPMENT OF MATERIALS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ADA REGIONAL UNITED WAY | |||||||
| 314 S BROADWAY STE 204 | ADA | OK | 74820 | 730941532 | 501(C)(3) | 6000 | HLTH/HUMAN SRV PRGM |
| MARCH OF DIMES FOUNDATION | |||||||
| 1275 MAMARONECK AVE | WHITE PLAINS | NY | 10605 | 131846366 | 501(C)(3) | 7500 | NURSE OF YEAR PRGM |
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS STREET | ATLANTA | GA | 30303 | 131788491 | 501(C)(3) | 5973 | CANCER RESEARCH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE ORGANIZATION GRANTS MONEY TO OTHER 501(C)(3) ORGANIZATIONS THAT ARE PUBLIC CHARITIES. THE ORGANIZATION RECEIVES DOCUMENTATION FROM THE CHARITIES ON HOW THE FUNDS WILL BE USED AND AN ACKNOWLEDGEMENT OF THE AMOUNT THE ORGANIZATION GAVE TO THE CHARITIES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR KIMBALL PRATT | |||||||||||||
| 693427 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 6576 | 0 | 704903 | 0 | 0 | 0 |
| DR CHARLES VEST | |||||||||||||
| 355820 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 4180 | 0 | 364900 | 0 | 0 | 0 |
| STEVEN FILLMORE | |||||||||||||
| 338266 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 1291 | 0 | 344457 | 0 | 0 | 0 |
| DR LEWIS WALLACE | |||||||||||||
| 333721 | 0 | 0 | 0 | 0 | 0 | 4900 | 0 | 0 | 0 | 338621 | 0 | 0 | 0 |
| DR IMTIAZ AHMED | |||||||||||||
| 186466 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 186466 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | FORM 990, SCHEDULE J, PART 1 | ReturnReference |
| Explanation | THE FOLLOWING INVIDUALS RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION (MERCY HEALTH SYSTEM) FOR SERVICES RENDERED TO THE ORGANIZATION. THE ORGANIZATION IS NOT AWARE OF THE TERMS OF THE AGREEMENT BETWEEN THE IDVIDUALS AND MERCY HEALTH SYSTEM. MARY GALLUP W. KENT ROGERS | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CHERYL | |||
| FAMILY MEMBER OF MARK | |||
| WEEMS | |||
| WEEMS, BOARD MEMBER | 76514 | EMPLOYMENT | false |
| BRADEN | |||
| FAMILY MEMBER OF DEAN | |||
| PETERSON | |||
| PETERSON, BOARD MEMBER | 43563 | EMPLOYMENT | false |
| JACQUELINE | |||
| FAMILY MEMBER OF CHARLES | |||
| VEST | |||
| R. VEST, BOARD MEMBER | 19890 | INDEPENDENT CONTRACTOR | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, PART VI, LINE 2 | JOANN CARPENTER, M.D. AND CHARLES R. METTRY, D.O. HAVE A BUSINESS RELATIONSHIP. |
| 2 | FORM 990, PART VI, LINE 3 | VALLEY VIEW REGIONAL HOSPITAL IS MANAGED BY MERCY HEALTH SYSTEMS. |
| 3 | FORM 990, PART VI, LINE 7A | THE TOTAL NUMBER OF MEMBERS OF THE BOARD IS THE SAME AS THE TOTAL NUMBER OF MEMBERS OF THE VALLEY VIEW HOSPITAL AUTHORITY BOARD. MEMBERS OF THE BOARD OF THE AUTHORITY ARE MEMBERS OF VALLEY VIEW REGIONAL HOSPITAL'S BOARD. SHOULD ANY MEMBER OF THE AUTHORITY BOARD DECLINE OR FAIL TO QUALIFY AS A MEMBER OF THE HOSPITAL BOARD, THE HOSPITAL BOARD SHALL HAVE THE POWER TO ELECT A PERSON TO FILL THE VACANCY. |
| 4 | FORM 990, PART VI, LINE 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE RETURN IS REVIEWED INTERNALLY AND THEN IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD BEFORE FILING WITH THE IRS. THE REVIEW AND APPROVAL IS DOCUMENTED IN THE MINUTES OF THE FINANCE COMMITTEE. A COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD BEFORE IT IS FILED WITH THE IRS. |
| 5 | FORM 990, PART VI, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER, SENIOR MANAGEMENT STAFF, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. |
| 6 | FORM 990, PART VI, LINE 15A | THE ORGANIZATION DOES NOT COMPENSATE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE CEO AND OTHER OFFICERS RECIEVE COMPENSATION FROM AN UNRELATED ORGANIZATION FOR SERVICES RENDERED TO THE ORGANIZATION. |
| 7 | FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF STRATFORD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 W SMITH | AddressLine1 |
| City | STRATFORD | City |
| State | OK | State |
| ZIP Code | 74872 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731327488 | EIN |
| Primary Activities | CLINIC | PrimaryActivities |
| Legal Domicile State | OK | LegalDomicileState |
| Total Income | 436286 | TotalIncome |
| EOY Assets | 234679 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| VALLEY VIEW FOUNDATION INC | |||||||||
| 430 N MONTE VISTA | ADA | OK | 74820 | 201964563 | SUPPORT ORG | OK | 501(C)(3) | 11A | NA |
| VALLEY VIEW HOSPITAL AUTHORITY INC | |||||||||
| 430 N MONTE VISTA | ADA | OK | 74820 | 730759362 | SUPPORT VVRH | OK | GOV'T | NA | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY VIEW MANAGEMENT GROUP INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 430 N MONTE VISTA ST | AddressLine1 |
| City | ADA | City |
| State | OK | State |
| ZIP Code | 74820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731481379 | EIN |
| Primary Activity | PHYSICIAN PRACT | PrimaryActivity |
| Legal Domicile State | OK | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORPORATION | TypeOfEntity |
| Share Of Total Income | 1629592 | ShareOfTotalIncome |
| Share Of EOY Assets | 460091 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| VALLEY VIEW MANAGEMENT GROUP INC | |
| B | 2069183 |
| VALLEY VIEW MANAGEMENT GROUP INC | |
| C | 1350000 |
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