TY 2020 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
GLENWOOD ANESTHESIA PROFESSIONALS, PO BOX 2629 GLENWOOD SPRINGS,CO81602	PHYSICIAN LOCUM TENE	1,023,076
TEGRIA SERVICES GROUP-US INC DBA E, PO BOX 1496 SPOKANE,WA99210	CONSULTING	831,160
COMPHEALTH, PO BOX 26855 SALT LAKE CITY,UT841260855	PHYSICIAN LOCUM TENE	830,787
HALL RENDER KILLIAN HEATH LYMA, 39778 TREASURY CENTER CHICAGO,IL606949700	LEGAL SERVICES	745,075
LOCUMTENENS HOLDINGS LLC DBA LOCUM, 2655 NORTHWINDS PARKWAY ALPHARETTA,GA30009	PHYSICIAN LOCUM TENE	722,104
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 35

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization VALLEY VIEW HOSPITAL ASSOCIATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization VALLEY VIEW HOSPITAL ASSOCIATION		Employer identification number 84-0446259

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization VALLEY VIEW HOSPITAL ASSOCIATION			Employer identification number 84-0446259
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

7,699

Total. Add lines 1c through 1i ....................................................................................................

7,699

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1i	The amount on line 1i represents the Portion of annual dues paid to the American Hospital Association and Colorado Health Association that were used for lobbying purposes.

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	165,183	164,784	167,094	150,596	142,158
b	Contributions ...
c	Net investment earnings, gains, and losses	-5,182	399	-2,310	16,498	8,438
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	160,001	165,183	164,784	167,094	150,596

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	12,110,722		12,110,722
b	Buildings ....	256,486,019	113,155,563	143,330,456
c	Leasehold improvements	2,737,159	2,208,737	528,422
d	Equipment ....	93,461,864	75,487,964	17,973,900
e	Other .....	38,381,802	7,882,563	30,449,239
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				204,442,739

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	6,129,565
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	271,062,706
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	4,928,773
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	3,972,269
e	Add lines 2a through 2d .....................			2e	8,901,042
3	Subtract line 2e from line 1..................			3	262,161,664
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	1,878,596
c	Add lines 4a and 4b....................			4c	1,878,596
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	264,040,260

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	251,635,001
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	3,285,731
e	Add lines 2a through 2d....................			2e	3,285,731
3	Subtract line 2e from line 1...................			3	248,349,270
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	146,435
c	Add lines 4a and 4b.....................			4c	146,435
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	248,495,705

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART V, LINE 4	THE FOUNDATION'S ENDOWMENT FUNDS ARE INVESTMENTS. DISTRIBUTIONS ARE EITHER REINVESTED OR ARE UTILIZED TO ADVANCE THE PATIENT CARE EFFORTS AT VALLEY VIEW.
Schedule D, Part XI, Line 2D	Revenue On Books, Not on Return: 686,538 - Change in Beneficial Interest in Foundation 622,263 - Rental Expense Reclassed to Revenue 2,663,468 - Cost of Goods Sold 3,972,269 - Total
Schedule D, part XI, Line 4b	Revenue on Return, Not on Books: 172,099 - Loss on Equity Method Investment 1,706,497 - Income from Grantor Trust 1,878,596 - Total
Schedule D, Part XII, Line 2d	Expense on Books, Not on Return: 622,263 - Rental Expense Reclassed to revenue 2,663,468 - Cost of Goods Sold 3,285,731 - total
Schedule D, part XII, Line 4b	Expense on Books, Not on Return: 146,435 - Expense from Grantor Trust 146,435 - Total

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 199 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,929,484		4,929,484	1.980 %
b	Medicaid (from Worksheet 3, column a) . . . . .	48,570,734	31,094,769	17,475,965	7.030 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	650,018		650,018	0.260 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	54,150,236	31,094,769	23,055,467	9.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	645,951	6,686	639,265	0.260 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	348,974	20,916	328,058	0.130 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	303,998		303,998	0.120 %
j	Total. Other Benefits . .	1,298,923	27,602	1,271,321	0.510 %
k	Total. Add lines 7d and 7j .	55,449,159	31,122,371	24,326,788	9.780 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	93,535	93,535	0.030 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	93,535	93,535	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

5,162,390

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

42,828,408

Enter Medicare allowable costs of care relating to payments on line 5.....

57,040,168

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-14,211,760

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	VALLEY VIEW HOSPITAL ASSOCIATION 1906 BLAKE AVE GLENWOOD SPRINGS,CO81601 WWW.VVH.ORG PDO.0500000005	X	X	X	SOLE COMMUNITY hospital

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	VALLEY VIEW HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.VVH.ORG/ABOUT/PUBLICATIONS/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.VVH.ORG/ABOUT/PUBLICATIONS/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	VALLEY VIEW HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 199.%
and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	VALLEY VIEW HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	VALLEY VIEW HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5	VALLEY VIEW HOSPITAL GATHERED INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY BY CONDUCTING A SURVEY. THE SURVEY WAS DESIGNED TO ASSEMBLE INFORMATION FROM LOCAL RESIDENTS REGARDING: - DEMOGRAPHICS OF RESPONDENTS - UTILIZATION AND PERCEPTION OF LOCAL HEALTH SERVICES - PERCEPTION OF COMMUNITY HEALTH THE IDENTITY OF THE PERSONS CONSULTED CONSISTED OF MEMBERS OF THE CHAMBER OF COMMERCE, LOCAL PHYSICIANS, COMMUNITY LEADERS, AND BUSINESS OWNERS.
SCHEDULE H, PART V, SECTION B, LINE 11	VALLEY VIEW ADDRESSES THE FOLLOWING SIX IMPLEMENTATION PRIORITIES: BEHAVIORAL HEALTH, CARDIOVASCULAR DISEASE, CANCER, DIABETES, HEALTHCARE ACCESS AND MOTOR VEHICLE ACCIDENTS. THESE ARE ALL SERIOUS HEALTH CONCERNS IN THE COMMUNITY IDENTIFIED BY THE CHNA. A FEW OF THE SPECIFIC ACTIONS TO ADDRESS BEHAVIORAL HEALTH CONCERNS INCLUDE IMPLEMENTING AN INTEGRATED BEHAVIORAL HEALTH PROGRAM AT THE VALLEY VIEW PRIMARY CARE PRACTICES, INCLUDING ROARING FORK FAMILY PRACTICE, EAGLE VALLEY FAMILY PRACTICE, WOMEN'S HEALTH AND INTERNAL MEDICINE. AS OF 2021, VALLEY VIEW EMPLOYS PHYCHIATRIC NURSE PRACTITIONERS TO IMPROVE PATIENT ACCESS FOR PSYCHIATRY. VALLEY VIEW IS ALSO IMPLEMENTING PEER-TO-PEER CARE SUPPORT FOR PATIENTS IN BEHAVIORAL HEALTH CRISIS IN THE EMERGENCY DEPARTMENT AND TRANSITIONS OF CARE PROJECT AMONG VALLEY VIEW INPATIENTS AND OUTPATIENT CARE SETTINGS. VALLEY VIEW ALSO PARTICIPATES IN COMMUNITY EFFORTS TO BUILD AN INTEGRATED HEALTHCARE SYSTEM INCLUDING COMPLETION OF A FORMAL CARE COMPACT WITH MIND SPRINGS HEALTH. TO ADDRESS THE CARDIOVASCULAR DISEASE AND ATRIAL FIBRILLATION CONCERNS VALLEY VIEW IS FOCUSED ON GROWING THEIR CARDIOVASCULAR SERVICE LINE, WHICH IS THE ONLY SUCH PROGRAM IN THE MOUNTAIN WEST REGION OFFERING EVERY KNOWN MODALITY TO TREAT AND MANAGE ATRIAL FIBRILLATION. VALLEY VIEW IS ALSO NOW OFFERING OPEN HEART SURGERY AND NEW SURGICAL PROCEDURES INVOLVING THE LUNGS. WE AT VALLEY VIEW OFFER TOP CARDIAC CARE TO THE ROARING FORK VALLEY AND BEYOND. VALLEY VIEW IS STRIVING TO ENSURE THAT PATIENTS HAVE ACCESS TO HIGH-QUALITY CARDIOVASCULAR CARE CLOSE TO THEIR HOMES, INCLUDING MAINTAINING CURRENT OUTREACH LOCATIONS IN EAGLE, MEEKER, RANGELY, RIFLE, BATTLEMENT MESA, AND GRAND JUNCTION. VALLEY VIEW OFFERS EXPANDED SERVICES THROUGH OUR CARDIOPULMONARY REHAB DEPARTMENT FOR BOTH PRIMARY PREVENTION THROUGH OUR LOW COST RISK FACTOR MODIFICATION PROGRAM AND DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. VALLEY VIEW HAS RECENTLY EXPANDED SERVICES FOR TREATMENT OF CHRONIC COVID SYSMPTOMS WHEN PATIENTS REQUIRE PULMONARY REHABILITATION. SOME OF THE WAYS VALLEY VIEW IS ADDRESSING THE COMMUNITY CONCERN ABOUT CANCER INCLUDE EXPANDING PREVENTION AND TREATMENT RELATED TO BREAST AND LUNG CANCER. VALLEY VIEW DEVELOPED THE BREAST CENTER, WHICH IS A MULTI-DISCIPLINARY CARE TEAM APPROACH FOR BREAST CANCER, INCLUDING PRESENTATION OF ALL BREAST CASES AT THE BI-MONTHLY TUMOR BOARD. VALLEY VIEW ALSO HOSTS FREE PROVIDER-LED EDUCATIONAL EVENTS ABOUT BREAST CANCER ACROSS THE COMMUNITY. VALLEY VIEW OFFERS STATE-OF-THE-ART 3D MAMMOGRAPHY WITH FELLOWSHIP-TRAINED RADIOLOGISTS, INCLUDING WALK-IN APPOINTMENTS AND FREE MAMMOGRAMS FOR YOUR 40TH BIRTHDAY. TO PREVENT LUNG CANCER, VALLEY VIEW HOSTS MONTHLY CLASSES UTILIZING THE QUIT SMART PROGRAM FROM DUKE UNIVERSITY. VALLEY VIEW ALSO SUPPORTS THE "SOLVE VAPING" COMMUNITY EFFORT, FOCUSED ON ERVENTION-TREATMENT-POLICY AND SOLUTIONS. PEDIATRIC PARTNERS EDUCATES PARENTS OF PATIENTS ON THE RISKS OF HIGH RADON AND OFFERS INFORMATION ON HOW TO OBTAIN NO-COST RADON KITS FOR COMMUNITY MEMBERS TO TEST RADON LEVELS IN THEIR HOMES. THE HOSPITAL IS IMPLEMENTING NEW LUNG CANCER MODALITIES SUCH AS IMMUNOLOGIC TESTING AND TYPING OF LUNG CANCER. VALLEY VIEW ENSURES CONSISTENT PREVENTATIVE SCREENINGS FOR DIABETES IN THE PRIMARY CARE PRACTICES. THE HOSPITAL ALSO OFFERS LOW-COST SCREENINGS AT THE COMMUNITY HEALTH FAIRS PUT ON BY THE HEALTH QUEST DEPARTMENT. FOR COMMUNITY MEMBERS AT-RISK FOR DIABETES THE HOSPITAL PROVIDES CENTERS FOR DISEASE CONTROL AND PREVENTION-CERTIFIED DIABETES PREVENTION PROGRAM, FOCUSED ON EDUCATION, EXERCISE, NUTRITION AND SUPPORT. RELATED TO THE CONCERNS WITH HEALTHCARE ACCESS, VALLEY VIEW IMPLEMENTED NEW COMPETITIVE PRICING STRATEGIES OUTPATIENT SURGERIES. THE HOSPITAL ALSO PARTICIPATES IN THE VALLEY HEALTH ALLIANCE AND WEST MOUNTAIN REGIONAL HEALTH ALLIANCE TO ADDRESS POPULATION HEALTH AND TOTAL COST OF CARE. A GENEROUS FINANCIAL ASSISTANCE PROGRAM IS OFFERED FOR FAMILIES QUALIFYING UP TO 500% OF FEDERAL POVERTY LEVEL. ALIGNING WITH THE NEW COLORADO HOSPITAL TRANSFORMATION PROGRAM'S STATE PRIORITY, IN 2020 VALLEY VIEW OPENED AN AFTER HOURS URGENT CARE OR DULA TRACK EMERGENCY DEPARTMENT. MOTOR VEHICLE ACCIDENTS OFTEN INVOLVE EXTENSIVE TRAUMA, SO VALLEY VIEW PARTNERS WITH CLASSIC AIR MEDICAL TO PROVIDE LEVEL III TRAUMA SERVICE WITH AIR AMBULANCE TRANSPORT FOR HIGH ACUITY PATIENTS. VALLEY VIEW HOSTS A 6-WEEK TEEN SEATBELT CHALLENGE TO RAISE SEAT BELT AWARENESS AND EDUCATION REGARDING DISTRACTED DRIVING. LAST IN 2020, VALLEY VIEW CONDUCTED A VIRTUAL COMMUNITY TOWN HALL IN ENGLISH AND SPANISH TO SHARE OUR WORK RELATED TO THE CHNA, ANSWER QUESTIONS AND REQUEST FEEDBACK FROM THE COMMUNITY. THE FOLLOWING CHNA-IDENTIFIED HEALTH NEEDS ARE ADDRESSED IN CONJUNCTION WITH THE HEALTH PRIORITIES WITH WHICH THEY ARE ALIGNED: OBESITY, TOBACCO USE, LACK OF EXERCISE, ETC. FOR EXAMPLE, TOBACCO USE IS CONSIDERED A PART OF ADDRESSING CANCER. DOMESTIC VIOLENCE, LACK OF DENTAL CARE, UNDERAGE ALCOHOL USE, AND CHILD ABUSE/NEGLECT ARE HEALTH NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGY BECAUSE THEY ARE BEING ADDRESSED BY OTHER ORGANIZATIONS WITH EXPERTISE AND THE CAPACITY TO DO SO. VALLEY VIEW PROVIDES STAFF EDUCATION AND AWARENESS PROMOTION TO SUPPORT THE COMMUNITY ORGANIZATIONS THAT SPECIALIZE IN ADDRESSING THESES OTHER CONCERNS.
Schedule H, Part V, Line 16A-16C	Direct URL for FAP, PLS and APPLICATION: HTTPS://WWW.VVH.ORG/FINANCIAL/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2020

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	ROARING FORK FAMILY PRACTICE 978 EUCLID AVENUE CARBONDALE,CO81623	FAMILY PRACTICE
2	PEDIATRIC PARTNERS 1905 BLAKE AVENUE GLENWOOD SPRINGS,CO81601	PEDIATRICS
3	EAGLE VALLEY FAMILY PRACTICE 377 SYLVAN LAKE ROAD EAGLE,CO81631	FAMILY PRACTICE
4	WILLITS HEALTHCARE 350 MARKET STREET BASALT,CO81621	GENERAL PRACTICE HEALTHCARE
5	SILT HEALTHCARE 2001 HORSESHOE TRAIL SILT,CO81652	GENERAL PRACTICE HEALTHCARE, NEUROLOGY CENTER, SPINE CENTER WOMENS' HEALTH
6	SILT FAMILY PRACTICE 2001 HORSESHOE TRAIL SILT,CO81652	FAMILY PRACTICE
7	HEART AND VASCULAR CENTER GRAND JUNCTION 607 25 ROAD GRAND JUNCTION,CO81505	HEART & VASCULAR CENTER
8	EAGLE HEALTHCARE 377 SYLVAN LAKE ROAD EAGLE,CO81631	ORTHOPAEDIC, HEART & VASCULAR, SPINE CENTER, NEUROLOGY CENTER UROLOGY
9
10

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3	DESCRIPTION OF OTHER FACTORS USED IN DETERMINING FAP ELIGIBILITY: IN ADDITION TO THE FPG VALLEY VIEW HOSPITAL ASSOCIATION ALSO USES ASSET LEVEL, MEDICAL INDIGENCY AND INSURANCE STATUS TO DETERMINE ELIGIBILITY
SCHEDULE H, PART I, LINE 7	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A and 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART II, LINES 1-10	VALLEY VIEW HOSPITAL IS A MEMBER OF THE VALLEY HEALTH ALLIANCE WHICH PROMOTES THE HEALTH AND WELL-BEING OF OUR COMMUNITIES BY COLLABORATING TO PROVIDE HEALTHCARE THAT IS ACCESSIBLE, AFFORDABLE AND HIGH QUALITY. THE MISSION IS TO MEET PEOPLE WHERE THEY ARE IN THEIR JOURNEY TO IMPROVE PERSONAL HEALTH AND WELL-BEING THROUGH TRUSTED PARTNERSHIPS WITH THEIR EMPLOYERS AND PROVIDERS.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2020. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	VALLEY VIEW DOES NOT HAVE A METHOD TO ESTIMATE THE AMOUNT OF BAD DEBT COST THAT WOULD RELATE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER VALLEY VIEW'S FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION HAD BEEN RECIEVED TO MAKE A DETERMINATION OF THE PATIENT'S ELIGIBILITY; IT IS BELIEVED THAT A SIGNIFICANT AMOUNT OF BAD DEBT WOULD QUALIFY FOR CHARITY.
SCHEDULE H, PART III, SECTION A, LINE 4	ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW VALLEY VIEW HOSPITAL ASSOCIATION RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION VALLEY VIEW HOSPITAL ASSOCIATION DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	AS A RURAL HOSPITAL THE ORGANIZATION IS CRITICAL IN PROVIDING HEALTHCARE SERVICES TO ALL COMMUNITY MEMBERS INCLUDING THE ELDERLY POPULATION WHICH MEDICAL STAFF IN THE SURROUNDING AREA RESIST. ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICE IS NEEDED FOR THE OVERALL HEALTH OF OUR RESIDENTS EVEN IF OUR MEDICARE REIMBURSEMENT DOES NOT MEET THE COST OF PROVIDING THAT CARE. THE MEDICARE SHORTFALL REFLECTS THE EXCESS OF COSTS CONSISTENTLY DRIVEN UP BY INTENSIFYING REGULATORY REQUIREMENTS, SKILLED LABOR SHORTAGES AND EVOLVING MEDICAL AND INFORMATION TECHNOLOGY, OVER NON NEGOTIABLE PAYMENTS BASED ON UPDATES THAT HAVE FALLEN BEHIND ACTUAL HEALTHCARE COST INFLATION. COSTS ARE BASED ON MEDICARE COST REPORT ALLOCATIONS. THE COST REPORT WAS USED TO DETERMINE THE ALLOWABLE COSTS REPORTED ON LINE 6.
SCHEDULE H, PART III, SECTION C, LINE 9B	FAP ALLOWS FOR A DISCOUNT OF 50% TO 100% BASED ON A SLIDING SCALE. REMAINING BALANCES AFTER THE DISCOUNT ARE TREATED AS ALL OTHER SELF PAY ACCOUNTS. THE SYSTEM GENERATES THREE STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVES WILL ATTEMPT AT LEAST TWO PHONE CALLS. THE THIRD STATEMENT IS A FINAL NOTICE FOR SELF PAY AND IS GENERATED BY THE CUSTOMER SERVICE SUPERVISOR AT ABOUT 90 DAYS. WITHOUT OTHER ARRANGEMENTS, THE DEBT IS TRANSFERRED TO THE COLLECTION AGENCY AFTER 120 DAYS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: VALLEY VIEW CONDUCTS A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE HOSPITAL ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES THROUGH SURVEYS TAKEN BY COMMUNITY HEALTH DEPARTMENTS AND INPUT FROM COMMUNITY FOCUS GROUPS. IN ADDITION, WE ARE ACTIVELY INVOLVED WITH KEY COMMUNITY ORGANIZATIONS AND AGENCIES TO BEST UNDERSTAND AND RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. FOR EXAMPLE, WE ARE COLLABORATING WITH THE CITY OF GLENWOOD SPRINGS TO HELP ADDRESS THE CHALLENGES OF HOMELESSNESS AND SUBSTANCE ABUSE BY EXPLORING HOUSING OPPORTUNITIES AND A COMMUNITY DETOX.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL HIRES EMPLOYEES ON A FULL-TIME BASIS TO ASSIST PATIENTS IN COMPLETING FORMS THAT DETERMINE THEIR ELIGIBILITY FOR ATTAINING FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE COMMUNITIES OF GLENWOOD SPRINGS, CARBONDALE, NEW CASTLE, SILT, AND RIFLE IN GARFIELD COUNTY, AND GYPSUM AND BASALT IN EAGLE COUNTY. SEVERAL OF THE HOSPITAL'S PHYSICIAN PRACTICES EXTEND THEIR PATIENT OUTREACH EFFORTS BY PARTNERING WITH OTHER CLINICS AND HOSPITALS THROUGHOUT THE COLORADO WESTERN SLOPE. ACCORDING TO GOVERNMENT CENSUS INFORMATION, FOR 2015-2019 GLENWOOD SPRINGS HAD 9.2% PERSONS BELOW THE POVERTY LEVEL WHICH IS ONLY SLIGHTLY BELOW THE OVERALL PERCENTAGE OF 9.3% FOR THE STATE OF COLORADO.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: AS A MEMBER OF VALLEY HEALTH ALLIANCE AND WEST MOUNTAIN REGIONAL HEALTH ALLIANCE, THE HOSPITAL PARTICIPATES IN COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH AND SAFETY ISSUES. THE HOSPITAL LEADS COMMUNITY HEALTH FAIRS, PROVIDES THE ATHLETIC TRAINER PROGRAM FOR THE THREE AREA HIGH SCHOOLS, HOSTS FREE KIDS AND TEEN SAFETY FAIR ANNUALLY, AND LEADS THE COMMUNITY IN HEALTH PROGRAMMING. THE COVID-19 PANDEMIC IN 2020 PRESENTED MANY CHALLENGES, BUT VALLEY VIEW LED THE COMMUNITY IN SAFETY AND EDUCATION THROUGHOUT THE YEAR AND INTO 2021. VALLEY VIEW KEPT THE COMMUNITY INFORMED ABOUT HOW THE PANDEMIC WAS PROGRESSING IN THE COMMUNITY AND ENCOURAGED EMPLOYEES AND COMMUNITY MEMBERS TO BE SAFE AND FOLLOW THE GUIDELINES SET OUT BY THE CDC. VALLEY VIEW ASSEMBLED AN INCIDENT COMMAND TEAM THAT WAS COMPOSED OF PROVIDERS, NURSING ADMINISTRATORS, AND NONCLINICAL STAFF TO NAVIGATE THE PANDEMIC AS AN ORGANIZATION. THESE PLANNING AND COORDINATION EFFORTS RESULTED IN VALLEY VIEW BEING A REGIONAL MEDICAL CENTER FOR COVID-19 TREATMENT ON THE WESTERN SLOPE OF COLORADO. VALLEY VIEW ALSO OFFERED DOCTOR PRESCRIBED DRIVE-UP TESTING AND A NEW COVID-19 COMMUNITY HOTLINE TO FIELD QUESTIONS AND CONCERNS FROM THE COMMUNITY. VALLEY VIEW BROUGHT ITS EXPERTISE TO SUPPORT OTHER BUSINESSES AND KEY ORGANIZATION IN THEIR RESPONSE TO COVID-19, TOO. INCIDENT COMMAND TEAM MEMBERS WORKED CLOSELY WITH LOCAL SCHOOLS AS THEY PUT TOGETHER PLANS FOR HYBRID AND IN-PERSON LEARNING. A SPECIAL ZOOM FORUM WAS ALSO HOSTED FOR AREA DENTAL PROFESSIONALS TO SHARE VALLEY VIEW'S 'LESSON'S LEARNED', TO HELP IN THE CARE OF THEIR PATIENTS AND PROTECTION OF THEIR STAFF FROM THE VIRUS. MANY OTHER COMMUNITY BUSINESS OWNERS AND LEADERS ALSO TURNED TO VALLEY VIEW FOR ITS EXPERTISE AS THEY SOUGHT TO RESPOND TO COVID-19 AND THE VARIOUS PHASES OF THE PANDEMIC. VALLEY VIEW WAS ALSO THE COMMUNITY LEADER IN OFFERING VACCINES. VALLEY VIEW'S INCIDENT COMMAND TEAM TOOK UP THE COMMUNITY BANNER TO ADMINISTER AS MANY VACCINES AS POSSIBLE. DESPITE THE CHALLENGES OF VACCINE SUPPLY, VALLEY VIEW LED THE WAY IN LEADING MULTIPLE VACCINE CLINICS EVERY WEEK TO ADMINISTER THOUSANDS OF COVID-19 VACCINES AT NO COST. STAFF FROM ACROSS VALLEY VIEW WERE RE-DEPLOYED TO WEEKLY VACCINATION CLINICS TO PERFORM THIS COMMUNITY SERVICE. USING THE FEDERAL POINT OF DISPENSING (POD) MODEL, VALLEY VIEW WAS ABLE TO DISPENSE OVER 175 VACCINATIONS PER HOUR. VALLEY VIEW'S INCIDENT COMMAND TEAM WORKED DIRECTLY WITH OTHER HOSPITALS AND PUBLIC HEALTH SYSTEMS IN THE REGION TO INSTRUCT THEM ON HOW TO USE THE POD MODEL AT THEIR LOCATIONS TO MULTIPLY THE EFFECTIVENESS OF VACCINATION DISPENSING ON THE WESTERN SLOPE OF COLORADO. VALLEY VIEW HAS PROVIDED OVER 23,000 DOSES TO PEOPLE ACROSS THE COUNTY AND STATE, RESULTING IN OVER 11,500 PEOPLE BEING FULLY VACCINATED AT VALLEY VIEW. IN ADDITION, VALLEY VIEW COLLABORATED WITH THE STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH TO HOST A SPECIAL VACCINE EQUITY CLINIC FOCUSING ON MINORITY POPULATIONS.
SCHEDULE H, PART VI, LINE 6	DESCRIPTION OF AFFILIATION: VALLEY VIEW HOSPITAL IS AFFILIATED WITH VALLEY VIEW FOUNDATION. VALLEY VIEW HOSPITAL FOUNDATION (THE FOUNDATION) IS A NOT-FOR-PROFIT ORGANIZATION OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES IN SUPPORT OF THE MISSION AND PURPOSES OF THE HOSPITAL. THE FOUNDATION IS AN AFFILIATE CONTROLLED BY THE HOSPITAL.
SCHEDULE H, PART VI, LINE 7	Description of State Filings: Valley View Hospital Association files a community benefit report annually with Colorado.

Schedule H (Form 990) 2020

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number
84-0446259

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Valley View Hospital Foundation 1906 Blake Avenue Glenwood Springs,CO81601	73-1664673	501(c)(3)	137,500				Support Organization

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I, LINE 2	VALLEY VIEW HOSPITAL DOES NOT OFFER GRANTS TO THE ORGANIZATIONS, IT OFFERS DONATIONS AND SPONSORSHIPS. THE COMMUNITY RELATIONS AND ADMINISTRATION DEPARTMENTS MONITOR AND SELECT WHICH ORGANIZATIONS VALLEY VIEW HOSPITAL WILL SUPPORT WITH DONATIONS.

Schedule I (Form 990) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRIAN MURPHY MD CHIEF EXECUTIVE OFFICER	(i) (ii)	584,695 ------------- 0	148,898 ------------- 0	73,255 ------------- 0	74,649 ------------- 0	43,846 ------------- 0	925,343 ------------- 0	-------------
2CHARLES CREVLING CHIEF FINANCIAL OFFICER	(i) (ii)	322,057 ------------- 0	101,993 ------------- 0	41,370 ------------- 0	61,304 ------------- 0	24,995 ------------- 0	551,719 ------------- 0	-------------
3WADE CEOLA MD NEUROSURGEON	(i) (ii)	1,013,007 ------------- 0	497,000 ------------- 0	26,532 ------------- 0	11,304 ------------- 0	45,015 ------------- 0	1,592,858 ------------- 0	-------------
4FERDINAND LIOTTA MD ORTHOPAEDIC SURGEON	(i) (ii)	754,978 ------------- 0	583,570 ------------- 0	35,686 ------------- 0	11,304 ------------- 0	58,001 ------------- 0	1,443,539 ------------- 0	-------------
5FRANK LAWS MD INTERVENTIONAL CARDIOLOGIST	(i) (ii)	843,202 ------------- 0	164,010 ------------- 0	42,838 ------------- 0	11,304 ------------- 0	17,798 ------------- 0	1,079,152 ------------- 0	-------------
6MARCUS HOWELL MD INTERVENTIONAL CARDIOLOGIST	(i) (ii)	848,459 ------------- 0	135,000 ------------- 0	11,918 ------------- 0	11,304 ------------- 0	56,870 ------------- 0	1,063,551 ------------- 0	-------------
7CHRISTOPHER GEORGE MD ORTHOPAEDIC SURGEON	(i) (ii)	726,771 ------------- 0	180,577 ------------- 0	21,720 ------------- 0	11,304 ------------- 0	44,246 ------------- 0	984,618 ------------- 0	-------------

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I, LINE 1A	CHRISTMAS GIFTS OF $100-$250 WERE GIVEN TO OFFICERS AND KEY EMPLOYEES AND GROSSED UP FOR TAXES.
SCHEDULE J, PART I, LINE 1B	THE CHRISTMAS GIFTS ARE DISCRETIONARY AND IMMATERIAL; THEREFORE, NO WRITTEN POLICY HAS BEEN IMPLEMENTED.
SCHEDULE J, PART I, LINE 4B	BRIAN MURPHY AND CHARLES CREVLING PARTICIPATE IN A SERP PLAN AND EMPLOYER CONTRIBUTIONS DURING CALENDAR YEAR 2020 WERE $63,345 AND $50,000 RESPECTIVELY.
SCHEDULE J, PART I, LINE 7	THE CEO, CFO, AND ALL HIGHEST COMPENSATED EMPLOYEES RECEIVED A BONUS DURING CALENDAR YEAR 2020. THE BONUS WAS DETERMINED BY THE BOARD COMPENSATION COMMITTEE. THE BONUS IS BASED ON MULTIPLE FACTORS INCLUDING, BUT NOT LIMITED TO: SALARY, PRODUCTIVITY, COLLECTIONS, PATIENT SATISFACTION, AND QUALITY AND FINANCIAL GOALS.

Schedule J (Form 990) 2020

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number
84-0446259

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A5G6	12-08-2015	48,891,253	SEE SCHEDULE K, PART VI		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648FFS8	12-19-2017	47,469,359	SEE SCHEDULE K, PART VI		X		X		X
C	Colorado Health Facilities Authority	84-0752932	19648FGMO	05-15-2018	57,160,000	SEE SCHEDULE K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,109,143		3,036,904		2,955,000
2 Amount of bonds legally defeased ..............	0		0		0
3 Total proceeds of issue ..................	48,891,253		47,469,359		57,160,000
4 Gross proceeds in reserve funds .............	0		4,894,286		0
5 Capitalized interest from proceeds .............	0		0		0
6 Proceeds in refunding escrows ...............	0		0		0
7 Issuance costs from proceeds ...............	434,759		498,920		595,000
8 Credit enhancement from proceeds .............	0		0		0
9 Working capital expenditures from proceeds .............	0		0		0
10 Capital expenditures from proceeds .............	48,456,494		0		0
11 Other spent proceeds .............	0		51,864,724		56,565,000
12 Other unspent proceeds .............	0		0		0
13 Year of substantial completion .............	2020		2017		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X			X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........	0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........	0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, LINE A, COLUMN (F)	Obligation issued for improvement and expansion of facilities.
SCHEDULE K, PART I, LINE B, COLUMN (F)	Obligations issued to refund series 2008 Bonds
SCHEDULE K, PART I, LINE C, COLUMN (F)	Obligations issued to refund series 2014 & 2017 Bonds

Schedule K (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	1	25,690	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2020)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN B	THE NUMBER IN COLUMN B REPRESENTS THE TOTAL ITEMS CONTRIBUTED.

Schedule M (Form 990) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Return Reference	Explanation
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS CONT. OPERATING ROOM - TOTAL SURGICAL VISITS OF 3,718. PHARMACY - ORDERS PROCESSED OF 338,115. LAB - BILLABLE TESTS OF 231,148. VALLEY VIEW HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, AGE, CREED, SEX, NATIONAL ORIGIN, OR HANDICAP. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF VALLEY VIEW HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATIONS PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND VARIETY OF COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL OPERATES AN ACUTE CARE, CRITICAL CARE, FAMILY BIRTHPLACE, EMERGENCY ROOM, RADIOLOGY, CARDIOLOGY, CANCER CENTER AND MANY OTHER SPECIALTY PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 6	THERE ARE TWO CLASSES OF MEMBERS: CHARTER OR LIFE MEMBERS AND ANNUAL MEMBERS. THOSE PERSONS OR ENTITIES WHO ARE CHARTER OR LIFE MEMBERS AS OF 7/31/1995 WILL CONTINUE TO BE LIFE MEMBERS. PERSONS WHO BECOME MEMBERS OF THE ASSOCIATION AFTER 7/31/1995 SHALL PAY AN ANNUAL MEMBERSHIP FEE OF $25.00. EACH MEMBER IN GOOD STANDING SHALL HAVE ONE VOTE IN THE BUSINESS OF THE CORPORATION. AS OF 12/31/2020 THERE WERE 54 LIFETIME MEMBERS AND 29 ANNUAL MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	DESCRIPTION OF MEMBERS POWER TO ELECT OR APPOINT GOVERNING BODY: EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON ELECTION OF BOARD MEMBERS AND TO HOLD ANY OFFICE IN THE CORPORATION TO WHICH HE MAY BE ELECTED OR APPOINTED. MEMBERS OF THE CORPORATION SHALL BE ELECTED TO THE BOARD OF TRUSTEES OF THE CORPORATION AS APPROPRIATE AT EACH ANNUAL MEETING OF THE CORPORATION. THE BOARD OF TRUSTEES SHALL CONSIST OF SEVEN ELECTED MEMBERS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	DESCRIPTION OF GOVERNANCE DECISIONS RESERVED BY MEMBERS: EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE ON THE DISPOSITION OF ASSETS.
FORM 990, PART VI, SECTION B, LINE 11B	DESCRIPTION OF PROCESS TO REVIEW FORM 990: INFORMATION FOR SCHEDULES ARE COMPILED BY THE ASSISTANT CONTROLLER AND THE CONTROLLER, SUBMITTED TO INDEPENDENT TAX ADVISORS TO ASSEMBLE INTO THE FORM 990. THE FORM 990 IS THEN REVIEWED BY THE CFO AND PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	DESCRIPTION OF CONFLICT OF INTEREST POLICY: TRUSTEES, OFFICERS AND DIRECTORS, EMPLOYED PHYSICIANS, AND MEMBERS OF THE VALLEY VIEW MEDICAL STAFF WHO ARE IN POSITIONS THAT HAVE INFLUENCE OVER THE AFFAIRS OF VALLEY VIEW AND WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST IN VALLEY VIEW, ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE OF INTEREST STATEMENT FOR ANY A REAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. TEAM MEMBERS AT OR ABOVE THE MANAGEMENT LEVEL MUST COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ONLINE VIA MEDITRACT CONFLICT OF INTEREST SYSTEM UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. TEAM MEMBERS WHO ARE BELOW THE MANAGER LEVEL MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THEIR IMMEDIATE SUPERVISORS, AND SHALL CONTACT THE ADMINISTRATION SUPERVISOR TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ONLINE VIA MEDITRACT CONFLICT OF INTEREST SYSTEM. THE BOARD CHAIR AND EXECUTIVE DIRECTOR OF COMPLIANCE MONITOR THE CONFLICT OF INTEREST DISCLOSURES WITH ADDITIONAL OVERSIGHT PROVIDED BY LEGAL COUNSEL AND THE BOARD AUDIT AND COMPLIANCE COMMITTEE IF A CONFLICT ARISES, THE INDIVIDUAL IN QUESTION IS RECUSED FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15A	IN SETTING THE CEO'S COMPENSATION, THE BOARD USED COMPARABILITY DATA, INCLUDING, BUT NOT LIMITED TO: THE 2017 TOWERS WATSON SURVEY REPORT ON HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION, THE 2019 MOUNTAIN STATES EMPLOYMENT COUNCIL HEALTH CARE COMPENSATION SURVEY, AND THE INTEGRATED HEALTH STRATEGIES. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS FOR DETERMINING THE COMPENSATION IS RECORDED IN THE BOARD MINUTES AND EMPLOYEE FILES.
FORM 990, PART VI, SECTION B, LINE 15B	IN SETTING OFFICER AND KEY EMPLOYEE COMPENSATION, THE CEO USED COMPARABILITY DATA, INCLUDING, BUT NOT LIMITED TO: THE 2017 TOWERS WATSON SURVEY REPORT ON HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION, THE 2019 MOUNTAIN STATES EMPLOYMENT COUNCIL HEALTH CARE COMPENSATION SURVEY, AND THE INTEGRATED HEALTH STRATEGIES. OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED AND APPROVED BY THE CEO. THE PROCESS FOR DETERMINING THE COMPENSATION IS RECORDED IN THE BOARD MINUTES AND EMPLOYEE FILES.
FORM 990, PART VI, SECTION C, LINE 19	DESCRIPTION OF DOCUMENT MADE AVAILABLE TO THE PUBLIC: VALLEY VIEW'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
FORM 990, PART XI, LINE 9	Description of other change in net assets, (172,099) - LOSS FROM EQUITY METHOD INVESTMENT 686,538 - CHANGE IN VALUE OF INTEREST IN FOUNDATION (1,560,062) - NET INCOME RECOGNIZED FROM GRANTOR TRUST STATEMENT (1,045,623) - TOTAL
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:7460910
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:3372635
FORM 990 PART IX LINE 11G	DESCRIPTION:FREIGHT TOTAL FEES:414362
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITING TOTAL FEES:290282
FORM 990 PART IX LINE 11G	DESCRIPTION:LEASED EQUIPMENT TOTAL FEES:105589
FORM 990 PART IX LINE 11G	DESCRIPTION:TELEPHONE/TELEVISION TOTAL FEES:72691
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:13419489

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

VALLEY VIEW HOSPITAL ASSOCIATION

Employer identification number

84-0446259

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MID-VALLEY MEDICAL CENTER HOLDING LLC 1450 EAST VALLEY ROAD UNIT 201 BASALT,CO81621	REAL ESTATE	CO	-29,214	2,689,076	VVHA

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)VALLEY VIEW HOSPITAL FOUNDATION 1906 BLAKE AVENUE GLENWOOD SPRINGS,CO81601 73-1664673	SUPPORT VVH	CO	501(C)(3)	12A	VVHA	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Valley View Hospital Foundation	B	137,500	Cash Transfer
(2) Valley View Hospital Foundation	C	686,524	Cash Transfer

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CARING FOR YOU AND YOUR FAMILY, ONE PATIENT AT A TIME.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	1,449
6	Total number of volunteers (estimate if necessary) .............	6	123
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	215,499
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,837,194	6,875,239
9	Program service revenue (Part VIII, line 2g) .........	249,338,527	248,973,086
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,648,478	6,468,756
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,423,136	1,723,179
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	261,247,335	264,040,260
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	188,837	146,700
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	126,033,790	134,827,189
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	107,229,740	113,521,816
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	233,452,367	248,495,705
19	Revenue less expenses. Subtract line 18 from line 12.......	27,794,968	15,544,555
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	535,135,161	557,022,034
21	Total liabilities (Part X, line 26).............	179,184,202	181,643,370
22	Net assets or fund balances. Subtract line 21 from line 20.....	355,950,959	375,378,664

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 202,588,595 including grants of $ 146,700 ) (Revenue $ 249,068,819 )
	VALLEY VIEW HOSPITAL IS AN ACUTE CARE HOSPITAL OWNED BY VALLEY VIEW HOSPITAL ASSOCIATION, INC., A NOT-FOR-PROFIT CORPORATION. THE HOSPITAL PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN GLENWOOD SPRINGS, COLORADO. VALLEY VIEW HOSPITAL ALSO OWNS AND OPERATES CARE CENTERS IN THE NEARBY COMMUNITIES OF EAGLE, BASALT, AND SILT, COLORADO AND PROVIDES SERVICES AT VARIOUS OTHER HEALTHCARE FACILITIES ON THE COLORADO WESTERN SLOPE. SEE SCHEDULE O FOR MORE INFORMATION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses202,588,595

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) WADE CEOLA MD...................................................................... NEUROSURGEON	40.0 ................. 0.0			X	1,536,539	0	56,319
(2) FERDINAND LIOTTA MD...................................................................... ORTHOPAEDIC SURGEON	40.0 ................. 0.0			X	1,374,234	0	69,305
(3) FRANK LAWS MD...................................................................... INTERVENTIONAL CARDIOLOGIST	40.0 ................. 0.0			X	1,050,050	0	29,102
(4) MARCUS HOWELL MD...................................................................... INTERVENTIONAL CARDIOLOGIST	40.0 ................. 0.0			X	995,377	0	68,174
(5) CHRISTOPHER GEORGE MD...................................................................... ORTHOPAEDIC SURGEON	40.0 ................. 0.0			X	929,068	0	55,550
(6) BRIAN MURPHY MD...................................................................... CHIEF EXECUTIVE OFFICER	40.0 ................. 0.0		X		806,848	0	118,495
(7) CHARLES CREVLING...................................................................... CHIEF FINANCIAL OFFICER	40.0 ................. 0.0		X		465,420	0	86,299
(8) BRIAN LEASURE FORMER CHAIR...................................................................... TRUSTEE, BOARD MEMBER,	1.0 ................. 0.0	X			0	0	0
(9) NICOLE MCDERMOTT MD...................................................................... TRUSTEE, BOARD MEMBER	1.0 ................. 0.0	X			0	0	0
(10) MIKE FATTOR...................................................................... TRUSTEE, BOARD MEMBER	1.0 ................. 0.0	X			0	0	0
(11) NETTIE AVERY...................................................................... CHAIR, BOARD MEMBER	1.0 ................. 0.0	X	X		0	0	0
(12) KEN MURPHY...................................................................... SECRETARY, BOARD MEMBER	1.0 ................. 0.0	X	X		0	0	0
(13) WILL DOUGLAS...................................................................... TREASURER, BOARD MEMBER	1.0 ................. 0.0	X	X		0	0	0
(14) ROB MACAULAY MD...................................................................... TRUSTEE, BOARD MEMBER	1.0 ................. 0.0	X			0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,157,536	0	483,244

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	686,524
e	Government grants (contributions)		1e	6,145,124

f	All other contributions, gifts, grants, and similar amounts not included above		1f	43,591

g	Noncash contributions included in lines 1a - 1f:$		1g	25,690

h Total. Add lines 1a-1f.......		6,875,239

		Business Code
2a	Patient Service Revenue	621400	246,664,608	246,664,608
b	Day Care	624410	119,766		119,766
c	Medical/Pharmacy	561499	12,221	12,221
d	Miscellaneous Program Income	900099	2,176,491	2,176,491
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		248,973,086

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,933,264			4,933,264
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		608,937	6a
b	Less: rental expenses		622,263	6b
c	Rental income or (loss)	0	-13,326	6c
d	Net rental income or (loss).......			-13,326			-13,326
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	448,333	10,561,410	7a
b	Less: cost or other basis and sales expenses	230,542	9,243,709	7b
c	Gain or (loss)	217,791	1,317,701	7c
d	Net gain or (loss).........			1,535,492			1,535,492
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	3,321,198
b	Less: cost of goods sold ..		10b	2,663,468
c	Net income or (loss) from sales of inventory..			657,730		215,499	442,231
Business Code			Miscellaneous Revenue
11a	Cafeteria		722514	1,078,775			1,078,775
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,078,775
12	Total revenue. See instructions.....			264,040,260	248,853,320	215,499	8,096,202

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	146,700	146,700
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,477,062	0	1,477,062	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	96,726,348	76,996,964	19,729,384
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,282,000	2,685,467	596,533
9	Other employee benefits .......	27,467,132	21,634,860	5,832,272
10	Payroll taxes ...........	5,874,647	4,615,677	1,258,970
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	837,798		837,798
c	Accounting ...........	238,578		238,578
d	Lobbying ...........	7,699		7,699
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	25,135,958	18,956,256	6,179,702
12	Advertising and promotion ....	592,049	5,468	586,581
13	Office expenses .......	1,008,419	486,972	521,447
14	Information technology ......	6,207,199	6,207,199
15	Royalties ..	0
16	Occupancy ...........	3,179,068	2,196,982	982,086
17	Travel ............	64,345	60,759	3,586
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	196,808	164,429	32,379
20	Interest ...........	5,741,572	4,094,206	1,647,366
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	16,210,633	11,675,197	4,535,436
23	Insurance ...	1,114,208	765,871	348,337
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	38,542,393	38,287,607	254,786
b	Medicaid Provider Fee	8,430,127	8,430,127
c	Repairs & Maintenance	799,240	507,434	291,806
d	Books, Dues, Licenses	5,172,844	4,670,420	502,424
e	All other expenses	42,878		42,878
25	Total functional expenses. Add lines 1 through 24e	248,495,705	202,588,595	45,907,110	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			261,347	1	251,332
2	Savings and temporary cash investments .........			15,952,062	2	12,067,778
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			36,179,061	4	37,393,315
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	27,395
8	Inventories for sale or use ............			4,956,170	8	6,874,694
9	Prepaid expenses and deferred charges ......			4,561,044	9	4,786,979
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	403,177,566
b	Less: accumulated depreciation	10b	198,734,827	189,572,564	10c	204,442,739
11	Investments—publicly traded securities .			271,975,516	11	280,231,530
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			6,359,312	13	6,187,213
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			5,318,085	15	4,759,059
16	Total assets. Add lines 1 through 15 (must equal line 33)...			535,135,161	16	557,022,034

17	Accounts payable and accrued expenses .....	30,974,700	17	30,218,647
18	Grants payable ...	0	18	0
19	Deferred revenue .........	93,544	19	6,662,130
20	Tax-exempt bond liabilities .........	140,186,077	20	138,023,811
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	1,004,203	23	609,217
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	6,925,678	25	6,129,565
26	Total liabilities. Add lines 17 through 25..	179,184,202	26	181,643,370

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	352,851,182	27	371,742,321
28	Net assets with donor restrictions ...........	3,099,777	28	3,636,343
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	355,950,959	32	375,378,664
33	Total liabilities and net assets/fund balances ........	535,135,161	33	557,022,034