2025-02-05T14:25:16-06:00 2024-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-07-01 870419324 Central Valley Medical Center CENT 4356233000 PO Box 412 Nephi UT 84648 Mark R Stoddard CEO 4356233000 2025-02-03 1 1 Kim Hunwardsen CPA P00484560 6122536500 2025-02-03 2023 2025-03-06 01:10:19Z Mark R Stoddard PO Box 412 Nephi UT 84648 76429648 0 X www.centralvalleymedicalcenter.com X 1984 UT Hospital services. 7 6 459 14 2769086 944664 606808 37495 59593053 71800267 1452607 2085391 0 0 61652468 73923153 44807 89238 0 0 22984471 25760435 0 0 125663 35446471 39210946 58475749 65060619 3176719 8862534 104778987 113999388 25869222 26258832 78909765 87740556 X The mission of Central Valley Medical Center is to provide sensitive, compassionate health care of the highest quality to our patients, their families, and friends. We do this in a manner that encourages the efficient use of resources while providing a working environment that promotes the personal and professional growth of our employees. 0 0 55524959 89238 69385460 Central Valley Medical Center operates a hospital and three medical clinics providing medical care to rural communities. 55524959 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 56 0 1 459 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 UT X Brent Davis 4356233111 PO BOX 412 Nephi UT 84648 Mark Chase Chairman 1.00 X X 900 0 0 Leanna Lundell Board Member 1.00 X 1200 0 0 Sue Ann Whitlock Board Member 1.00 X 1200 0 0 Alan Kenison Board Member 1.00 X 1350 0 0 Timothy Blackham Board Member 1.00 X 1350 0 0 Gayle Ludlow Board Member 1.00 X 1050 0 0 Mark Stoddard President & CEO 40.00 X X 0 0 0 Brent Davis CFO/Treasurer 40.00 X 0 0 0 Randy Cuff COO/Vice President 40.00 X 0 0 0 Brandon Beck Physician 40.00 X 307014 0 28804 Jason Standring Physician 40.00 X 284390 0 42820 Todd Sorensen Physician 40.00 X 205696 0 13996 Kecia White Retail Pharmacy Manager 40.00 X 207953 0 13646 Jason Neilsen Physician 40.00 X 276033 0 42359 1288136 0 141625 25 0 1 0 Rural Health Management Corporation 48 W 1500 N Nephi UT 84648 Physician services 5942474 Rural Health Group Inc 48 W 1500 N Nephi UT 84648 Management services 2541460 SW Rehab Inc 887 N 800 E Nephi UT 84648 Physical, Occupational & Speech Therapy 2171638 Salt Creek Anesthesia 1766 W 800 S Nephi UT 84648 Anesthesia Services 187750 4 30000 7495 37495 Medical Services 621110 66672012 66672012 Retail Pharmacy 621400 4781515 2773278 2008237 Partnership income 900099 406570 406570 Cafeteria/Records/Other 900099 -59830 -59830 71800267 1911544 354279 1557265 2680342 2506495 173847 173847 173847 73923153 69385460 2769086 1731112 X 89238 89238 6450 6450 19826292 17906749 1842668 76875 926539 836768 85244 4527 3613556 3137835 448212 27509 1387598 1273141 109453 5004 2776784 2776784 30420 30420 79602 79602 97565 97565 11057541 10251152 806389 251119 251119 913388 772864 129380 11144 1015765 97616 918149 713395 582236 130555 604 138693 76201 62492 128420 126110 2310 966381 966381 3553974 3416834 137140 538863 75720 463143 Medical supplies 15007984 15007984 Income tax expense 412580 412580 Repairs and Maintenance 381807 381807 Maintenance 26294 26294 1120371 113743 1006628 65060619 55524959 9409997 125663 8246508 16522825 13526782 19000879 5475000 3660000 3579184 3946112 836643 774872 77348234 30972551 48094854 46375683 6547810 4861106 17459509 18092862 1012697 765049 104778987 113999388 3289696 4931507 22579526 21327325 25869222 26258832 X 78909765 87740556 78909765 87740556 104778987 113999388 8862534 -31743 0 X 0 1 X 1 0 X 1467897 1467897 56519769 18459106 38060663 19122192 12513445 6608747 238376 238376 46375683 Investment in Limited Partnerships 5560042 F Investment in Limited Liability Companies 12532820 F 18092862 X 73381265 -31743 -412580 -444323 73825588 97565 97565 73923153 64550474 0 64550474 97565 412580 510145 65060619 Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Income tax expense recorded in revenue on financial statements -412,580. Part XII, Line 4b - Other Adjustments: Income tax expense recorded in revenue on financial statements 412,580. 1 1 X 1 X 1 X 1 1 1 0 0 793642 793642 0.01220 4673625 4438485 235140 0.00360 5467267 4438485 1028782 0.01580 23 426099 19283 406816 0.00630 2 15000 15000 0.00020 15484718 9573549 5911169 0.09090 13 13000 13000 0.00020 38 15938817 9592832 6345985 0.09760 38 21406084 14031317 7374767 0.11340 1 677 677 0.00000 7 4159 4159 0.00010 1 1322 1322 0.00000 2 1760 1760 0.00000 11 7918 7918 0.00010 1 2621627 595109 11534664 11599470 -64806 X 1 1 1 1 Central Valley Medical Center 48 W 1500 N Nephi UT 84648 www.centralvalleymedicalcenter.com 2024-HOSP-171 X X X X Central Valley Medical Center 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X See Section C X 1 21 1 See Section C 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X 1 X Section C X Section C X Section C X X X X X 1 X 0 X X X X 1 X 0 0 Central Valley Medical Center Part V, Section B, Line 5: Central Valley Medical Center distributed surveys to the public through various methods in order to receive feedback for the CHNA. Secondary data collection included a combination of data collected from sources of health statistics from a variety of local, state, and national information sources such as the Utah Department of Health and the United States Census Bureau. CVMC engaged Local Interagency Council to conduct focus group interviews and discuss survey results with CVMC Physicians and Juab Unites Motivating Prevention (JUMP). Central Valley Medical Center Part V, Section B, Line 11: CVMC will address the following needs that were identified in its most recent Community Health Needs Assessment: #1 - Mental Health#2 - Obesity and Physical Activity - Joint/Back Pain#3 - Preventative Care -Diabetes and Heart Care#4 - Substance/Alcohol AbuseIn the current year CVMC has taken the following actions to address the needs identified: Mental Health: CVMC has expanded its mental health capacity in recent years by bringing to the community a mental health group of providers instead of a single provider to better meet the needs of those with mental health concerns.Obesity and physical Activity: CVMC sponsors multiple physical activity events in the community such as fun runs and sports tournaments. We have also made a significant investment in a community activity center supporting physical activities to combat obesity and promote healthy lifestyles.Preventative Care: Diabetes & Heart Care: CVMC's physicians are committed to advancing preventive care in the community by providing annual physical exams and reminding patients to have regular checkups for health concerns such as diabetes and heart care. CVMC has a diabetes education program to educate diabetics to better manage their disease. CVMC has an annual health fair providing education on multiple areas of health needs including diabetes. As a part of the health fair we offer discounted lab testing including A1c testing for diabetes to help promote preventative care within the community. CVMC has used social media channels to promote all areas of health literacy including diabetes and heart care.Substance/Alcohol Abuse: Substance/Alcohol Abuse will not be addressed because we have already put educational events and physician counseling in place to help combat this problem and we feel we have done much of what we can do as a healthcare facility. We will continue to support community groups such as the JUMP Coalition to combat this problem. Central Valley Medical Center Part V, Section B, Line 13h: In addition to utilizing FPG to determine eligibility for financial assistance, the organization also considers the patient's insurance and underinsurance status, and factors that result in presumptive eligibility. Schedule H, Part V, Section B, Line 7a: The Community Health Needs Assessment is available at:https://www.centralvalleymedicalcenter.com/about-cvmc/community-health-needs-assessment/ Schedule H, Part V, Section B, Line 10a: The Implementation Strategy is available at:https://www.centralvalleymedicalcenter.com/about-cvmc/community-health-needs-assessment/ Part V, Lines 16a-16c The FAP, FAP application, and plain language summary are available at:https://www.centralvalleymedicalcenter.com/patients-visitors/accounts-billing/financial-assistance/ 3 1 - Nephi Medical Clinic 48 W 1500 N Nephi UT 84648 Physician clinic 2 - Santaquin Medical Clinic 210 E Main St Santaquin UT 85655 Physician clinic 3 - Fountain Green Medical Clinic 275 W 300 S Fountain Green UT 84632 Physician clinic Part I, Line 3c: In addition to FPG, CVMC considers medical indigency, the patient's insurance and underinsurance status, and factors that result in presumptive eligibility.FPG levels are used to determine annual maximum amounts owed based on family size. Amounts above the annual limit are adjusted off. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. The amount reported on Line 7b was calculated using IRS Worksheet 3. The amount reported on line 7e was calculated using IRS Worksheet 4. The amount reported on Line 7f was calculated using IRS Worksheet 5. The amount reported on line 7i was derived directly from the general ledger. Part I, Line 7g: The amount reported on line 7g was calculated using internal cost accounting records. Physician clinic expense of $11,443,102 is included in line 7g as well as revenue of $7,074,245 for a net community benefit from physician clinics of $4,368,857. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The estimated amount of the organization's implicit price concessions attributable to patients eligible under the organization's charity care policy was calculated by applying the estimated percentage of the service area below 150% of poverty guidelines, which is 22.7% for the area, to the total amount of implicit price concessions. Part III, Line 4: The footnote that describes implicit price concessions is on page 12 and 13 of the attached financial statements. Part III, Line 8: Medicare allowable cost of care was calculated from the Medicare cost report for fiscal year ending 6/30/24.Many patients in our service area qualify for Medicare. The facility provides services to these patients even through Medicare reimbursement is not sufficient to cover the cost of providing this care. Providing services to this population promotes access to healthcare services which are needed in our community, thereby providing a benefit to our community. Part III, Line 9b: Efforts are made to identify individuals up front that would qualify for discounted or free care through our FAP. If not identified at time of service, three patient notices over a 120 day period are sent on all patient accounts indicating amounts owed before collections efforts are initiated. As individuals/families are identified and an application process is initiated, collection efforts are suspended for 120 days to allow for a financial assistance application to be completed and evaluated for qualification. Qualified FAP applications are valid for 1 year and patient accounts are adjusted according to qualified amounts for each calendar year. Individuals known to qualify for financial assistance are reminded to complete an application for assistance if the qualification year has lapsed.CVMC will not engage in extraordinary collection actions before it makes reasonable effort to determine whether a patient is eligible for financial assistance under its FAP. Reasonable efforts include:1. Validating that the patient owes the unpaid bills and that all sources of third party payment have been identified and billed by the hospital;2. Documentation that Central Valley Medical Center has offered or has attempted to offer the patient the opportunity to apply for charity care pursuant to this policy and that the patient has not complied with the hospital's application requirements;3. Documentation that the patient has been offered a payment plan but has not honored the terms of that plan. Part VI, Line 2: Outside of the required triannual community health needs assessment, the hospital holds physician meetings monthly that allow for physician input on needed services or equipment or other areas of needs and concerns. Administration lives in the community and listens to friends and neighbors for potential health needs that can be met. The hospital also has a patient suggestion box. Part VI, Line 3: CVMC has signs informing patients of its charity care policy in admissions areas, emergency rooms, and other areas of the organization's facilities in which eligible patients are likely to be present. A summary copy of the policy and financial assistance contact information is provided to patients as part of the registration process. A financial counselor is available to discuss with the patient the availability of various government benefits, such as Medicaid or state programs, and assists the patient with qualification for such programs, where applicable. Part VI, Line 4: CVMC is located in Nephi, Utah, which is often referred to as the center of Utah, geographically. Nephi is a small rural town with a population of 6,000 located in Juab County, which has a population of approximately 11,250. The facility serves populations primarily from Juab, Sanpete, and Millard Counties. All three counties are considered rural and are sparsely populated. Because CVMC is situated near the convergence of several major highway systems (I-15, SR 132 and SR 28), the facility also serves populations from other neighboring counties, along with many travelers along I-15 and visitors recreating in nearby outdoor attractions, such as, the Little Sahara Desert, Mount Nebo, and Yuba Lake. Part VI, Line 5: All of CVMC's board of Directors is comprised of persons who reside in CVMC's primary service area and are neither employees nor contractors of CVMC and are not family members of CVMC's officers or key employees. The Board of Directors help in monitoring the pulse of the community and make recommendations for needs and concerns that CVMC may address. Health leadership activities in the community have developed greater awareness and understanding of health needs for the provision of healthcare for all. Medical staff privileges are extended to all qualified physicians that desire to practice at CVMC. Surplus funds are used to provide services not otherwise cost effective that are needed in the community such as Labor and Delivery services, Home Health and Hospice services and Physician Clinics in outlying areas and to support a charity program providing free or reduced price care to low income patients. CVMC's Emergency Department is available 24/7 to all in need regardless of their ability to pay. CVMC is the sole hospital in Juab County and serves all patients including those with Medicare and Medicaid coverage and those without insurance coverage.Excess funds have been used multiple times to provide additional patient care space including emergency, women's health and surgery space to better serve our community and meet the needs of a growing population. This is a sizable investment from our surplus funds to further our mission of providing healthcare in our community. Juab County Utah is projected to increase population from 12,000 to approximately 60,000 people by the year 2050 which will increase healthcare demand significantly. Our strategic plan is guiding us to meet this demand.Basic Life Support, Advanced Cardiac Life Support, and Pediatric Advance Life Support trainings are also offered to the community. 1 Juab Junior Livestock 160 N Main Nephi UT 84648 870487037 501(C)(3) 5600 0 Assistance for youth livestock program Juab High School 802 N 650 E Nephi UT 84648 876000498 Government 11238 0 Scholarships Snow College 150 E College Ave Ephraim UT 84627 942785555 Government 25000 0 Scholarships Brigham Young University 227 HC Provo UT 84602 825527047 501(C)(3) 40000 0 Scholarships for athletic program 4 0 Part I, Line 2: The donations are paid directly to local entities that have a single purpose and the organization can see the funds are used appropriately. Otherwise no formal monitoring is done. 0 0 0 1 0 1 0 0 0 Brandon Beck Physician 264966 0 42048 0 0 0 13732 0 15072 0 335818 0 0 0 Jason Standring Physician 276648 0 7742 0 0 0 16982 0 25838 0 327210 0 0 0 Jason Neilsen Physician 273985 0 2048 0 0 0 16521 0 25838 0 318392 0 0 0 Kecia White Retail Pharmacy Manager 191284 0 16669 0 0 0 12463 0 1183 0 221599 0 0 0 Todd Sorensen Physician 205696 0 0 0 0 0 0 0 13996 0 219692 0 0 0 Part I, Line 3 CVMC has a management agreement with Rural Health Group, Inc. for the services of Mark Stoddard, CEO. Salary is determined through comparison to like executive positions. Salary and bonus are reviewed and approved by the compensation committee of the board of trustees of CVMC. Part I, Line 5 A portion of the bonus received by Mark Stoddard, CEO, was based on the revenue net of contractual adjustments of Central Valley Medical Center. No other contingent payments were made. Part I, Line 6 The Retail Pharmacy Manager receives a bonus based on net revenue generated by her department. Rural Health Group Inc Mark Stoddard, CEO, is the majority owner 2541460 Management and contract services 0 Form 990, Part VI, Section A, line 1a The board may designate from among its members an executive committee which shall have and may exercise all of the authority of the board of trustees except as prohibited by statute. Form 990, Part VI, Section A, line 2 Randy Cuff, COO has a family relationship with Mark Stoddard, CEO. Form 990, Part VI, Section A, line 3 The CEO, CFO and COO of CVMC are provided by contract with Rural Health Group, Inc. and are employed by Rural Health Group, Inc. The CEO's compensation for the calendar year 2023 was $366,360 salary, $32,845 pension, and $23,488 benefits. The CFO's compensation for the calendar year 2023 was $206,324 salary, $20,905 pension, and $33,185 benefits. The COO's compensation for the calendar year 2023 was $219,792 salary, $22,690 pension, and $33,185 benefits. Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the Finance Committee before it is filed. A copy of the Form 990 is provided to the board prior to filing. Form 990, Part VI, Section B, line 12c Written disclosure is made annually by board members and officers. Form 990, Part VI, Section B, line 15 Compensation of the CEO, CFO and COO is provided through a management agreement with Rural Health Group, Inc. Salary surveys and comparability data are used to determine a fair salary for these positions. CVMC has a compensation committee that is responsible for determining the appropriate compensation level for the CEO. The CEO is responsible for determining the appropriate compensation level for the CFO and COO. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 158,760. Management and general expenses 188,652. Fundraising expenses 0. Total expenses 347,412. Contract Services: Program service expenses 10,079,342. Management and general expenses 150,780. Fundraising expenses 0. Total expenses 10,230,122. Professional Fees: Program service expenses 13,050. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,050. Collection Expenses: Program service expenses 0. Management and general expenses 466,957. Fundraising expenses 0. Total expenses 466,957. Mt Peak Development LLC 1358 N 200 W Nephi UT 84648 844418971 Property Development UT Central Valley Medical Center Unrelated 1091565 6090794 0 0 0.51000 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 Mt Peak Development LLC A 90000 Cash Mt Peak Development LLC D 1815000 Cash