2017-09-14T15:05:24-05:00 2016-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2015-11-01 261167922 VVMC Diversified Services % THE ORGANIZATION VVMC 9704797238 PO Box 40000 Vail CO 81658 TED SIROTTA CFO 9704797238 2017-09-15 true Adam R Smith CPA P00958966 7194714290 2015 2021-01-29 14:40:06Z VAIL HEALTH CLINICS Doris Kirchner PO BOX 40000 Vail CO 81658 7519813 false X www.vailhealth.org X 2007 CO To provide specialized medical services through one or more outpatient clinics to the residents and visitors in and around eagle county, Colorado. 2 1 0 10 0 4600000 4600000 2753478 2917739 1649 2074 0 0 7355127 7519813 2911 0 0 0 5011834 5220900 0 0 0 2616598 2924199 7631343 8145099 -276216 -625286 859188 931305 2903908 3601311 -2044720 -2670006 X VVMC DIVERSIFIED SERVICES, DBA VAIL HEALTH CLINICS, IS ORGANIZED AND OPERATED FOR THE SPECIFIC PURPOSE AND OBJECTIVE OF THE FOLLOWING: 1) ADVANCING AND PROMOTING HEALTH BY PROVIDING AND SUPPORTING THE PROVISION OF MEDICAL SERVICES IN CONNECTION WITH THE DIAGNOSIS, PREVENTION AND TREATMENT OF DISEASES; 2) PROVIDING AND SUPPORTING THE PROVISION OF TREATMENT AND REHABILITATION OF ANY PHYSICAL OR MENTAL DISABILITY OR CONDITION ON AN OUTPATIENT BASIS; 3) CREATING, MAINTAINING, AND SUPPORTING THE CREATION AND MAINTENANCE OF ONE OR MORE OUTPATIENT CLINICS; 4) PROVIDING INSTRUCTION AND TRAINING TO MEDICAL AND NURSING STUDENTS AND RESIDENTS; 5) PROVIDING CLAIMS MANAGEMENT, BILLING AND COLLECTIONS, AND GENERAL PRACTICE MANAGEMENT SERVICES FOR PHYSICIANS AND OTHER LICENSED HEALTHCARE PROVIDERS. false false 7919028 2917739 VAIL HEALTH CLINICS. provides services to the residents of Eagle County, total population approximately 50,000, including trauma services, cardiology, occupational health, plastic surgery, internal medicine and endocrinology. During the fiscal year ending 10/31/2016, VAIL HEALTH CLINICS accommodated approximately 11,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $2 million during fiscal 2016. Eagle County, Colorado does not have a large enough population to support medical practices in rare specialties. Since Eagle County is in a rural area, the development of these medical practices have significantly improved community access to healthcare services. These practices have allowed us to serve all members of the community without regard to ability to pay. 7919028 true true false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false false false X 2 1 false false false false true true true true true false false true true true true false true false false false X THE ORGANIZATION 9704797238 PO BOX 40000 Vail CO 81658 X Doris Kirchner Director - President & CEO 1.0 43.0 X X 0 698830 42341 Ron Davis Board Chair 1.0 2.0 X X 0 0 0 Ted Sirotta Treasurer & CFO 1.0 43.0 X 0 63835 22522 Jeffrey Resnick MD Physician 0.0 40.0 X 0 334576 35320 Lawrence Gaul MD Physician 0.0 40.0 X 0 375828 57406 Nelson Prager MD PHYSICIAN 0.0 40.0 X 0 729137 22193 JERRY GREENBERG MD PHYSICIAN 0.0 40.0 X 0 712878 71640 Dennis Lipton MD Physician 0.0 40.0 X 0 296354 60479 Charles Crevling Former Treasurer & CFO 0.0 0.0 X 0 448809 25952 0 3660247 337853 0 true true false DENVER HEALTH HOSPITAL AUTHORITY PO BOX 40411 DENVER CO 80204 SURGEONS 2078987 1 4600000 4600000 NET PATIENT SERVICE REVENUE 621400 1693608 1693608 MEDICARE/MEDICAID 621400 1224131 1224131 2917739 2074 2074 0 0 0 0 0 0 0 0 0 0 7519813 2917739 2074 X 0 0 0 0 0 0 4344595 4204149 140446 129641 125450 4191 466229 451157 15072 280435 271370 9065 0 0 5876 5876 0 0 0 2244325 2241143 3182 0 100887 61428 39459 0 0 31976 31976 33307 29890 3417 0 14468 11974 2494 0 0 0 122457 122457 BAD DEBT EXPENSE 197556 197556 MEDICAL SUPPLIES 125057 122188 2869 LICENSES/CERTIFICATIONS/DUES 48290 48290 8145099 7919028 226071 0 X 179433 151292 0 0 0 0 630029 712448 0 0 0 0 0 0 0 24638 49726 42927 0 0 0 0 0 0 0 0 0 0 0 859188 931305 856940 1995831 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2046968 1605480 2903908 3601311 X -2044720 -2670006 0 0 0 0 -2044720 -2670006 859188 931305 -625286 X false true X true false X 4564181 4763406 4676551 4600000 4600000 23204138 2770247 2137764 2845580 2753478 2917739 13424808 0 0 0 7334428 6901170 7522131 7353478 7517739 36628946 0 0 0 36628946 2209 3437 8767 1649 2074 18136 0 2209 3437 8767 1649 2074 18136 0 0 7336637 6904607 7530898 7355127 7519813 36647082 0.99950 0.99954 0.00050 0.00046 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 1605480 1605480 7322256 7322256 197557 197557 7519813 7947542 7947542 197557 197557 8145099 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 XI, line 4b REVENUE ON RETURN, NOT ON BOOKS BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON THE FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 197,557 Schedule D, PART XII, LINE 4B EXPENSES ON RETURN, NOT ON BOOKS BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON THE FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 197,557 true true false false false false false Doris Kirchner Director - President & CEO 0 493018 0 130988 0 74824 0 18000 0 24341 0 741171 0 0 Jeffrey Resnick MD Physician 0 315088 0 15000 0 4488 0 18000 0 17320 0 369896 0 0 Lawrence Gaul MD Physician 0 363457 0 8600 0 3771 0 35550 0 21856 0 433234 0 0 Nelson Prager MD PHYSICIAN 0 639938 0 84635 0 4564 0 18000 0 4193 0 751330 0 0 JERRY GREENBERG MD PHYSICIAN 0 615974 0 91146 0 5758 0 36000 0 35640 0 784518 0 0 Dennis Lipton MD Physician 0 268704 0 25000 0 2650 0 29854 0 30625 0 356833 0 0 Charles Crevling Former Treasurer & CFO 0 181142 0 0 0 267667 0 12897 0 13055 0 474761 0 0 SCHEDULE J, PART I, LINE 3 EXECUTIVE COMPENSATION Compensation is paid through a related entity, Vail Clinic, Inc., dba Vail Health Hospital. Please see Schedule O, Part VI, line 15a narrative for compensation determination for executives. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2015 CALENDAR YEAR: CHARLES CREVLING - $138,462 SCHEDULE J, PART I, LINE 4B 457F plan: Doris Kirchner participated in a SERP during the year. The 457(f) amount was $31,900 and vesting of percentages specified in the written agreement occurs on October 1 of each year. Charles Crevling participated in a SERP during the year. The 457(f) amount was $16,170 and vesting of percentages specified in the written agreement occurs on March 1 of each year. Form 990, Part VI, Section A, Line 6 DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS OR STOCKHOLDERS The organization has a single member, Vail Health Services. Form 990, Part VI, Section A, Line 7a DESCRIBE CIRCUMSTANCES FOR MEMBERS ELECTING GOVERNING BODY The Single member, Vail Health Services, can appoint Board members. Form 990, Part VI, Section A, Line 7b Governance Decisions Reserved to Members or Stockholders THE SINGLE MEMBER HAS THE AUTHORITY TO: 1) ELECT DIRECTORS; 2) APPOINT THE PRESIDENT; 3) APPROVE ARTICLES AND BYLAWS; 4) APPROVE BUDGETS; 5) APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF $100,000; 6) APPROVE UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000; 7) CAUSE VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, OR BANKRUPTCY; 8) APPROVE SALE OF ASSETS IN EXCESS OF $1,000,000; 9) CREATE SUBSIDIARY OR AFFILIATE; 10) SELECT PUBLIC ACCOUNTANTS; 11) ESTABLISH INVESTMENT POLICIES; 12) ESTABLISH POLICIES ON THE DISTRIBUTION AND USE OF FUNDS; 13) ADD/DELETE MAJOR PROGRAM/SERVICE LINES. Form 990, Part VI, Section B, line 11b DESCRIBE THE PROCESS TO REVIEW THE 990 Review of the Form 990 is delegated to more qualified personnel since the Board members are not trained in tax matters. The CFO, Controller and accounting staff of Vail Clinic, Inc., dba Vail HEALTH HOSPITAL, providing services to VAIL HEALTH CLINICS, reviews the tax form and works with an external CPA/Tax firm in the production of the Form 990. An electronic version is provided to directors and officers for review, discussion and comment prior to filing the form 990 with the irs. Form 990, Part VI, Section B, line 12c PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE CONFLICT OF INTEREST POLICY APPLIES TO VAIL HEALTH HOSPITAL (VHH) BOARD MEMBERS, OFFICERS, MEDICAL STAFF, LICENSED INDEPENDENT PRACTITIONERS, VOLUNTEERS, AGENTS, CONTRACTORS AND EMPLOYEES. ALL BOARD MEMBERS, MEDICAL STAFF, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND EMPLOYEES OF VHH ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. BOARD MEMBERS AND AGENTS MUST COMPLETE AND SUBMIT CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE TO THE CHIEF ETHICS AND COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE MANAGER OF VOLUNTEERS WHEN THEY BEGIN PROVIDING SERVICES TO VHH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, COVERED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE CHIEF ETHICS AND COMPLIANCE OFFICER, THE VOLUNTEER SERVICES PROGRAM MANAGER AND THE COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VHH; - WHETHER THE COLLEAGUE'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VHH DECISION OR ACTIVITY; - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE COLLEAGUE'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE COLLEAGUE'S OBLIGATIONS TO, VHH OR VHH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST. - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE COLLEAGUE'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE COLLEAGUE'S OBLIGATIONS TO, VHH OR VHH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST. Form 990, Part VI, Section B, line 15a PROCESS TO DETERMINE EXECUTIVE COMPENSATION Executive compensation is paid and determined by a related party, Vail Clinic, Inc., DBA Vail HEALTH HOSPITAL. A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE cOMPENSATION WAS LAST FORMALLY REVIEWED IN 2016 BY SULLIVAN COTTER. THIS rEVIEW EVALUATES TOTAL COMPENSATION OF THE EXECUTIVE AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. Form 990, Part VI, Section B, line 15b PROCESS TO DETERMINE OFFICER COMPENSATION Executive compensation is paid and determined by a related party, Vail Clinic, Inc., DBA Vail HEALTH HOSPITAL. A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. Other officer, and key employee COMPENSATION WAS LAST FORMALLY REVIEWED IN 2016 BY SULLIVAN COTTER. THIS rEVIEW EVALUATES TOTAL COMPENSATION OF THE individual AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. Form 990, Part VI, Section C, line 19 DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC FOR VIEWING FOR VALID BUSINESS PURPOSES. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2159742 FORM 990 PART IX LINE 11G DESCRIPTION:CODING FEES TOTAL FEES:79885 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:2662 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:1516 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:520 Vail Clinic Inc PO Box 40000 Vail CO 81658 840563230 Hospital CO 501(c)(3) Line 3 VHS false VAIL HEALTH SERVICES (VHS) PO BOX 40000 VAIL CO 81658 262648461 HOLDING CO CO 501(c)(3) Ln11TYPEIII NA false Vail Health Services Foundation PO Box 40000 Vail CO 81658 742505662 FUNDRAISING CO 501(c)(3) Ln11 TypeII VHS false false false true false true false false false false false false false false true true true false false false