2016-09-15T10:09:54-05:00 2015-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2014-11-01 261167922 VVMC Diversified Services % THE ORGANIZATION VVMC 9707772810 PO Box 40000 Vail CO 81658 Ted Sirotta SVP, Finance and CFO 9707772810 2016-09-15 true David S Mason CPA P00137279 7194714290 2014 2017-02-10 21:41:12Z Doris Kirchner PO BOX 40000 Vail CO 81658 7355127 false X www.vvmc.com 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 4676551 4600000 2845580 2753478 8767 1649 0 0 7530898 7355127 253411 2911 0 0 5022966 5011834 0 0 0 3310033 2616598 8586410 7631343 -1055512 -276216 823003 859188 2639342 2903908 -1816339 -2044720 VVMC DIVERSIFIED SERVICES 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 7107484 2911 2753478 VVMC Diversified Services, Inc. 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 10/31/2015, VVMC Diversified Services accommodated approximately 13,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $1.8 million during fiscal 2015. 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. 7107484 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 false 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 Doris Kirchner Director - President 1.0 42.0 X X 0 721557 40986 Ron Davis Board Chair 1.0 2.0 X X 0 0 0 Charles Crevling Part Year Director, CFO, Treasurer 1.0 42.0 X X 0 461654 40065 Jeffrey Resnick MD Physician 40.0 0.0 X 0 419348 32063 Lawrence Gaul MD Physician 40.0 0.0 X 0 364766 54086 DENNIS LIPTON PHYSICIAN 40.0 0.0 X 0 278955 40966 JERRY GREENBERG DIRECTOR/PHYSICIAN 40.0 0.0 X 0 373029 29997 Robert Orr MD Physician 40.0 0.0 X 0 455214 8672 0 3074523 246835 0 false true false DENVER HEALTH HOSPITAL AUTHORITY PO BOX 40411 DENVER CO 80204 SURGEONS 2031308 1 4600000 0 4600000 NET PATIENT SERVICE REVENUE 621400 1633308 1633308 MEDICARE/MEDICAID 621400 1120170 1120170 2753478 1649 1649 0 0 0 0 0 0 0 0 0 0 7355127 2753478 1649 2911 2911 0 0 0 0 0 4170620 3779309 391311 143610 130135 13475 434799 394004 40795 262805 238147 24658 0 0 5720 5720 0 0 0 2133922 2121885 12037 0 68685 36289 32396 2500 2500 0 780 780 26961 25330 1631 0 22749 22724 25 0 0 0 140912 140912 BAD DEBT EXPENSE 79029 79029 MEDICAL SUPPLIES 88324 86843 1481 LICENSES/CERTIFICATIONS/DUES 47016 46686 330 7631343 7107484 523859 0 144267 179433 0 0 0 0 628807 630029 0 0 0 0 0 0 0 0 49929 49726 0 0 0 0 0 0 0 0 0 0 0 823003 859188 1057896 856940 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1581446 2046968 2639342 2903908 X -1816339 -2044720 0 0 0 0 -1816339 -2044720 823003 859188 X -276216 47835 X false true X true false X 5173788 4564181 4763406 4676551 4600000 23777926 3768056 2770247 2137764 2845580 2753478 14275125 0 0 0 8941844 7334428 6901170 7522131 7353478 38053051 0 0 0 38053051 1357 2209 3437 8767 1649 17419 0 1357 2209 3437 8767 1649 17419 0 0 8943201 7336637 6904607 7530898 7355127 38070470 0.99954 0.99960 0.00046 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 2046968 2046968 7276097 7276097 79030 79030 7355127 7504478 -47835 -47835 7552313 79030 79030 7631343 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. 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 79,030 PART XII, LINE 2D REVERSAL OF ACCRUED EXPENSES REPORTED IN PRIOR YEAR -47,835 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 79,030 false true false false false false false Doris Kirchner Director - President 0 462152 0 164500 0 94905 0 17500 0 23486 0 762543 0 20900 Jeffrey Resnick MD Physician 0 398298 0 16250 0 4800 0 17500 0 14563 0 451411 0 Lawrence Gaul MD Physician 0 336984 0 6190 0 21592 0 17500 0 19086 0 401352 0 DENNIS LIPTON PHYSICIAN 0 263449 0 3125 0 12381 0 8885 0 23581 0 311421 0 0 JERRY GREENBERG DIRECTOR/PHYSICIAN 0 326769 0 26041 0 20219 0 0 0 12499 0 385528 0 0 Robert Orr MD Physician 0 430781 0 20833 0 3600 0 0 0 8672 0 463886 0 0 Charles Crevling Part Year Director, CFO, Treasurer 0 319828 0 83750 0 58076 0 20734 0 19331 0 501719 0 10400 SCHEDULE J, PART I, LINE 4B 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. SCHEDULE J, PART I, LINE 3 EXECUTIVE COMPENSATION Compensation is paid through a related entity, Vail Clinic, Inc. Please see Schedule O, Part VI, line 15a narrative for compensation determination for executives. 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. Governance Decisions Reserved to Members or Stockholders Part VI, Question 7b 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 Valley Medical Center, providing services to Diversified Services, 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 All Board Members and Officers are covered under the policy and are required to disclose any conflicts. The accounting group that issues checks and prepares the financial statements would advise the Board of any apparent or clear conflict of interest. The Board authorizes, approves, or ratifies any conflict in regard to voting rights based on good faith and fairness to the organization. An interested person may make a presentation at the meeting considering the matter giving rise to the conflict, however, they must leave the meeting during the discussion of and the vote on the matter. A committee might be appointed to investigate alternatives to the proposed arrangement. 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 Valley Medical Center. Beginning in 2011, a formal external review is conducted every year. Executive compensation was last formally reviewed in 2015 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 the time of hire and on an ongoing basis using compensation surveys. Form 990, Part VI, Section B, line 15b PROCESS TO DETERMINE OTHER COMPENSATION Other officer compensation is paid and determined by a related party, Vail Clinic, Inc. DBA Vail Valley Medical Center. Beginning in 2011, a formal external review is conducted every year. Compensation for the CFO was last formally reviewed in 2015 by Sullivan Cotter. This review evaluates total compensation of the individual in a specific role 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 CEO. Internal reviews are performed as well at the 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 conflict of interest policy is available for viewing by the public for valid business purposes. Form 990, Part XI, LIne 9 Reversal of Accrued Expense from Prior Year 47,835 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2052317 FORM 990 PART IX LINE 11G DESCRIPTION:CODING FEES TOTAL FEES:62360 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:9580 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:4681 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING TOTAL FEES:3500 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:1484 Vail Clinic Inc dba Vail Valley Med Ctr 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) 11 TYPE III 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 true true true false false false