VVMC DIVERSIFIED SERVICES: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- VVMC DIVERSIFIED SERVICES (EIN 26-1167922)
- Tax period
- 2013-11-01 to 2014-10-31
- Filed
- 2015-09-14
- IRS object ID
- 201502579349300935
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-09-14T21:03:30-05:00 | ReturnTs |
| Tax Period End | 2014-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1 |
| City | Colorado Springs | City |
| State | CO | State |
| ZIP Code | 809039848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261167922 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VVMC Diversified Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THE ORGANIZATION | InCareOfNm |
| Business Name Control | VVMC | BusinessNameControlTxt |
| Phone | 9707772810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 40000 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Vail | City |
| State | CO | State |
| ZIP Code | 81658 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Doris Kirchner | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9707772810 | PhoneNum |
| Signature | 2015-09-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David S Mason CPA | PreparerPersonNm |
| PTIN | P00137279 | PTIN |
| Phone | 9707772810 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VHS Physician Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Doris Kirchner | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40000 | AddressLine1 |
| City | Vail | City |
| State | CO | State |
| ZIP Code | 81658 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,530,898 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.vvmc.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | To provide specialized medical services through one or more outpatient clinics to the residents and visitors in and around eagle county, Colorado. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,763,406 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,676,551 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,137,764 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,845,580 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,437 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,767 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,904,607 | PYTotalRevenueAmt |
| CY Total Revenue | $7,530,898 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $19,337 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $253,411 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,380,740 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,022,966 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,428,998 | PYOtherExpensesAmt |
| CY Other Expenses | $3,310,033 | CYOtherExpensesAmt |
| PY Total Expenses | $6,829,075 | PYTotalExpensesAmt |
| CY Total Expenses | $8,586,410 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $75,532 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,055,512 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $328,506 | TotalAssetsBOYAmt |
| Total Assets EOY | $823,003 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,089,333 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,639,342 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$760,827 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,816,339 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $8,144,332 | ExpenseAmt |
| Grant | $253,411 | GrantAmt |
| Revenue | $2,845,580 | RevenueAmt |
| Desc | VVMC Diversified Services, Inc. provides services to the residents of Eagle County, total population approximately 50,000, including trauma services, cardiology, occupational health, physical therapy, plastic surgery, internal medicine and endocrinology. During the fiscal year ending 10/31/2014, VVMC Diversified Services accommodated approximately 14,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $1.6 million during fiscal 2014. 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. | Desc |
| Total Program Service Expenses | $8,144,332 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 9704797238 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40000 | AddressLine1 |
| City | Vail | City |
| State | CO | State |
| ZIP Code | 81658 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Doris Kirchner | ||||||||
| Director - President | 1.0 | 41.0 | Yes (X) | Yes (X) | $0 | $681,758 | $45,887 | |
| Ron Davis | ||||||||
| Board Chair | 1.0 | 2.0 | Yes (X) | Yes (X) | ||||
| Charles Crevling | ||||||||
| Director, CFO, Treasurer | 1.0 | 42.0 | Yes (X) | Yes (X) | $431,895 | $46,792 | ||
| Jeffrey Resnick MD | ||||||||
| Physician | 40.0 | $328,075 | $40,671 | Yes (X) | ||||
| Lawrence Gaul MD | ||||||||
| Physician | 40.0 | $482,638 | $37,972 | Yes (X) | ||||
| Jason Moore | ||||||||
| PHYS ASSISTANT/EPIDEMIOLOGIST | 40.0 | $192,081 | $22,651 | Yes (X) | ||||
| AMY LEE | ||||||||
| DIRECTOR, DIVERSIFIED SERVICES | 40.0 | $120,331 | $34,930 | Yes (X) | ||||
| DENNIS LIPTON | ||||||||
| PHYSICIAN | 40.0 | $124,084 | $3,957 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,360,862 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $232,860 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENVER HEALTH HOSPITAL AUTHORITY | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40411 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | SURGEONS | ServicesDesc |
| Compensation | $2,154,797 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,600,000 | RelatedOrganizationsAmt |
| Government Grants | $70,801 | GovernmentGrantsAmt |
| All Other Contributions | $5,750 | AllOtherContributionsAmt |
| Total Contributions | $4,676,551 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $2,316,115 | $2,316,115 |
| MEDICARE/MEDICAID | 621400 | $529,465 | $529,465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,845,580 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,767 | TotalRevenueColumnAmt |
| Exclusion | $8,767 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,530,898 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,845,580 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $8,767 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,940 | TotalAmt |
| Program Services | $246,940 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,471 | TotalAmt |
| Program Services | $6,471 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,180,820 | TotalAmt |
| Program Services | $3,891,037 | ProgramServicesAmt |
| Management And General | $289,783 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,088 | TotalAmt |
| Program Services | $147,116 | ProgramServicesAmt |
| Management And General | $10,972 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,275 | TotalAmt |
| Program Services | $361,327 | ProgramServicesAmt |
| Management And General | $26,948 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,783 | TotalAmt |
| Program Services | $275,254 | ProgramServicesAmt |
| Management And General | $20,529 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,100 | TotalAmt |
| Program Services | $6,300 | ProgramServicesAmt |
| Management And General | $5,800 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,466,371 | TotalAmt |
| Program Services | $2,444,227 | ProgramServicesAmt |
| Management And General | $22,144 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,123 | TotalAmt |
| Program Services | $56,531 | ProgramServicesAmt |
| Management And General | $55,592 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570 | TotalAmt |
| Program Services | $570 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,756 | TotalAmt |
| Program Services | $17,540 | ProgramServicesAmt |
| Management And General | $4,216 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,862 | TotalAmt |
| Program Services | $18,890 | ProgramServicesAmt |
| Management And General | $2,972 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,034 | TotalAmt |
| Program Services | $148,034 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $394,523 | $394,523 | |
| MEDICAL SUPPLIES | $86,507 | $83,981 | $2,526 |
| LICENSES/CERTIFICATIONS/DUES | $46,187 | $45,591 | $596 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,586,410 | TotalAmt |
| Program Services | $8,144,332 | ProgramServicesAmt |
| Management And General | $442,078 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,970 | BOYAmt |
| EOY | $144,267 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,593 | BOYAmt |
| EOY | $628,807 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,060 | BOYAmt |
| EOY | $49,929 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,883 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,506 | BOYAmt |
| EOY | $823,003 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,089,333 | BOYAmt |
| EOY | $1,057,896 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,581,446 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,089,333 | BOYAmt |
| EOY | $2,639,342 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$760,827 | BOYAmt |
| EOY | -$1,816,339 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$760,827 | BOYAmt |
| EOY | -$1,816,339 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,506 | BOYAmt |
| EOY | $823,003 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,055,512 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,979,944 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,173,788 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,564,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,763,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,676,551 | CurrentTaxYearAmt |
| Total | $25,157,870 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,847,296 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,768,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,770,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,137,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,845,580 | CurrentTaxYearAmt |
| Total | $16,368,943 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,827,240 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,941,844 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,334,428 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,901,170 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,522,131 | CurrentTaxYearAmt |
| Total | $41,526,813 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $41,526,813 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $639 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,357 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,767 | CurrentTaxYearAmt |
| Total | $16,409 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $639 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,357 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,767 | CurrentTaxYearAmt |
| Total | $16,409 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,827,879 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,943,201 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,336,637 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,904,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,530,898 | CurrentTaxYearAmt |
| Total | $41,543,222 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99983 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00017 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $1,581,446 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,581,446 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,136,375 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,136,375 | RevenueSubtotalAmt |
| Other Revenues Not Included | $394,523 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $394,523 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,530,898 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,191,887 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $8,191,887 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $394,523 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $394,523 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,586,410 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Organization's Liability for uncertain tax positions | Part X, Question 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 394,523 |
| PART XII, LINE 4B | EXPENSE ON RETURN, NOT ON BOOKS BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON THE FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 394,523 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN FAMILY HEALTH CENTERS | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 BLAKE AVE SUITE 101 | AddressLine1 |
| City | GLENWOOD SPRINGS | City |
| State | CO | State |
| ZIP Code | 81601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 840742145 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $246,940 | CashGrantAmt |
| Purpose Of Grant | SUBSIDIZE OPERATIONS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| IMAGING SERVICES | 21 | $5,566 | Cost | MED ASSIST SUPPLIES |
| LAB SERVICES | 6 | $395 | Cost | MED ASSIST SUPPLIES |
| RX/MEDICATION ASSISTANCE | 10 | $510 | Cost | MED ASSIST SUPPLIES |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Procedure for Monitoring Use of Grant Funds | FormAndLineReferenceDesc |
| Explanation | Part I, Question 2 VVMC Diversified Services receives a number of grants each year to assist our Eagle Care Clinic, which offers services to the indigent population. The grants provide money to our Clinic to offset the costs of providing services to patients that do not have insurance and do not have assets to pay their health care costs. Some grants require that we screen/track patients and their income levels. ECMC was closed in February 2014. these services were resumed by Mountain Family Health, an unrelated organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doris Kirchner | ||||||||||||||
| Director - President | $0 | $461,238 | $0 | $141,100 | $0 | $79,420 | $0 | $23,400 | $0 | $22,487 | $0 | $727,645 | $0 | $38,600 |
| Charles Crevling | ||||||||||||||
| Director, CFO, Treasurer | $309,257 | $63,100 | $59,538 | $23,100 | $23,692 | $478,687 | $13,200 | |||||||
| Jeffrey Resnick MD | ||||||||||||||
| Physician | $304,076 | $20,100 | $3,899 | $18,750 | $21,921 | $368,746 | $0 | |||||||
| Lawrence Gaul MD | ||||||||||||||
| Physician | $440,532 | $20,550 | $21,556 | $17,500 | $20,472 | $520,610 | $0 | |||||||
| Jason Moore | ||||||||||||||
| PHYS ASSISTANT/EPIDEMIOLOGIST | $188,688 | $2,072 | $1,321 | $13,295 | $9,356 | $214,732 | $0 | |||||||
| AMY LEE | ||||||||||||||
| DIRECTOR, DIVERSIFIED SERVICES | $117,731 | $1,248 | $1,352 | $8,744 | $26,186 | $155,261 | $0 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B | 457(f) plan Doris Kirchner participated in a SERP during the year. The 457(f) amount was 29,500 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 14,000 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Describe circumstances for having members or stockholders | Part VI, Question 6 The organization has a single member, Vail Health Services. |
| Describe circumstances for members electing governing body | Part VI, Question 7a 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. |
| Describe process to review 990 | Part VI, Question 11b 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. |
| Process for Monitoring Compliance With Conflict of Interest Policy | Part VI, Question 12c 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. |
| Process to Determine Executive Compensation | Part VI, Question 15a 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 2014 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. |
| Process to Determine Other Compensation | Part VI, Question 15b 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 2014 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. |
| Describe how documents are made available to the public | Part VI, Question 19 The Governing documents, conflict of interest policy, and financial statements are available for viewing by the public for valid business purposes. |
| Significant changes to program services | Part III, Question 3 EAGLE CARE MEDICAL CLINIC, WHICH PRIMARILY SERVED THE INDIGENT POPULATION, WAS CLOSED IN FEBRUARY 2014 AND ITS ROLE WAS REPLACED BY MOUNTAIN FAMILY CLINIC, A REGIONAL ORGANIZATION GENERALLY SERVICING THE WESTERN HALF OF COLORADO. A RELATED ORGANIZATION (VAIL VALLEY MEDICAL CENTER) PROVIDES SUBSIDY SUPPORT TO THE MOUNTAIN FAMILY CLINIC. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:RECRUITING TOTAL FEES:54194 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:16235 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CODING SERVICES TOTAL FEES:48640 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2337867 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY TOTAL FEES:3463 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:5000 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MISCELLANEOUS TOTAL FEES:972 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |