2015-09-14T21:03:30-05:00 2014-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2013-11-01 261167922 VVMC Diversified Services % THE ORGANIZATION VVMC 9707772810 PO Box 40000 Suite Vail CO 81658 Doris Kirchner CEO 9707772810 2015-09-15 true David S Mason CPA P00137279 9707772810 2013 2016-02-25 16:41:14Z VHS Physician Services Doris Kirchner PO BOX 40000 Vail CO 81658 7530898 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. 3 1 0 3 0 4763406 4676551 2137764 2845580 3437 8767 0 0 6904607 7530898 19337 253411 0 0 3380740 5022966 0 0 0 3428998 3310033 6829075 8586410 75532 -1055512 328506 823003 1089333 2639342 -760827 -1816339 X 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 true 8144332 253411 2845580 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. 8144332 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 true true 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 3 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 1.0 41.0 X X 0 681758 45887 Ron Davis Board Chair 1.0 2.0 X X Charles Crevling Director, CFO, Treasurer 1.0 42.0 X X 431895 46792 Jeffrey Resnick MD Physician 40.0 X 328075 40671 Lawrence Gaul MD Physician 40.0 X 482638 37972 Jason Moore PHYS ASSISTANT/EPIDEMIOLOGIST 40.0 X 192081 22651 AMY LEE DIRECTOR, DIVERSIFIED SERVICES 40.0 X 120331 34930 DENNIS LIPTON PHYSICIAN 40.0 X 124084 3957 0 2360862 232860 0 false true false DENVER HEALTH HOSPITAL AUTHORITY PO BOX 40411 DENVER CO 80204 SURGEONS 2154797 1 4600000 70801 5750 4676551 NET PATIENT SERVICE REVENUE 621400 2316115 2316115 MEDICARE/MEDICAID 621400 529465 529465 2845580 8767 8767 0 0 0 0 0 0 0 0 0 0 7530898 2845580 8767 X 246940 246940 6471 6471 0 0 0 0 0 4180820 3891037 289783 158088 147116 10972 388275 361327 26948 295783 275254 20529 0 0 12100 6300 5800 0 0 0 2466371 2444227 22144 0 112123 56531 55592 570 570 0 0 21756 17540 4216 0 21862 18890 2972 0 0 0 148034 148034 BAD DEBT EXPENSE 394523 394523 MEDICAL SUPPLIES 86507 83981 2526 LICENSES/CERTIFICATIONS/DUES 46187 45591 596 8586410 8144332 442078 0 X 91970 144267 0 0 0 0 170593 628807 0 0 0 0 0 0 0 0 28060 49929 0 0 0 0 0 0 0 0 0 37883 0 328506 823003 1089333 1057896 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1581446 1089333 2639342 X -760827 -1816339 0 0 0 0 -760827 -1816339 328506 823003 -1055512 X false true X true false X 5979944 5173788 4564181 4763406 4676551 25157870 4847296 3768056 2770247 2137764 2845580 16368943 0 0 0 10827240 8941844 7334428 6901170 7522131 41526813 0 0 0 41526813 639 1357 2209 3437 8767 16409 0 639 1357 2209 3437 8767 16409 0 0 10827879 8943201 7336637 6904607 7530898 41543222 0.99960 0.99983 0.00040 0.00017 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 1581446 1581446 7136375 7136375 394523 394523 7530898 8191887 8191887 394523 394523 8586410 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 true MOUNTAIN FAMILY HEALTH CENTERS 1905 BLAKE AVE SUITE 101 GLENWOOD SPRINGS CO 81601 840742145 501(C)(3) 246940 SUBSIDIZE OPERATIONS 1 IMAGING SERVICES 21 5566 Cost MED ASSIST SUPPLIES LAB SERVICES 6 395 Cost MED ASSIST SUPPLIES RX/MEDICATION ASSISTANCE 10 510 Cost MED ASSIST SUPPLIES Procedure for Monitoring Use of Grant Funds 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. false true false false false false false Doris Kirchner Director - President 0 461238 0 141100 0 79420 0 23400 0 22487 0 727645 0 38600 Charles Crevling Director, CFO, Treasurer 309257 63100 59538 23100 23692 478687 13200 Jeffrey Resnick MD Physician 304076 20100 3899 18750 21921 368746 0 Lawrence Gaul MD Physician 440532 20550 21556 17500 20472 520610 0 Jason Moore PHYS ASSISTANT/EPIDEMIOLOGIST 188688 2072 1321 13295 9356 214732 0 AMY LEE DIRECTOR, DIVERSIFIED SERVICES 117731 1248 1352 8744 26186 155261 0 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. 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 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 false true true true false false false