2014-08-29T17:29:59-05:00 2013-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2012-11-01 261167922 VVMC Diversified Services % THE ORGANIZATION VVMC 9707772810 PO Box 40000 Suite Vail CO 81658 Charles Crevling 7194714290 2014-09-15 true 7194714290 2012 2015-11-30 17:44:51Z VHS Physician Services Charles Crevling PO BOX 40000 Vail CO 81658 6904607 false X www.vvmc.com X 2007 CO DIVERSIFIED SERVICES IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROVIDING SPECIALIZED MEDICAL SERVICES THROUGH ONE OR MORE OUTPATIENT CLINICS TO THE RESIDENTS AND VISITORS OF EAGLE COUNTY, COLORADO. 3 1 0 3 0 4564181 4763406 2770247 2137764 2209 3437 0 0 7336637 6904607 62491 19337 0 0 3592047 3380740 0 0 0 3771480 3428998 7426018 6829075 -89381 75532 506825 328506 1343184 1089333 -836359 -760827 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. true false 6255265 19337 2137764 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 and the Eagle Care Clinic created for services to the indigent population. During the fiscal year ending 10/31/2013, VVMC Diversified Services accommodated approximately 15,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $2,100,000 during fiscal 2013. 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. 6255265 true true false false false false false false false false false false false true false false false true false false false false false false false false false false 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 true true false X THE ORGANIZATION 9704797238 PO BOX 40000 Vail CO 81658 X Doris Kirchner 1.0 40.0 X X 0 622116 50519 Ron Davis 1.0 1.0 X X Charles Crevling 1.0 40.0 X X 424847 49021 Jeffrey Resnick MD 40.0 X 407025 32835 Lawrence Gaul MD 40.0 X 403480 40270 Jason Moore 40.0 X 209187 21894 Kerrie Kuhl 40.0 X 116728 38783 Amy Lee 40.0 X 115979 28414 0 2299362 261736 0 false true false DENVER HEALTH HOSPITAL AUTHORITY PO BOX 40411 DENVER CO 80204 SURGEONS 2256000 COLORADO MOUNTAIN MEDICAL PO Box 5850 EAGLE CO 81631 Physicians 396255 John Slack MD PO Box 2324 EDWARDS CO 81632 Cardiologist 241939 3 X 4600000 146570 16836 4763406 NET PATIENT SERVICE REVENUE 621400 51783 51783 MEDICARE/MEDICAID 621400 2085981 2085981 2137764 3437 3437 0 0 0 0 0 0 0 0 0 0 6904607 2137764 3437 X 0 19337 19337 0 0 0 0 2813298 2345808 467490 117071 97617 19454 236653 197328 39325 213718 178204 35514 0 0 0 0 0 5600 5600 3057557 3056030 1527 0 40389 39384 1005 0 0 0 12118 9292 2826 0 6186 5796 390 0 0 0 163108 163108 MEDICAL SUPPLIES 106313 106313 LICENSES/CERTIFICATIONS/DUES 37727 37048 679 6829075 6255265 573810 0 X 166710 91970 0 0 0 0 318078 170593 0 0 0 0 0 0 0 0 22037 28060 0 0 0 0 0 0 0 0 0 0 37883 506825 328506 498396 1089333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 844788 0 1343184 1089333 X -836359 -760827 0 0 0 0 -836359 -760827 506825 328506 75532 X false true X true false X 7574591 5979944 5173788 4564181 4763406 28055910 4392725 4847296 3768056 2770247 2137764 17916088 0 0 0 11967316 10827240 8941844 7334428 6901170 45971998 0 0 0 45971998 24 639 1357 2209 3437 7666 0 24 639 1357 2209 3437 7666 0 0 11967340 10827879 8943201 7336637 6904607 45979664 0.99983 0.99990 0.00017 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DUE FROM AFFILIATES 37883 37883 6900803 12310 12310 6888493 16114 16114 6904607 6825271 12310 12310 6812961 16114 16114 6829075 Part X, Question 2 Organization's Liability for uncertain tax positions 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 2d Revenue on books, not on return Contractual adjustment included in expense on financials, reclassified to revenue 12,310 Part XI, Line 4b Revenue on return, not on books Expenses included with revenue on financials, reclassified to expense 16,114 Part XII, line 2d Expense on books, not on return Contractual adjustment included in expense on financials, reclassified to revenue 12,310 Part XII, line 4b Expense on return, not on books Expenses included with revenue on financials, reclassified to expense 16,114 true IMAGING SERVICES 85 15141 Cost MED ASSIST SUPPLIES LAB SERVICES 23 927 Cost MED ASSIST SUPPLIES RX/MEDICATION ASSISTANCE 41 3062 Cost MED ASSIST SUPPLIES MEDICAL CARE 112 207 Cost MED ASSIST SUPPLIES Part I, Question 2 Procedure for Monitoring Use of Grant Funds 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. false true false false false false false false false Doris Kirchner 0 449227 0 105000 0 67889 0 28200 0 22319 0 672635 0 14100 Charles Crevling 298475 65000 61372 24800 24221 473868 7767 Jeffrey Resnick MD 391946 12500 2579 17000 15835 439860 1250 Lawrence Gaul MD 375271 9275 18934 17000 23270 443750 0 Jason Moore 183894 17508 7785 12950 8944 231081 0 Kerrie Kuhl 109157 3417 4154 8409 30374 155511 0 457(f) plan SCHEDULE J, PART I, LINE 4B Doris Kirchner participated in a SERP during the year. The 457(f) amount was 23,500 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 11,000 and vesting of percentages specified in the written agreement occurs on March 1 of each year. Part VI, Question 6 Describe circumstances for having members or stockholders The organization has a single member, Vail Health Services. Part VI, Question 7a Describe circumstances for members electing governing body The Single member, Vail Health Services, can appoint Board members. Part VI, Question 11b Describe process to review 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 firm in the production of the Form 990. An electronic version is provided to directors and officers for review, discussion, and comment. Part VI, Question 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. Part VI, Question 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 2013 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. Part VI, Question 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 2013 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 time of hire and on an ongoing basis using compensation surveys. Part VI, Question 19 Describe how documents are made available to the public The Governing documents, conflict of interest policy and financial statements are available for viewing by the public for valid business purposes. Part III, Question 2 New Program Services DURING FY-2013 DIVERSFIED SERVICES OPENED A MULTI-SPECIALITY CLINIC ENCOMPASSING CARDIOLOGY, ENDOCONOLOGY, AND INTERNAL MEDICINE. Part VI, Question 7b Governance Decisions Reserved to Members or Stockholders The single member has the authority to: 1) appoint the President 2) approve articles and bylaws 3) approve budgets 4) approve unbudgeted expenditures in excess of $100,000 5) approve unbudgeted borrowings in excess of $1,000,000 6) cause voluntary dissolution, merger, consolidation, or bankruptcy 7) approve sale of assets in excess of $1,000,000 8) create subsidiary or affiliate 9) select public accountants 10) establish investment policies 11) establish policies on the distribution and use of funds 12) add/delete major program/service lines. OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING FEES TOTAL FEES:15612 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:119060 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:CODING SERVICES TOTAL FEES:25490 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2897319 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PLASTIC SURGERY DEPT LINENS TOTAL FEES:76 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 PO BOX 40000 VAIL CO 81658 262648461 HOLDING CO CO 501(c)(3) 11 TYPE III NA false false false true true false false false false false false false false false true true true false false false