STRATEGY STUDIO / PUBLIC DATA EXPLORER

VVMC DIVERSIFIED SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VVMC DIVERSIFIED SERVICES (EIN 26-1167922)
Tax period
2011-11-01 to 2012-10-31
Filed
2013-07-24
IRS object ID
201312059349300421
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-07-24T11:53:20-05:00Timestamp
Tax Period End Date2012-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809039848ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN261167922EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VVMC Diversified ServicesBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% THE ORGANIZATIONInCareOfName
Name ControlVVMCNameControl
Phone9707772810Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 40000AddressLine1
CityVailCity
StateCOState
ZIP Code81658ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCharles CrevlingName
TitleCFOTitle
Date Signed2013-06-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid S Mason CPAName
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1VHS Physician ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCharles CrevlingNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 40000AddressLine1
CityVailCity
StateCOState
ZIP Code81658ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7336637GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vvmc.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionDIVERSIFIED 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5173788ContributionsGrantsPriorYear
Contributions Grants Current Year4564181ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3768056ProgramServiceRevenuePriorYear
Program Service Revenue CY2770247ProgramServiceRevenueCY
Investment Income Prior Year1357InvestmentIncomePriorYear
Investment Income Current Year2209InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8943201TotalRevenuePriorYear
Total Revenue Current Year7336637TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year82841GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY62491GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4758447SalariesEtcPriorYear
Salaries Etc Current Year3592047SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3750978OtherExpensePriorYear
Other Expenses Current Year3771480OtherExpensesCurrentYear
Total Expenses Prior Year8592266TotalExpensesPriorYear
Total Expenses Current Year7426018TotalExpensesCurrentYear
Revenues Less Expenses Prior Year350935RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-89381RevenuesLessExpensesCY
Total Assets BOY702985TotalAssetsBOY
Total Assets EOY506825TotalAssetsEOY
Total Liabilities BOY1449963TotalLiabilitiesBOY
Total Liabilities EOY1343184TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-746978NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-836359NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionVVMC 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense6925708Expense
Grants62491Grants
Revenue2770247Revenue
DescriptionVVMC 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 10/31/2012, VVMC Diversified Services accommodated approximately 17,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $1,600,000 during fiscal 2012. 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.Description
Total Program Service Expense6925708TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHE ORGANIZATIONNamePerson
Telephone Number9704797238TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 40000AddressLine1
CityVailCity
StateCOState
ZIP Code81658ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Doris Kirchner
Director - President1.0XX051700046727
Ron Davis
Board Chair1.0XX
Charles Crevling
Director, CFO, Treasurer1.0XX36128046392
Keith Samuels MD
Physician40.035333134554X
Lawrence Gaul MD
Physician40.040653742583X
Jeffrey Resnick MD
Physician40.047168432279X
Jason Moore
Physician Assistant40.018910420782X
Kerrie Kuhl
Nurse Midwife40.012487139181X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2423807TotalReportableCompFrmRltdOrgs
Total Other Compensation262498TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DENVER HEALTH HOSPITAL AUTHORITY
PO BOX 40411DENVERCO80204SURGEONS2023257
COLORADO MOUNTAIN MEDICAL
PO Box 5850EAGLECO81631Physicians394365
Connie K Wolfe MD
PO Box 997EAGLECO81631Urologist280885
John Slack MD
PO Box 2324EDWARDSCO81632Cardiologist227620
Dr Stephen Mohr
1725 Ivy StreetDENVERCO80220Urologist168813
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations4300000RelatedOrganizations
Government Grants208512GovernmentGrants
All Other Contributions55669AllOtherContributions
Total Contributions4564181TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE900099339534339534
MEDICARE/MEDICAID90009924300392430039
MISCELLANEOUS REVENUE900099674674
FieldValueIRS element (for citing)
Total Program Service Revenue2770247TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2209TotalRevenueColumn
Exclusion$2,209ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7336637TotalRevenueColumn
Related Or Exempt Function Income2770247RelatedOrExemptFunctionIncome
Exclusion$2,209ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total62491Total
Program Services62491ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2989139Total
Program Services2586947ProgramServices
Management And General402192ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total113758Total
Program Services98452ProgramServices
Management And General15306ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total239245Total
Program Services207054ProgramServices
Management And General32191ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total249905Total
Program Services216280ProgramServices
Management And General33625ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total149Total
Management And General149ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5665Total
Management And General5665ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3284325Total
Program Services3278115ProgramServices
Management And General6210ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47527Total
Program Services45110ProgramServices
Management And General2417ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total10001Total
Program Services10001ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11915Total
Program Services11915ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total252773Total
Program Services252773ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1161131137622351
LICENSES AND DUES4180841808
MISCELLANEOUS EXPENSE204204

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7426018Total
Program Services6925708ProgramServices
Management And General500310ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY196520BOY
EOY166710EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY481675BOY
EOY318078EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24790BOY
EOY22037EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY702985BOY
EOY506825EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY309636BOY
EOY498396EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1140327BOY
EOY844788EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1449963BOY
EOY1343184EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-746978BOY
EOY-836359EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-746978BOY
EOY-836359EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY702985BOY
EOY506825EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-89381ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7574591CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5979944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5173788CurrentTaxYearMinus1Year
Current Tax Year4564181CurrentTaxYear
Total23292504Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2849605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4392725CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4847296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3768056CurrentTaxYearMinus1Year
Current Tax Year2770247CurrentTaxYear
Total18627929Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2849605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11967316CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10827240CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8941844CurrentTaxYearMinus1Year
Current Tax Year7334428CurrentTaxYear
Total41920433Total
FieldValueIRS element (for citing)
Public Support Total50941920433PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1357CurrentTaxYearMinus1Year
Current Tax Year2209CurrentTaxYear
Total4229Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1357CurrentTaxYearMinus1Year
Current Tax Year2209CurrentTaxYear
Total4229Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2849605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11967340CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10827879CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8943201CurrentTaxYearMinus1Year
Current Tax Year7336637CurrentTaxYear
Total41924662Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$844,788Amount
FieldValueIRS element (for citing)
Total Of Amounts844788TotalOfAmounts
Total Revenue7336637TotalRevenue
Total Expenses7426018TotalExpenses
Excess Or Deficit For Year-89381ExcessOrDeficitForYear
Excess Or Deficit Per FS-89381ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7336637TotRevenueEtcAuditedFinclStmt
Revenue Subtotal7336637RevenueSubtotal
Total Revenue Per Form9907336637TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7426018TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7426018ExpensesSubtotal
Total Expenses Per Form9907426018TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X, Question 2Identifier
Return ReferenceOrganization's Liability for uncertain tax positionsReturnReference
ExplanationManagement 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.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
IMAGING SERVICES24638820CostMED ASSIST SUPPLIES
LAB SERVICES27513658CostMED ASSIST SUPPLIES
RX/MEDICATION ASSISTANCE4288641CostMED ASSIST SUPPLIES
MEDICAL CARE21561372CostMED ASSIST SUPPLIES

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPart I, Question 2Identifier
Return ReferenceProcedure for Monitoring Use of Grant FundsReturnReference
ExplanationVVMC 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Doris Kirchner
038363001000000333700306000161270563727016667
Charles Crevling
262692550004358822000243924076729167
Keith Samuels MD
1855081131685465510662238923878850
Lawrence Gaul MD
355328330781813116151274224501100
Jeffrey Resnick MD
441360275002824177501452950396316667
Jason Moore
183541184337201295078322098860
Kerrie Kuhl
12287213696309545296361640520

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Identifier457(f) planIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 4BReturnReference
ExplanationDoris 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Question 6Describe circumstances for having members or stockholdersThe organization has a single member, Vail Health Services.
Part VI, Question 7aDescribe circumstances for members electing governing bodyThe Single member, Vail Health Services, can appoint Board members.
Part VI, Question 11bDescribe process to review 990Review 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 12cProcess for Monitoring Compliance With Conflict of Interest PolicyAll 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 15aProcess to Determine Executive CompensationExecutive 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 2012 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 15bProcess to Determine Other CompensationOther 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 2012 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 19Describe how documents are made available to the publicThe Governing documents, conflict of interest policy and financial statements are available for viewing by the public for valid business purposes.
Part III, Question 3Changes in Program ServicesThe OBGYN practice was closed Dec 2011 and the North Star Urology practice was closed June 2012. The physicians providing these services began practicing under Colorado Mountain Medical.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Doris Kirchner TITLE:Director - President HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ron Davis TITLE:Board Chair HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Charles Crevling TITLE:Director, CFO, Treasurer HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Vail Clinic Inc dba Vail Valley Med Ctr
PO Box 40000VailCO81658840563230HospitalCO501(c)(3)Line 3NAfalse
VAIL HEALTH SERVICES
PO BOX 40000VAILCO81658262648461HOLDING COCO501(c)(3)11 TYPE IIINAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg