2013-07-24T11:53:20-05:00 2012-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2011-11-01 261167922 VVMC Diversified Services % THE ORGANIZATION VVMC 9707772810 PO Box 40000 Vail CO 81658 Charles Crevling 2013-06-15 true David S Mason CPA 7194714290 2011 2016-02-24 21:20:13Z VHS Physician Services Charles Crevling PO BOX 40000 Vail CO 81658 7336637 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 5173788 4564181 3768056 2770247 1357 2209 0 0 8943201 7336637 82841 62491 0 0 4758447 3592047 0 0 0 3750978 3771480 8592266 7426018 350935 -89381 702985 506825 1449963 1343184 -746978 -836359 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 6925708 62491 2770247 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 10/31/2012, 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. 6925708 true true false false false false false false false false false false false false true false false true false false false false false false false false false false true true false false false false false false false false false false false false false true false false false false true 1 0 true 0 false false false false false false false false false false X 3 1 false false false false true true false 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 X X 0 517000 46727 Ron Davis 1.0 X X Charles Crevling 1.0 X X 361280 46392 Keith Samuels MD 40.0 X 353331 34554 Lawrence Gaul MD 40.0 X 406537 42583 Jeffrey Resnick MD 40.0 X 471684 32279 Jason Moore 40.0 X 189104 20782 Kerrie Kuhl 40.0 X 124871 39181 0 2423807 262498 0 false true false DENVER HEALTH HOSPITAL AUTHORITY PO BOX 40411 DENVER CO 80204 SURGEONS 2023257 COLORADO MOUNTAIN MEDICAL PO Box 5850 EAGLE CO 81631 Physicians 394365 Connie K Wolfe MD PO Box 997 EAGLE CO 81631 Urologist 280885 John Slack MD PO Box 2324 EDWARDS CO 81632 Cardiologist 227620 Dr Stephen Mohr 1725 Ivy Street DENVER CO 80220 Urologist 168813 6 4300000 208512 55669 4564181 NET PATIENT SERVICE REVENUE 900099 339534 339534 MEDICARE/MEDICAID 900099 2430039 2430039 MISCELLANEOUS REVENUE 900099 674 674 2770247 2209 2209 0 0 0 0 0 0 0 7336637 2770247 2209 0 62491 62491 0 0 0 0 2989139 2586947 402192 0 113758 98452 15306 239245 207054 32191 249905 216280 33625 0 149 149 5665 5665 0 0 0 3284325 3278115 6210 0 47527 45110 2417 0 0 1000 1000 10001 10001 0 11915 11915 0 0 0 252773 252773 SUPPLIES 116113 113762 2351 LICENSES AND DUES 41808 41808 MISCELLANEOUS EXPENSE 204 204 7426018 6925708 500310 0 196520 166710 0 0 0 0 481675 318078 0 0 0 0 0 0 0 0 24790 22037 0 0 0 0 0 0 0 0 0 0 0 702985 506825 309636 498396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1140327 844788 1449963 1343184 X -746978 -836359 0 0 0 0 -746978 -836359 702985 506825 -89381 X false true true X false X 0 7574591 5979944 5173788 4564181 23292504 2849605 4392725 4847296 3768056 2770247 18627929 2849605 11967316 10827240 8941844 7334428 41920433 41920433 0 24 639 1357 2209 4229 0 24 639 1357 2209 4229 2849605 11967340 10827879 8943201 7336637 41924662 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 0 DUE TO AFFILIATES 844788 844788 7336637 7426018 -89381 -89381 7336637 7336637 7336637 7426018 7426018 7426018 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. true IMAGING SERVICES 246 38820 Cost MED ASSIST SUPPLIES LAB SERVICES 275 13658 Cost MED ASSIST SUPPLIES RX/MEDICATION ASSISTANCE 428 8641 Cost MED ASSIST SUPPLIES MEDICAL CARE 2156 1372 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 383630 0 100000 0 33370 0 30600 0 16127 0 563727 0 16667 Charles Crevling 262692 55000 43588 22000 24392 407672 9167 Keith Samuels MD 185508 113168 54655 10662 23892 387885 0 Lawrence Gaul MD 355328 33078 18131 16151 27422 450110 0 Jeffrey Resnick MD 441360 27500 2824 17750 14529 503963 16667 Jason Moore 183541 1843 3720 12950 7832 209886 0 Kerrie Kuhl 122872 1369 630 9545 29636 164052 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 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 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 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 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 3 Changes in Program Services The 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 ORGANIZATION FORM 990 PART VII NAME:Doris Kirchner TITLE:Director - President HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ron Davis TITLE:Board Chair HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Charles Crevling TITLE:Director, CFO, Treasurer HOURS:40 Vail Clinic Inc dba Vail Valley Med Ctr PO Box 40000 Vail CO 81658 840563230 Hospital CO 501(c)(3) Line 3 NA 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 false true false false false false false false false true true true false false false