STRATEGY STUDIO / PUBLIC DATA EXPLORER

VVMC DIVERSIFIED SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VVMC DIVERSIFIED SERVICES (EIN 26-1167922)
Tax period
2010-11-01 to 2011-10-31
Filed
2012-06-14
IRS object ID
201241669349300739
Schema version
2010v3.7
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)
Timestamp2012-06-14T15:22:01-04:00Timestamp
Tax Period End Date2011-10-31TaxPeriodEndDate

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 Date2010-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN261167922EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VVMC Diversified ServicesBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2012-06-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid S Mason CPAName
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts8943201GrossReceipts
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
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5979944ContributionsGrantsPriorYear
Contributions Grants Current Year5173788ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4847296ProgramServiceRevenuePriorYear
Program Service Revenue CY3768056ProgramServiceRevenueCY
Investment Income Prior Year639InvestmentIncomePriorYear
Investment Income Current Year1357InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10827879TotalRevenuePriorYear
Total Revenue Current Year8943201TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year93813GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY82841GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5273422SalariesEtcPriorYear
Salaries Etc Current Year4758447SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year22978TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4788852OtherExpensePriorYear
Other Expenses Current Year3750978OtherExpensesCurrentYear
Total Expenses Prior Year10179065TotalExpensesPriorYear
Total Expenses Current Year8592266TotalExpensesCurrentYear
Revenues Less Expenses Prior Year648814RevenuesLessExpensesPriorYear
Revenues Less Expenses CY350935RevenuesLessExpensesCY
Total Assets BOY609682TotalAssetsBOY
Total Assets EOY702985TotalAssetsEOY
Total Liabilities BOY1707595TotalLiabilitiesBOY
Total Liabilities EOY1449963TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1097913NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-746978NetAssetsOrFundBalancesEOY
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 ChangefalseSignificantChange
Expense8010171Expense
Grants82841Grants
Revenue3768056Revenue
DescriptionVVMC Diversified Services, Inc. provides services to the residents of Eagle County, total population approximately 50,000, including trauma services, cardiology, OB-GYN, occupational health, urology, physical therapy, plastic surgery and the Eagle Care Clinic created for services to the indigent population. During the fiscal year ending 10/31/2011, VVMC Diversified Services accommodated approximately 23,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $1,200,000 during 2011. 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 Expense8010171TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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
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 (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Doris Kirchner
Director - President1.0XX051772350145
Ron Davis
Board Chair1.0XX000
Charles Crevling
Director, CFO, Treasurer1.0XX035507366080
ANDREA RAHLF
VICE PRESIDENT40.0016544315960X
Keith Samuels MD
Physician40.0034547466559X
Lawrence Gaul MD
Physician40.0037457058139X
Granville Lloyd MD
Physician40.0017232811347X
Jeffrey Resnick MD
Physician40.0052415031199X
Kate Skaggs MD
Physician40.001540934258X
Barbara Firminger
Vice President01496490X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2758503TotalReportableCompFrmRltdOrgs
Total Other Compensation303687TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 40411DENVERCO80204SURGEONS1695342
CONNIE K WOLF MD
PO BOX 997EAGLECO81631UROLOGIST335842
COLORADO MOUNTAIN MEDICAL
PO BOX 5850EAGLECO81631PHYSICIANS341602
ATHENA HEALTH INC
PO BOX 415615BOSTONMA02241COLLECTION SERVICES247028
Dr Stephen Mohr
1725 Ivy StreetDENVERCO80220Urologist227988
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Federated Campaigns4500FederatedCampaigns
Related Organizations4904608RelatedOrganizations
Government Grants174258GovernmentGrants
All Other Contributions90422AllOtherContributions
Total Contributions5173788TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE90009915111621511162
MEDICARE/MEDICAID90009922548082254808
MISCELLANEOUS REVENUE90009920862086
FieldValueIRS element (for citing)
Total Program Service Revenue3768056TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1357TotalRevenueColumn
Exclusion$1,357ExclusionAmount

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 Column8943201TotalRevenueColumn
Related Or Exempt Function Income3768056RelatedOrExemptFunctionIncome
Exclusion$1,357ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total82841Total
Program Services82841ProgramServices

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)
Total3892657Total
Program Services3580441ProgramServices
Management And General312216ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total865790Total
Program Services798286ProgramServices
Management And General67504ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5250Total
Program Services0ProgramServices
Management And General5250ManagementAndGeneral
Fundraising0Fundraising

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)
Total3553806Total
Program Services3370748ProgramServices
Management And General183058ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total74684Total
Program Services68576ProgramServices
Management And General6108ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1331Total
Program Services1331ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total21823Total
Program Services18688ProgramServices
Management And General3135ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14473Total
Program Services14279ProgramServices
Management And General194ManagementAndGeneral
Fundraising0Fundraising

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)
Total-168832Total
Program Services-168832ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES20272319877639470
LICENSES AND DUES45532450374950
MISCELLANEOUS EXPENSE18801880

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8592266Total
Program Services8010171ProgramServices
Management And General582095ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY235875BOY
EOY196520EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY328795BOY
EOY481675EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45012BOY
EOY24790EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY609682BOY
EOY702985EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY700571BOY
EOY309636EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1007024BOY
EOY1140327EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1707595BOY
EOY1449963EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1097913BOY
EOY-746978EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1097913BOY
EOY-746978EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY609682BOY
EOY702985EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses350935ReconcilationRevenueExpenses
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 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7574591CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5979944CurrentTaxYearMinus1Year
Current Tax Year5173788CurrentTaxYear
Total18728323Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119181CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2849605CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4392725CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4847296CurrentTaxYearMinus1Year
Current Tax Year3768056CurrentTaxYear
Total15976863Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119181CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2849605CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11967316CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10827240CurrentTaxYearMinus1Year
Current Tax Year8941844CurrentTaxYear
Total34705186Total
FieldValueIRS element (for citing)
Public Support Total50934705186PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year639CurrentTaxYearMinus1Year
Current Tax Year1357CurrentTaxYear
Total2020Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year639CurrentTaxYearMinus1Year
Current Tax Year1357CurrentTaxYear
Total2020Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119181CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2849605CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11967340CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10827879CurrentTaxYearMinus1Year
Current Tax Year8943201CurrentTaxYear
Total34707206Total
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
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$1,140,327Amount
FieldValueIRS element (for citing)
Total Of Amounts1140327TotalOfAmounts
Total Revenue8943201TotalRevenue
Total Expenses8592266TotalExpenses
Excess Or Deficit For Year350935ExcessOrDeficitForYear
Excess Or Deficit Per FS350935ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8943201TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8943201RevenueSubtotal
Total Revenue Per Form9908943201TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8592266TotExpensesEtcAuditedFinclStmt
Expenses Subtotal8592266ExpensesSubtotal
Total Expenses Per Form9908592266TotalExpensesPerForm990

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 SERVICES25746111CostMED ASSIST SUPPLIES
LAB SERVICES23014034CostMED ASSIST SUPPLIES
RX/MEDICATION ASSISTANCE11922036CostMED ASSIST SUPPLIES
MEDICAL CARE2569660CostMED 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. As a matter of practice, the clinic does not accept patients with commercial insurance, and that virtually determines that our patients cannot afford health insurance or are Medicaid-eligible, resulting in a low reimbursement rate.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (9 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
039396301000000237600331670169780567868016667
Charles Crevling
0268300061885024888042167023913042115309167
Keith Samuels MD
019019901543430932038387028172041203300
Lawrence Gaul MD
0368939040000163103190002623904327090
Granville Lloyd MD
08296107860701076001027701070018367500
Jeffrey Resnick MD
050104702000003103016500014699055534900
Kate Skaggs MD
012314002473706216000425801583510
Barbara Firminger
000001496490000014964900
ANDREA RAHLF
01343460300000109700015960018140300

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 457(F) PLAN DURING THE YEAR. $4,700 WAS VESTED, BUT NOT PAID.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 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, Assistant CFO 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 2011 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 2011 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.
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/BusinessNameLine1
Vail Clinic Inc dba Vail Valley Med Ctr
PO Box 40000VailCO81658840563230HospitalCO501(c)(3)Line 3NA
VAIL HEALTH SERVICES
PO BOX 40000VAILCO81658262648461HOLDING COCO501(c)(3)11 TYPE IIINA
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