2012-06-14T15:22:01-04:00 2011-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2010-11-01 261167922 VVMC Diversified Services VVMC 9707772810 PO Box 40000 Vail CO 81658 CHARLES CREVLING 2012-06-15 David S Mason CPA 7194714290 2010 2016-02-24 21:20:13Z VHS PHYSICIAN SERVICES Charles Crevling PO BOX 40000 Vail CO 81658 8943201 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 0 5979944 5173788 4847296 3768056 639 1357 0 0 10827879 8943201 93813 82841 0 0 5273422 4758447 22978 0 0 4788852 3750978 10179065 8592266 648814 350935 609682 702985 1707595 1449963 -1097913 -746978 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 false 8010171 82841 3768056 VVMC 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. 8010171 true true 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 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 517723 50145 Ron Davis 1.0 X X 0 0 0 Charles Crevling 1.0 X X 0 355073 66080 ANDREA RAHLF 40.0 X 0 165443 15960 Keith Samuels MD 40.0 X 0 345474 66559 Lawrence Gaul MD 40.0 X 0 374570 58139 Granville Lloyd MD 40.0 X 0 172328 11347 Jeffrey Resnick MD 40.0 X 0 524150 31199 Kate Skaggs MD 40.0 X 0 154093 4258 Barbara Firminger X 0 149649 0 0 2758503 303687 0 true true false DENVER HEALTH HOSPITAL AUTHORITY PO BOX 40411 DENVER CO 80204 SURGEONS 1695342 CONNIE K WOLF MD PO BOX 997 EAGLE CO 81631 UROLOGIST 335842 COLORADO MOUNTAIN MEDICAL PO BOX 5850 EAGLE CO 81631 PHYSICIANS 341602 ATHENA HEALTH INC PO BOX 415615 BOSTON MA 02241 COLLECTION SERVICES 247028 Dr Stephen Mohr 1725 Ivy Street DENVER CO 80220 Urologist 227988 6 4500 4904608 174258 90422 5173788 NET PATIENT SERVICE REVENUE 900099 1511162 1511162 MEDICARE/MEDICAID 900099 2254808 2254808 MISCELLANEOUS REVENUE 900099 2086 2086 3768056 1357 1357 0 0 0 0 0 0 0 8943201 3768056 1357 0 82841 82841 0 0 0 0 3892657 3580441 312216 0 0 865790 798286 67504 0 0 0 0 5250 0 5250 0 0 0 0 3553806 3370748 183058 0 0 74684 68576 6108 0 0 0 1331 1331 0 0 21823 18688 3135 0 0 14473 14279 194 0 0 0 0 -168832 -168832 0 0 SUPPLIES 202723 198776 3947 0 LICENSES AND DUES 45532 45037 495 0 MISCELLANEOUS EXPENSE 188 0 188 0 8592266 8010171 582095 0 235875 196520 328795 481675 45012 24790 0 0 609682 702985 700571 309636 1007024 1140327 1707595 1449963 X -1097913 -746978 -1097913 -746978 609682 702985 350935 X false true true X false X 0 0 7574591 5979944 5173788 18728323 119181 2849605 4392725 4847296 3768056 15976863 119181 2849605 11967316 10827240 8941844 34705186 34705186 0 0 24 639 1357 2020 0 0 24 639 1357 2020 119181 2849605 11967340 10827879 8943201 34707206 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 1140327 1140327 8943201 8592266 350935 350935 8943201 8943201 8943201 8592266 8592266 8592266 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 257 46111 Cost MED ASSIST SUPPLIES LAB SERVICES 230 14034 Cost MED ASSIST SUPPLIES RX/MEDICATION ASSISTANCE 119 22036 Cost MED ASSIST SUPPLIES MEDICAL CARE 2569 660 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. 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. X X X X X false true false false false false false false false Doris Kirchner 0 393963 0 100000 0 23760 0 33167 0 16978 0 567868 0 16667 Charles Crevling 0 268300 0 61885 0 24888 0 42167 0 23913 0 421153 0 9167 Keith Samuels MD 0 190199 0 154343 0 932 0 38387 0 28172 0 412033 0 0 Lawrence Gaul MD 0 368939 0 4000 0 1631 0 31900 0 26239 0 432709 0 Granville Lloyd MD 0 82961 0 78607 0 10760 0 10277 0 1070 0 183675 0 0 Jeffrey Resnick MD 0 501047 0 20000 0 3103 0 16500 0 14699 0 555349 0 0 Kate Skaggs MD 0 123140 0 24737 0 6216 0 0 0 4258 0 158351 0 Barbara Firminger 0 0 0 0 0 149649 0 0 0 0 0 149649 0 0 ANDREA RAHLF 0 134346 0 30000 0 1097 0 0 0 15960 0 181403 0 0 457(f) plan SCHEDULE J, PART I, LINE 4B DORIS KIRCHNER PARTICIPATED IN A 457(F) PLAN DURING THE YEAR. $4,700 WAS VESTED, BUT NOT PAID. 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, 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 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 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 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 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 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. 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 VAIL HEALTH SERVICES PO BOX 40000 VAIL CO 81658 262648461 HOLDING CO CO 501(c)(3) 11 TYPE III NA false false true false true false false false false false false false true true true false false false