Civic Intelligence

VVMC Diversified Services

990 • Fiscal year 2016 • EIN 26-1167922

Nov 01, 2015 to Oct 31, 2016 • Filed on Sep 15, 2017

PO Box 40000Vail, CO 81658

(970) 479-7238

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

3.87x

Higher debt load relative to assets than 99% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Liabilities / Revenue

69th percentile

0.48x

Higher debt load relative to revenue than 69% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Net Margin

22nd percentile

-8.3%

Higher net margin than 22% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Top Officer Pay

97th percentile

$784,518

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 10.4% of source-year revenue.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Asset Growth

71st percentile

8.4%

Faster asset growth than 71% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Revenue Growth

48th percentile

2.2%

Faster revenue growth than 48% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Assets

Up

$931,305

Up $72,117 (+8.4%) from 2015

Net Assets

Down

-$2,670,006

Down $625,286 (-31%) from 2015

Liabilities

Up

$3,601,311

Up $697,403 (+24%) from 2015

Revenue

Up

$7,519,813

Up $164,686 (+2.2%) from 2015

Expenses

Up

$8,145,099

Up $513,756 (+6.7%) from 2015

Net Income

Down

-$625,286

Down $349,070 (-126%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $609,682Liabilities 2010: $1,707,595Net Assets 2010: -$1,097,9132010Assets 2011: $702,985Liabilities 2011: $1,449,963Net Assets 2011: -$746,9782011Assets 2012: $506,825Liabilities 2012: $1,343,184Net Assets 2012: -$836,3592012Assets 2013: $328,506Liabilities 2013: $1,089,333Net Assets 2013: -$760,8272013Assets 2014: $823,003Liabilities 2014: $2,639,342Net Assets 2014: -$1,816,3392014Assets 2015: $859,188Liabilities 2015: $2,903,908Net Assets 2015: -$2,044,7202015Assets 2016: $931,305Liabilities 2016: $3,601,311Net Assets 2016: -$2,670,0062016Assets 2017: $1,073,679Liabilities 2017: $1,347,732Net Assets 2017: -$274,0532017Assets 2018: $1,159,420Liabilities 2018: $1,075,442Net Assets 2018: $83,9782018Assets 2019: $1,183,944Liabilities 2019: $1,042,877Net Assets 2019: $141,0672019Assets 2020: $587,700Liabilities 2020: $361,114Net Assets 2020: $226,5862020Assets 2021: $1,109,586Liabilities 2021: $535,820Net Assets 2021: $573,7662021Assets 2022: $1,215,183Liabilities 2022: $449,427Net Assets 2022: $765,7562022Assets 2023: $714,229Liabilities 2023: $763,000Net Assets 2023: -$48,7712023Assets 2024: $800,178Liabilities 2024: $1,512,814Net Assets 2024: -$712,6362024

Highlighted filing

2016

Assets$931,305
Liabilities$3,601,311
Net Assets-$2,670,006

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $10,179,0652010Expenses 2011: $8,592,2662011Expenses 2012: $7,426,0182012Expenses 2013: $6,829,0752013Revenue 2014: $7,530,898Expenses 2014: $8,586,410Net Income 2014: -$1,055,5122014Revenue 2015: $7,355,127Expenses 2015: $7,631,343Net Income 2015: -$276,2162015Revenue 2016: $7,519,813Expenses 2016: $8,145,099Net Income 2016: -$625,2862016Revenue 2017: $13,054,821Expenses 2017: $10,658,868Net Income 2017: $2,395,9532017Revenue 2018: $10,690,016Expenses 2018: $10,331,985Net Income 2018: $358,0312018Revenue 2019: $10,091,322Expenses 2019: $10,034,233Net Income 2019: $57,0892019Revenue 2020: $8,365,327Expenses 2020: $8,279,808Net Income 2020: $85,5192020Revenue 2021: $8,208,578Expenses 2021: $7,861,398Net Income 2021: $347,1802021Revenue 2022: $9,758,458Expenses 2022: $9,566,468Net Income 2022: $191,9902022Revenue 2023: $9,845,277Expenses 2023: $10,659,804Net Income 2023: -$814,5272023Revenue 2024: $9,244,527Expenses 2024: $9,908,377Net Income 2024: -$663,8502024

Highlighted filing

2016

Revenue$7,519,813
Expenses$8,145,099
Net Income-$625,286
Jump To
Filing Snapshot
Filing Period
Nov 1, 2015 to Oct 31, 2016
Signed
Sep 15, 2017
Return Version
2015v3.0
Gross Receipts
$7,519,813
Mission and Program Overview

Mission

Vvmc diversified services, dba vail health clinics, 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.

To provide specialized medical services through one or more outpatient clinics to the residents and visitors in and around eagle county, Colorado.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$630,029$712,448▲ $82,419
Cash and Non-Interest-Bearing Accounts$179,433$151,292▼ $28,141
Prepaid Expenses and Deferred Charges$49,726$42,927▼ $6,799
Inventories for Sale or Use$0$24,638▲ $24,638
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$859,188$931,305▲ $72,117
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$856,940$1,995,831▲ $1,138,891
Other Liabilities$2,046,968$1,605,480▼ $441,488
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,903,908$3,601,311▲ $697,403
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-2,044,720$-2,670,006▼ $625,286
Total Net Assets Fund Balance$-2,044,720$-2,670,006▼ $625,286
Total Liabilities and Net Assets / Fund Balance$859,188$931,305▲ $72,117
Compensation and Service Providers

Employees

NameTitleOtherTotal
Ted SirottaTreasurer & CFO$86,357$86,357

Board Members and Trustees

NameTitle
Ron DavisBoard Chair
Doris KirchnerDirector - President & CEO
Charles CrevlingFormer Treasurer & CFO
Dennis Lipton MDPhysician
Jeffrey Resnick MDPhysician
Jerry Greenberg MdPhysician
Lawrence Gaul MDPhysician
Nelson Prager MDPhysician

Highest Paid Contractors

ContractorServicesLocationCompensation
Denver Health Hospital AuthoritySurgeonsPO BOX 40411, Denver, CO 80204$2,078,987
Revenue and Support

Revenue Composition

Contributions and Grants
$4,600,000
Program Service Revenue
$2,917,739
Investment Income
$2,074
Other Revenue
$0
Change in Net Assets
$-625,286

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,322,256
Revenue Not Reported on Financial Statements
$197,557
Other Revenue Adjustments
$197,557
Total Revenue per Audited Statements
$7,322,256
Total Revenue per Form 990
$7,519,813
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,220,900
Other Expenses$2,924,199
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,204,149$140,446-$4,344,595
Fees for Services Other$2,241,143$3,182-$2,244,325
Other Employee Benefits$451,157$15,072-$466,229
Payroll Taxes$271,370$9,065-$280,435
Pension Plan Contributions$125,450$4,191-$129,641
Insurance$122,457--$122,457
Office Expenses$61,428$39,459-$100,887
Other Expenses$48,290$2,869-$48,290
Travel$29,890$3,417-$33,307
Occupancy$31,976--$31,976
Conferences and Meetings$11,974$2,494-$14,468
Fees for Services Accounting-$5,876-$5,876
Total Functional Expenses$7,919,028$226,071$0$8,145,099

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$8,145,099
Expenses per Audited Statements$7,947,542
Total Expenses per Audited Statements$7,947,542
Expenses Not Reported on Financial Statements$197,557
Other Expense Adjustments$197,557
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$1,605,480
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS OR STOCKHOLDERS The organization has a single member, Vail Health Services.

Form 990, Part VI, Section A, Line 7A

DESCRIBE CIRCUMSTANCES FOR MEMBERS ELECTING GOVERNING BODY The Single member, Vail Health Services, can appoint Board members. Form 990, Part VI, Section A, Line 7b Governance Decisions Reserved to Members or Stockholders THE SINGLE MEMBER HAS THE AUTHORITY TO: 1) ELECT DIRECTORS; 2) APPOINT THE PRESIDENT; 3) APPROVE ARTICLES AND BYLAWS; 4) APPROVE BUDGETS; 5) APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF $100,000; 6) APPROVE UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000; 7) CAUSE VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, OR BANKRUPTCY; 8) APPROVE SALE OF ASSETS IN EXCESS OF $1,000,000; 9) CREATE SUBSIDIARY OR AFFILIATE; 10) SELECT PUBLIC ACCOUNTANTS; 11) ESTABLISH INVESTMENT POLICIES; 12) ESTABLISH POLICIES ON THE DISTRIBUTION AND USE OF FUNDS; 13) ADD/DELETE MAJOR PROGRAM/SERVICE LINES.

Form 990, Part VI, Section B, line 11B

DESCRIBE THE PROCESS TO REVIEW THE 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 HEALTH HOSPITAL, providing services to VAIL HEALTH CLINICS, reviews the tax form and works with an external CPA/Tax firm in the production of the Form 990. An electronic version is provided to directors and officers for review, discussion and comment prior to filing the form 990 with the irs.

Form 990, Part VI, Section B, line 12C

Process for monitoring compliance with conflict of interest policy the conflict of interest policy applies to vail health hospital (vhh) board members, officers, medical staff, licensed independent practitioners, volunteers, agents, contractors and employees. All board members, medical staff, nurse practitioners, physician assistants, and employees of vhh are required to disclose potential conflicts of interest by completing a conflict of interest electronic questionnaire upon hire or appointment and then annually. Board members and agents must complete and submit conflict of interest electronic questionnaire to the chief ethics and compliance officer upon hire or appointment and then annually. Volunteers must complete and submit disclosure forms to the manager of volunteers when they begin providing services to vhh and then annually. If during the year any new potential conflicts of interest arise, covered persons must report the potential conflicts of interest immediately (and prior to undertaking any activity that may raise a potential conflict of interest). The chief ethics and compliance officer, the volunteer services program manager and the committee shall consider the following factors when reviewing completed disclosure forms: - whether the colleague or an immediate family member is a party to, or may directly or indirectly benefit from, a proposed agreement or transaction involving vhh; - whether the colleague's desire for, or expectation of, direct or indirect external economic advantage could distort a vhh decision or activity; - whether the colleague or an immediate family member is engaging in an activity, business, or transaction in which vhh is likely to engage; - whether the colleague's outside activities may conflict with rights of, or the colleague's obligations to, vhh or vhh's patients; - whether the conflict of interest can be cured or managed by recusal or other appropriate action; - whether there is an appearance of a conflict of interest. - whether the colleague or an immediate family member is engaging in an activity, business, or transaction in which vhh is likely to engage; - whether the colleague's outside activities may conflict with rights of, or the colleague's obligations to, vhh or vhh's patients; - whether the conflict of interest can be cured or managed by recusal or other appropriate action; - whether there is an appearance of a conflict of interest.

Form 990, Part VI, Section B, line 15A

PROCESS TO DETERMINE EXECUTIVE COMPENSATION Executive compensation is paid and determined by a related party, Vail Clinic, Inc., DBA Vail HEALTH HOSPITAL. A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE cOMPENSATION WAS LAST FORMALLY REVIEWED IN 2016 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.

Form 990, Part VI, Section B, line 15B

PROCESS TO DETERMINE OFFICER COMPENSATION Executive compensation is paid and determined by a related party, Vail Clinic, Inc., DBA Vail HEALTH HOSPITAL. A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. Other officer, and key employee COMPENSATION WAS LAST FORMALLY REVIEWED IN 2016 BY SULLIVAN COTTER. THIS rEVIEW EVALUATES TOTAL COMPENSATION OF THE individual 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.

Form 990, Part VI, Section C, line 19

Describe how documents are made available to the public the financial statements are made available to the public for viewing for valid business purposes.

Filing and Contact Details

Filer

Filer Name
VVMC Diversified Services
EIN
26-1167922
In Care Of
% THE ORGANIZATION
Phone
9704797238
Address
PO Box 40000, Vail, CO 81658
Doing Business As
Vail Health Clinics

Signing Officer

Name
Ted Sirotta
Title
CFO
Phone
9704797238
Signed
2017-09-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Doris Kirchner
Formed
2007
Legal Domicile
Co
Voting Board Members
2
Independent Board Members
1
Employees
0
Volunteers
10

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990 Part IX Line 11G

Description:physician fees total fees:2159742

Form 990 Part IX Line 11G

Description:coding fees total fees:79885

Form 990 Part IX Line 11G

Description:collection fees total fees:2662

Form 990 Part IX Line 11G

Description:laundry total fees:1516

Form 990 Part IX Line 11G

Description:consulting total fees:520

Financial Statement Notes

Schedule D, Part X, Line 2

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.

Schedule D, Part XI, line 4B

Revenue on return, not on books bad debt expense net against patient service revenue on the financials, treated as expense for tax purposes 197,557

Schedule D, PART XII, LINE 4B

Expenses on return, not on books bad debt expense net against patient service revenue on the financials, treated as expense for tax purposes 197,557

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IRS990/Desc0VAIL HEALTH CLINICS. provides services to the residents of Eagle County, total population approximately 50,000, including trauma services, cardiology, occupational health, plastic surgery, internal medicine and endocrinology. During the fiscal year ending 10/31/2016, VAIL HEALTH CLINICS accommodated approximately 11,000 patient visits. The unreimbursed value of providing care to Medicaid and Medicare patients totaled approximately $2 million during fiscal 2016. 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.
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IRS990/Form990PartVIISectionAGrp/PersonNm2Ted Sirotta
IRS990/Form990PartVIISectionAGrp/PersonNm3Jeffrey Resnick MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Lawrence Gaul MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Nelson Prager MD
IRS990/Form990PartVIISectionAGrp/PersonNm6JERRY GREENBERG MD
IRS990/Form990PartVIISectionAGrp/PersonNm7Dennis Lipton MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Charles Crevling
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IRS990/ProgramServiceRevenueGrp/BusinessCd1621400
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IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-625286
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IRS990/ReportOtherAssetsInd0false
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.80$1.51$0.71$9.24$9.91$0.66
2023Detailed filing. Detailed filing data is available for this year.$0.71$0.76$0.05$9.85$10.7$0.81
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.22$0.45$0.77$9.76$9.57$0.19
2021Detailed filing. Detailed filing data is available for this year.$1.11$0.54$0.57$8.21$7.86$0.35
2020Detailed filing. Detailed filing data is available for this year.$0.59$0.36$0.23$8.37$8.28$0.09
2019Detailed filing. Detailed filing data is available for this year.$1.18$1.04$0.14$10.1$10.0$0.06
2018Detailed filing. Detailed filing data is available for this year.$1.16$1.08$0.08$10.7$10.3$0.36
2017Detailed filing. Detailed filing data is available for this year.$1.07$1.35$0.27$13.1$10.7$2.40
2016Detailed filing. Detailed filing data is available for this year.$0.93$3.60$2.67$7.52$8.15$0.63
2015Detailed filing. Detailed filing data is available for this year.$0.86$2.90$2.04$7.36$7.63$0.28
2014Detailed filing. Detailed filing data is available for this year.$0.82$2.64$1.82$7.53$8.59$1.06
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.33$1.09$0.76$6.83
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.51$1.34$0.84$7.43
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.70$1.45$0.75$8.59
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.61$1.71$1.10$10.2