EAGLE HEALTH CARE CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
EAGLE HEALTH CARE CENTER INC (EIN 84-1592469)
Tax period
2010-11-01 to 2011-10-31
Filed
2012-04-10
IRS object ID
201241019349300209
Schema version
2010v3.4
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)
Timestamp2012-04-10T09:16:50-04:00Timestamp
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)
EIN841592469EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Eagle Health Care Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEAGLNameControl
Phone9707772810Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCHARLIE CREVLINGName
TitleCEOTitle
Date Signed2012-02-15DateSigned

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

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 Receipts650779GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.vvmc.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionEagle Health Care Center's mission is to provide health services in or around the town of Eagle Colorado which would otherwise be underserved, without regard to the patient's ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year931878ProgramServiceRevenuePriorYear
Program Service Revenue CY637388ProgramServiceRevenueCY
Investment Income Prior Year5003InvestmentIncomePriorYear
Investment Income Current Year13391InvestmentIncomeCurrentYear
Other Revenue Prior Year222798OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1159679TotalRevenuePriorYear
Total Revenue Current Year650779TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year101032SalariesEtcPriorYear
Salaries Etc Current Year104051SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year732878OtherExpensePriorYear
Other Expenses Current Year712789OtherExpensesCurrentYear
Total Expenses Prior Year833910TotalExpensesPriorYear
Total Expenses Current Year816840TotalExpensesCurrentYear
Revenues Less Expenses Prior Year325769RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-166061RevenuesLessExpensesCY
Total Assets BOY15505615TotalAssetsBOY
Total Assets EOY15326925TotalAssetsEOY
Total Liabilities BOY26927TotalLiabilitiesBOY
Total Liabilities EOY14298TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15478688NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15312627NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEAGLE HEALTH CARE CENTER IS A COOPERATIVE EFFORT BETWEEN VAIL CLINIC, INC. DBA VAIL VALLEY MEDICAL CENTER, LOCATED IN VAIL, COLORADO, AND VALLEY VIEW HOSPITAL, LOCATED IN GLENWOOD SPRINGS, COLORADO, TO ORGANIZE AND/OR INVEST IN ENTITIES THAT OWN OR OPERATE HEALTH CARE FACILITIES IN OR AROUND EAGLE, COLORADO. THESE HEALTH CARE FACILITIES WILL PROVIDE IN THEIR OPERATING BUDGET A LEVEL OF INDIGENT CARE TO BE PROVIDED TO THOSE PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES AT THE FACILITY AND ARE REQUIRED TO PARTICIPATE IN ALL PUBLIC HEALTH CARE FINANCING PROGRAMS INCLUDING MEDICARE AND MEDICAID PROGRAMS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense754840Expense
Revenue637388Revenue
DescriptionEagle Health Care Center provides services to Eagle and Gypsum area residents through the medical groups included in the joint venture, Vail Valley Medical Center and Valley View Hospital.Description
Total Program Service Expense754840TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
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 Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
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 CommitteesfalseMinutesOfCommittees
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
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHARLES CREVLING CFONamePerson
Telephone Number9704797238TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 40000AddressLine1
CityVailCity
StateCOState
ZIP Code81658ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Doris Kirchner
Director1.0XX000
Gary Brewer
Director1.0XX000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OUTPATIENT SERVICES900099235008235008
RENTAL INCOME FROM HEALTH CARE PROVIDERS531120402380402380
FieldValueIRS element (for citing)
Total Program Service Revenue637388TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13391TotalRevenueColumn
Exclusion$13,391ExclusionAmount

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 Column650779TotalRevenueColumn
Related Or Exempt Function Income637388RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$13,391ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total85359Total
Program Services85359ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3694Total
Program Services3694ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7800Total
Program Services7800ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7198Total
Program Services7198ProgramServices

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)
Total62000Total
Management And General62000ManagementAndGeneral

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)
Total98143Total
Program Services98143ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total90494Total
Program Services90494ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total36Total
Program Services36ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total371120Total
Program Services371120ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total44638Total
Program Services44638ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES754754
REPAIRS & MAINTENANCE2458424584
LICENSE CERTIFICATION & DUES2102021020

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total816840Total
Program Services754840ProgramServices
Management And General62000ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY861167BOY
EOY1073760EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45044BOY
EOY12700EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8949BOY
EOY20169EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15678572LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1467737LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14581955BOY
EOY14210835EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8500BOY
EOY9461EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15505615BOY
EOY15326925EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26927BOY
EOY14298EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26927BOY
EOY14298EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15478688BOY
EOY15312627EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15478688BOY
EOY15312627EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15505615BOY
EOY15326925EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-166061ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2804921OtherCostOrOtherBasis
Book Value2804921BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12592057OtherCostOrOtherBasis
Depreciation1435632Depreciation
Book Value11156425BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis281594OtherCostOrOtherBasis
Depreciation32105Depreciation
Book Value249489BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings14210835TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Question 6Describe circumstances for having members or stockholdersThere are two equal members - Valley View Hospital and Vail Clinic, Inc. DBA Vail Valley Medical Center.
Part VI, Question 7aDescribe circumstances for members electing governing bodyThere are two equal members - Valley View Hospital and Vail Clinic, Inc. DBA Vail Valley Medical Center. Each member hospital elects three of their own Board members (one voting and two non-voting) for a total of six board members (two voting and four non-voting).
Part VI, Question 8bDescribe why not documenting committee meetingsThere were no meetings of any committees this year.
Part VI, Question 11ADescribe process to review 990The 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 Eagle Health Care Center, Inc., reviews the tax form and works with an external CPA firm in the production of the Form 990. However, an electronic version of the form 990 is made available to the board of directors prior to filing with the IRS.
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 VI, Questions 15a & 15bOfficer's CompensationNo officers or directors receive compensation from Eagle Health Care Center, Inc.
Part VI, Question 12cCONFLICT OF INTEREST MONITORINGActivities of this organization relative to the two members and related parties are monitored by the Vail Valley Medical Center accounting group. Any known conflict would be reported to the two members wiht a recommendation for an appropriate course of action dependent on the nature of the conflict.

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