EAGLE HEALTH CARE CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
EAGLE HEALTH CARE CENTER INC (EIN 84-1592469)
Tax period
2009-11-01 to 2010-10-31
Filed
2011-09-13
IRS object ID
201112569349300511
Schema version
2009v1.7
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)
Timestamp2011-09-13T10:01:23-05:00Timestamp
Tax Period End Date2010-10-31TaxPeriodEndDate

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 Date2009-11-01TaxPeriodBeginDate

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
TitleCFOTitle
Date Signed2011-09-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRita F Worster CPAName
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts1159679GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Year673309ProgramServiceRevenuePriorYear
Program Service Revenue CY931878ProgramServiceRevenueCY
Investment Income Prior Year1361InvestmentIncomePriorYear
Investment Income Current Year5003InvestmentIncomeCurrentYear
Other Revenue Prior Year3OtherRevenuePriorYear
Other Revenue Current Year222798OtherRevenueCurrentYear
Total Revenue Prior Year674673TotalRevenuePriorYear
Total Revenue Current Year1159679TotalRevenueCurrentYear
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 Year99558SalariesEtcPriorYear
Salaries Etc Current Year101032SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year910588OtherExpensePriorYear
Other Expenses Current Year732878OtherExpensesCurrentYear
Total Expenses Prior Year1010146TotalExpensesPriorYear
Total Expenses Current Year833910TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-335473RevenuesLessExpensesPriorYear
Revenues Less Expenses CY325769RevenuesLessExpensesCY
Total Assets BOY15400383TotalAssetsBOY
Total Assets EOY15505615TotalAssetsEOY
Total Liabilities BOY247464TotalLiabilitiesBOY
Total Liabilities EOY26927TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15152919NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15478688NetAssetsOrFundBalancesEOY
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
Expense769620Expense
Revenue1154676Revenue
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 Expense769620TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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
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 SERVICES9000998740087400
RENTAL INCOME FROM HEALTH CARE PROVIDERS531120844478844478
FieldValueIRS element (for citing)
Total Program Service Revenue931878TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5003TotalRevenueColumn
Exclusion$5,003ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPROPERTY TAX ABATEMENTDescription
Business Code900099BusinessCode
Total Revenue Column222798TotalRevenueColumn
Related Or Exempt Function Income222798RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue222798TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1159679TotalRevenueColumn
Related Or Exempt Function Income1154676RelatedOrExemptFunctionIncome
Exclusion$5,003ExclusionAmount

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)
Total84033Total
Program Services84033ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4319Total
Program Services4319ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3973Total
Program Services3973ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8707Total
Program Services8707ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2290Total
Management And General2290ManagementAndGeneral

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)
Total112432Total
Program Services112432ProgramServices

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)
Total92654Total
Program Services92654ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total163Total
Program Services163ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

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)
Total369926Total
Program Services369926ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total47762Total
Program Services47762ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES1887188700
REPAIRS & MAINTENANCE186341863400
LICENSE CERTIFICATION & DUES251302513000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total833910Total
Program Services769620ProgramServices
Management And General64290ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY431793BOY
EOY861167EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9700BOY
EOY45044EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7009BOY
EOY8949EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15678572LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1096617LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14951881BOY
EOY14581955EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY8500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15400383BOY
EOY15505615EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY247464BOY
EOY26927EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY247464BOY
EOY26927EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15152919BOY
EOY15478688EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15152919BOY
EOY15478688EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15400383BOY
EOY15505615EOY
FieldValueIRS element (for citing)
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
Depreciation1072630Depreciation
Book Value11519427BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis281594OtherCostOrOtherBasis
Depreciation23987Depreciation
Book Value257607BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings14581955TotalOfBookValueLandBuildings

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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