2024-09-12T19:21:36-05:00 2023-10-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2022-11-01 840563230 VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT VAIL 9704762451 PO BOX 40000 VAIL CO 81658 MICHAEL BROWN CHIEF FINANCIAL OFFICER 9704762451 2024-09-12 1 1 LAWRENCE H MOHR CPA P00447603 6128764500 2024-09-12 X 2022 2024-08-08 14:25:15Z VAIL HEALTH HOSPITAL WILL COOK PO BOX 40000 VAIL CO 81658 395086614 0 X WWW.VAILHEALTH.ORG X 1965 CO ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. 19 16 1639 99 3742126 0 14165602 38277586 307491683 337973486 11114781 1348862 10166511 10578033 342938577 388177967 20802434 19689897 0 0 141328015 172958892 0 0 2228042 198511620 213049528 360642069 405698317 -17703492 -17520350 837495764 841377599 228504084 237579702 608991680 603797897 X ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. 0 0 302801887 19689897 339707140 SEE SCHEDULE O. 302801887 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 282 0 1639 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X VHH ACCOUNTING DEPARTMENT 9704762451 PO BOX 40000 VAIL CO 81658 WILL COOK PRESIDENT AND CEO 40.00 1.00 X X 1559247 0 126664 JERRY GREENBERG MD DIRECTOR 1.00 40.00 X 631192 0 35871 SUSIE VICKERMAN DO DIRECTOR 40.00 0.00 X 447291 0 40194 KRISTEN ICKES DO DIRECTOR 40.00 0.00 X 354745 0 21704 ERIC AFFELDT CHAIRMAN 1.00 1.00 X X 0 0 0 CHRIS JARNOT SECRETARY 1.00 0.00 X X 0 0 0 ANDY DALY DIRECTOR 1.00 0.00 X 0 0 0 ART KELTON DIRECTOR 1.00 0.00 X 0 0 0 BRATZO HORRUITINER DIRECTOR 1.00 0.00 X 0 0 0 ELLEN MORITZ DIRECTOR 1.00 0.00 X 0 0 0 HARRY FRAMPTON DIRECTOR 1.00 0.00 X 0 0 0 JUSTIN STARZYK DIRECTOR 1.00 0.00 X 0 0 0 LINDA PANCRATZ DIRECTOR 1.00 0.00 X 0 0 0 MARC PHILIPPON MD DIRECTOR 1.00 0.00 X 0 0 0 MARY RANDALL DIRECTOR 1.00 0.00 X 0 0 0 MIKE IMHOF DIRECTOR 1.00 0.00 X 0 0 0 REG FRANCIOSE MD DIRECTOR 1.00 0.00 X 0 0 0 SUSAN KASSER DIRECTOR 1.00 0.00 X 0 0 0 THOMAS GORRIE DIRECTOR 1.00 0.00 X 0 0 0 JOHN HIGGINS TREASURER AND CFO 40.00 1.00 X 651758 0 69048 AMANDA VEIT CHIEF OPERATIONS OFFICER 40.00 1.00 X 1046287 0 65650 CRAIG COHN CHIEF REAL ESTATE DEV OFFICER 40.00 0.00 X 772825 0 20035 DAVID KAPLAN PRESIDENT CMM 40.00 0.00 X 601542 0 20523 BROOKS BOCK MD PRESIDENT CMM 40.00 0.00 X 423274 0 34749 PATRICIA HARDENBERGH MD PHYSICIAN 40.00 0.00 X 802925 0 44572 CHRIS LINDLEY EXECUTIVE DIRECTOR, EVBH 0.00 40.00 X 695426 0 36068 KATHERINE SCHUETZE MD PHYSICIAN 0.00 40.00 X 592723 0 27929 ALEXANDER URQUHART MD PHYSICIAN 40.00 0.00 X 570513 0 44598 NELSON PRAGER MD PHYSICIAN 0.00 40.00 X 575757 0 2100 DORIS KIRCHNER FORMER PRESIDENT AND CEO 40.00 1.00 X 557986 0 0 10283491 0 589705 493 1 1 0 GE JOHNSON CONSTRUCTION CO 25 N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION 11614180 RHIZE TECH PO BOX 913184 DENVER CO 802913184 IT SERVICES 8307742 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT SERVICES 7799406 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 100875068 CONTRACT LABOR 6032660 LAYTON CONSTRUCTION COMPANY LLC 9090 SOUTH SANDY PARKWAY SANDY UT 84070 CONSTRUCTION 2813540 107 33688819 4588767 38277586 PATIENT SERVICE REVENU 900099 218201352 215994311 2207041 MEDICARE/MEDICAID 900099 69367898 69367898 SUBSIDIARY EQUITY 900099 37376994 37376994 PROF SERVICES/OVERHEAD 900099 11492157 11492157 RETAIL PHARMACY 456110 1535085 1535085 337973486 1348862 1348862 11179726 6908647 4271079 4271079 4271079 MISCELLANEOUS REVENUE 900099 4940855 4940855 CAFETERIA REVENUE 900099 831174 831174 REBATES FROM VENDOR 900099 534925 534925 6306954 388177967 339707140 3742126 6451115 X 19689897 19689897 4973979 472553 4501426 132250505 96800651 33755541 1694313 8865332 6996140 1784476 84716 12240439 7183517 4860034 196888 14628637 11721345 2777677 129615 2940379 400231 2540148 250289 250289 5100 5100 51955759 30319787 21539633 96339 1530622 211711 1310073 8838 2860808 1040151 1817169 3488 451908 142910 308998 3374223 -190869 3565092 637409 358485 267836 11088 306170 208116 98004 50 4795736 4795736 28084100 25047123 3036977 3070805 3070805 MEDICAL & OTHER SUPPLIE 68591051 68135293 453203 2555 MISCELLANEOUS 13719028 5198529 8520347 152 REPAIRS & MAINTENANCE 10825628 4785271 6040357 BAD DEBT EXPENSE 7173603 7173603 12476910 12311707 165203 405698317 302801887 100668388 2228042 26605505 19140407 1024501 25157023 40393435 46271111 0 44649325 9373604 10249780 20413267 9085642 608944489 276049390 354655547 332895099 267761203 219520378 38587856 49618013 78680846 84790821 837495764 841377599 56877049 48935840 2590711 0 105343009 130053001 63693315 58590861 228504084 237579702 X 607998290 602940784 993390 857113 608991680 603797897 837495764 841377599 X -17520350 15399881 -47555 -3025759 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5361 5361 0 PART II-B, LINE 1: A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES. 10398881 3358333 506729 971060 13292883 9053829 1691328 -23112 323164 10398881 7411055 497204 1362357 216787 9053829 7586468 22498 75931 273842 7411055 7161649 101998 513523 190702 7586468 1.00000 0 1 1 9097549 9097549 425628132 143672269 281955863 4243142 3118078 1125064 159481284 127356111 32125173 10494382 1902932 8591450 332895099 INVESETMENT IN JOINT VENTURES 49618013 C 49618013 RIGHT OF USE ASSET 59096630 DUE FROM VAIL VALLEY SURGERY CLINIC 382086 DUE FROM VVMC DIVERSIFIED SERVICES 249750 DUE FROM VAIL SERVICES FOUNDATION 1580892 DUE FROM EAGLE VALLEY MENTAL HEALTH 2494190 DUE FROM SUMMIT ORTHOPEDIC SURGERY CENTER LLC 1012621 DUE FROM EAGLE HEALTH CARE CENTER 59826 DUE FROM BASALT ORTHOPEDIC SURGERY CENTER LLC 863633 DUE FROM VAIL HEALTH SERVICES 8190694 DUE FROM EAGLE RIVER REAL ESTATE HOLDINGS 247999 SECURITY DEPOSIT 946999 BENEF INTEREST VOL CORP 59565 WORKFORCE IN PLACE 456483 OTHER RECEIVABLES 9149453 84790821 LEASE LIABILITY 58166095 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 424766 58590861 X PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY. THESE ENDOWMENTS ARE HELD BY VAIL HEALTH SERVICES FOUNDATION FOR THE BENEFIT OF VAIL HEALTH HOSPITAL AND HAVE BEEN RESTRICTED FOR THE FOLLOWING PURPOSES: JACK'S PLACE ENDOWMENT: TO SUPPORT JACK'S PLACE GRAHAM/SMITH ENDOWMENT: TO SUPPORT SHAW PATIENT ASSISTANCE KUBIK ENDOWMENT: TO SUPPORT BEHAVIORAL HEALTH CASE MANAGEMENT CHAPLAINCY ENDOWMENT: TO SUPPORT HOSPITAL CHAPLAINCY VVMC ENDOWMENT: TO SUPPORT THE HOSPITAL SPRI ENDOWMENT: TO SUPPORT STEADMAN PHILIPPON RESEARCH INSTITUTE PART X, LINE 2: VAIL HEALTH SERVICES, VAIL HEALTH HOSPITAL, VAIL HEALTH FOUNDATION, VAIL HEALTH CLINICS AND EAGLE VALLEY BEHAVIORAL HEALTH ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. COLORADO MOUNTAIN MEDICAL, NORTH EAGLE INVESTMENTS, AND VAIL HEALTH HOLDINGS ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. EAGLE RIVER REAL ESTATE HOLDINGS AND THE SURGERY CENTER HAVE ELECTED TO HAVE THEIR INCOME TAXED AS PARTNERSHIPS UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE. MANAGEMENT SERVICES IS A TAXABLE CORPORATION UNDER PROVISIONS OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2023, AND 2022. 1 1 X 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 0 668382 668382 0.00160 27880008 15332461 12547547 0.03090 28548390 15332461 13215929 0.03250 1534732 5499 1529233 0.00380 910293 910293 0.00220 1136940 1136940 0.00280 341165 341165 0.00080 17535616 345248 17190368 0.04240 21458746 350747 21107999 0.05200 50007136 15683208 34323928 0.08450 1 7148767 60498251 87190059 -26691808 X 1 1 1 VAIL VALLEY SURGERY CENTER AMBULATORY SURGERY CENTER 0.50170 0.49830 2 SUMMIT ORTHOPEDIC SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.33330 0.66670 3 BASALT ORTHOPEDIC SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.25000 0.75000 1 1 VAIL CLINIC INC PO BOX 40000 VAIL CO 81658 WWW.VAILHEALTH.ORG 010911 X X X VAIL CLINIC INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V STMT FOR FULL URL X 1 22 1 SEE PART V STMT FOR FULL URL 0 1 X 250.000000000000 550.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V STMT FOR FULL URL X SEE PART V STMT FOR FULL URL X SEE PART V STMT FOR FULL URL X X X X X X 1 X 0 X X X X 1 X 0 0 VAIL CLINIC, INC. PART V, SECTION B, LINE 5: VAIL HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FY22, FROM NOV 2021-OCT 2022. IT INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO IDENTIFY AND ANALYZE PRIORITY COMMUNITY HEALTH NEEDS WITHIN EAGLE COUNTY. AS STATED IN VAIL HEALTH'S FY22 990, THE PROCESS INCLUDED:- A COMPREHENSIVE ANALYSIS OF HEALTH AND POPULATION HEALTH-RELATED DATA - INCLUDING DEMOGRAPHIC, ECONOMIC, AND SOCIAL INDICATORS- FACILITATION OF 13 PARTNER AND COMMUNITY FOCUS GROUPS WHICH SOLICITED COMMUNITY INPUT TO IDENTIFY THE COMMUNITY'S HEALTH NEEDS- CREATION OF A GAP ANALYSIS WHICH IDENTIFIED EXISTING COMMUNITY NEEDS AND STRATEGIES TO ADDRESS THEMCOMMUNITY STAKEHOLDER ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA. VAIL HEALTH SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED, PRIORITY, OR MINORITY POPULATIONS. THROUGH THIS INPUT WE RECEIVED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AND GAPS IN SERVICES, AND INSIGHTS ABOUT ISSUES THAT CONTRIBUTE TO HEALTH DISPARITIES. FOR THE 2022 CHNA, VAIL HEALTH CONSULTED INDIVIDUALS FROM THE FOLLOWING COMMUNITY PARTNERS:VAIL VALLEY FOUNDATION, YOUR HOPE CENTER, YOUTH POWER 365, VALLEY VIEW WOMEN'S HEALTH, WIC COLORADO, VISITING ANGELS, VAIL VALLEY PARTNERSHIP, UNITED WAY OF EAGLE RIVER VALLEY, TOWN OF VAIL, SOWING SEEDS, THE SALVATION ARMY, SNAP, QUALITY HEALTH NETWORK, NURSE-FAMILY PARTNERSHIP, NORTHWEST COLORADO COMMUNITY HEALTH PARTNERSHIP, MY FUTURE PATHWAYS, MOUNTAIN FAMILY HEALTH CENTERS, MIRA, ILLUMINATE BUILDING BETTER CHILDHOODS, HOWARD HEAD SPORTS MEDICINE, HILLTOP, HEALTH FIRST COLORADO, GUARDIAN SCHOLARS, EARLY CHILDHOOD PARTNERS, EARLY CHILDHOOD OPTIONS, EAGLE VALLEY FAMILY PRACTICE, EAGLE VALLEY COMMUNITY FOUNDATION, EAGLE VALLEY BEHAVIORAL HEALTH, EAGLE COUNTY SCHOOL DISTRICT, EAGLE COUNTY PARAMEDIC SERVICES, EAGLE COUNTY PUBLIC HEALTH, EAGLE COUNTY HEALTHY AGING, THE COMMUNITY MARKET, COLORADO STATE UNIVERSITY EXTENSION, COLORADO MOUNTAIN MEDICAL, COLORADO HOME VISITING COALITION, COLORADO BLUEPRINT TO END HUNGER, COLORADO DEPARTMENT OF HUMAN SERVICES, CAREGIVER CONNECTIONS, BABYCAFE, ASPEN VALLEY HOSPITAL. VAIL CLINIC, INC. PART V, SECTION B, LINE 11: VAIL HEALTH DEVELOPED AN IMPLEMENTATION STRATEGY IN FY22 TO GUIDE COMMUNITY BENEFIT ACTIVITIES ACROSS EAGLE COUNTY. IN FY23, AS DETERMINED BY THE PRIORITIZATION PROCESS, VAIL HEALTH WILL DEVOTE RESOURCES AND EXPERTISE TO ADDRESS THE FOLLOWING 8 PRIORITIES:1. ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH2. BRING CARE TO THE PEOPLE3. FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES4. INCREASE UTILIZATION OF HEALTHY FOODS5. ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON INCREASED DIVERSITY6. INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS7. IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION (ADDRESS THE SES)8. ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENTTHE IMPLEMENTATION PLAN BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKES INTO CONSIDERATION THE EVALUATION OF IMPACTS FROM THE PREVIOUS IMPLEMENTATION PLAN CYCLE, WHILE RECOGNIZING NEW HEALTH NEEDS AND A CHANGING HEALTH CARE DELIVERY ENVIRONMENT IDENTIFIED IN THE 2022 CHNA. IN 2023, VAIL HEALTH MADE PROGRESS ON THE 8 PRIORITY AREAS BY IMPLEMENTING THE FOLLOWING INITIATIVES.1. ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH: RECOGNIZING BEHAVIORAL HEALTH IS THE GATEWAY TO ADDRESSING WHOLE PERSON HEALTH, VAIL HEALTH EXPANDED ITS BEHAVIORAL HEALTH SERVICE LINE (VHBH) WITH THE ADDITION OF 23 LICENSED PROVIDERS THAT NOW ALL ACCEPT COMMERCIAL INSURANCE AND GOVERNMENTAL PROGRAMS. IN FY23, VHBH PROVIDED APPROXIMATELY 15,000 UNIQUE BEHAVIORAL HEALTH SESSIONS, INCLUDING 5,500 PSYCHIATRY SESSIONS, MORE THAN 8,300 THERAPY SESSIONS, AND 1,200 INTEGRATED BEHAVIORAL HEALTH SESSIONS. VAIL HEALTH'S CARDIAC REHABILITATION FITNESS AND NUTRITION PROGRAM PROVIDED MORE THAN 1,000 PATIENT SESSIONS TO AID IN PATIENT RECOVERY FROM CARDIAC EVENTS AND REDUCE PATIENTS' RISK OF FURTHER HEART DISEASE.2. BRING CARE TO THE PEOPLE: A) VAIL HEALTH CENTRALIZED ALL BEHAVIORAL HEALTH SERVICES WITHIN THE EDWARDS COMMUNITY HEALTH CAMPUS, CONVENIENTLY LOCATED IN THE MIDDLE OF THE EAGLE RIVER VALLEY. ON THE CAMPUS, VAIL HEALTH LAUNCHED THE WIEGERS MENTAL HEALTH CLINIC, PROVIDING HIGH ACUITY OUTPATIENT BEHAVIORAL HEALTH SERVICES; BUILT OUT 12 ADDITIONAL OUTPATIENT OFFICES FOR CLINIC ENGAGEMENT AND CASE MANAGEMENT; AND BEGAN CONSTRUCTION ON THE NEW PRECOURT HEALING CENTER, A 28-BED REGIONAL INPATIENT BEHAVIORAL HEALTH FACILITY SLATED TO OPEN IN SPRING 2025. ALSO LOCATED ON THE CAMPUS ARE SERVICES PROVIDED BY COMMUNITY PARTNERS OF THE COMMUNITY MARKET (FOOD BANK) AND MY FUTURE PATHWAYS (AN EDUCATIONAL ASSISTANCE PROGRAM FOR STUDENTS FROM LOW-INCOME FAMILIES) AND COMING IN 2024, YOUR HOPE CENTER (A COMMUNITY STABILIZATION PROGRAM). B) VAIL HEALTH ALSO EXPANDED TELEMEDICINE SERVICE IN ENGLISH AND SPANISH AT COLORADO MOUNTAIN MEDICAL, MOUNTAIN FAMILY HEALTH CENTER AND SUPPORT FOR PRIVATE PROVIDERS. C) VAIL HEALTH'S OLIVIA'S FUND SCHOLARSHIP PROGRAM FOR ACCESS TO BEHAVIORAL HEALTH CARE PROVIDED 5,000 UNIQUE SESSIONS FOR COMMUNITY MEMBERS IN NEED OF FINANCIAL HELP. D) VAIL HEALTH'S THREE BILINGUAL CASE MANAGERS OFFERED MORE THAN 1,000 INDIVIDUAL ENCOUNTERS IN FY23. VAIL HEALTH'S COMMUNITY OUTREACH PROGRAM PROVIDED 460 MEDICAID ENROLLMENT REFERRALS IN 2023, INCLUDING 247 SUBMITTED APPLICATIONS BY FAMILIES AND 328 LIVES APPROVED. E) A NEW NURSE LINE PROVIDED FREE HEALTH CARE GUIDANCE FOR MORE THAN 16,000 CALLS. F) THROUGH VAIL HEALTH'S TRAUMA TEAM, MORE THAN 80 LIFE JACKETS WERE PROVIDED AT COMPLIMENTARY RENTAL STATIONS IN HIGH-TRAFFIC WATER-ACCESS AREAS. THE TRAUMA TEAM ALSO TRAINED 550 PEOPLE IN EAGLE COUNTY IN 'STOP THE BLEED' TECHNIQUES. G) VAIL HEALTH PROVIDED RENT SUPPORT TO MOUNTAIN FAMILY HEALTH CENTER FOR THE OPENING OF TWO NEW LOCATIONS. H) VAIL HEALTH AND VAIL HEALTH FOUNDATION SUPPORT THE HOME HEALTH COLLABORATIVE THROUGH EAGLE COUNTY PARAMEDIC SERVICES COMMUNITY PARAMEDICS. 3. FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES: IN CONJUNCTION WITH ITS PRIMARY AND SPECIALTY CARE PARTNER, COLORADO MOUNTAIN MEDICAL, VAIL HEALTH EXPANDED SERVICES THROUGH THE ADDITION OF PROVIDERS IN ENDOCRINOLOGY, INTERNAL MEDICINE SERVICES, ENT & GI, PEDIATRICS, AND THE MANAGEMENT OF URGENT CARE.4. INCREASE UTILIZATION OF HEALTHY FOODS: VAIL HEALTH HELPED IMPROVE ACCESS TO HEALTHIER FOOD THROUGH FINANCIAL SUPPORT AND PARTNERSHIP WITH COMMUNITY MARKET IN EAGLE COUNTY AND THE FAMILY AND INTERCULTURAL RESOURCE CENTER IN SUMMIT COUNTY.5. ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON INCREASED DIVERSITY: VAIL HEALTH WAS VOTED THE 2023 VAIL VALLEY PARTNERSHIP SUCCESS AWARD BEST PLACE TO WORK. A) VAIL HEALTH LAUNCHED A DIVERSITY, EQUITY, INCLUSION, AND BELONGING (DEIB) AND HEALTH EQUITY INITIATIVE. THE EXECUTIVE LEADERSHIP TEAM IS COMMITTED TO THE GOAL OF ENSURING AN ENVIRONMENT WHERE ALL EMPLOYEES, PHYSICIANS, AND PATIENTS FEEL VALUED, INCLUDED, AND RESPECTED. FY23 INCLUDED ASSEMBLING A MULTIDISCIPLINARY PROJECT TEAM (HR, QUALITY, CLINICAL LEADERSHIP, ETC.) AND COMPLETION OF THE AMERICAN HOSPITAL ASSOCIATION'S HEALTH EQUITY TRANSFORMATION ASSESSMENT. B) UNDERSTANDING THE IMPACT THE HIGH COST OF HOUSING HAS ON RETAINING AND RECRUITING STAFF, VAIL HEALTH BEGAN CONSTRUCTION ON 87 NEW LONG-TERM LEASE STAFFING UNITS AT FOX HOLLOW IN CENTRALLY LOCATED EDWARDS. C) BASED ON STAFF FEEDBACK, VAIL HEALTH ENRICHED ITS EMPLOYEE BENEFITS THROUGH THE ADDITION OF A $1,000 WELLNESS CREDIT, FOUR WEEKS OF PAID PARENTAL LEAVE, AND A MINIMUM WAGE INCREASE TO $20/HOUR FOR ALL POSITIONS. D) A PATIENT CARE TECH AND CLINICAL ASSISTANT 12-MONTH TRAINING PROGRAM FOR THE LOCAL WORKFORCE WAS CREATED IN FY23. E) INTERNSHIPS, RESIDENCIES, AND FELLOWSHIPS ARE PROVIDED ACROSS THE ORGANIZATION, RESULTING IN FOUR HOWARD HEAD HIGH SCHOOL INTERNSHIPS, TWO ORTHOPEDIC PHYSICAL THERAPIST RESIDENTS, TWO SPORTS PHYSICAL THERAPIST RESIDENTS AND ONE CERTIFIED HAND THERAPIST FELLOWSHIP. A JOB SHADOW PROGRAM PROVIDES LEARNING OPPORTUNITIES FOR 50 LOCAL STUDENTS ANNUALLY. ADDITIONALLY, A CLINICAL SETTING WAS PROVIDED FOR 59 STUDENTS ENROLLED IN HEALTHCARE EDUCATION, INCLUDING NURSING, CERTIFIED NURSING ASSISTANT, SURGICAL TECH, CT TECH, LAB AND PHARMACY. IN EACH PUBLIC HIGH SCHOOL, VAIL HEALTH PROVIDES ONE CERTIFIED ATHLETIC TRAINER TO ENGAGE WITH STUDENT ATHLETES IN HELPING THEM OVERCOME INJURIES AND NOT HAVE TO COME TO A CLINIC FOR AN APPOINTMENT BECAUSE OF THEIR INJURY.6. INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS: VAIL HEALTH PARTNERED WITH VAIL HEALTH FOUNDATION AND EARLY CHILDHOOD PARTNERS TO LAUNCH FAMILY/CHILD PEER SUPPORT GROUPS. THE VAIL HEALTH FAMILY BIRTH CENTER PARTNERED WITH EAGLE COUNTY FAMILY CONNECTS TO EXPAND HOME VISITATION WITH NEW FAMILIES, ENSURING PATIENTS FEEL SUPPORTED THROUGH THEIR POST-DISCHARGE SERVICES. OUT OF FAMILY CONNECTS 218 TOTAL HOME VISITS, 183 WERE SCHEDULED AT THE BEDSIDE OF THE PATIENT BEFORE THEY LEFT VAIL HEALTH.7. IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION (ADDRESS THE SES): VAIL HEALTH HAS ONGOING ENGAGEMENT, UTILIZATION AND SUPPORT OF QUALITY HEALTH NETWORK AS THE REGIONAL HEALTH INFORMATION EXCHANGE AS A MEANS OF IMPROVING INTEROPERABILITY AND INTEGRATION WITHIN OUR SYSTEM AND OUTSIDE OF OUR SYSTEM. IN 2023, VAIL HEALTH IMPROVED PATIENT COMMUNICATION WITH PROVIDERS AND CLINICAL PERSONNEL BY CENTRALIZING PATIENT ELECTRONIC RECORDS ACROSS VAIL HEALTH, VAIL HEALTH BEHAVIORAL HEALTH AND SHAW CANCER CENTER. THE NEXT STEP IN THIS PROCESS IS TO INVEST AND IMPLEMENT ONE CENTRALIZED ELECTRONIC MEDICAL RECORD (EMR) SYSTEM ACROSS THE ENTIRE ORGANIZATION, A SHIFT FROM SEVEN UNIQUE SYSTEMS. ADDITIONALLY, VAIL HEALTH FOCUSED ON CARE COORDINATION AND INTEGRATION BY WAY OF PEOPLE AND PROCESS, INCLUDING LEADING A MONTHLY COMMUNITY REFERRAL COORDINATION MEETING WITH A MULTITUDE OF HEALTH CARE AND SOCIAL CARE AGENCIES FROM THROUGHOUT THE COMMUNITY TO DISCUSS AND IMPROVE UPON CARE TRANSITION PATHWAYS, REFERRAL PROCESSES, AND RESOURCE AVAILABILITY AND GAPS. VAIL HEALTH ALSO IMPLEMENTED "FIND HELP," A SOCIAL INFORMATION EXCHANGE PLATFORM, AND COLLABORATED WITH COMMUNITY PARTNERS, SYSTEM CASE MANAGERS AND CARE COORDINATORS TO FACILITATE REFERRALS TO SOCIAL RESOURCES BASED ON PATIENT IDENTIFIED NEEDS.8. ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENT: VAIL HEALTH PROGRESSED ON THIS PRIORITY BY PROVIDING HOSPITAL DISCOUNTED CARE (HDC) AND FINANCIAL AID FOR 455 PATIENTS IN 2023, INCLUDING 360 HDC PATIENTS AND 95 FA APPROVED PATIENTS. VAIL HEALTH ACTIVELY MEETS WITH POLICY MAKERS AT THE STATE AND FEDERAL LEVEL TO DISCUSS AND SUPPORT VARIOUS HEALTHCARE POLICIES THAT SUPPORT THIS INITIATIVE. PART V, LINE 7 AND LINE 10: HTTPS://WWW.VAILHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS PART V, LINES 16A, 16B, AND 16C: HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE 16 1 - VAIL VALLEY SURGERY CENTER (EDWARDS) 320 BEARD CREEK ROAD SUITE 100 EDWARDS CO 81632 AMBULATORY SURGERY CENTER JV 2 - VAIL VALLEY SURGERY CENTER (VAIL) 180 SOUTH FRONTAGE ROAD WEST VAIL CO 81657 AMBULATORY SURGERY CENTER JV 3 - SHAW PAVILION (EDWARDS) 322 BEARD CREEK ROAD EDWARDS CO 81632 CANCER CTR, PHYSICIAN OFFICE, RETAIL PHARMACY, SUPPORT SER, JACK'S PLACE-A C 4 - BASALT 200 ROBINSON STREET SUITE D300 BASALT CO 81621 HOWARD HEAD SPORT MEDICINE, STEADMAN PHILIPON SURGERY CENTER 5 - DILLON HEALTH CENTER 365 DILLON RIDGE ROAD DILLON CO 80435 AMBULATORY SURGERY CENTER, CANCER, COLORADO MOUNTAIN MEDICAL, PT, MULTI-SPEC 6 - AVON MEDICAL CAMPUS 50 BUCK CREEK ROAD AVON CO 81620 URGENT CARE, OCCUPATIONAL HEALTH, IMAGING, COLORADO MTN MEDICAL 7 - EAGLE HEALTH CARE CENTER 377 SYLVAN LAKE ROAD EAGLE CO 81631 PHYSICIAN OFFICES, COLORADO MOUNTAIN MEDICAL, PT, URGENT CARE, WOUND CARE 8 - EDWARDS MEDICAL CAMPUS 320 BEARD CREEK ROAD EDWARDS CO 81632 PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES 9 - MEDICAL PROFESSIONAL BUILDING (VAIL) 108 SOUTH FRONTAGE ROAD WEST VAIL CO 81658 PHYSICIAN OFFICES, PHYSICAL THERAPY, SUPPORT SERVICES, URGENT CARE, CARDIOVA 10 - HOWARD HEAD SPORTS MEDICINE - FRISCO 100 BASE CAMP WAY SUITE 105 FRISCO CO 80443 PHYSICAL THERAPY 11 - BEAVER CREEK MEDICAL CENTER 1280 VILLAGE ROAD AVON CO 81620 ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY, URGENT C 12 - HOWARD HEAD SPORTS MEDICINE - GYPSUM 52 LUNDGREN BOULEVARD GYPSUM CO 81637 PHYSICAL THERAPY 13 - HOWARD HEAD SPORTS MEDICINE - AVON 126 RIVERFRONT LANE AVON CO 81620 PHYSICAL THERAPY 14 - HOWARD HEAD SPORTS MEDICINE - BRECKENRID 505 SOUTH MAIN STREET UNIT C4-5 BRECKENRIDGE CO 80424 PHYSICAL THERAPY 15 - GYPSUM CLOCK TOWER BUILDING 410 MCGREGOR DRIVE GYPSUM CO 81637 SUPPORT SERVICES 16 - HOWARD HEAD PERFORMANCE 450 MILLER RANCH ROAD EDWARDS CO 81632 HEALTH AND PERFORMANCE PLANS SCHEDULE H, PART I, LINE 7: THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINES 7A & 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E, 7F, AND 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. LINE 7I INCLUDES AN AMOUNT $6,100,000 PROVIDED TO VVMC DIVERSIFIED SERVICES DBA VAIL HEALTH CLINICS, A RELATED ORGANIZATION WHICH IS A GROUP OF PHYSICIAN PRACTICES AND URGENT CARE FACILITIES LOCATED IN A RURAL AREA IN EAGLE COUNTY, COLORADO. LINE 7I ALSO INCLUDES $3,389,081 PROVIDED TO EAGLE VALLEY MENTAL HEALTH DBA EAGLE VALLEY BEHAVIORAL HEALTH, A RELATED ORGANIZATION WHICH PROVIDES OUTPATIENT BEHAVIORAL HEALTH SERVICES IN EAGLE COUNTY, COLORADO AND INCLUDES $4,300,000 PROVIDED TO STEADMAN PHILIPPON RESEARCH INSTITUTE LOCATED IN VAIL, COLORADO FOR BIOMEDICAL RESEARCH. VAIL HEALTH CLINICS IS ABLE TO PROVIDE IMPROVED COMMUNITY ACCESS TO HEALTHCARE SERVICES, ALLOWING ALL MEMBERS OF THE COMMUNITY TO BE SERVED. SCHEDULE H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $7,148,767. PART III, LINE 2: THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 4: SEE PAGES 10,18 AND 19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: PART III, LINE 8A:IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THAT THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. OUR COMMUNITY INCLUDES PATIENTS COVERED BY MEDICARE. WE SHOULD GET CREDIT FOR THE REIMBURSEMENT SHORTFALL THAT RESULTS FROM SERVING THIS SEGMENT OF OUR COMMUNITY.THE MEDICARE ALLOWABLE COST COMPUTATION INCLUDES THE COSTS FOR 1) THE HOSPITAL 2) THE HOSPITAL'S APPLICABLE SHARE OF THEIR JOINT VENTURE'S COSTS AND 3) THE HOSPITAL'S APPLICABLE SHARE OF THEIR WHOLLY OWNED SUBSIDIARY (A DISREGARDED ENTITY). THE HOSPITAL'S MEDICARE ALLOWABLE COST IS DERIVED FROM THE MEDICARE COST REPORT. THE JOINT VENTURE AND WHOLLY OWNED SUBSIDIARY'S MEDICARE ALLOWABLE COST IS COMPUTED USING A COST-TO-CHARGE RATIO. THE MEDICARE COST COMPUTED FOR THE JOINT VENTURE IS $4,377,159. THE MEDICARE COST COMPUTED FOR THE WHOLLY OWNED SUBSIDIARY IS $9,969,348. THE REMAINING $72,843,552 OF ALLOWABLE COST IS FROM THE HOSPITAL'S MEDICARE COST REPORT.PART III, LINE 8B:THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINES 7A & 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E, 7F, AND 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. LINE 7I INCLUDES AN AMOUNT $6,100,000 PROVIDED TO VVMC DIVERSIFIED SERVICES DBA VAIL HEALTH CLINICS, A RELATED ORGANIZATION WHICH IS A GROUP OF PHYSICIAN PRACTICES AND URGENT CARE FACILITIES LOCATED IN A RURAL AREA IN EAGLE COUNTY, COLORADO. VAIL HEALTH CLINICS IS ABLE TO PROVIDE IMPROVED COMMUNITY ACCESS TO HEALTHCARE SERVICES, ALLOWING ALL MEMBERS OF THE COMMUNITY TO BE SERVED. PART III, LINE 9B: ANY EXTRAORDINARY COLLECTION ACTIONS IN PROGRESS AT THE TIME AN INCOMPLETE APPLICATION IS RECEIVED MUST BE SUSPENDED. SUCH COLLECTIONS MAY BE INITIATED OR RESUMED IF A COMPLETED APPLICATION IS NOT RECEIVED, OR AFTER A REQUEST FOR ADDITIONAL INFORMATION IS NOT RECEIVED AFTER 30 DAYS OF NOTIFICATION. UPON APPROVAL OF A FINANCIAL ASSISTANCE REQUEST, VHH SHALL TAKE REASONABLE MEASURES TO VACATE OR REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS LIFTING A LIEN AND REMOVING ADVERSE INFORMATION ON CREDIT REPORTS. PART VI, LINE 2: IN ADDITION TO THE ROBUST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, VAIL HEALTH CONTINUALLY ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY AND POPULATIONS SERVED. VAIL HEALTH HELD A COMMUNITY FEEDBACK SESSION ON JUNE 12, 2023, INCLUSIVE OF A MULTITUDE OF COMMUNITY PARTNERS AND THE PUBLIC THEMSELVES. DURING THE MEETING, THE CURRENT STATUS OF AND NEXT STEPS FOR THE CHNA IMPLEMENTATION PLAN AND COMMUNITY BENEFIT WAS REVIEWED, AS WELL AS INTERVENTIONS RELATED TO THE HOSPITAL TRANSFORMATION PROGRAM AND GENERAL HEALTH EQUITY EFFORTS TO REDUCE DISPARITIES. VAIL HEALTH ALSO CONTINUES TO REVIEW QUALITY OUTCOME AND POPULATION HEALTH DATA FOR THE PURPOSE OF ONGOING COMMUNITY HEALTH NEEDS. VAIL HEALTH IS A TRUE COMMUNITY HOSPITAL THAT TRULY DOES LIVE BY OUR MISSION OF "ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES." IN ORDER TO DELIVER ON OUR MISSION, VAIL HEALTH IS COMMITTED TO ONGOING EFFORTS TO ASSESS AND MEET THE NEEDS OF OUR COMMUNITY. PART VI, LINE 3: CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS PROVIDED AT REGISTRATION AND DISCHARGE FROM THE PATIENT ACCESS DEPARTMENT, AS WELL AS ON BOTH OUR BILLING STATEMENTS AND ON OUR WEBSITE. ADDITIONALLY, PATIENTS CONTACTING THE HOSPITAL THROUGH CUSTOMER SERVICE OR PATIENT ACCOUNTING ARE DIRECTED TO THE FINANCIAL COUNSELOR FOR ASSISTANCE. PART VI, LINE 4: OUR PRIMARY SERVICE AREA IS IN EAGLE COUNTY AND THE SURROUNDING FOUR COUNTY REGION IN THE RURAL MOUNTAINS OF COLORADO. MANY PATIENTS DRIVE UP TO 70 - 80 MILES TO ACCESS OUR SERVICES. WE HAVE SEVERAL CLINICS LOCATED THROUGHOUT OUR PRIMARY SERVICE AREA PROVIDING URGENT CARE, EMERGENCY SERVICES, AND PHYSICAL REHAB TO MAKE OUR SERVICES MORE ACCESSIBLE. WE ALSO GET A PORTION OF OUR BUSINESS FROM THE SURROUNDING FIVE COUNTIES, AND FROM COLORADO FRONT RANGE RESIDENTS VISITING OUR RESORT COMMUNITY. PART VI, LINE 5: THROUGH A COLLECTIVE IMPACT MODEL, VAIL HEALTH AND ITS PARTNERS ARE ABLE TO HELP IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY MEMBERS. SUPPORTING OTHER COMMUNITY NONPROFITS THROUGH CASH AND IN-KIND DONATIONS IS A KEY COMPONENT OF MOVING THE NEEDLE. IN FY23, VAIL HEALTH PROVIDED $17M IN CASH DONATIONS TO COMMUNITY PARTNERS. ADDITIONALLY, THROUGH ITS JOINT VENTURE PARTNERSHIP IN THE VAIL VALLEY SURGERY CENTER, VAIL HEALTH DONATED $150,000 TO COMMUNITY INITIATIVES THROUGH VVSC IN FY23.VAIL HEALTH SUPPORTED A VARIETY OF LOCAL INITIATIVES WITH PARTNERS SUCH AS, BRIGHT FUTURE FOUNDATION, EAGLE COUNTY SCHOOL DISTRICT, YOUR HOPE CENTER, THE CYCLE EFFECT, THE COMMUNITY MARKET, AND IN SUMMIT COUNTY, NEW SUPPORT OF FAMILY RESOURCE AND INTERCULTURAL CENTER (FIRC) AND THE SUMMIT FOUNDATION.VAIL HEALTH CONTINUED SUPPORT OF EAGLE COUNTY SCHOOLS THROUGH A JOB SHADOWING PROGRAM, THE THINKFIRST PROGRAM THAT DISTRIBUTED FREE BIKE HELMETS TO KIDS AND SKI HELMETS (ADULTS), THE SHAW CANCER CENTER SUN SAFETY PROGRAM EDUCATES KIDS ON SUN PROTECTION, TWO ATHLETIC TRAINERS ARE PROVIDED BY VH TO ENSURE ATHLETE SAFETY DURING SPORTING EVENTS, AND THE FUNDING OF THE STEM PROJECT LEAD THE WAY CURRICULUM FOR STUDENTS.VAIL HEALTH SUPPORTS THE EDUCATION FOUNDATION OF EAGLE COUNTY THROUGH STEM GRANTS TO CLASSROOM TEACHERS AND PROJECT FUNWAY. VAIL HEALTH SUPPORTED THE RED RIBBON PROJECT RUN BY MOUNTAIN YOUTH THAT PROVIDES A VAPING AND MARIJUANA EDUCATION CLASS FOR 5TH GRADERS. VAIL HEALTH IS FOCUSED ON SUPPORTING LOCAL YOUTH THROUGH ITS SCHOLARSHIP FUND FOR HIGH SCHOOL SENIORS, PROVIDING 5 SCHOLARSHIPS FOR DEPENDENTS OF EMPLOYEES. VAIL HEALTH PARTNERS WITH THE EMERGENCY MEDICAL SERVICES IN EAGLE COUNTY TO EDUCATE 200 STUDENTS DURING THE SUMMER AT CAMP 911.A PARTNERSHIP WITH MOUNTAIN YOUTH HAS LED TO THE SUCCESSFUL CONTINUATION OF EAT CHAT CONNECT, A SERIES HOSTED IN BOTH ENGLISH AND SPANISH, WHICH STRIVES TO EDUCATE PARENTS, PROVIDE HEALTHY MEALS, AND BUILD UNDERSTANDING AROUND YOUTH DEVELOPMENT, AS WELL PHYSICAL AND MENTAL HEALTH. 'STOP THE BLEED' EDUCATIONAL CLASSES WERE TAUGHT BY THE VAIL HEALTH EMERGENCY DEPARTMENT AND TRAUMA STAFF FREE TO THE PUBLIC, TRAINING 550 TEENS AND ADULTS IN THE LIFE-SAVING TECHNIQUE.THROUGH VAIL HEALTH'S WHOLLY OWNED SUBSIDIARY, EAGLE VALLEY BEHAVIORAL HEALTH, MORE THAN 15 LOCAL NON-PROFITS BENEFITED FROM MORE THAN $3.7M IN GRANTS TO HELP THEIR COMMUNITY HEALTH CAUSES.VAIL HEALTH SUPPORTS CONTINUED CUTTING-EDGE MEDICAL RESEARCH WITH MORE THAN 60 STUDIES HAPPENING THROUGH ITS FUNDING OF STEADMAN PHILIPPON RESEARCH FOUNDATION.VAIL HEALTH'S PROGRAM SUPPORT OF VVMC DIVERSIFIED SERVICES BRINGS MUCH-NEEDED SPECIALTY HEALTH SERVICES SUCH AS CARDIOVASCULAR, PULMONOLOGY, SURGICAL ASSOCIATES, PLASTICS AND IMAGING CARE FOR THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES CO 1 BRIGHT FUTURE FOUNDATION PO BOX 2558 AVON CO 81620 840938374 501(C)(3) 60000 0 BRIGHT HOUSE CAPITAL CAMPAIGN PLEDGE PAYMENT EAGLE COUNTY FAIR & RODEO PO BOX 850 EAGLE CO 81631 EAGLE COUNTY, CO 6000 0 SPONSORSHIP EAGLE COUNTY FAIR & RODEO MUTTON BUSTIN EAGLE COUNTY SCHOOL DISTRICT PO BOX 740 EAGLE CO 81631 846012253 EAGLE COUNTY, CO 45000 0 PROJECT LEAD THE WAY STEM GRANT EAGLE VALLEY COMMUNITY FOUNDATION PO BOX 1580 VAIL CO 81658 471915583 501(C)(3) 97412 0 EAGLE VALLEY COMMUNITY FOUNDATION COMMUNITY USE FUNDING EDUCATION FOUNDATION OF EAGLE COUNTY PO BOX 8012 AVON CO 81620 841585417 501(C)(3) 15000 0 EFEC CLASSROOM EQUITY STEM GRANTS FAMILY & INTERCULTURAL RESOURCE CENTER PO BOX 1636 SILVERTHORNE CO 80498 841252900 501(C)(3) 300000 0 SOL CENTER PLEDGE HOPE CENTER OF THE EAGLE RIVER VALLEY PO BOX 2127 EAGLE CO 81631 852425930 501(C)(3) 25312 0 RENTAL REIMBURSEMENT COLORADO MOUNTAIN COLLEGE CAPITAL CAMPAIGN 802 GRAND AVE GLENWOOD SPRINGS CO 81601 742393418 501(C)(3) 50000 0 COLORADO MOUNTAIN COLLEGE CAPITAL CAMPAIGN PLEDGE MOUNTAIN HEALTHCARE COALITION 97 MAIN STREET SUITE E201 EDWARDS CO 81632 842784680 501(C)(3) 463343 0 MOUNTAIN HEALTHCARE COALITION PURCHASING ALLIANCE THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE CO 80424 742341399 501(C)(3) 12000 0 SPONSORSHIP BUSINESS BATTLE DUCK AND PHILANTHROPY AWARDS THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE CO 80424 742341399 501(C)(3) 20000 0 VAIL HEALTH SCHOLARSHIP AWARD UNITED STATES SKI TEAM PO BOX 100 1 VICTORY LANE PARK CITY UT 84060 846030639 501(C)(3) 40000 0 ANNUAL CONTRATUAL MEDICAL PROVIDER & MESS COURSE FEE VAIL MOUNTAINEER HOCKEY CLUB DONATION PO BOX 2591 EDWARDS CO 816322591 840779148 501(C)(3) 10000 0 SPONSORSHIP AVALANCHE ALUMNI WEEKEND VAIL VALLEY CHARITABLE FUND P O BOX 2307 EDWARDS CO 81632 841359124 501(C)(3) 20000 0 2023 DONATION PLEDGE VAIL VALLEY FOUNDATION PO BOX 6550 AVON CO 81620 742215035 501(C)(3) 10000 0 SPONSORSHIP BLACK DIAMOND BALL VAIL VALLEY FOUNDATION PO BOX 6550 AVON CO 81620 742215035 501(C)(3) 80000 0 DOLLAR FOR SCHOLARS PROGRAM DONATION VAIL VALLEY PARTNERSHIP 97 MAIN STREET SUITE E201 EDWARDS CO 81632 840535997 501(C)(3) 12500 0 2023 MEMBERSHIP YOUTHPOWER365 PO BOX 6550 AVON CO 81620 841442909 501(C)(3) 10000 0 STAR DANCING GALA - GOLD SPONSORSHIP VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL CO 81658 742505662 501(C)(3) 4454971 0 RELATED PARTY ADMINISTRATIVE SUPPORT EAGLE VALLEY MENTAL HEALTH PO BOX 4000 VAIL CO 81658 834327406 501(C)(3) 3389081 0 RELATED PARTY ADMINISTRATIVE SUPPORT VVMC DIVERSIFIED SERVICES PO BOX 4000 VAIL CO 81658 261167922 501(C)(3) 6100000 0 RELATED PARTY ADMINISTRATIVE SUPPORT 21 0 PART I, LINE 2: MANAGERS AND DIRECTORS REGULARLY MONITOR ACTIVITIES AND THE USAGE OF GRANT FUNDS. 1 X X X X 1 1 0 0 0 0 0 1 0 WILL COOK PRESIDENT AND CEO 836158 0 640918 0 82171 0 99122 0 27542 0 1685911 0 0 0 AMANDA VEIT CHIEF OPERATIONS OFFICER 520911 0 492478 0 32898 0 45704 0 19946 0 1111937 0 0 0 PATRICIA HARDENBERGH MD PHYSICIAN 649104 0 55000 0 98821 0 15250 0 29322 0 847497 0 0 0 CRAIG COHN CHIEF REAL ESTATE DEV OFFICER 520941 0 247692 0 4192 0 17211 0 2824 0 792860 0 0 0 CHRIS LINDLEY EXECUTIVE DIRECTOR, EVBH 334676 0 357461 0 3289 0 4410 0 31658 0 731494 0 0 0 JOHN HIGGINS TREASURER AND CFO 410541 0 230562 0 10655 0 39726 0 29322 0 720806 0 0 0 JERRY GREENBERG MD DIRECTOR 508144 0 0 0 123048 0 15313 0 20558 0 667063 0 0 0 DAVID KAPLAN PRESIDENT CMM 327985 0 200000 0 73557 0 0 0 20523 0 622065 0 0 0 KATHERINE SCHUETZE MD PHYSICIAN 504608 0 20000 0 68115 0 0 0 27929 0 620652 0 0 0 ALEXANDER URQUHART MD PHYSICIAN 493671 0 37080 0 39762 0 15250 0 29348 0 615111 0 0 0 NELSON PRAGER MD PHYSICIAN 438928 0 100 0 136729 0 0 0 2100 0 577857 0 0 0 DORIS KIRCHNER FORMER PRESIDENT AND CEO 0 0 0 0 557986 0 0 0 0 0 557986 0 0 0 SUSIE VICKERMAN DO DIRECTOR 414451 0 0 0 32840 0 10300 0 29894 0 487485 0 0 0 BROOKS BOCK MD PRESIDENT CMM 296732 0 113379 0 13163 0 15250 0 19499 0 458023 0 0 0 KRISTEN ICKES DO DIRECTOR 302797 0 45803 0 6145 0 13017 0 8687 0 376449 0 0 0 PART I, LINES 4A-B SEVERANCE: DORIS KIRCHNER RECEIVED $557,986 DURING THE TAX YEAR. 457(F) PLAN: WILL COOK, JOHN HIGGINS, AND AMANDA VEIT PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNTS WERE $83,872, $24,436, AND $37,057, RESPECTIVELY. VESTING PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENTS OCCURS ON OCTOBER 1 OR DECEMBER 1 OF EACH YEAR. PART I, LINE 7 NON FIXED AND BONUS PAYMENTS: INCENTIVE BONUSES ARE CALCULATED AS A PERCENT OF BASE COMPENSATION. THE DETERMINATION OF WHETHER OR NOT A PAYOUT IS MADE IS BASED ON COMPANY FINANCIAL PERFORMANCE AND ON INDIVIDUAL PERFORMANCE REVIEWS CONDUCTED BY THE CEO AND THE COMPENSATION COMMITTEE. CERTAIN PHYSICIAN PRODUCTIVITY BONUSES ARE PAID BASED ON RELATIVE VALUE UNITES (RVUS) WHICH ARE AN INDICATION OF THE EMPLOYEE'S PRODUCTIVITY OR LEVEL OF EFFORT. OTHER PHYSICIAN BONUSES ARE BASED ON SATISFACTION OF CRITERIA DEFINED IN EMPLOYMENT AGREEMENTS. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A4N2 2015-10-21 104038243 HOSP RENOVATION/EXPANSION 0 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 2012-06-06 19052899 REFUND SERIES 2001 0 0 0 A 1740000 106777273 921241 105854467 1565 2020 0 0 0 1 B 14597926 19052899 303592 18749307 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2020 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2022 SCHEDULE K, PART I, COLUMN (E) FOR BOND A AND PART II, LINE 3: THE TOTAL PROCEEDS OF THE 2015 ISSUE A EXCEEDS THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS ON THE PROCEEDS. FORM 990, PART III, LINE 4A: KEY METRICS OF VAIL HEALTH HOSPITAL FOR FISCAL YEAR ENDED 10/31/2023 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,487 PATIENT DAYS: 4,517 TOTAL SURGERIES: 4,420 BEING A NONPROFIT, SOLE COMMUNITY PROVIDER WITH A LOCALLY BASED VOLUNTEER BOARD OF DIRECTORS, VAIL HEALTH CAN KEEP ITS DOLLARS LOCAL AND REINVEST BACK INTO THE COMMUNITIES IT SERVES, HELPING TO DELIVER ON ITS MISSION OF ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES WITH A FOCUS ON ITS STRATEGIC PILLARS OF AFFORDABILITY, ACCESSIBILITY, SUSTAINABILITY AND POPULATION HEALTH. VAIL HEALTH IS A COMPREHENSIVE COMMUNITY HEALTH CARE SYSTEM WITH CARE STARTING FROM CHILDBIRTH AND INCLUDES VAIL HEALTH HOSPITAL, COLORADO MOUNTAIN MEDICAL, SHAW CANCER CENTER, HOWARD HEAD SPORTS MEDICINE, VAIL HEALTH BEHAVIORAL HEALTH, AND VAIL HEALTH FOUNDATION. ACROSS ITS CONTINUUM OF CARE, VAIL HEALTH FOCUSES ON QUALITY, SAFETY, PATIENT EXPERIENCE, EXECUTING ITS STRATEGIC PLAN, AND FULFILLING ITS NON-PROFIT MISSION OF 'ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES.' VAIL HEALTH MAINTAINED ITS LEAP FROG "A" GRADE IN QUALITY AND SAFETY AND HAS A CMS RATING OF 5 STARS (1 OF 429 U.S. HOSPITALS WITH A 5-STAR RATING). VAIL HEALTH WAS THE WINNER OF THE VAIL VALLEY PARTNERSHIP (LOCAL CHAMBER OF COMMERCE) 2023 SUCCESS AWARDS FOR BEST PLACE TO WORK AND A FINALIST FOR BUSINESS OF THE YEAR. THE VAIL HEALTH EMERGENCY DEPARTMENT EARNED ITS FOURTH CONSECUTIVE PRESS GANEY AWARD FOR THE HIGHEST LEVEL OF PATIENT EXPERIENCE. VAIL HEALTH ACHIEVED A NET PROMOTER SCORE OF 79 AND AN EMPLOYEE ENGAGEMENT INDEX OF 87, AN INCREASE FROM 82 THE PREVIOUS YEAR. VAIL HEALTH EXPANDED ACCESS TO BEHAVIORAL HEALTH CARE SERVICES FOR SUMMIT COUNTY RESIDENTS, INCLUDING OUTPATIENT THERAPY, ADULT AND CHILD PSYCHIATRY, AND CASE MANAGEMENT, AS WELL AS INCREASED STATE FUNDING TO SUPPORT CRISIS SERVICES CURRENTLY IN PLACE WITH THE SUMMIT COUNTY SHERIFF'S OFFICE AND A NEW MOBILE CRISIS PROVIDER TO BE IN PLACE IN EARLY 2024. SUMMIT COUNTY HAS NOTICED AN INCREASE IN SERVICE DELIVERY AND, MOST NOTABLY, THE INCREASED ACCESS TO AND AVAILABILITY OF PSYCHIATRIC SERVICES TO RESIDENTS AND FAMILIES. INTEGRATED BEHAVIORAL HEALTH (IBH) CONTINUES TO BE EMBEDDED WITHIN THE PRIMARY CARE SETTING AT ALL COLORADO MOUNTAIN MEDICAL (CMM) LOCATIONS, PROVIDING IMMEDIATE CLINICAL RESPONSE TO PATIENTS IN CRISIS OR WITH URGENT NEEDS. IBH HAS COMPLETED MORE THAN 1,300 PATIENT VISITS IN FY23. THESE PATIENT VISITS RANGE FROM 15-MINUTE SCREENING AND PSYCHOEDUCATION TO UPWARDS OF FOUR HOURS OF STABILIZATION. THE PRIMARY REFERRALS FOR THESE SERVICES COME FROM URGENT CARE, PRIMARY CARE, PEDIATRICS, AND OBGYN TEAMS; HOWEVER, OTHER SPECIALTY SERVICES ALSO REQUEST SAME DAY CARE VIA WARM HANDOFFS WITH THE IBH TEAM. DURING FY23 PROGRAM OPERATION, THERE WERE 29 PATIENTS WHO, ON INITIAL ASSESSMENT, MET OR CAME CLOSE TO MEETING CRITERIA FOR AN INPATIENT PSYCHIATRIC HOLD. DUE TO THE WORK AND COLLABORATION OF IBH AND THE TREATING MEDICAL AND BEHAVIORAL HEALTH TEAMS, THESE 29 PATIENTS AVOIDED A PSYCHIATRIC HOSPITAL STAY WHICH NOT ONLY ALLOWED THEM TO STAY IN COMMUNITY, ENGAGE OR RE-ENGAGE IN BEHAVIORAL CARE, BUT ALSO SAVED THEM UPWARDS OF $25,000 EACH (THE COST OF SECURE TRANSPORT, ED STAY AND INPATIENT STAY) FOR A TOTAL OF $725,000 COST SAVINGS TO PATIENTS AND THE COMMUNITY. MORE THAN 240 SAFETY PLANS HAVE BEEN ESTABLISHED SINCE LAUNCH. IBH HAS SERVED PATIENTS IN APPROXIMATELY 430 CRISIS HOURS, WITH IBH CLINICIANS BRIDGING MORE THAN 170 HOURS FOR PATIENTS WITH HIGH ACUITY FOR OUTPATIENT PROVIDERS TO ESTABLISH SAFETY AND CONTACT PRIOR TO LONG TERM TREATMENT. IBH ALSO PROVIDES SUPERVISION TO INCLUDE A PSYCHIATRIC RESIDENCY ROTATION AND PARTICIPATES IN THE COPIC CONSORTIUM AS FACULTY FOR UP TO 62 HOURS OF SUPERVISION PER YEAR. ACCORDING TO AN ECONOMIC IMPACT STUDY CONDUCTED BY THE LEEDS SCHOOL OF BUSINESS AT THE UNIVERSITY OF COLORADO BOULDER, VAIL HEALTH'S TOTAL ECONOMIC IMPACT ON RURAL COMMUNITIES WAS ESTIMATED AT $473 MILLION IN 2022, THE SECOND HIGHEST OF THE SURVEYED INDEPENDENT COMMUNITY HOSPITALS. VAIL HEALTH BEGAN CONSTRUCTION ON THE LARGEST PRIVATE, DEED-RESTRICTED AND FREE MARKET EMPLOYEE HOUSING JOINT VENTURE PROJECT IN EAGLE COUNTY, WHICH WILL ADD 87 UNITS OF WORKFORCE HOUSING INTO THE MARKET. THE FOX HOLLOW PROJECT ALMOST DOUBLES VAIL HEALTH'S EMPLOYEE HOUSING FROM 93 UNITS TO 180, AND THE TOTAL EMPLOYEE BED COUNT INCREASES BY 137% FROM 160 BEDS TO 380. VAIL HEALTH CONTINUES TO OFFER FREE MEDICAL SCREENINGS TO UNINSURED PATIENTS THROUGH THE COMMUNITY HEALTH PROGRAM, SERVING 190 PATIENTS IN 2023 THROUGH THE MIRA BUS. VAIL HEALTH'S THREE BILINGUAL CASE MANAGERS OFFERED MORE THAN 1,000 INDIVIDUAL ENCOUNTERS IN FY23. VAIL HEALTH'S COMMUNITY OUTREACH PROGRAM PROVIDED 460 MEDICAID ENROLLMENT REFERRALS IN 2023, INCLUDING 247 SUBMITTED APPLICATIONS BY FAMILIES AND 328 LIVES APPROVED. SINCE LAUNCHING IN 2021, THE PROGRAM HAS HELPED ALMOST 700 INDIVIDUALS ENROLL IN MEDICAID. VAIL HEALTH GAVE MORE THAN $32.9 MILLION BACK TO THE LOCAL COMMUNITY IN FISCAL 2023 THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES AND HELPING REDUCE SOCIAL DETERMINANTS OF HEALTH, WHOLE PERSON HEALTH CARE, CLINICAL EDUCATION, MEDICAL RESEARCH, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 VAIL HEALTH SERVICES IS THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A VAIL HEALTH SERVICES, THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL, APPOINTS BOARD MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNANCE DECISIONS ARE ALSO SUBJECT TO APPROVAL BY THE SOLE MEMBER: - APPOINTING AND REMOVING THE PRESIDENT OF THE CORPORATION - AMENDING OR APPROVING ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS - APPROVING BUDGETS - APPROVING UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000 - APPROVING UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000 - VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR BANKRUPTCY - APPROVING SALE OF ASSETS IN EXCESS OF $1,000,000 - CREATING A SUBSIDIARY OR AFFILIATE - SELECTING PUBLIC ACCOUNTANTS - ESTABLISHING INVESTMENT POLICIES - ESTABLISHING POLICIES ON THE DISTRIBUTION AND USE OF FUNDS - ADDING/DELETING MAJOR PROGRAM/SERVICE LINES FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A THIRD PARTY BASED ON DATA PREPARED AND SUBMITTED BY THE ACCOUNTING DEPARTMENT. THE DRAFT FORM 990 IS REVIEWED BY MEMBERS OF THE ACCOUNTING DEPARTMENT. THE REVIEW INCLUDES READING IT FOR ACCURACY OF DISCLOSURE AND COMPARING THE NUMBERS TO THOSE IN THE AUDITED FINANCIAL STATEMENTS. ONCE ACCOUNTING AND MANAGEMENT HAVE PERFORMED THEIR REVIEW, A COPY OF THE FORM FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY APPLIES THROUGHOUT VAIL HEALTH TO ALL AFFILIATED PERSONS INCLUDING, WITHOUT LIMITATION, BOARD MEMBERS, OFFICERS, EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND VOLUNTEERS. ALL AFFILIATED PERSONS 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 COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE COMPLIANCE OFFICER WHEN THEY BEGIN PROVIDING SERVICES TO VAIL HEALTH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, ALL AFFILIATED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE COMPLIANCE OFFICER AND THE CONFLICT-OF-INTEREST COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE AFFILIATED PERSON OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VAIL HEALTH; - WHETHER THE AFFILIATED PERSON'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VAIL HEALTH DECISION OR ACTIVITY; - WHETHER THE AFFILIATED PERSON OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE AFFILIATED PERSON'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE AFFILIATED PERSON'S OBLIGATIONS TO VAIL HEALTH OR VAIL HEALTH'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 15 REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2020 BY AN EXTERNAL COMPENSATION CONSULTANT. 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. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2020 BY AN EXTERNAL COMPENSATION CONSULTANT. 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 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC FOR VALID BUSINESS PURPOSES. THESE DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: WRITTEN POLICY RELATED TO JOINT VENTURE ARRANGEMENTS: VAIL HEALTH HOSPITAL DOES NOT HAVE A DOCUMENTED WRITTEN POLICY, HOWEVER, THE ORGANIZATION TAKES APPROPRIATE MEASURES AND HAS PROCESSES IN PLACE TO ENSURE THAT ANY PARTICIPATION IN JOINT VENTURE AGREEMENTS ARE EVALUATED EXTENSIVELY IN ORDER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 30,319,787. MANAGEMENT AND GENERAL EXPENSES 21,539,633. FUNDRAISING EXPENSES 96,339. TOTAL EXPENSES 51,955,759. FORM 990, PART XI, LINE 9: TRANSFER OF PARTNERSHIP INTEREST TO VAIL HEALTH SERVICES FOUNDATION -3,025,759. COLORADO MOUNTAIN MEDICAL LLC PO BOX 4000 VAIL CO 81658 841887834 HEALTHCARE CO 35857223 18471332 VAIL CLINIC NORTH EAGLE INVESTMENTS PO BOX 4000 VAIL CO 81658 RENTAL CO 0 3092703 VAIL CLINIC 10 MILE HOLDINGS LLC PO BOX 4000 VAIL CO 81658 HOLDING COMPANY CO 0 6941038 VAIL CLINIC EAGLE RIVER REAL ESTATE HOLDINGS PO BOX 4000 VAIL CO 81658 831523347 RENTAL CO 183520 0 VAIL CLINIC VVMC DIVERSIFIED SERVICES PO BOX 4000 VAIL CO 81658 261167922 HEALTH CARE CO 501(C)(3) LINE 10 VAIL HEALTH SERVICES 1 VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL CO 81658 742505662 SUPPORT VAIL CLINIC CO 501(C)(3) LINE 12B, II VAIL HEALTH SERVICES 1 VAIL HEALTH SERVICES PO BOX 4000 VAIL CO 81658 262648461 HOLDING CO. CO 501(C)(3) LINE 12C, III-FI N/A 0 EAGLE VALLEY MENTAL HEALTH PO BOX 4000 VAIL CO 81658 834327406 BEHAVIORAL HEALTH SERVICES CO 501(C)(3) LINE 7 VAIL HEALTH SERVICES 1 VAIL VALLEY SURGERY CENTER PO BOX 1270 VAIL CO 81658 030419967 HEALTH CARE CO VAIL CLINIC RELATED 31544969 5316056 0 0 0.50230 EAGLE RIVER REAL ESTATE HOLDINGS PO BOX 4000 VAIL CO 81658 831523347 RENTAL CO VAIL CLINIC RELATED -209891 73436283 0 0 0.75000 VHS MANAGEMENT SERVICES INC 181 W MEADOW DR STE 100 VAIL CO 81657 262647982 HEALTH CARE CO N/A C 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 VAIL VALLEY SURGERY CENTER LLC A 4727404 ACTUAL AMOUNT VAIL HEALTH SERVICES FOUNDATION B 4454971 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES B 6100000 ACTUAL AMOUNT EAGLE VALLEY MENTAL HEALTH B 3389081 ACTUAL AMOUNT VAIL HEALTH SERVICES FOUNDATION C 19577560 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC D 382086 YEAR-END BALANCE VAIL HEALTH SERVICES FOUNDATION D 1580892 YEAR-END BALANCE EAGLE VALLEY MENTAL HEALTH D 2494190 YEAR-END BALANCE VAIL HEALTH SERVICES D 8190694 YEAR-END BALANCE EAGLE RIVER REAL ESTATE HOLDINGS LLC D 247999 YEAR-END BALANCE VVMC DIVERSIFIED SERVICES D 249749 YEAR-END BALANCE VAIL VALLEY SURGERY CENTER LLC R 4725907 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC F 38779415 ACTUAL AMOUNT EAGLE VALLEY MENTAL HEALTH Q 5000000 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES Q 3645000 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC Q 41960955 ACTUAL AMOUNT