2023-09-12T10:15:49-05:00 2022-10-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2021-11-01 840563230 VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT VAIL 9704762451 PO BOX 40000 VAIL CO 81658 JOHN HIGGINS SVP FINANCE AND CFO 9704762451 2023-09-12 1 JOHN HIGGINS XXX-XX-XXXX LAWRENCE H MOHR CPA P00447603 6128764500 2023-09-12 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z VAIL HEALTH HOSPITAL WILL COOK PO BOX 40000 VAIL CO 81658 658552866 0 X WWW.VAILHEALTH.ORG X 1965 CO ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. 22 17 1491 88 7463898 0 12547802 14165602 306965389 307491683 40134954 11114781 8063565 10166511 367711710 342938577 15276775 20802434 0 0 124784654 141328015 0 0 2278684 163507889 198511620 303569318 360642069 64142392 -17703492 876172715 837495764 190644896 228504084 685527819 608991680 X ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. 0 0 261533165 20802434 306211244 SEE SCHEDULE O. 261533165 1 1 0 1 0 0 0 0 0 1 1 0 0 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 1 319 0 1491 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 22 17 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 1538554 0 85262 JERRY GREENBERG MD DIRECTOR 1.00 40.00 X 732796 0 36195 JANET ENGLE MD DIRECTOR 40.00 0.00 X 488040 0 24125 SUSIE VICKERMAN DO DIRECTOR 40.00 0.00 X 408690 0 43818 KRISTEN ICKES MD DIRECTOR 40.00 0.00 X 322306 0 36119 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 ARNOLD DIRECTOR 1.00 0.00 X 0 0 0 SAM BRONFMAN DIRECTOR 1.00 0.00 X 0 0 0 ANDY DALY DIRECTOR 1.00 0.00 X 0 0 0 HARRY FRAMPTON DIRECTOR 1.00 0.00 X 0 0 0 THOMAS GORRIE DIRECTOR 1.00 0.00 X 0 0 0 BRATZO HORRUITINER DIRECTOR 1.00 0.00 X 0 0 0 MIKE IMHOF DIRECTOR 1.00 0.00 X 0 0 0 SUSAN KASSER DIRECTOR 1.00 0.00 X 0 0 0 ART KELTON DIRECTOR 1.00 0.00 X 0 0 0 ELLEN MORITZ 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 BRIAN REED MD DIRECTOR 1.00 0.00 X 0 0 0 JUSTIN STARZYK DIRECTOR 1.00 0.00 X 0 0 0 JOHN HIGGINS TREASURER AND CFO 40.00 1.00 X 544630 0 36614 AMANDA VEIT CHIEF OPERATIONS OFFICER 40.00 1.00 X 719762 0 46794 CRAIG COHN CHIEF REAL ESTATE DEV OFFICER 40.00 0.00 X 452932 0 18514 NELSON PRAGER MD PHYSICIAN 0.00 40.00 X 582015 0 3409 BARRY HAMMKER MD PHYSICIAN 40.00 0.00 X 530946 0 34930 PATRICIA HARDENBERGH MD PHYSICIAN 40.00 0.00 X 747256 0 46774 KELLY MORRISSEY WILLIAMS MD PHYSICIAN (CMM) 40.00 0.00 X 491596 0 7651 STEPHEN LAIRD MD PHYSICIAN (CMM) 40.00 0.00 X 519929 0 44393 DORIS KIRCHNER FORMER PRESIDENT AND CEO 40.00 1.00 X 673572 0 72099 FREDERICK SMITH FORMER CHIEF ADMINISTRATIVE OFFICER 40.00 1.00 X 262491 0 0 9015515 0 536697 370 1 1 0 GE JOHNSON CONSTRUCTION CO 25 N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION 20814611 RHIZE TECH PO BOX 913184 DENVER CO 802913184 IT SERVICES 7979820 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 IT SERVICES 7369642 VAIL VALLEY EMERGENCY PHYSICIANS PC 27 MAIN STREET SUITE C301 EDWARDS CO 81632 PHYSICIAN SERVICES 3408236 DIVERSIFIED RADIOLOGY 1746 COLE BOULEVARD SUITE 150 LAKEWOOD CO 80401 RADIOLOGISTS 3165696 92 10882862 3282740 14165602 NET PATIENT SERVICE REVENUE 900099 192189053 189566562 2622491 MEDICARE/MEDICAID 900099 67086712 67086712 EQUITY IN EARNINGS OF SUBSIDIARIE 900099 35713498 35713498 PROF SERVICES/OVERHEAD SUPPORT 900099 7661013 7661013 RETAIL PHARMACY 446110 4841407 4841407 307491683 1292436 1292436 9934310 6680935 3253375 3253375 3253375 318755699 308865765 67589 9889934 -67589 9822345 9822345 MISCELLANEOUS REVENUE 900099 5701785 5701785 CAFETERIA REVENUE 900099 729677 729677 REBATES FROM VENDOR 900099 481674 481674 6913136 342938577 306211244 7463898 15097833 X 20802434 20802434 5562153 5562153 112258310 82454655 28012176 1791479 5438354 3892068 1456712 89574 5641668 2283443 3184755 173470 12427530 9631149 2659333 137048 2908661 62283 2846378 247326 247326 4777 4777 53341948 25745248 27549757 46943 1858959 215501 1617316 26142 4846704 1884016 2960205 2483 547705 184413 363292 5265224 3551271 1713953 596912 300020 288024 8868 348249 204635 143614 5228216 4430741 797475 24613727 22136053 2477674 2274784 2274784 MEDICAL & OTHER SUPPLIE 61213991 59514289 1697825 1877 MISCELLANEOUS 13295933 9719542 3575591 800 BAD DEBT EXPENSE 8172144 8172144 REPAIRS & MAINTENANCE 7458637 284147 7174490 6287723 6065113 222610 360642069 261533165 96830220 2278684 70379430 26605505 1023932 1024501 38893934 40393435 9736219 9373604 18589331 20413267 602028463 247372916 345451038 354655547 309710542 267761203 42155824 38587856 40232465 78680846 876172715 837495764 52320330 56877049 2805028 2590711 398413 0 107959529 105343009 27161596 63693315 190644896 228504084 X 684369691 607998290 1158128 993390 685527819 608991680 876172715 837495764 -17703492 -58832647 0 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 4928 4928 0 PART II-B, LINE 1: A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES. 9053829 1691328 -23112 323164 10398881 7411055 497204 1362357 216787 9053829 7586468 22498 75931 273842 7411055 7161649 101998 513523 190702 7586468 4671666 2253603 236380 7161649 0.00000 0.79919 0.20081 0 1 1 12129447 12129447 411888508 128896304 282992204 4243142 1761327 2481815 142250053 114832750 27417303 31517313 1882535 29634778 354655547 RIGHT OF USE ASSET 65489399 DUE FROM VAIL VALLEY SURGERY CLINIC 3785761 DUE FROM VVMC DIVERSIFIED SERVICES -158984 DUE FROM VAIL SERVICES FOUNDATION 3060718 DUE FROM EAGLE VALLEY MENTAL HEALTH 521859 DUE FROM SUMMIT ORTHOPEDIC SURGERY CENTER LLC 513544 DUE FROM EAGLE HEALTH CARE CENTER 11750 DUE FROM BASALT ORTHOPEDIC SURGERY CENTER LLC 216059 DUE FROM VAIL HEALTH HOLDINGS 5225000 DUE FROM VHS MANAGEMENT SERVICES 846 DUE FROM VAIL HEALTH SERVICES 14894 78680846 UNAMORTIZED BOND ISSUANCE COST 2317001 LEASE LIABILITY 61336742 DUE TO EAGLE VALLEY MENTAL HEALTH 39572 63693315 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: (1) FOR SUPPORT OF JACK'S PLACE, A CANCER CARING HOUSE. (2) FOR SUPPORT OF THE PROGRAMS AND CAPITAL PROJECTS OF VAIL HEALTH HOSPITAL. PART X, LINE 2: VAIL HEALTH SERVICES, THE HOSPITAL, THE FOUNDATION, THE CLINICS AND EVBH 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. CMM, VH HOLDINGS AND THE REAL ESTATE LLCS ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. THE SURGERY CENTER HAS ELECTED TO HAVE ITS INCOME TAXED AS A PARTNERSHIP UNDER PROVISIONS OF THE IRC. MANAGEMENT SERVICES IS A TAXABLE CORPORATION UNDER PROVISIONS OF THE IRC AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2022 AND 2021. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 0 474983 474983 0.00130 21863890 13146441 8717449 0.02420 22338873 13146441 9192432 0.02550 895539 3486 892053 0.00250 720677 720677 0.00200 255646 255646 0.00070 18334745 25005 18309740 0.05080 20206607 28491 20178116 0.05600 42545480 13174932 29370548 0.08150 1 8162083 46692129 71411546 -24719417 X 1 1 1 VAIL VALLEY SURGERY CENTER AMBULATORY SURGERY CENTER 0.50150 0.49850 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 100.000000000000 500.000000000000 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: THE 2022 CHNA WAS CONDUCTED THROUGHOUT THE COURSE OF FY2022 (NOV 2021 THROUGH SEPT 2022) AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO IDENTIFY AND ANALYZE PRIORITY COMMUNITY HEALTH NEEDS WITHIN EAGLE COUNTY. 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. 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 TO GUIDE COMMUNITY BENEFIT ACTIVITIES ACROSS EAGLE COUNTY. 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, & DRIVEENGAGEMENTTHE 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. THE 8 PRIORITY AREAS IDENTIFIED WITH STRATEGIES TO ADDRESS THEM ARE OUTLINED BELOW.PRIORITY AREA I: ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH- ENHANCE COMPREHENSIVE CARE COORDINATION- IMPLEMENT FIND HELP FOR SERVICE NAVIGATION AND CLOSED-LOOP REFERRAL SYSTEM FOR SDOH- IMPLEMENT SUPPORTIVE SERVICES TO ENABLE IN-PERSON VISITS- LAUNCH A CAMPAIGN TO IMPROVE INDIVIDUAL HEALTH LITERACY- EXPAND COMMUNITY HEALTH WORKER PROGRAMS- SUPPORT COMMUNITY WITH COLORADO PUBLIC HEALTH PROGRAMS (I.E. MEDICAID, CHP+, ETC.)PRIORITY AREA II: BRING CARE TO THE PEOPLE- CONTINUE TO EXPAND MH, SUD SERVICES, AND PHYSICAL HEALTH SERVICES IN THE COMMUNITY- ENSURE FUNDING & SUSTAINABILITY OF COMMUNITY HEALTH PROGRAMS ON MIRA- EXPLORE OPTIONS TO EXPAND MOBILE AT-HOME HEALTH SERVICES WITH COMMUNITY PARTNERS- BOLSTER ACCESS AND CHOICE THROUGH EXPANDED USE OF TELE-SUPPORTS- ENGAGE WITH EMPLOYERS IN PROGRAMS TO EXPAND REACH INTO THE WORKPLACE- OFFER EXTENDED HOURS TO ENSURE THAT AVAILABLE APPOINTMENTS ACCOMMODATE VALLEY RESIDENT SCHEDULESPRIORITY AREA III: FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES- EXPAND METABOLIC SCREENING, EDUCATION, TESTING, AND ACCESS TO SUPPORTS- INCREASE MATERNAL HEALTH SCREENING- DEVELOP EASILY ACCESSIBLE LACTATION SUPPORTS IN MULTIPLE LANGUAGES- IMPROVE MATERNAL MENTAL HEALTH- EXPAND GENDER-SPECIFIC PREVENTATIVE HEALTH PROGRAMS- IMPLEMENT FAMILY-FOCUSED SCREENING AND TREATMENT FOR ACES, MH, AND SUDPRIORITY AREA IV: INCREASE UTILIZATION OF HEALTHY FOODS- INCREASE THE COMMUNITY MARKET'S ABILITY TO SOURCE AND PROVIDE NUTRITIOUS FOODS- MAXIMIZE UTILIZATION AND QUALITY OF FEDERAL NUTRITION PROGRAMS- REVAMP SCHOOL MEALS FOR ALL REGARDLESS OF INCOMEPRIORITY AREA V: ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON INCREASED DIVERSITY- RECRUIT TO OPTIMIZE THE MIX OF PROVIDERS AND STAFF ACROSS QUALIFICATIONS- RETAIN AND GROW HEALTHCARE PROVIDERS AND WORKFORCE- ACCELERATE GROWTH OF HEALTHCARE LEADERS WHO ARE NOT WHITE MALES AS A PART OF BROADER DEI EFFORTS- IMPLEMENT BILINGUAL PAY POLICIES TO ATTRACT AND GROW LANGUAGE ACQUISITION FOR VALLEY HEALTH CARE WORKFORCEPRIORITY AREA VI: INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS- EXPAND HOME VISITATION- EXPAND PARENT/FAMILY TRAINING AND PEER SUPPORTS- EXPAND THE USE OF WHOLE-CHILD THERAPEUTIC TEAMS- IMPLEMENT FAMILY CONNECT MODELPRIORITY AREA VII: IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION- ALIGN POPULATION HEALTH WORK ACROSS VH SYSTEM, MFHC, AND COMMUNITY PARTNER ORGANIZATIONS- BETTER ALIGN OPERATIONS & BACK-OFFICE MANAGEMENT OF MFHC & VHS- INVEST IN HEALTH RECORD INTEROPERABILITY, RELEASES OF INFORMATION, ETC., TO ENABLE SEAMLESS CASE MANAGEMENT ACROSS VARIOUS SYSTEMS OF CARE AND HUMAN SERVICE ORGANIZATIONS- DEVELOP A DATA AND EVALUATION SYSTEM AND RHYTHM TO MEASURE THE SYSTEM'S PERFORMANCE AND DRIVE CONTINUOUS IMPROVEMENTPRIORITY AREA VIII: ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENT- EXPLORE AVAILABILITY OF PRIMARY CARE FOR ALL RESIDENTS AT AN AFFORDABLE PRICE- IMPLEMENT COMMON FRONT DOOR ACCESS FOR PATIENT CARE AT VH/ CMM- EXPAND & ALIGN VHS & CMM'S FINANCIAL ASSISTANCE POLICIES- ENSURE FINANCIAL SUSTAINABILITY VIA APPROPRIATE CONTRACTED REIMBURSEMENT RATES- PURSUE GRANTS RELATED TO THE COMMUNITY COLLABORATIVE RESPONSE 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 20 1 - VAIL VALLEY SURGERY CENTER (EDWARDS) 320 BEARD CREEK ROAD SUITE 100 EDWARDS CO 81632 AMBULATORY SURGERY CENTER JV 2 - SHAW PAVILION (EDWARDS) 322 BEARD CREEK ROAD EDWARDS CO 81632 CANCER CTR, PHYSICIAN OFFICE, RETAIL PHARMACY, SUPPORT SER, JACK'S PLACE-A C 3 - VAIL VALLEY SURGERY CENTER (VAIL) 180 SOUTH FRONTAGE ROAD WEST VAIL CO 81657 AMBULATORY SURGERY CENTER JV 4 - MEDICAL PROFESSIONAL BUILDING (VAIL) 108 SOUTH FRONTAGE ROAD WEST VAIL CO 81658 PHYSICIAN OFFICES, PHYSICAL THERAPY, SUPPORT SERVICES, URGENT CARE, CARDIOVA 5 - EDWARDS MEDICAL CAMPUS 320 BEARD CREEK ROAD EDWARDS CO 81632 PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES 6 - EAGLE HEALTH CARE CENTER 377 SYLVAN LAKE ROAD EAGLE CO 81631 PHYSICIAN OFFICES, COLORADO MOUNTAIN MEDICAL, PT, URGENT CARE, WOUND CARE 7 - AVON MEDICAL CAMPUS 50 BUCK CREEK ROAD AVON CO 81620 URGENT CARE, OCCUPATIONAL HEALTH, IMAGING, COLORADO MTN MEDICAL 8 - BEAVER CREEK MEDICAL CENTER 1280 VILLAGE ROAD AVON CO 81620 ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY 9 - HOWARD HEAD SPORTS MEDICINE - FRISCO 100 BASE CAMP WAY SUITE 105 FRISCO CO 80443 PHYSICAL THERAPY 10 - HOWARD HEAD SPORTS MEDICINE - GYPSUM 52 LUNDGREN BOULEVARD GYPSUM CO 81637 PHYSICAL THERAPY 11 - HOWARD HEAD SPORTS MEDICINE - BRECKENRID 505 SOUTH MAIN STREET UNIT C4-5 BRECKENRIDGE CO 80424 PHYSICAL THERAPY 12 - HOWARD HEAD SPORTS MEDICINE - AVON 126 RIVERFRONT LANE AVON CO 81620 PHYSICAL THERAPY 13 - FRISCO SPECIALTY CLINIC 323 WEST MAIN STREET SUITE 101 FRISCO CO 80443 COLORADO MOUNTAIN MEDICAL, INTERNAL MED 14 - GYPSUM CLOCK TOWER BUILDING 410 MCGREGOR DRIVE GYPSUM CO 81637 SUPPORT SERVICES 15 - NORTHSTAR CENTER - EDWARDS 429 EDWARDS ACCESS ROAD A207 EDWARDS CO 81632 PHYSICIAN OFFICES, COLORADO MOUNTAIN MEDICAL 16 - HOWARD HEAD PERFORMANCE 450 MILLER RANCH ROAD EDWARDS CO 81632 HEALTH AND PERFORMANCE PLANS 17 - DILLON HEALTH CENTER 365 DILLON RIDGE ROAD DILLON CO 80435 AMBULATORY SURGERY CENTER, CANCER, COLORADO MOUNTAIN MEDICAL, PT, MULTI-SPEC 18 - BASALT ORTHOPEDIC SURGERY CENTER PO BOX 40000 VAIL CO 81658 AMBULATORY SURGERY CENTER JV 19 - SUMMIT ORTHOPEDIC SURGERY CENTER PO BOX 40000 VAIL CO 81658 AMBULATORY SURGERY CENTER JV 20 - BASALT 200 ROBINSON STREET SUITE D300 BASALT CO 81621 HOWARD HEAD SPORT MEDICINE, STEADMAN PHILIPON SURGERY CENTER SCHEDULE H, PART I, LINE 7 & 8: 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." 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 $8,162,083. 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 PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: 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 $4,093,655. THE MEDICARE COST COMPUTED FOR THE WHOLLY OWNED SUBSIDIARY IS $4,986,241. THE REMAINING $62,331,650 OF ALLOWABLE COST IS FROM THE HOSPITAL'S MEDICARE COST REPORT. 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. IN JANUARY 2022, WE REVISED OUR MISSION TO, "ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES" IN AN EFFORT TO INCREASE OUR FOCUS ON OUR COMMUNITY'S HEALTH. ADDITIONALLY IN 2022, STRATEGIC PILLARS WERE DEVELOPED TO INCLUDE ACCESSIBILITY, AFFORDABILITY, AND POPULATION HEALTH TO ENSURE ALL ORGANIZATIONAL EFFORTS ARE ALIGNED WITH THESE PILLARS AND DRIVE CONTINUAL ASSESSMENT AND INTERVENTIONS TO MEET THE HEALTH NEEDS OF OUR COMMUNITY. WE CREATED A CHIEF POPULATION HEALTH OFFICER ROLE WITHIN OUR EXECUTIVE LEADERSHIP TEAM TO LEAD THESE EFFORTS AS WELL. OUR CLOSE PARTNERSHIP AND COLLABORATION WITH OTHER HEALTH ENTITIES WITHIN OUR COMMUNITY AS WELL AS COMMUNITY MEMBERS, ALLOWS US TO ENSURE ONGOING ASSESSMENT AND PLANNING. THERE ARE SEVERAL FORUMS THAT FACILITATE THIS COLLABORATION AND ONGOING ASSESSMENT INCLUDING FOCUS GROUPS/POPULATION HEALTH STRATEGY TEAMS, TOWN HALL FORUMS, COMMUNITY FEEDBACK MEETINGS, ETC. THESE EFFORTS HAVE PARTICULARLY INFORMED THE NEEDS IN OUR COMMUNITY RELATED TO BEHAVIORAL HEALTH. BY WORKING WITH OUR COMMUNITY PARTNERS AND LISTENING TO OUR COMMUNITY MEMBERS, A FULL EVALUATION OF THE GAPS AND NEEDS RELATED TO BEHAVIORAL HEALTH WAS PERFORMED. AND BECAUSE OF THIS, VAIL HEALTH HAS LAUNCHED AN EXPANSION IN BEHAVIORAL HEALTH SERVICE LINES, AND WE HAVE COMMITTED TO FUNDING COMMUNITY-WIDE EFFORTS TO MEET THIS COMMUNITY NEED. FINALLY, ALONG WITH THE ONGOING ASSESSMENT OF THE COMMUNITY NEEDS, HEALTH EQUITY HAS CONTINUED TO RING UP AS A PRIORITY IN ENSURING WE ARE MEETING THE HEALTH NEEDS OF ALL POPULATIONS WE SERVE. THIS HAS COME FROM DATA REVIEW, LISTENING TO OUR COMMUNITY MEMBERS AND PATIENT FEEDBACK, AND ASSESSING IMPLICIT BIAS AMONGST OUR TEAMS. A HEALTH EQUITY INITIATIVE HAS BEEN LAUNCHED TO DRIVE ONGOING ASSESSMENT AND DATA DRIVEN INTERVENTIONS. VAIL HEALTH IS A TRUE COMMUNITY HOSPITAL THAT TRULY DOES LIVE BY OUR MISSION OF "ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES". AND IN ORDER TO DO THIS, WE ARE 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: 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 TO ADULTS, THE SHAW CANCER CENTER SUN SAFETY PROGRAM EDUCATES KIDS ON SUN PROTECTION, TWO ATHLETIC TRAINERS ARE PROVIDED BY VAIL HEALTH 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. TO ENCOURAGE GETTING OUTSIDE AND PROMOTING PHYSICAL HEALTH, VAIL HEALTH PARTNERED WITH VAIL VALLEY MOUNTAIN TRAILS ALLIANCE TO START THE SOUL DIRT PROGRAM, WHICH ENCOURAGED 357 LOCAL WOMEN, HISPANIC FAMILIES AND THE LGBTQ+ COMMUNITY MEMBERS TO PARTAKE IN TRAIL-BASED EXPERIENCES.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. THROUGH A PARTNERSHIP WITH MY FUTURE PATHWAYS, VAIL HEALTH'S HOWARD HEAD SPORTS MEDICINE HAS CONTINUED COMMUNITY SAFEHEALTH, A YOUTH-FOCUSED PROGRAM TARGETING MEMBERS OF THE HISPANIC COMMUNITY TO GET THEM INTERESTED IN PHYSICAL FITNESS, NUTRITION AND A HEALTHY LIFESTYLE. STOP THE BLEED CLASSES WERE TAUGHT BY THE VAIL HEALTH ED AND TRAUMA STAFF FREE TO THE PUBLIC. VAIL HEALTH CONTRIBUTED TO BRIGHT FUTURE FOUNDATION'S CAPITAL CAMPAIGN TO BUILD A FACILITY FOR TEMPORARY, EMERGENCY HOUSING FOR LOCAL VICTIMS OF DOMESTIC VIOLENCE AND SEXUAL ABUSE. THROUGH EAGLE VALLEY BEHAVIORAL HEALTH, MORE THAN 30 LOCAL NON-PROFITS BENEFITED FROM MORE THAN $5.7M IN GRANTS TO HELP THEIR COMMUNITY HEALTH CAUSES. VAIL HEALTH SUPPORTS CONTINUED CUTTING-EDGE MEDICAL RESEARCH THROUGH ITS FUNDING OF STEADMAN PHILIPPON RESEARCH FOUNDATION.VAIL HEALTH'S PROGRAM SUPPORT OF VVMC DIVERSIFIED SERVICES BRINGS MUCH-NEEDED SPECIALITY HEALTH SERVICES SUCH AS CARDIOVASCULAR, PULMONOLOGY, SURGICAL ASSOCIATES, PLASTICS AND IMAGING CARE FOR THE COMMUNITY. THROUGH VAIL HEALTH SERVICES FOUNDATION, VAIL HEALTH IS ABLE TO PROVIDE SUPPORT FOR CANCER CARE PROGRAMS. PART VI, LINE 7, REPORTS FILED WITH STATES CO 1 BRIGHT FUTURE FOUNDATION PO BOX 2558 AVON CO 81620 840938374 501(C)(3) 65000 0 BRIGHTHOUSE CAPITAL CAMPAIGN EAGLE COUNTY SCHOOL DISTRICT PO BOX 740 EAGLE CO 81631 846012253 EAGLE COUNTY, CO 45000 0 PROJECT LEAD THE WAY EAGLE VALLEY BEHAVIORAL HEALTH PO BOX 4000 VAIL CO 81658 834327406 501(C)(3) 5786393 0 PROGRAM SUPPORT EAGLE VALLEY COMMUNITY FOUNDATION PO BOX 1580 VAIL CO 81658 471915583 501(C)(3) 10000 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 CLASSROOM STEM GRANTS FAMILY & INTERCULTURAL RESOURCE CENTER PO BOX 1636 SILVERTHORNE SILVERTHORNE CO 80498 841252900 501(C)(3) 15000 0 FIRC FASHION SHOW SPONSOR FY21 STEADMAN PHILIPPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL CO 81657 880245022 501(C)(3) 4525000 0 PROGRAM SUPPORT THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE CO 80425 742341399 501(C)(3) 20000 0 4 YEAR SCHOLARSHIP SPONSOR THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE CO 80424 742341399 501(C)(3) 15000 0 DUCK RACE SPONSORHIP, RAM HEART HEALTH WALK SPONSORSHIP & GOLF TOURNAMENT, 2021 GOLF TOURNAMENT SPONSORSHIP & TEAM, NON RESIDENT RECEPTIONS US SKI & SNOWBOARD FOUNDATION PO BOX 100 1 VICTORY LANE PARK CITY UT 84060 846030639 501(C)(3) 40000 0 ANNUAL MEDICAL PROVIDER AND MESS COURSE FEES VAIL VALLEY FOUNDATION PO BOX 6550 AVON CO 81620 742215035 501(C)(3) 10000 0 VVF BLACK DIAMOND BALL SPONSORSHIP VAIL VALLEY PARTNERSHIP 97 MAIN STREET SUITE E201 EDWARDS CO 81632 840535997 501(C)(3) 12000 0 DONATION INVESTOR LEVEL VAILSUMMIT RESEARCH&EDUCATION FOUNDATION 208 SOUTH FRONTAGE ROAD SUITE 300 VAIL CO 81657 461957447 501(C)(3) 350000 0 PROGRAM SUPPORT VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 501(C)(3) 6100000 0 PROGRAM SUPPORT WALKING MOUNTAINS SCIENCE CTR PO BOX 9469 AVON CO 81620 841436731 501(C)(3) 7000 0 CLIMATE ACTION COLLABORATIVE FOR EAGLE COUNTY COMMUNITY PARTNER SERVICE, PROJECT MANAGEMENT, AND COMMUNITY OUTREACH. WALKING MOUNTAINS SCIENCE CTR PO BOX 9469 AVON CO 81620 841436791 501(C)(3) 11750 0 EAGLE VALLEY WILD CONSERVATION PHOTO PROJECT SPONSORSHIP YOUTHPOWER365 PO BOX 6550 AVON CO 81620 841442909 501(C)(3) 80000 0 DOLLARS FOR SCHOLARS SPONSORSHIP YOUTHPOWER365 PO BOX 6550 AVON CO 81620 841442909 501(C)(3) 10000 0 STARS VARIETY SHOW VAIL HEALTH SERVICES FOUNDATION PO BOX 40000 VAIL CO 81658 742505662 501(C)(3) 3497165 0 PROGRAM SUPPORT 17 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 898894 0 400000 0 239660 0 54160 0 31102 0 1623816 0 0 0 PATRICIA HARDENBERGH MD PHYSICIAN 641148 0 56108 0 50000 0 14500 0 32274 0 794030 0 0 0 JERRY GREENBERG MD DIRECTOR 667098 0 65698 0 0 0 14500 0 21695 0 768991 0 0 0 AMANDA VEIT CHIEF OPERATIONS OFFICER 518417 0 134308 0 67037 0 25270 0 21524 0 766556 0 0 0 DORIS KIRCHNER FORMER PRESIDENT AND CEO 5360 0 0 0 668212 0 71504 0 595 0 745671 0 0 0 NELSON PRAGER MD PHYSICIAN 575202 0 750 0 6063 0 0 0 3409 0 585424 0 0 0 JOHN HIGGINS TREASURER AND CFO 408598 0 99500 0 36532 0 4340 0 32274 0 581244 0 0 0 BARRY HAMMKER MD PHYSICIAN 454946 0 0 0 76000 0 2656 0 32274 0 565876 0 0 0 STEPHEN LAIRD MD PHYSICIAN (CMM) 519929 0 0 0 0 0 14500 0 29893 0 564322 0 0 0 JANET ENGLE MD DIRECTOR 488040 0 0 0 0 0 14500 0 9625 0 512165 0 0 0 KELLY MORRISSEY WILLIAMS MD PHYSICIAN (CMM) 491596 0 0 0 0 0 6083 0 1568 0 499247 0 0 0 CRAIG COHN CHIEF REAL ESTATE DEV OFFICER 291932 0 60000 0 101000 0 14500 0 4014 0 471446 0 0 0 SUSIE VICKERMAN DO DIRECTOR 408690 0 0 0 0 0 14500 0 29318 0 452508 0 0 0 KRISTEN ICKES MD DIRECTOR 293237 0 29069 0 0 0 14500 0 21619 0 358425 0 0 0 FREDERICK SMITH FORMER CHIEF ADMINISTRATIVE OFFICER 0 0 0 0 262491 0 0 0 0 0 262491 0 0 0 PART I, LINES 4A-B SEVERANCE: DORIS KIRCHNER RECEIVED $536,540 DURING THE TAX YEAR. FREDERICK SMITH RECEIVED $262,491 DURING THE TAX YEAR. 457(F) PLAN: WILLIAM COOK, DORIS KIRCHNER, JOHN HIGGINS, AND AMANDA VEIT PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNTS WERE $39,660, $71,234, $4,340, AND $17,037, 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 1160000 106777273 921241 105854467 1565 2020 0 0 0 1 B 12549890 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 10/31/2022 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,512 PATIENT DAYS: 4,677 TOTAL SURGERIES: 4,241 VAIL HEALTH FOCUSED 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 INCREASED ITS CMS RATING FROM 4 TO 5 STARS (1 OF 429 U.S. HOSPITALS WITH A 5-STAR RATING), BECOMING ONE OF ONLY A SMALL HANDFUL OF HEALTH SYSTEMS IN THE COUNTRY TO ACHIEVE BOTH. THE VAIL HEALTH EMERGENCY DEPARTMENT EARNED ITS THIRD CONSECUTIVE PRESS GANEY AWARD FOR THE HIGHEST LEVEL OF PATIENT EXPERIENCE. VAIL HEALTH ACHIEVED A NET PROMOTER SCORE OF 77 AND AN EMPLOYEE ENGAGEMENT INDEX OF 82. TO ADDRESS THE BIGGEST ISSUE FACED IN 2022, WHICH WAS RETENTION AND RECRUITMENT OF EMPLOYEES, VAIL HEALTH LAUNCHED SEVERAL EMPLOYEE-FOCUSED INITIATIVES. VAIL HEALTH INCREASED ITS MINIMUM WAGE TO $20/HR FOR ALL JOBS AND HAS LAUNCHED EDUCATIONAL PROGRAMS TO HELP GROW AND DEVELOP EMPLOYEES INTO MORE SUSTAINABLE CAREER ROLES (EX: PATIENT CARE TECHNICIAN PROGRAM). IN FALL OF 2022, VAIL HEALTH ANNOUNCED 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 WILL ALMOST DOUBLE VAIL HEALTH'S EMPLOYEE HOUSING FROM 93 UNITS TO 180, AND THE TOTAL EMPLOYEE BED COUNT WILL INCREASE BY 137% FROM 160 BEDS TO 380. VAIL HEALTH CONTINUES TO OFFER FREE MEDICAL SCREENINGS TO UNINSURED PATIENTS THROUGH THE COMMUNITY HEALTH PROGRAM, SERVING 241 PATIENTS IN 2022 THROUGH THE MIRA BUS. VAIL HEALTH'S COMMUNITY OUTREACH PROGRAM HAS HELPED OVER 300 INDIVIDUALS ENROLL IN MEDICAID IN 2022. INTEGRATED BEHAVIORAL HEALTH CONTINUES TO BE EMBEDDED WITHIN THE PRIMARY CARE SETTING AT ALL COLORADO MOUNTAIN MEDICAL LOCATIONS, PROVIDING IMMEDIATE CLINICAL RESPONSE TO PATIENTS IN CRISIS OR WITH URGENT NEEDS. SINCE PROGRAM LAUNCH IN APRIL OF 2022, 564 INTERVENTIONS HAVE BEEN PROVIDED WITH OVER 100 SAFETY PLANS CREATED AND 40 DIVERTED M1 TRANSFERS. WITH AN AVERAGE COST OF $25,000 FOR EACH M1 HOLD, THESE SERVICES HAVE RESULTED IN ESTIMATED SAVINGS OF $1 MILLION FOR THE COMMUNITY. VAIL HEALTH EXPANDED ACCESS TO HEALTH CARE SERVICES FOR SUMMIT COUNTY RESIDENTS BY OPENING A NEW 85,000-SQUARE-FOOT HEALTH CENTER IN DILLON. VAIL HEALTH GAVE MORE THAN $29.4 MILLION BACK TO THE LOCAL COMMUNITY IN FISCAL 2022 THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATIONS, 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 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. 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 5,988,576. MANAGEMENT AND GENERAL EXPENSES 23,014,215. FUNDRAISING EXPENSES 46,943. TOTAL EXPENSES 29,049,734. REPAIRS/MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 1,716,733. MANAGEMENT AND GENERAL EXPENSES 409,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,125,971. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 110,629. MANAGEMENT AND GENERAL EXPENSES 260,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,845. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 10,642,530. MANAGEMENT AND GENERAL EXPENSES 123,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,765,834. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 74,088. MANAGEMENT AND GENERAL EXPENSES 1,292,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,366,421. CONTRACT CLINICAL LABOR: PROGRAM SERVICE EXPENSES 6,307,441. MANAGEMENT AND GENERAL EXPENSES 151,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,459,045. FOOD SERVICES: PROGRAM SERVICE EXPENSES 905,251. MANAGEMENT AND GENERAL EXPENSES 2,298,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,204,098. EAGLE RIVER REAL ESTATE HOLDINGS LLC PO BOX 4000 VAIL CO 81658 831523347 RENTAL CO 429803 12607054 VAIL CLINIC COLORADO MOUNTAIN MEDICAL LLC PO BOX 4000 VAIL CO 81658 841887834 HEALTHCARE CO 34455335 10602597 VAIL CLINIC NORTH EAGLE INVESTMENTS PO BOX 4000 VAIL CO 81658 RENTAL CO 0 3233020 VAIL CLINIC 10 MILE HOLDINGS LLC PO BOX 4000 VAIL CO 81658 HOLDING COMPANY CO 0 7369031 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 30083632 10910995 0 0 0.50230 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 1 1 0 0 0 1 0 1 1 1 1 1 1 0 0 VAIL VALLEY SURGERY CENTER LLC A 4066668 ACTUAL AMOUNT VAIL HEALTH SERVICES FOUNDATION B 3497165 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES B 6100000 ACTUAL AMOUNT EAGLE VALLEY MENTAL HEALTH B 5786393 ACTUAL AMOUNT VAIL HEALTH SERVICES FOUNDATION C 10882860 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC D 3785761 YEAR-END BALANCE VAIL HEALTH SERVICES FOUNDATION D 3060717 YEAR-END BALANCE EAGLE VALLEY MENTAL HEALTH D 481726 YEAR-END BALANCE VAIL HEALTH SERVICES D 5240694 YEAR-END BALANCE VVMC DIVERSIFIED SERVICES E 159222 YEAR-END BALANCE VAIL VALLEY SURGERY CENTER LLC F 40903170 ACTUAL AMOUNT EAGLE VALLEY MENTAL HEALTH Q 7544735 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES Q 2900000 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC Q 32851013 ACTUAL AMOUNT