2019-09-16T13:12:51-05:00 2018-10-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2017-11-01 840563230 VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT VAIL 9704797238 PO BOX 40000 VAIL CO 81658 HAROLD DUPPER CFO 9704797238 2019-09-16 1 LAWRENCE H MOHR CPA P00447603 6128764500 2019-09-16 38.88.188.75 2019-09-16 12:17:43 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F928441D2398D0B4DCF9932C1CB380BE5D4089C9 2017 2019-02-21 02:37:17Z VAIL HEALTH HOSPITAL DORIS KIRCHNER PO BOX 40000 VAIL CO 81658 286242622 0 X WWW.VAILHEALTH.ORG X 1965 CO VHH IS AN ACUTE CARE, GENERAL HOSPITAL AND ORTHOPEDIC REFERRAL CENTER. ITS PRIMARY MISSION IS TO PROVIDE SUPERIOR HEALTH SERVICES WITH COMPASSION AND EXCEPTIONAL OUTCOMES TO CITIZENS OF THE LOCAL COMMUNITY AND REGION. 9 8 1173 89 5178583 0 2937462 4530184 217158793 238016285 23998208 14368954 2261242 2090907 246355705 259006330 13680421 10726154 0 0 68047694 73229658 7243 0 1612604 99835418 112720196 181570776 196676008 64784929 62330322 653337199 701363896 152144829 153203537 501192370 548160359 X VHH IS AN ACUTE CARE, GENERAL HOSPITAL AND ORTHOPEDIC REFERRAL CENTER. ITS PRIMARY MISSION IS TO PROVIDE SUPERIOR HEALTH SERVICES WITH COMPASSION AND EXCEPTIONAL OUTCOMES TO CITIZENS OF THE LOCAL COMMUNITY AND REGION. 0 0 140530571 10726154 234375341 SEE SCHEDULE O. 140530571 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 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 1 183 0 1173 1 1 1 0 0 0 0 0 0 0 0 0 X 9 8 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 9704797238 PO BOX 40000 VAIL CO 81658 DORIS KIRCHNER PRESIDENT, CEO AND BOARD MEMBER 40.00 4.00 X X 931366 0 55725 ART KELTON CHAIRMAN OF THE BOARD 1.00 0.00 X X 0 0 0 DICK CLEVELAND BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS JARNOT BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF SHROLL BOARD MEMBER 1.00 0.00 X 0 0 0 WAYNE WENZEL MD BOARD MEMBER 1.00 0.00 X 0 0 0 ELLEN MORITZ BOARD MEMBER 1.00 0.00 X 0 0 0 JUSTIN STARZYK BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLIE L'ESPERANCE TRUSTEE 1.00 0.00 X 0 0 0 FREDERICK SMITH CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 317460 0 72145 HAROLD DUPPER CFO AND ASST TREASURER (PART YEAR) 40.00 3.00 X 90496 0 4549 TED SIROTTA CFO AND ASST TREASURER (PART YEAR) 40.00 3.00 X 281465 0 61986 PATRICIA HARDENBERGH MD PHYSICIAN 40.00 0.00 X 660429 0 74499 JERRY GREENBERG MD PHYSICIAN 0.00 40.00 X 769489 0 84929 ALEXANDER URQUHART MD PHYSICIAN 40.00 0.00 X 473393 0 69076 NELSON PRAGER MD PHYSICIAN 0.00 40.00 X 710503 0 5761 DANIEL PENNINGTON FOUNDATION PRESIDENT 0.00 40.00 X 375682 0 47708 CHARLES CREVLING FORMER CFO AND ASST TREASURER 0.00 0.00 X 161538 0 0 4771821 0 476378 166 1 1 0 GE JOHNSON CONSTRUCTION CO 40800 HIGHWAY 6 STE 8 AVON CO 81620 CONSTRUCTION 14795224 DAVIS PARTNERSHIP PC ARCHITECTS 2901 BLAKE STREET SUITE 100 DENVER CO 80205 ARCHITECT 4118500 VAIL VALLEY EMERGENCY PHYSICIANS PC 27 MAIN STREET SUITE C301 EDWARDS CO 81632 PHYSICIAN SERVICES 3487118 CERNER CORPORATION PO BOX 410451 KANSAS CITY MO 64141 IT SERVICES 3456659 DIVERSIFIED RADIOLOGY 938 BANNOCK STE C300 DENVER CO 80204 RADIOLOGISTS 2441053 72 4530184 4530184 NET PATIENT SERVICE REVENUE 900099 141009772 139595516 1414256 MEDICARE/MEDICAID 900099 45609093 45609093 EQUITY IN EARNINGS OF SUBSIDIARIE 900099 32125548 32125548 PROVIDER FEE INCOME 900099 10111332 10111332 MANAGEMENT FEE INCOME 900099 4811676 4811676 4348864 573909 3764327 10628 238016285 8882122 8882122 6122415 6230006 -107591 -107591 -107591 26493118 20748112 258174 5745006 -258174 5486832 5486832 MISCELLANEOUS REVENUE 900099 885726 885726 REBATES FROM VENDOR 900099 662541 662541 CAFETERIA REVENUE 900099 650231 650231 2198498 259006330 234375341 5178583 14922222 X 10726154 10726154 2687608 872418 1815190 161538 161538 56763253 38811385 16544919 1406949 2121950 1512728 584284 24938 6070316 3966750 2037607 65959 5424993 3814961 1547697 62335 1488513 1488513 149553 149553 4526 4526 843733 843733 22142867 13128515 8963926 50426 1686301 113164 1573137 2724268 770013 1954255 1138533 255673 882860 2992961 380483 2612478 264626 142265 122361 199146 72843 126303 1497834 1497834 14842829 13561177 1281652 1081778 1081778 MEDICAL & OTHER SUPPLIE 35362713 34552544 808172 1997 BAD DEBT EXPENSE 10607863 10607863 REPAIRS & MAINTENANCE 9943598 188597 9755001 PROVIDER FEE EXPENSE 5152028 5152028 596526 403176 193350 196676008 140530571 54532833 1612604 7222 8021 31806057 57900661 5908343 3947989 22205002 20502748 7290497 6964804 4658408 4425185 393437452 176056490 173927752 217380962 367542317 347069621 13373974 13602789 21516664 24056491 5100963 5504625 653337199 701363896 34289308 36093337 115117204 114477308 26453 0 2711864 2632892 152144829 153203537 X 492053708 540958566 9138662 7201793 501192370 548160359 653337199 701363896 X 62330322 -15287868 -74465 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6938 6938 0 PART II-B, LINE 1: A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES. 4671666 2253603 236380 7161649 3787148 296823 587695 4671666 3343361 369350 74437 3787148 3511532 86600 -254771 3343361 3507859 50000 10337 56664 3511532 0.00000 0.83740 0.16260 0 1 1 8741687 8741687 212260648 78872814 133387834 1744887 1250304 494583 113132703 94002209 19130494 57557527 1931163 55626364 217380962 UNAMORTIZED BOND ISSUANCE COST 2632892 2632892 X 234776892 -15287868 6112639 -9175229 243952121 15054209 15054209 259006330 187808903 6112639 6112639 181696264 14979744 14979744 196676008 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 SERVICE 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 CLINIC, INC. DBA VAIL HEALTH HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. ACCORDINGLY, NO PROVISION FOR INCOME HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 6,112,639. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 146,353. BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 10,607,863. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,993. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 6,112,639. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 10,607,863. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,993. EXPENSE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 71,888. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS N/A 13602788 0 0 0 0 0 0 13602788 0 13602788 1 0 1 1 0 0 SCHEDULE F, PART I, LINE (1), COLUMN (F): INVESTMENTS CONSIST OF FUNDS THAT ARE INVESTED IN UNDERLYING HEDGE FUNDS THROUGH A LEGAL ENTITY DOMICILED OFFSHORE. THESE INVESTMENTS REPRESENT LESS THAN 5% OF VAIL HEALTH HOSPITAL'S TOTAL INVESTMENTS. 1 1 X 1 X 1 X 1 1 0 0 1469781 1469781 0.00750 16920579 17616333 0 0.00000 18390360 17616333 1469781 0.00750 977564 977564 0.00500 988555 988555 0.00500 31545 3660 27885 0.00010 12031699 12031699 0.06120 14029363 3660 14025703 0.07130 32419723 17619993 15495484 0.07880 1 10607863 32077442 50401330 -18323888 X 1 1 1 VAIL VALLEY SURGERY CENTER AMBULATORY SURGERY CENTER 0.50360 0.49640 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 15 1 0 0 1 X HTTPS://WWW.VAILHEALTH.ORG/ABOUT/RESEARCH X 1 15 1 HTTPS://WWW.VAILHEALTH.ORG/ABOUT/RESEARCH 0 1 X 100.000000000000 350.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE 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: IN CONDUCTING THE CHNA FOR EAGLE COUNTY, VAIL HEALTH HOSPITAL GATHERED DATA FROM A VARIETY OF SOURCES. PRIMARY DATA COLLECTION INVOLVED DATA FROM THREE DIFFERENT SURVEYS CONDUCTED IN EAGLE COUNTY, INCLUDING:1. VAIL HEALTH HOSPITAL COMMUNITY STAKEHOLDER QUESTIONNAIRE,2. EAGLE COUNTY IMMIGRANT SURVEY, AND3. THE EAGLE COUNTY PUBLIC HEALTH COMMUNITY HEALTH ASSESSMENT SURVEY.THE CHNA PROVIDES A DETAILED ANALYSIS OF THE CURRENT STATE OF HEALTH IN EAGLE COUNTY. THIS INFORMATION IS COMPARED TO BOTH LOCAL SURVEY FINDINGS REGARDING PERCEIVED HEALTH NEEDS AMONG RESIDENTS, AS WELL AS STATE AND NATIONAL BENCHMARKS TO HELP IDENTIFY COMMUNITY HEALTH NEEDS. THIS ANALYSIS ASSISTS IN DETERMINING AREAS OF COMMUNITY HEALTH IMPORTANCE AND POTENTIAL AREAS FOR EITHER IMPROVEMENT TO CURRENT PRACTICE OR NOVEL ENDEAVORS FOR THE ORGANIZATION TO ADDRESS COMMUNITY HEALTH NEEDS. THIS ASSESSMENT USED PRIMARY DATA COLLECTION COUPLED WITH SECONDARY DATA ANALYSIS TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF EAGLE COUNTY. VAIL CLINIC, INC. PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA:1. ACCESS TO CARE - VAIL HEALTH HOSPITAL (VHH) HAS COMMITTED TO INCREASING ACCESS TO PRIMARY CARE CLINICS INCLUDING ADJUSTING COST STRUCTURES. VHH'S WALK IN CLINICS HEALTH CLINICS ARE IN VARIOUS STAGES OF DEVELOPMENT2. CANCER - INCREASE COLORECTAL SCREENING AWARENESS IN EAGLE COUNTY THROUGH A COUNTY WIDE MARKETING CAMPAIGN3. HEART DISEASE - CONSIDERATIONS FOR INCREASED COVERAGE OF THE CARDIAC CATHETERIZATION LAB WILL BE BASED ON PATIENT VOLUME AND COMMUNITY NEED.4. UNINTENTIONAL INJURY - VHH WILL PROVIDE FUNDING TO THE THINKFIRST PROGRAM TO EXPAND INJURY PREVENTION ACTIVITIES AS THERE IS A CURRENT LACK OF SIGNIFICANT ADULT INJURY PREVENTION PROGRAMS. VHH IS ALSO CURRENTLY RESEARCHING THE INFLUENCE OF THE RECENT LEGALIZATION OF MARIJUANA MAY HAVE ON THE PATTERNS OF AND SEVERITY OF SKI AND SNOWBOARD INJURIES5. CHRONIC LOWER RESPIRATORY DISEASE - THIS AREA WILL BE WATCHED CLOSELY AND SHOULD INCIDENCE RATES RISE AND PATIENT DEMAND INCREASE, EXPANDING THE SERVICE LINE WOULD BE CONSIDERED BY THE ORGANIZATION.6. MENTAL HEALTH - VHH HAS RECENTLY COMMITTED TO BRINGING A TELE-PSYCH PROGRAM TO VHH AND RESIDENTS OF EAGLE COUNTY. THIS PROGRAM WILL ALLOW FOR DIRECT COMMUNICATION BETWEEN MENTAL HEALTH SPECIALISTS AND LOCAL PROVIDERS AND PATIENTS.7. SUBSTANCE ABUSE - VHH WILL CONTINUE THE PROMOTION OF SCREENING BRIEF INTERVENTION AND REFERRAL FOR TREATMENT (SBIRT) AS A STANDARD OF CARE AT VHH. VHH WILL ALLOCATE RESOURCES TO CONTINUE PROVIDING SBIRT SCREENING AND INTERVENTION DUE TO DECREASED GRANT FUNDING. 15 1 - VAIL VALLEY SURGERY CENTER (VAIL) PO BOX 1270 VAIL CO 81658 AMBULATORY SURGERY CENTER JV 2 - SHAW PAVILION (EDWARDS) PO BOX 40000 VAIL CO 81658 CANCER CENTER, PHYSICIAN OFFICES, RETAIL PHARMACY, SUPPORT SERVICES 3 - EDWARDS MEDICAL CENTER PO BOX 40000 VAIL CO 81658 PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES 4 - VAIL VALLEY SURGERY CENTER (EDWARDS) PO BOX 1270 VAIL CO 81658 AMBULATORY SURGERY CENTER JV 5 - AVON URGENT CARE PO BOX 40000 VAIL CO 81658 URGENT CARE, OCCUPATIONAL HEALTH, TRAVELER'S CLINIC 6 - BEAVER CREEK MEDICAL CENTER PO BOX 40000 VAIL CO 81658 FOR ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY 7 - MEDICAL PROFESSIONAL BUILDING (VAIL) PO BOX 40000 VAIL CO 81658 PHYSICIAN OFFICES, PHYSICAL THERAPY, SUPPORT SERVICES 8 - GYPSUM URGENT CARE PO BOX 40000 VAIL CO 81658 URGENT CARE, SUPPORT SERVICES 9 - EAGLE HEALTH CARE CENTER PO BOX 40000 VAIL CO 81658 JOINT VENTURE - PHYSICIAN OFFICES, PHYSICAL THERAPY 10 - HOWARD HEAD FRISCO PO BOX 40000 VAIL CO 81658 PHYSICAL THERAPY 11 - HOWARD HEAD SILVERTHORNE PO BOX 40000 VAIL CO 81658 PHYSICAL THERAPY 12 - HOWARD HEAD GYPSUM PO BOX 40000 VAIL CO 81658 PHYSICAL THERAPY 13 - HOWARD HEAD AVON PO BOX 40000 VAIL CO 81658 PHYSICAL THERAPY 14 - JACK'S PLACE (EDWARDS) PO BOX 40000 VAIL CO 81658 CANCER CARING HOUSE 15 - HOWARD HEAD BRECKENRIDGE PO BOX 40000 VAIL CO 81658 PHYSICAL THERAPY 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 ($5,700,000) 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 $10,607,863. 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 10 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 BOTH THE MEDICAL CENTER AS WELL AS THE MEDICAL CENTER'S APPLICABLE SHARE OF THEIR JOINT VENTURE'S COSTS. THE MEDICAL CENTER'S MEDICARE ALLOWABLE COST IS DERIVED FROM THE MEDICARE COST REPORT. THE JOINT VENTURE'S MEDICARE ALLOWABLE COST IS COMPUTED USING A COST-TO-CHARGE RATIO. THE MEDICARE COST COMPUTED FOR THE JOINT VENTURE IS $2,070,209. THE REMAINING $48,331,121 OF ALLOWABLE COST IS FROM THE MEDICAL CENTER'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: WE LOOK AT THE POPULATION AND BENCHMARK PRODUCTIVITY DATA TO DETERMINE THE DEMAND IN OUR PRIMARY SERVICE AREA BY PHYSICIAN SPECIALTY. THEN WE LOOK AT MARKET DATA TO DETERMINE THE CURRENT NUMBER OF PROVIDERS IN OUR PRIMARY SERVICE AREA. WE WORK CLOSELY WITH OUR PHYSICIAN PARTNERS IN OUR COMMUNITY TO IDENTIFY IF WE HAVE A SHORTAGE OF PROVIDERS AND TO DETERMINE THE BEST WAY TO FILL THAT NEED. IN THE TAX YEAR 2011, WE ALSO STARTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY THE IRS THAT WAS COMPLETED IN THE TAX YEAR 2012, AND THIS WAS UPDATED IN THE TAX YEAR 2015. 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: INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY: WE PROVIDE SEVERAL FREE AND LOW COST GENERAL HEALTH SCREENINGS, CARDIAC SCREENINGS, AND CANCER SCREENINGS TO THE COMMUNITY. WE ALSO PROVIDE FREE EDUCATION IN SCHOOLS AND COMMUNITY MEETINGS FOR A VARIETY OF TOPICS INCLUDING: HEAD AND SPINAL CORD INJURY PREVENTION PROGRAMS, HELMET SAFETY, CAR SEAT SAFETY, DIABETES, HEART HEALTH, AND NUTRITION. WE PARTICIPATE IN COMMUNITY COALITION BUILDING MEETINGS IN TOWN HALLS AND COUNTY MEETINGS.WE CONTRIBUTE TO DISASTER PREPAREDNESS PLANNING AND TRAINING WITH LAW ENFORCEMENT, FIRE DEPARTMENTS, COUNTY HEALTH OFFICIALS, SCHOOLS, AND OTHER HEALTH CARE PROVIDERS IN THE COMMUNITY. WE ALSO PARTICIPATE IN COUNTY FLU COALITION PLANNING. WE PROVIDE ON-THE-JOB TRAINING FOR NURSING, EMT AND PARAMEDIC STUDENTS FROM COLORADO MOUNTAIN COLLEGE IN OUR FACILITIES. WE ALSO OFFER A SAFE DRUG DISPOSAL PROGRAM.WE RECOGNIZE CANCER SURVIVORS AT OUR LOCAL COUNTY RODEO. WE OFFER FIT FOR SURVIVAL, AN EXERCISE PROGRAM FOR CANCER PATIENTS. WE HAVE A TEAM OF NUTRITION EXPERTS WHO HELP THE COMMUNITY PROTECT ITSELF AGAINST CANCER THROUGH ITS PRESENCE AT LOCAL HEALTH FAIRS, PUBLISHING NUTRITION ARTICLES IN THE LOCAL PAPER, AND OFFERING MONTHLY COOKING CLASSES, CANCER SUPPORT PROGRAMS, AND GROUPS. JACK'S PLACE IS OUR CANCER CARING HOUSE THAT ALLOWS CONVENIENT AND COMFORTABLE ACCOMMODATIONS FOR CANCER PATIENTS, CAREGIVERS, AND FAMILY MEMBERS FREE OF CHARGE.YOGA AND TAI CHI CLASSES ARE ALSO OFFERED AT JACK'S PLACE. THE ARTS IN HEALING PROGRAM PROVIDES REGULAR MUSICAL PERFORMANCES, VISUAL ART EXHIBITS AND WORKSHOPS, AND PERFORMANCES TO ENHANCE THE OVERALL HEALTHCARE ENVIRONMENT FOR OUR PATIENTS, VISITORS AND STAFF. WE ALSO PARTICIPATE IN PET PARTNERS, A THERAPY ANIMAL PROGRAM. WE OFFER CHILDBIRTH AND LACTATION CLASSES TO THE COMMUNITY.SURPLUS FUNDS ARE USED TO INVEST IN COMMUNITY NEEDS - WE CONSTRUCTED AN AMBULATORY SURGERY CENTER IN EDWARDS, AS WELL AS INVESTED IN NEW MEDICAL EQUIPMENT. WE DONATED $4,299,996 TO FUND BIOMECHANICAL RESEARCH, DONATED $40,000 DIRECTLY TO THE US SKI TEAM, AND PARTIALLY FUNDED THE SALARIES AND OTHER EXPENSES OF LOCAL SCHOOL ATHLETIC TRAINERS TO PROMOTE LOCAL ATHLETE DEVELOPMENT. WE DONATED $5,700,000 TO VAIL HEALTH CLINICS TO SUBSIDIZE PHYSICIAN SPECIALTIES TO WORK IN EAGLE COUNTY, WHO WOULD OTHERWISE NOT BE ABLE TO PRACTICE AND PROVIDE THOSE SERVICES TO THE COMMUNITY AND DONATED $290,291 TO MOUNTAIN FAMILY HEALTH CENTERS TO SUBSIDIZE THEIR FEDERALLY QUALIFIED HEALTH CLINIC.SHAW CANCER CENTER STAFF EDUCATES AROUND 1,000 ELEMENTARY SCHOOL STUDENTS ON THE USE OF SUNSCREEN IN OUR SHAW SUN SAFETY PROGRAM.IN SEPTEMBER, 2018 WE PARTNERED WITH EAT, CHAT, PARENT, A SPEAKER SERIES FOR PARENTS AND KIDS, ON THEIR MENTAL HEALTH. WE EDUCATED OVER 600 PEOPLE IN SPETEMBER AND OCTOBER, 2018.WE PARTNER WITH EDUCATION FOUNDATION OF EAGLE COUNTY (EFEC) TO OFFER CLASSROOM STEM GRANTS TO ALL TEACHERS IN EAGLE COUNTY. PART VI, LINE 7, REPORTS FILED WITH STATES CO 1 STEADMAN PHILIPPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL CO 81657 880245022 501(C)(3) 4299993 PROGRAM SUPPORT VAIL VALLEY PARTNERSHIP PO BOX 1130 VAIL CO 81658 840535997 501(C)(3) 7800 SPONSORSHIP VAIL BREAST CANCER AWARENESS PO BOX 4043 AVON CO 81620 841515602 501(C)(3) 8000 SILVER SPONSORSHIP LUNCHEON BENEFIT YOUTHPOWER 365 PO BOX 6550 VAIL CO 81620 841442909 501(C)(3) 15000 STAR DANCING GALA SPONSORSHIP STARTING HEARTS PO BOX 4318 AVON CO 81620 273008262 501(C)(3) 57865 SPONSORSHIP EDUCATION FOUNDATION OF EAGLE COUNTY PO BOX 18533 AVON CO 81620 841585417 501(C)(3) 25000 PROJECT FUNWAY MOUNTAIN FAMILY HEALTH CENTERS 2700 GILSTRAP CT GLENWOOD SPRINGS CO 81601 840742145 501(C)(3) 384900 PROGRAM SUPPORT UNITED STATES SKI TEAM 1 VICTORY LANE BOX 100 PARK CITY UT 84060 846030639 501(C)(3) 40000 ANNUAL RIGHTS AND ANNUAL MESS COURSE FEES VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 501(C)(3) 5700000 PROGRAM SUPPORT WALKING MOUNTAIN SCIENCE CENTER PO BOX 9469 AVON CO 81620 841436731 501(C)(3) 5000 CLIMATE ACTION COLLABORATIVE SPONSORSHIP VAIL VALLEY FOUNDATION PO BOX 6550 AVON CO 81620 742215035 501(C)(3) 5000 BLACK DIAMOND BALL TABLE SPONSORSHIP SONNENALP OF VAIL FOUNDATION PO BOX 4401 VAIL CO 81658 841442704 501(C)(3) 5000 GOLF SCRAMBLE DENVER HEALTH FOUNDATION 655 BROADWAY SUITE 750 DENVER CO 80203 841085196 501(C)(3) 5000 2018 NIGHT SHINE GALA COLORADO MOUNTAIN COLLEGE FOUNDATION 802 GRAND AVENUE GLENWOOD SPRINGS CO 81601 742393418 501(C)(3) 9700 VVMC SCHOLARSHIP EAGLE COUNTY SCHOOL DISTRICT PO BOX 740 EAGLE CO 81631 EAGLE COUNTY, CO 50000 GRANT FOR SCIENCE ROOM EAGLE COUNTY FAIR AND RODEO PO BOX 850 EAGLE CO 81631 EAGLE COUNTY, CO 5000 2018 EAGLE COUNTRY FAIR AND RODEO DIAMOND SPONSORSHIP ROUND UP RIVER RANCH PO BOX 8589 AVON CO 81620 204632248 501(C)(3) 5000 SPONSOR FOR A GRATEFUL HARVEST EVENT COLORADO MOUNTAIN MEDICAL 108 S FRONTAGE RD W STE 101 VAIL CO 81657 84200 SUBSIDIZE FOR OB SERVICES 15 3 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 DORIS KIRCHNER PRESIDENT, CEO AND BOARD MEMBER 500928 0 174650 0 255788 0 13010 0 42715 0 987091 0 0 0 FREDERICK SMITH CHIEF ADMINISTRATIVE OFFICER 249472 0 64169 0 3819 0 10115 0 62030 0 389605 0 0 0 TED SIROTTA CFO AND ASST TREASURER (PART YEAR) 227484 0 0 0 53981 0 11769 0 50217 0 343451 0 0 0 PATRICIA HARDENBERGH MD PHYSICIAN 592957 0 15155 0 52317 0 12363 0 62136 0 734928 0 0 0 JERRY GREENBERG MD PHYSICIAN 609180 0 153907 0 6402 0 13500 0 71429 0 854418 0 0 0 ALEXANDER URQUHART MD PHYSICIAN 441188 0 5000 0 27205 0 12899 0 56177 0 542469 0 0 0 NELSON PRAGER MD PHYSICIAN 559975 0 141250 0 9278 0 0 0 5761 0 716264 0 0 0 DANIEL PENNINGTON FOUNDATION PRESIDENT 299587 0 61250 0 14845 0 5418 0 42290 0 423390 0 0 0 CHARLES CREVLING FORMER CFO AND ASST TREASURER 0 0 0 0 161538 0 0 0 0 0 161538 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: CHARLES CREVLING RECEIVED A SEVERANCE PAYMENT OF $161,538 DURING THE 2017 CALENDAR YEAR. 457F PLAN: DORIS KIRCHNER PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNT WAS $31,900 AND VESTING OF PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENT OCCURS ON OCTOBER 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 UNITS (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 RENOVATION & EXPANSION OF HOSPITAL 0 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 2012-06-06 19052899 REFUND SERIES 2001 0 0 0 A 105910237 921241 49812643 55176353 0 0 0 1 B 4575591 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 1 0 0 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: 06/01/2017 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 I, LINE 1 VAIL HEALTH WILL CONTINUE ITS DEVELOPMENT AS AN INDEPENDENT, NONPROFIT HEALTH CARE SYSTEM, PROVIDING SUPERIOR HEALTH SERVICES ALIGNED TO THE NEEDS OF EAGLE COUNTY RESIDENTS AND VISITORS, WORLD-RENOWNED ORTHOPAEDIC SERVICES, REGIONAL CANCER SERVICES AND EMERGENCY SERVICES. VAIL HEALTH WILL INTEGRATE AND ALIGN SERVICE OFFERINGS WITH OUR PHYSICIAN PARTNERS TO MAXIMIZE: -FLEXIBILITY AND RESPONSIVENESS TO PATIENT NEEDS, INCLUDING PREVENTIVE HEALTH SERVICES -EXCELLENCE IN SPECIALIZED CARE SUPPORTED BY COMPREHENSIVE RESEARCH AND EDUCATION -CONTINUOUS QUALITY IMPROVEMENT THROUGH INVESTMENT IN TECHNOLOGY, FACILITIES AND STAFF DEVELOPMENT VAIL HEALTH WILL PROVIDE THESE SERVICES IN AN ENVIRONMENT THAT ENABLES AND SUPPORTS TRUST AND RESPECT. FORM 990, PART III, LINE 4A KEY METRICS OF VAIL HEALTH HOSPITAL FOR FISCAL YEAR ENDED 10/31/2018 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 2,089 PATIENT DAYS: 5,297 TOTAL SURGERIES: 3,228 AS PART OF THE MASTER FACILITY PLAN EFFORTS, THE CONSTRUCTION ON THE WEST WING CONCLUDED IN 2017, AND INCLUDED THE COMPLETION OF A NEW PRE-OPERATIVE/RECOVERY SUITE, A NEW STERILE PROCESSING FACILITY, AND A PATIENT/FAMILY WAITING ROOM ON THE 3RD FLOOR. EAST WING CONSTRUCTION HAS BEGUN AND WILL TAKE PLACE FROM 2017-2020. VHH ENJOYED CONTINUOUS ACCREDITATION STATUS THROUGHOUT FYE 2018. VHH WAS RANKED IN THE TOP 3% OF 4,797 HOSPITALS IN ORTHOPEDICS, EARNING THE HEALTH CARE SYSTEM THE WOMEN'S CHOICE 2019 ORTHOPEDICS AWARD. VHH WAS RANKED IN THE TOP 16% OF 2,778 HOSPITALS IN OBSTETRICS, EARNING THE HEALTH CARE SYSTEM THE WOMEN'S CHOICE 2019 OBSTETRICS AWARD. THIS IS THE THIRD YEAR IN A ROW VHH HAS RECEIVED THIS ACCOLADE. VHH WAS AWARDED AN "A", THE HIGHEST GRADE POSSIBLE FROM THE LEAPFROG GROUP'S FALL 2018 HOSPITAL SAFETY GRADE. VHH WAS RECOGNIZED BY THE NATIONAL ORGANIZATION OF STATE OFFICE OF RURAL HEALTH (NOSORH) AND THE CHARTIS CENTER FOR RURAL HEALTH/IVANTAGE HEALTH ANALYTICS FOR OVERALL EXCELLENCE IN OUTCOMES AND PATIENT SATISFACTION, REFLECTING TOP QUARTILE PERFORMANCE AMONG ALL RURAL HOSPITALS IN THE NATION. IN JULY, 2018 SHAW CANCER CENTER WAS GRANTED RE-ACCREDITION AS A QUALITY ONCOLOGY PRACTICE INITIATIVE CERTIFIED SITE. SHAW ORIGINALLY RECEIVED ACCREDITION IN 2015 AND IS RESURVEYED EVERY THREE YEARS. THERE ARE APPROXIMATELY 300 QOPI CERTIFIED SITES WORLDWIDE AND SHAW IS ONE OF THREE PRACTICES IN COLORADO TO HAVE RECEIVED QOPI DESIGNATION. SHAW CANCER CENTER WAS AWARDED THE ESTEEMED THREE-YEAR COMMISSION ON CANCER (COC) ACCREDITION WITH COMMENDATION, ONE OF THE HIGHEST LEVELS THAT CAN BE ACHIEVED BY THE SURVEY. THE SONNENALP BREAST CENTER IS AN AMERICAN COLLEGE OF RADIOLOGY (ACR) BREAST IMAGING CENTER OF EXCELLENCE. THIS IS THE HIGHEST ACCREDITATION ACHIEVABLE FOR BREAST CENTERS AND IS AN ONGOING ACCREDITATION. AS PART OF ON-GOING WORK TO REDUCE VH CESAREAN SECTION (C-SECTION) RATE AMONG LOW-RISK, FIRST TIME MOTHERS, VH HAS PARTICIPATED IN THE SOAR PROJECT, A YEAR LONG PROJECT THROUGH COLORADO PERINATAL CARE QUALITY COLLABORATIVE TO WORK ON FURTHER DECREASING THE C-SECTION RATE (AMONG LOW-RISK, FIRST TIME MOTHERS) AND TO CREATE SUSTAINABILITY FOR OUR DECREASED RATE. IN RESPONSE TO INCREASING COMMUNITY AND PATIENT NEEDS RELATED TO HEAD INJURIES, CONCUSSIONS, VESTIBULAR CONDITIONS AND BALANCE PROBLEMS HOWARD HEAD SPORTS MEDICINE DEVELOPED A SUB SPECIALTY AREA CALLED BRAIN & BALANCE CARE. VHH CREATED A TRANSITION TO PRACTICE (TTP) PROGRAM. TTP IS A THOUGHTFUL APPROACH TO HOW ORGANIZATIONS ONBOARD AND INTEGRATE NEW GRADUATE NURSES INTO THE PRACTICE SETTING. VHH GAVE $15.5 MILLION BACK TO THE COMMUNITY THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, 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 HOSPITAL'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 EXPENDITURES IN EXCESS OF $100,000 - 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 PRIOR TO ITS FILING. THE REVIEW INCLUDES READING IT FOR ACCURACY OF DISCLOSURE AND COMPARING THE NUMBERS TO THOSE IN THE AUDITED FINANCIAL STATEMENTS. 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 2018 BY SULLIVAN COTTER. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE EXECUTIVE AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. 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 2018 BY SULLIVAN COTTER. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE INDIVIDUAL AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 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 3,735,329. MANAGEMENT AND GENERAL EXPENSES 2,060,835. FUNDRAISING EXPENSES 50,426. TOTAL EXPENSES 5,846,590. REPAIRS/MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 183,804. MANAGEMENT AND GENERAL EXPENSES 982,573. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,166,377. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 643,331. MANAGEMENT AND GENERAL EXPENSES 2,921,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,564,652. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,876,704. MANAGEMENT AND GENERAL EXPENSES 166,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,043,359. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 84,620. MANAGEMENT AND GENERAL EXPENSES 790,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 874,620. CONTRACT CLINICAL LABOR: PROGRAM SERVICE EXPENSES 604,727. MANAGEMENT AND GENERAL EXPENSES 34,619. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 639,346. FOOD SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,007,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,007,923. FORM 990, PART XI, LINE 9: NET REVENUE PASSED THROUGH FROM THE CHA TRUST FOR WORKER'S COMPENSATION -74,465. EAGLE RIVER REAL ESTATE HOLDINGS LLC PO BOX 4000 VAIL CO 81658 831523347 RENTAL CO 157325 8915157 VAIL CLINIC VVMC DIVERSIFIED SERVICES PO BOX 4000 VAIL CO 81658 261167922 HEALTH CARE CO 501(C)(3) LINE 11 VHS 1 VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL CO 81658 742505662 SUPPORT VHH CO 501(C)(3) LINE 12C, III-FI VHS 1 SHAW OUTREACH TEAM PO BOX 4000 VAIL CO 81658 383710853 FUNDRAISING CO 501(C)(3) PF VHS 1 VOLUNTEER CORPS OF THE VAIL VALLEY MEDICAL CTR PO BOX 4000 VAIL CO 81658 113730281 SUPPORT VHH CO 501(C)(3) LINE 12D, III-O VHS 1 VAIL HEALTH SERVICES (VHS) PO BOX 4000 VAIL CO 81658 262648461 HOLDING CO. CO 501(C)(3) LINE 12D, III-O N/A 0 VAIL VALLEY SURGERY CENTER PO BOX 1270 VAIL CO 81658 030419967 HEALTH CARE CO VHH RELATED 24512202 18585386 0 0 0.50360 VHS MANAGEMENT SERVICES INC 181 W MEADOW DR STE 100 VAIL CO 81657 262647982 HEALTH CARE CO VHS C 1 1 1 1 1 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 VAIL VALLEY SURGERY CENTER LLC A 2511865 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES B 5700000 ACTUAL AMOUNT VAIL HEALTH SERVICES FOUNDATION C 2778717 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC D 2480309 LOAN AMOUNT VAIL VALLEY SURGERY CENTER LLC F 29585721 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC P 695037 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES Q 3670000 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC Q 20618288 ACTUAL AMOUNT