2011-09-13T10:01:24-05:00 2010-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2009-11-01 840563230 Vail Clinic Inc VAIL 9707772810 PO Box 40000 Vail CO 81658 Charles Crevling 2011-09-15 true Rita F Worster CPA 7194714290 2009 2016-03-07 17:11:31Z Vail Valley Medical Center Charles Crevling PO BOX 40000 Vail CO 81658 215963888 false X www.vvmc.com X 1965 CO VVMC provides charity care, unreimbursed medicaid and other government programs, community health improvement svcs, health care, professional edu., subsidized health services, health care research, and grants. 8 7 972 187 4034889 -319853 2714336 7605519 165260496 180134440 693361 -214629 -3838357 415723 164829836 187941053 7798108 5760315 0 0 51459329 52033481 0 0 1287355 87250691 93035778 146508128 150829574 18321708 37111479 195401289 225969753 67696871 62656455 127704418 163313298 VAIL VALLEY MEDICAL CENTER WILL PROVIDE SUPERIOR HEALTH SERVICES WITH COMPASSION AND EXCEPTIONAL OUTCOMES. WE PROVIDE SUPERIOR HEALTH SERVICES ALIGNED TO THE NEEDS OF EAGLE COUNTY RESIDENTS AND VISITORS, WORLD RENOWNED ORTHOPEDIC SERVICES, REGIONAL CANCER SERVICES AND EMERGENCY SERVICES. WE INTEGRATE AND ALIGN SERVICE OFFERINGS WITH OUR PHYSICIAN PARTNERS TO MAXIMIZE FLEXIBILITY AND RESPONSIVENESS TO PATIENT NEEDS INCLUDING PREVENTIVE HEALTH SERVICES AND CONTINUOUS QUALITY IMPROVEMENT THROUGH INVESTMENT IN TECHNOLOGY, FACILITIES AND STAFF DEVELOPMENT. false false 118895997 5760315 175738186 Provide inpatient and outpatient health care services throughout the mountain communities we serve. Total Inpatient admissions: 3,042; Total Inpatient days: 6,912; Total Adjusted Patient Days (IP and OP): 18,242; Total Emergency Room/Urgent Care visits: 21,518; Total Surgeries: 3,905. 118895997 true true false true false false false false true true false true false false true false false false true false true true false true true false false false false false true false true false false false false false false false true true false false true 186 0 true 972 true true true false false false false true false false false false 8 7 false false true false true true false true true false false true true true true true true true true true true X CHARLES CREVLING 9704797238 PO BOX 40000 Vail CO 81658 DORIS KIRCHNER 40.0 X X 405432 0 42363 RON DAVIS 1.0 X X 0 0 0 ANDY DALY 1.0 X X 0 0 0 CHARLIE L'ESPERANCE 1.0 X 0 0 0 CHUPA NELSON 1.0 X 0 0 0 WAYNE WENZEL 1.0 X X 1300 0 0 ART KELTON 1.0 X 0 0 0 JACK ECK 40.0 X 315181 0 44269 REG FRANCIOSE 1.0 X 0 0 0 DON MENGEDOTH 1.0 X X 0 0 0 CHARLES CREVLING 40.0 X 362470 0 53334 KEVIN LAWLOR 40.0 X 263387 0 41959 TOMMY MARS 40.0 X 230385 0 27826 DENISE TRIBA 40.0 X 258656 0 22064 STAN ANDERSON 40.0 X 247001 0 160258 CHRIS SMITH 40.0 X 280244 0 238249 PATRICIA HARDENBERGH MD 40.0 X 652104 0 47648 JEFFREY RESNICK MD 40.0 X 542901 0 68213 ALEXANDER URQUHART MD 40.0 X 529081 0 62332 LAWRENCE GAUL MD 40.0 X 430318 0 57837 GRANVILLE LLOYD MD 40.0 X 406530 0 37963 JOHN CASSIN 0.0 X 514556 0 35194 GREGORY REPETTI 0.0 X 431583 0 124800 5871129 0 1064309 92 true true false HOWARD HEAD SPORTS MEDICINE PO BOX 5693 VAIL CO 81658 PHYSICAL THERAPY 7602338 VAIL VALLEY EMERGENCY PHYSICIANS 27 MAIN STREET SUITE C301 EDWARDS CO 81632 PHYSICIAN-EMERGENCY 4777061 DIVERSIFIED RADIOLOGY OF COLORADO P 938 BANNOCK STREET SUITE 300 DENVER CO 80204 PHYSICIAN-RADIOLOGY 2342217 GE HEALTHCARE PO BOX 843553 DALLAS TX 752843553 REPAIR & MAINTENANCE 2458858 DENVER HEALTH AND HOSPITAL AUTHORIT PO BOX 40411 DENVER CO 80204 PHYSICIAN-TRAUMA 2526671 49 57790 6757890 789839 7605519 RETAIL PHARMACY 446110 3711735 3673983 37752 NET PATIENT SERVICE REVENUE 900099 150253669 150253669 MEDICARE/MEDICAID 900099 14860253 14860253 EQUITY IN EARNINGS OF SUBSIDIARIES 900099 6404182 6404182 PROVIDER FEE INCOME 900099 2654951 2654951 2249650 1565131 114488 570031 180134440 1043526 1043526 109983 109983 0 3458660 3035042 423618 423618 246418 177200 23546700 59000 24756230 217608 -1209530 -158608 -1368138 -1368138 6060 57790 13955 -7895 -7895 0 0 0 187941053 175738186 4034889 562459 5758648 5758648 1667 1667 0 0 1688281 1688281 0 40395246 29879468 9710654 805124 1714965 1269340 411998 33627 4654995 3446857 1113337 94801 3579994 2558977 953224 67793 0 424405 424405 102095 102095 4616 4616 0 187025 187025 32732435 25210210 7328713 193512 972194 70496 881701 19997 3113473 1823107 1266248 24118 241401 79031 145556 16814 0 2593811 1215204 1378607 212111 106591 96682 8838 0 179853 118667 53401 7785 2477128 2477128 0 9386600 9192131 194469 763786 85839 677947 BAD DEBT 13213562 13213562 0 0 SUPPLIES 22468318 21935563 521347 11408 REPAIRS & MAINTENANCE 3616821 304754 3312067 0 LICENSES & DUES 251324 111925 138227 1172 MISCELLANEOUS 94820 36832 55622 2366 150829574 118895997 30646222 1287355 6304 5989 31617884 27146406 35000 21497992 22712804 718835 450739 498402 630672 5420880 5964256 2152326 1959484 167168380 80594162 86633481 86574218 4872263 8463187 20798170 58582013 16582341 10081417 4602411 3363568 195401289 225969753 19526643 17681470 39945000 38515000 6870380 6459985 1354848 0 67696871 62656455 X 118206038 155217382 6683344 5280880 2815036 2815036 127704418 163313298 195401289 225969753 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4616 4616 false Part II-B, Line 1i Description of Other Activities A portion of the dues Vail Valley Medical Center pays to the American Hospital Association and Colorado Hospital Association are for lobbying activities. 9500480 206504 -644015 967053 8095916 9528653 892572 -27491 893254 9500480 0.00000 0.34770 0.65230 false false 1911102 1911102 93053331 33925728 59127603 245674 109773 135901 65891089 45137171 20753918 6067184 1421490 4645694 86574218 ALTERNATIVE INVESTMENTS 58582013 F 58582013 0 0 187941053 150829574 37111479 1711650 -3214249 -1502599 35608880 189487451 1711650 5557859 7269509 182217942 5723111 5723111 187941053 153878571 3048997 3048997 150829574 150829574 Part V, Line 4 Describe the Intended uses of the organization's endowment funds Temporarily restricted net assets are those whose use has been limited by donors to a specific time period or purpose. Permanently restricted net assets have been restricted by donors to be maintained in perpetuity. The endowments 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 Valley Medical Center. Part X, Line 2 Uncertain Tax Positions Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. Part XI, Line 8 Other Changes to Net Assets Beneficial Interest in Supporting Organizations (93,972) Book/Tax and Timing Difference on Investment in Vail Valley Surgery Center, LLC 2,508,862 Transfer of Net Assets From VHS Foundation (5,629,139) Total Other Changes (3,214,249) Part XII, Line 2d Other Revenue on Books, Not on Return Book/Tax and Timing Difference on Investment in Vail Valley Surgery Center, LLC 2,508,862 Rental Expenses Reclassed From Expense and Netted Against Revenue 3,035,042 Special Event Expenses Reclassed From Expense and Netted Against Revenue 13,955 Total 5,557,859 Part XII, Line 4b Other Revenue on Return, Not on Books Beneficial Interest in Supporting Organizations 93,972 Transfer of Net Assets From VHS Foundation 5,629,139 Total 5,723,111 Part XIII, Line 2d Other Expense on Books, Not on Return Rental Expenses Reclassed From Expense and Netted Against Revenue 3,035,042 Special Event Expenses Reclassed From Expense and Netted Against Revenue 13,955 Total 3,048,997 Central America and the Caribbean 0 0 Investments 0 0 DINNER DANCE 28500 28500 400 3565 5436 HIKE WINE DINE 35350 29290 6060 2400 2154 0 63850 57790 6060 400 2400 3565 7590 13955 -7895 true true true X true X false true false true true 969200 969200 0.00670 8403173 3886669 4516504 0.03110 9372373 3886669 5485704 0.03780 126667 126667 0.00090 233039 233039 0.00160 5776139 5776139 0.03980 6135845 6135845 0.04230 15508218 3886669 11621549 0.08010 true 7266953 12525099 23370640 -10845541 X true true Vail Valley Surgery Ambulatory Surgery Center 0.50175 0.00000 0.49825 Vail Clinic Inc dba Vail Valley Medical

PO Box 40000 Vail CO 81658

X X X Avon Urgent Care

PO Box 40000 Vail CO 81658

Community Clinic and Emergency Center Vail Valley Home Health Care

PO Box 40000 Vail CO 81658

Home Health Facility Vail Valley Home Health & Mntn Hospice

PO Box 40000 Vail CO 81658

Hospice Facility Vail Valley Surgery Center

PO Box 1270 Vail CO 81658

Ambulatory Surgery Center EagleCare Medical Clinic

PO Box 40000 Vail CO 81658

Community Clinic Gypsum Urgent Emergency Care

PO Box 40000 Vail CO 81658

X Community Clinic & Emergency Center Beaver Creek Medical Center

PO Box 40000 Vail CO 81658

Health Clinic for Beaver Creek Guests Edwards Medical Center

PO Box 40000 Vail CO 81658

Urology, Medical Clinic, & Plastic Surgery Shaw Pavilion (Edwards)

PO Box 40000 Vail CO 81658

Cancer Center & Physician Offices Howard Head Physical Therapy

PO Box 40000 Vail CO 81658

Physical Therapy The organization used a cost-to charge ratio for lines 7a and 7b. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits. Total bad debt expense removed from the denominator prior to the percentage calculation = $13,330,561 The Organization reports patient accounts receivable for services rendered at net realizable amounts from third-party payors, patients, and others. The Organization provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions. As a service to the patient, the Organization bills third-party payors directly and bills the patient when the patient's liability is determined. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. The bad debt expense reported on Part III line 2 was computed based on applying a cost-to-charge ratio to the total amount of bad debt expense reported on the audited financial statements. Added to this amount was the organization's share of their joint venture's bad debt expense, which was also multiplied by a cost-to-charge ratio. A number of patients are truly unable to pay their out-of-pocket liability but do not complete the process required to apply for financial assistance under the hospital's charity care policy. These patients would qualify for charity care if they completed the paperwork, so the bad debt expense associated with treating them should be treated as community benefit. 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, then 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 $612,355. The remaining 22,758,285 of allowable cost is from the medical center's Medicare cost report. Self pay patients are screened by VVMC's financial counselor to see if they qualify for financial assistance. If a patient qualifies for financial assistance, their account balance is adjusted accordingly. If there is a balance after the adjustment, the account follows the normal debt collection practice. 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. If we identify a shortage of providers then we work to hire providers in our practices to meet the identified need. Contact information for our financial counselor is provided 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. 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 roughly 10-15% of our business from out-of-state tourists, and 8-10% of our business from Colorado Front Range residents visiting our resort community. Information important to describing how the organization furthers its exempt purpose by promoting the health of the community: We provide several free & 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, ADN, 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 - recently a new Urgent/Emergent Care facility in Gypsum was opened and construction was started on a new ambulatory surgery center in Edwards, as well as investment in new medical equipment. We donated $300,000 to fund orthopedic research, donated over $50,000 to treat US Ski Team sports injuries, and partially funded the salaries and other expenses of local school athletic trainers to promote local athlete development. States with which the organization filed a community benefit report: A community benefit report is filed in Colorado. true STEADMAN PHILLIPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL CO 81657 880245022 501(C)(3) 300000 MEDICAL RESEARCH REHAB & PERF AT VAIL LLC-HOWARD HEAD SPORTS MED PO Box 5693 VAIL CO 81658 201909902 53333 PHYSICAL THERAPY US SKI TEAM STEADMAN PHILLIPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL CO 81657 880245022 501(C)(3) 35000 GOLF SPONSORSHIP SUSAN G KOMEN FOR THE CURE-ASPEN AFFILIATE PO BOX 4810 ASPEN CO 81612 841160739 501(C)(3) 20000 CANCER SPONSORSHIP COLORADO WEST REGIONAL MENTAL HEALTH PO BOX 40 GLENWOOD SPGS CO 81602 840625890 501(C)(3) 5481 EAGLE COUNTY SOCIAL DETOXIFICATION PROGRAM SUPPORT EAGLE COUNTY AMBULANCE DISTRCT PO BOX 990 EDWARDS CO 81632 846000762 GOVERNMENT 15000 LAST CALL DONATION VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 501(C)(3) 5300000 SUPPORT PROGRAMS 5 1 PART I, QUESTION 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS TO U.S. DIRECTORS AND OFFICERS REGULARLY MEET WITH GRANT RECIPIENTS TO INSPECT AND MONITOR ACTIVITIES AND USAGE OF FUNDS. X true true X X X X X true true false false false false false true false DORIS KIRCHNER 342029 0 61201 0 2202 0 24474 0 17888 0 447794 0 CHARLES CREVLING 261654 0 75000 0 25815 0 32784 0 20550 0 415804 0 DENISE TRIBA 215381 0 42194 0 1082 0 7033 0 15031 0 280720 0 JOHN CASSIN 254035 0 0 0 260521 0 22595 0 12599 0 549750 0 KEVIN LAWLOR 193573 0 41159 0 28654 0 14300 0 27659 0 305346 0 STAN ANDERSON 46280 0 0 0 200722 0 155754 0 4504 0 407259 0 CHRIS SMITH 204391 0 0 0 75854 0 219849 0 18400 0 518493 0 GREGORY REPETTI 0 0 0 0 431583 0 124800 0 0 0 556383 0 343200 PATRICIA HARDENBERGH MD 550144 0 99345 0 2615 0 27719 0 19929 0 699752 0 JEFFREY RESNICK MD 520645 0 20000 0 2256 0 53650 0 14563 0 611114 0 ALEXANDER URQUHART MD 450405 0 40000 0 38676 0 36442 0 25890 0 591413 0 LAWRENCE GAUL MD 401285 0 27700 0 1333 0 38689 0 19148 0 488155 0 GRANVILLE LLOYD MD 230227 0 132670 0 43632 0 29793 0 8170 0 444493 0 TOMMY MARS 190404 0 38500 0 1481 0 7736 0 20090 0 258211 0 JACK ECK 310347 0 0 0 4835 0 26386 0 17882 0 359449 0 INFORMATION REGARDING BENEFITS PROVIDED PART I, QUESTION 1A TAX INDEMNIFICATION AND GROSS UP PAYMENTS INCLUDED ON W-2'S AS TAXABLE COMPENSATION: KEVIN LAWLOR, ALEXANDER URQUHART, GRANVILLE LLOYD, CHARLES CREVLING. NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS PART 1, QUESTION 4 JOHN CASSIN SEVERANCE $218,905 GREG REPETTI SEVERANCE $421,200 STAN ANDERSON SEVERANCE $181,675 CHRIS SMITH SEVERANCE $46,892 DORIS KIRCHNER SERP 457(F) $0 JOHN CASSIN SERP 457(F) - TERMINATED PRIOR TO THE FIRST SERP FUNDING DATE OF AUGUST 1, 2009. NON-FIXED PAYMENTS- OFFICERS, DIRECTORS, OR HIGHEST COMPENSATED EMPLOYEES PART 1 QUESTION 7 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. PHYSICIAN PRODUCTIVITY BONUSES ARE PAID BASED ON RELATIVE VALUE UNITS (RVU'S) WHICH ARE AN INDICATION OF THE EMPLOYEE'S PRODUCTIVITY OR LEVEL OF EFFORT. COLORADO HEALTH FACILITIES AUTHORITY 840752932 196474U73 2004-12-07 24931419 REFUND SERIES 1995A AND 1996 BONDS false false 24931419 2435377 22124836 426380 2005 true true true true false false false false false false Charles Crevling Housing Loan X 389000 389000 false false true Kevin Lawlor Housing Loan X 304835 61739 false false true 450739 Part VI, Question 11A Describe process to review 990 The form 990 is prepared by a third party. The 990 was reviewed by members of the Accounting Department, including the Chief Financial Officer, prior to its filing. The review included reading it for accuracy of disclosure and comparing the numbers to those in the audited financial statements. A copy of the form 990 is provided to the Board of Directors before filing with the IRS. Part VI, Question 15a Describe process for determining compensation A formal external review is conducted every two years. Executive compensation was last formally reviewed in 2009 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. Part VI, Question 15b Describe process for determining compensation A formal external review is conducted every two years. Compensation for the CFO, COO and SVP-HR was last formally reviewed in 2009 by Sullivan Cotter. This review evaluates total compensation of the individual in a specific role 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 CEO. Internal reviews are performed as well at time of hire and on an ongoing basis using compensation surveys. Part VI, Question 19 Describe how documents are made available to the public The governing documents, conflict of interest policy, and financial statements are available for viewing by the public for valid business purposes. Part VI, Question 12c Conflict of Interest Policy Monitoring Directors and Officers are covered by the conflict of interest policy. The accounting group that issues checks and prepares the financial statements would advise the Board of any apparent or clear conflict of interest. The Board authorizes, approves, or ratifies any conflict in regard to voting rights based on good faith and fairness to the organization. An interested person may make a presentation at the meeting considering the matter giving rise to the conflict, however, they must leave the meeting during the discussion of and the vote on the matter. A committee might be appointed to investigate alternatives to the proposed arrangement. Part VI, Question 4 Significant Changes to Organizational Documents The Vail Clinic, Inc. dba Vail Valley Medical Center bylaws were amended and restated as of November 1, 2009. Vail Health Services is the sole voting member, and Vail Clinic, Inc. has no other members. Vail Clinic, Inc. adopted and filed revised Articles of Incorporation that changed its State registration from Texas to Colorado. Part VI, Question 6 & 7a Members Vail Health Services, the sole member of Vail Clinic, Inc. dba Vail Valley Medical Center, can appoint board members. Part VII Jack Eck's Hours and Compensation The compensation and hours reflected for Jack Eck are for physician services he is providing to Vail Clinic, Inc. dba Vail Valley Medical Center as an employee, not for his services as a board member. VVMC Diversified Services PO Box 40000 Vail CO 81658 261167922 Health Care CO 501(c)(3) Line 9 NA Vail Health Services Foundation PO Box 40000 Vail CO 81658 742505662 Support VVMC CO 501(c)(3) Ln11 Type I NA Shaw Outreach Team PO Box 40000 Vail CO 81658 383710853 Fundraising CO 501(c)(3) 11 Type III NA Volun Corps of the Vail Valley Med Ctr PO Box 40000 Vail CO 81658 113730281 Support VVMC CO 501(c)(3) 11 Type III NA Vail Health Services PO Box 40000 Vail CO 81658 262648461 Holding Co CO 501(c)(3) 11 Type III NA Vail Vlly Srgry Ctr PO Box 1270 Vail CO 81658 030419967 Health Care CO NA Related 6471989 3965019 false 0 false true true true true false false false false true false true false true true true true true true Vail Valley Surgery Center LLC A 699343 Vail Valley Surgery Center LLC R 9690863 Vail Valley Surgery Center LLC P 7630641 Vail Valley Surgery Center LLC D 765334