2021-09-14T22:13:16-05:00 2020-10-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2019-11-01 840563230 VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT VAIL 9704762451 PO BOX 40000 VAIL CO 81658 JOHN HIGGINS CHIEF FINANCIAL OFFICER 9704762451 2021-09-14 1 LAWRENCE H MOHR CPA P00447603 6128764500 2021-09-14 2019 2022-09-23 18:48:47Z VAIL HEALTH HOSPITAL WILL COOK PO BOX 40000 VAIL CO 81658 323924643 0 X WWW.VAILHEALTH.ORG X 1965 CO SEE SCHEDULE O. 19 17 1307 75 5247982 0 4122060 14997451 261875259 259218577 9652866 5467234 3686438 4959498 279336623 284642760 10321092 14465333 0 0 87693115 114391727 0 0 2357051 127709545 143926033 225723752 272783093 53612871 11859667 792072169 798479943 168312702 173565379 623759467 624914564 X VAIL HEALTH WILL PROVIDE SUPERIOR HEALTH SERVICES WITH COMPASSION AND EXCEPTIONAL OUTCOMES. 0 0 188910000 14465333 257843647 SEE SCHEDULE O. 188910000 1 1 0 1 0 0 0 0 0 1 1 0 0 0 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 1 230 0 1307 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 19 17 0 0 1 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 & CEO (FROM 1/19) 40.00 1.00 X X 1275410 0 38033 PATRICIA HARDENBERGH MD PHYSICIAN 40.00 0.00 X 748046 0 44624 JERRY GREENBERG MD DIRECTOR 0.00 40.00 X 698458 0 39801 NELSON PRAGER MD PHYSICIAN 0.00 40.00 X 571606 0 6525 DORIS KIRCHNER FORMER PRESIDENT & CEO (THRU 1/19) 0.00 0.00 X 495130 0 36901 ALEXANDER URQUHART MD PHYSICIAN 40.00 0.00 X 481854 0 44010 MICHAEL WESTMILLER VVSC PRESIDENT 0.00 40.00 X 395528 0 44396 HAROLD DUPPER TREASURER AND CFO (THRU 5/20) 40.00 1.00 X 354502 0 35455 DANIEL PENNINGTON FOUNDATION PRESIDENT 0.00 40.00 X 329975 0 36562 FREDERICK SMITH CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 317051 0 47512 AMANDA VEIT CHIEF OPERATIONS OFFICER 40.00 0.00 X 248993 0 7113 ERIC AFFELDT CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 CHRIS JARNOT SECRETARY (OUTGOING) 1.00 X 0 0 0 ANDY ARNOLD DIRECTOR 1.00 X 0 0 0 SAM BRONFMAN DIRECTOR 1.00 X 0 0 0 DICK CLEVELAND DIRECTOR (OUTGOING) 1.00 X 0 0 0 ANDY DALY DIRECTOR 1.00 X 0 0 0 JANET ENGLE MD DIRECTOR 1.00 X 0 0 0 HARRY FRAMPTON DIRECTOR 1.00 X 0 0 0 MIKE IMHOF DIRECTOR 1.00 X 0 0 0 ELLEN MORITZ DIRECTOR 1.00 X 0 0 0 MARC PHILIPPON MD DIRECTOR 1.00 X 0 0 0 MARY RANDALL DIRECTOR 1.00 X 0 0 0 BRIAN REED MD DIRECTOR 1.00 X 0 0 0 JEFF SHROLL DIRECTOR (OUTGOING) 1.00 X 0 0 0 JUSTIN STARZYK DIRECTOR 1.00 X 0 0 0 SALLY VEITCH DIRECTOR (OUTGOING) 1.00 X 0 0 0 RICHARD STEADMAN MD TRUSTEE EMERITUS 1.00 X 0 0 0 JOHN HIGGINS TREASURER AND CFO (FROM 8/20) 40.00 1.00 X 0 0 0 5916553 0 380932 211 1 1 0 GE JOHNSON CONSTRUCTION CO 25 N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION 44318065 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 IT SERVICES 5577278 VAIL VALLEY EMERGENCY PHYSICIANS PC 27 MAIN STREET SUITE C301 EDWARDS CO 81632 PHYSICIAN SERVICES 3326758 DAVIS PARTNERSHIP PC ARCHITECTS 2901 BLAKE STREET SUITE 100 DENVER CO 80205 ARCHITECT 3246118 DIVERSIFIED RADIOLOGY 1746 COLE BOULEVARD SUITE 150 LAKEWOOD CO 80401 RADIOLOGISTS 2826604 75 1677139 13320312 14997451 NET PATIENT SERVICE REVENUE 900099 161819413 158662577 3156836 MEDICARE/MEDICAID 900099 49003580 49003580 EQUITY IN EARNINGS OF SUBSIDIARIE 900099 35374355 35374355 PROVIDER FEE INCOME 900099 6565792 6565792 PROF SERVICES/OVERHEAD SUPPORT 900099 4189924 4189924 2265513 174367 2091146 259218577 6836278 6836278 6857099 6410429 446670 446670 446670 31502410 32865774 5680 -1363364 -5680 -1369044 -1369044 MISCELLANEOUS REVENUE 900099 3098918 3098918 REBATES FROM VENDOR 900099 774134 774134 CAFETERIA REVENUE 900099 639776 639776 4512828 284642760 257843647 5247982 6553680 X 14465333 14465333 2578363 2578363 90774994 61036020 27943971 1795003 3081781 2087279 926161 68341 11762182 7490846 4058086 213250 6194407 4195448 1861592 137367 2866489 2866489 107247 107247 5106 5106 763927 763927 30603296 13943992 16583683 75621 1554596 238960 1315547 89 2779655 603639 2176016 159213 30458 128755 4382449 858317 3524132 163443 99840 58203 5400 144101 86261 57840 2818635 2671256 147379 16810054 15097500 1707395 5159 1389592 1389592 MEDICAL & OTHER SUPPLIE 49665777 47727879 1910555 27343 MISCELLANEOUS 10469637 3715616 6731444 22577 BAD DEBT EXPENSE 7893217 7893217 REPAIRS & MAINTENANCE 5890477 1384694 4498882 6901 5459122 5283445 175677 272783093 188910000 81516042 2357051 9315 11215 75858196 109783924 2000000 0 32352284 33657724 8294075 8989352 4754928 6139005 542796730 197056906 282410440 345739824 341772784 248301124 663495 0 34119307 34515575 9837345 11342200 792072169 798479943 53219478 60543725 112539305 110546708 2553919 2474946 168312702 173565379 X 620361664 623218621 3397803 1695943 623759467 624914564 792072169 798479943 X 11859667 -10715500 10930 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5419 5419 0 PART II-B, LINE 1: A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES. 7586468 22498 75931 273842 7411055 7161649 101998 513523 190702 7586468 4671666 2253603 236380 7161649 3787148 296823 587695 4671666 3343361 369350 74437 3787148 0.00000 0.82610 0.17390 0 1 1 11648448 11648448 225365889 96305413 129060476 4442568 1666767 2775801 122183424 97274888 24908536 179156401 1809838 177346563 345739824 UNAMORTIZED BOND ISSUANCE COST 2474946 2474946 X 268075576 -10715500 6410429 -4305071 272380647 12262113 12262113 284642760 266920479 6410429 6410429 260510050 12273043 12273043 272783093 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 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, 2020 AND 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 6,410,429. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 68,900. BAD DEBT SHOWN NET OF REVENUES ON AUDIT 7,893,217. GRANT EXPENSE SHOWN NET OF REVENUES ON AUDIT 4,299,996. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 6,410,429. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT SHOWN NET OF REVENUES ON AUDIT 7,893,217. GRANT EXPENSE SHOWN NET OF REVENUES ON AUDIT 4,299,996. EXPENSE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 79,830. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 0 2525597 2525597 0.00930 23512305 13082554 10429751 0.03820 26037902 13082554 12955348 0.04750 784534 149196 635338 0.00230 538875 538875 0.00200 4399 4399 0.00000 15920740 52731 15868009 0.05820 17248548 201927 17046621 0.06250 43286450 13284481 30001969 0.11000 1 7893217 37127058 46589590 -9462532 X 1 1 1 VAIL VALLEY SURGERY CENTER AMBULATORY SURGERY CENTER 0.50230 0.49770 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 18 1 0 0 1 X SEE PART V STMT FOR FULL URL X 1 18 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 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: THE 2019 CHNA WAS CONDUCTED FROM JANUARY TO JUNE 2019 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES WITHIN EAGLE COUNTY AS COMPARED TO HEALTH INDICATORS ACROSS COLORADO AND THE NATION. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM HEALTH CARE CONSUMERS AND KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. SPECIFIC CHNA STUDY METHODS INCLUDED: -AN ANALYSIS OF SECONDARY DATA, INCLUDING HEALTH, DEMOGRAPHIC, AND SOCIAL MEASURES -A KEY INFORMANT SURVEY OF REPRESENTATIVES FROM HEALTH, SOCIAL SERVICES, EDUCATION, ECONOMIC, AND OTHER COMMUNITY-BASED ORGANIZATIONS-FOCUS GROUPS WITH LOCAL RESIDENTS-PARTNER FORUMS WITH REPRESENTATIVES FROM COMMUNITY ORGANIZATIONS TO DISCUSS CHNA FINDINGS AND OPPORTUNITIES FOR COLLABORATIONCOMMUNITY 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.KEY INFORMANT SURVEYA KEY INFORMANT SURVEY WAS CONDUCTED WITH COMMUNITY REPRESENTATIVES IN EAGLE COUNTY TO SOLICIT INFORMATION ABOUT HEALTH NEEDS AMONG RESIDENTS. MORE THAN 250 SURVEY INVITATIONS WERE SENT TO INDIVIDUALS REPRESENTING HEALTH AND SOCIAL SERVICE PROVIDERS; COMMUNITY AND PUBLIC HEALTH EXPERTS; CIVIC, RELIGIOUS, AND SOCIAL LEADERS; POLICY MAKERS AND ELECTED OFFICIALS; AND OTHERS REPRESENTING DIVERSE POPULATIONS INCLUDING MINORITY, LOW-INCOME, AND OTHER UNDERSERVED OR VULNERABLE POPULATIONS. A TOTAL OF 57 INDIVIDUALS RESPONDED TO THE SURVEY. A LIST OF THE REPRESENTED COMMUNITY ORGANIZATIONS AND THE KEY INFORMANTS' RESPECTIVE TITLES IS INCLUDED IN THE PUBLICLY AVAILABLE CHNA DOCUMENT.COMMUNITY PARTNER FORUMSTWO PARTNER FORUMS WERE HOSTED BY VAIL HEALTH, ONE ON TUESDAY, JUNE 18 IN EAGLE AND ONE ON WEDNESDAY, JUNE 19 IN VAIL. ALL INDIVIDUALS INVITED TO PARTICIPATE IN THE KEY INFORMANT SURVEY WERE ALSO INVITED TO PARTICIPATE IN THE PARTNER FORUMS. A LIST OF THE REPRESENTED COMMUNITY ORGANIZATIONS AT THE PARTNER FORUMS AND THE PARTICIPANTS' RESPECTIVE TITLES IS INCLUDED IN THE PUBLICLY AVAILABLE CHNA DOCUMENT.THE OBJECTIVE OF THE FORUMS WAS TO SHARE DATA FROM THE CHNA AND DETERMINE CONSENSUS ON COMMUNITY HEALTH PRIORITIES, AS WELL AS OPPORTUNITIES FOR COLLABORATION AMONG PARTNER AGENCIES. RESEARCH FROM THE CHNA WAS PRESENTED AT THE SESSIONS WITH AUDIENCE DISCUSSION AND QUESTIONS. LARGE GROUP DIALOGUE WAS FACILITATED TO IDENTIFY AND DISCUSS PRIORITY AREAS, EXISTING RESOURCES TO ADDRESS NEEDS, GAPS IN SERVICES, AND OPPORTUNITIES FOR CROSS-SECTOR COLLABORATION. FOCUS GROUPSAS PART OF THE 2019 CHNA, THREE FOCUS GROUPS WERE CONDUCTED IN JUNE 2019 WITHIN EAGLE COUNTY. THE TARGET AUDIENCES FOR THE FOCUS GROUPS INCLUDED INDIVIDUALS IDENTIFIED AS UNDERSERVED BY HEALTH CARE SERVICES AND/OR UNDERREPRESENTED BY CHNA QUANTITATIVE DATA FINDINGS, INCLUDING LATINX AND OLDER ADULTS. THE OBJECTIVES OF THE FOCUS GROUPS WERE TO DEFINE BARRIERS TO ACCESSING HEALTH CARE SERVICES; DETERMINE CHALLENGES THAT IMPACT DISEASE MANAGEMENT; AND IDENTIFY EFFECTIVE TACTICS FOR IMPROVED SELF-CARE AND COMMUNITY ENGAGEMENT. A TOTAL OF 37 PEOPLE PARTICIPATED IN THE DISCUSSION GROUPS. FOLLOWING IS A BREAKDOWN OF THE LOCATIONS AND PARTICIPANTS PER GROUP. FOCUS GROUP LOCATIONS AND ATTENDEESGOLDEN EAGLE SENIOR CENTER, EAGLE: 10 ATTENDEESLAKE CREEK VILLAGE APARTMENTS, EDWARDS: 8 ATTENDEESVAIL VALLEY PARTNERSHIP, EDWARDS: 18 ATTENDEES VAIL CLINIC, INC. PART V, SECTION B, LINE 11: VAIL HEALTH DEVELOPED AN IMPLEMENTATION PLAN TO GUIDE COMMUNITY BENEFIT ACTIVITIES ACROSS EAGLE COUNTY. AS DETERMINED THROUGH THE PRIORITIZATION PROCESS, VAIL HEALTH WILL DEVOTE RESOURCES AND EXPERTISE TO ADDRESS ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE, AND HEALTH EQUITY.THE IMPLEMENTATION PLAN BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKES INTO CONSIDERATION THE EVALUATION OF IMPACT FROM THE PREVIOUS IMPLEMENTATION PLAN CYCLE, WHILE RECOGNIZING NEW HEALTH NEEDS AND A CHANGING HEALTH CARE DELIVERY ENVIRONMENT IDENTIFIED IN THE 2019 CHNA. GOALS, OBJECTIVES, AND STRATEGIES FROM THE PLAN ARE OUTLINED BELOW. ACCESS TO CAREGOAL: INCREASE ACCESS TO QUALITY, AFFORDABLE, COMPREHENSIVE HEALTH CARE.OBJECTIVES: -INCREASE ACCESS TO PRIMARY AND SPECIALTY CARE PHYSICIANS. -INCREASE THE NUMBER OF RESIDENTS WHO HAVE A REGULAR PRIMARY CARE DOCTOR THAT THEY VISIT ON AN ANNUAL BASIS.-IMPROVE SCREENING AND TREATMENT OPTIONS FOR YOUTH WITH DEVELOPMENTAL DISABILITIES.-REDUCE BARRIERS TO RECEIVING CARE FOR RESIDENTS WITHOUT TRANSPORTATION.STRATEGIES:-CONTINUE RECRUITMENT EFFORTS AND PARTNERSHIP OPPORTUNITIES TO BRING SPECIALTY CARE PHYSICIANS TO EAGLE COUNTY. -EXPLORE OPTIONS AND PARTNERS TO PROVIDE TRANSPORTATION TO ACCESS HEALTH AND SOCIAL SERVICES.-EXPLORE OPTIONS TO INCREASE EVALUATION SERVICES AND ACCESS TO OCCUPATIONAL AND SPEECH THERAPIES FOR YOUTH WITH DEVELOPMENTAL DISABILITIES.-EXPLORE AND IMPLEMENT TELEHEALTH OPTIONS TO ADDRESS SPECIALTY SHORTAGES AND TRANSPORTATION BARRIERS.-IMPLEMENT THE COLORADO MOUNTAIN MEDICAL HEALTH CAMPAIGN TO INITIATE APPOINTMENT REMINDERS TO ALL PATIENTS 365 DAYS AFTER THEIR LAST WELLNESS VISIT.-PARTNER WITH COLORADO MOUNTAIN MEDICAL TO SCREEN PATIENTS TO DETERMINE IF THEY HAVE A MEDICAL HOME AND ASSIST THOSE THAT DO NOT IN FINDING A PCP. -PROVIDE HEALTH INSURANCE ELIGIBILITY AND ENROLLMENT ASSISTANCE FOR UNINSURED RESIDENTS ACCESSING SERVICES.-PROVIDE SUPPORT FOR COMMUNITY-BASED ORGANIZATIONS OFFERING FREE AND REDUCED-COST HEALTH CARE SERVICES.-PROMOTE AND SUPPORT CANDIDATE ENTRY INTO CAREERS IN THE HEALTH CARE FIELD.-SUPPORT THE COLORADO MOUNTAIN COLLEGE SURGICAL TECHNOLOGY PROGRAM TO INCREASE THE NUMBER OF COLLEGE STUDENTS PURSUING A CAREER AS A SURGICAL TECHNOLOGIST.-SUPPORT THE EDUCATION FOUNDATION OF EAGLE COUNTY AND OTHER COMMUNITY-BASED ORGANIZATIONS TO FOSTER PURSUIT OF CAREERS IN THE HEALTH FIELD.-OFFER THE TRANSITION TO PRACTICE PROGRAM FOR NEW RN GRADUATES.BEHAVIORAL HEALTH: MENTAL HEALTH AND SUBSTANCE USE DISORDERGOAL: REDUCE SUBSTANCE USE DISORDER IN OUR COMMUNITY, AND IMPROVE OUTCOMES FOR PEOPLE WITH A MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER AND THEIR FAMILIES.OBJECTIVES: -ENCOURAGE THE USE OF EARLY IDENTIFICATION SCREENING TOOLS AMONG PATIENTS.-FOSTER INTEGRATION OF BEHAVIORAL AND PRIMARY HEALTH CARE SERVICES.-INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES.-INCREASE AWARENESS OF BEHAVIORAL HEALTH DISORDERS AND PROMOTE EVIDENCE-BASED PREVENTION AND MANAGEMENT STRATEGIES. STRATEGIES:-PROVIDE SUPPORT FOR EAGLE VALLEY BEHAVIORAL HEALTH, A NEW NON-PROFIT INITIATIVE TO INCREASE BEHAVIORAL HEALTH CAPACITY, ENSURE 24/7 ACCESS, AND CREATE BEHAVIORAL HEALTH BED SPACE IN THE COMMUNITY. THE TOP SIX INITIATIVES FOR EAGLE VALLEY BEHAVIORAL HEALTH INCLUDE:1. DEVELOP A COMPREHENSIVE, CROSS-FUNCTIONAL BEHAVIORAL HEALTH FACILITY, WITH PLANS TO INCLUDE A BUS STOP LINKING THE CAMPUS TO THE COUNTY'S ECO TRANSIT SYSTEM.2. IMPROVE BEHAVIORAL HEALTH PROVIDER ACCESS AND CAPACITY BY ATTRACTING AND RETAINING PROVIDERS, IMPLEMENTING TELEMEDICINE SERVICES, EXPLORING INNOVATIVE WAYS TO LOWER CARE ACCESS BARRIERS, AND INTEGRATING BEHAVIORAL HEALTH CARE INTO ALL PRIMARY CARE SETTINGS TO INCLUDE BEHAVIORAL HEALTH SCREENINGS AT ALL PRIMARY CARE VISITS. 3. PROMOTE A COUNTY-WIDE COORDINATED APPROACH TO BEHAVIORAL HEALTH CARE THROUGH CONTINUOUS COMMUNICATION, SYSTEMS, AND PLANS AMONG PARTNER ORGANIZATIONS, AND ESTABLISHMENT OF A COMMUNITY-WIDE BEHAVIORAL HEALTH ELECTRONIC MEDICAL RECORD EXCHANGE.4. PROVIDE PREVENTION AND EDUCATION INITIATIVES TO INCREASE PROTECTIVE FACTORS AND DECREASE COMMON RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES, WITH A FOCUS ON CIVIC ENGAGEMENT, SOCIAL CONNECTIONS, AND STIGMA REDUCTION.5. PROVIDE CRISIS RESPONSE AND TRANSITION SERVICES TO PROVIDE CARE AND STABILIZE BEHAVIORAL HEALTH PATIENTS IN THE FIELD OR IN THE PRIVACY OF THEIR HOME, AND CONNECT THEM TO APPROPRIATE OUTPATIENT SERVICES. 6. WORK WITH EAGLE COUNTY SCHOOL DISTRICT TO INCREASE FUNDING TO SUPPORT THE PLACEMENT OF ADDITIONAL SCHOOL-BASED CLINICIANS AND DEVELOP A COMPREHENSIVE WELLNESS CURRICULUM. -CONVENE COMMUNITY PARTNERS AS PART OF THE VAIL HEALTH COMPLEX PATIENT COMMITTEE TO ADDRESS THE FOLLOWING SHARED GOALS: 1. FOSTER A COORDINATED EFFORT BETWEEN VAIL HEALTH AND THE COMMUNITY TO CARE FOR PATIENTS WITH COMPLEX BEHAVIORAL AND MENTAL HEALTH NEEDS.2. COLLABORATE WITH COMMUNITY PARTNERS TO ENGAGE COMPLEX PATIENTS IN VOLUNTARY WRAP AROUND AND SUPPORT SERVICES.3. ESTABLISH AND IMPROVE UPON REFERRAL COORDINATION BETWEEN COMMUNITY PARTNERS.4. MARKET COMMUNITY RESOURCES AND IMPROVE ACCESS TO AND AVAILABILITY OF RESOURCES FOR COMPLEX PATIENTS.5. PROVIDE A PLATFORM FOR DATA SHARING TO TRACK USE OF CURRENT RESOURCES, AND UTILIZE DATA TO IDENTIFY AND SOLVE GAPS IN SERVICES.-IMPLEMENT EVIDENCE-BASED SCREENING TOOLS FOR SUICIDE RISK AND ALCOHOL ABUSE HOSPITAL-WIDE, AS WELL AS DEPRESSION SCREENINGS AMONG PRENATAL WOMEN AND NEW MOTHERS. -PROVIDE SUPPORT FOR COMMUNITY-BASED ORGANIZATIONS AND INITIATIVES OFFERING FREE AND REDUCED-COST BEHAVIORAL HEALTH SERVICES.-SUPPORT THE EDUCATION FOUNDATION OF EAGLE COUNTY AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE IN-SCHOOL MENTAL HEALTH SUPPORT SERVICES.CHRONIC DISEASEGOAL: REDUCE RISK FACTORS AND PREMATURE DEATH ATTRIBUTED TO CHRONIC DISEASES, AND IMPROVE QUALITY OF LIFE FOR INDIVIDUALS WITH CHRONIC DISEASE.OBJECTIVES: -IMPROVE CHRONIC DISEASE MANAGEMENT AMONG HIGH-RISK POPULATIONS. -PROMOTE A CULTURE OF TRUST AND RESPECT AMONG PROVIDERS AND CAREGIVERS THAT ENCOURAGES PATIENTS TO INTERACT WITH AVAILABLE HEALTH CARE.-PROMOTE COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO HEALTHY LIFESTYLE CHOICES.-PROVIDE COMMUNITY EDUCATION AND OUTREACH THAT PROMOTES CHRONIC DISEASE PREVENTION.STRATEGIES:-COLLABORATE WITH COMMUNITY PARTNERS TO ENCOURAGE HEALTHY EATING AND PHYSICAL ACTIVITY AMONG RESIDENTS. -DEVELOP PROGRAMS TO SUPPORT EDUCATION, TRAINING, AND TOOLS TO REDUCE AND MANAGE DIABETES.-EXPAND THE VAIL HEALTH COMPLEX PATIENT COMMITTEE TO ADDRESS THE NEEDS OF MEDICALLY COMPLEX PATIENTS WITH CHRONIC DISEASE. -EXPLORE OPPORTUNITIES TO INCREASE PROVIDERS, SERVICE LOCATIONS, AND AVAILABLE HOURS OF OPERATION FOR SPECIALTY CARE, INCLUDING ENDOCRINOLOGY AND CARDIOLOGY.-INCREASE APPROPRIATE COLORECTAL CANCER SCREENING RATES THROUGH COMMUNITY EDUCATION, PATIENT MEDICAL RECORD TRACKING MECHANISMS, AND REDUCTION OF CARE ACCESS BARRIERS.-PARTICIPATE IN AND/OR HOST FREE COMMUNITY HEALTH FAIRS TARGETING DIVERSE POPULATIONS.-PROVIDE SUPPORT FOR YOUTH SUMMER LUNCH PROGRAMS TO REDUCE FOOD INSECURITY.-PROVIDE SUPPORT GROUPS FOR PATIENTS WITH CHRONIC DISEASE AND THEIR FAMILIES.-SUPPORT COMMUNITY INITIATIVES TO REDUCE YOUTH VAPING AND E-CIGARETTE USE. -SUPPORT EAGLE COUNTY PARAMEDICS TO CONTINUE HOME VISITS FOR MEDICATION COMPLIANCE, SAFETY ASSESSMENTS, AND THE EMERGENCY TRIAGE, TREAT, AND TRANSPORT (ET3) PROGRAM TO ADDRESS EMERGENCY HEALTH CARE NEEDS FOR MEDICARE PATIENTS.-SUPPORT EAGLE COUNTY SCHOOLS TO OFFER HIGH SCHOOL PHYSICALS AND ATHLETIC TRAINERS TO INCREASE ACCESS TO PHYSICAL ACTIVITY AMONG YOUTH.CONTINUED BELOW... PART V, SECTION B, LINE 11 CONTINUED: HEALTH EQUITYGOAL: IMPROVE HEALTH-RELATED QUALITY OF LIFE AND WELL-BEING FOR ALL INDIVIDUALS, WITH A FOCUS ON LATINX AND SENIORS.OBJECTIVES: -ADVANCE LOCAL AND STATE DIALOGUE TO ADDRESS AFFORDABLE HOUSING NEEDS.-IMPROVE BIRTH OUTCOMES FOR AT-RISK MOTHERS AND THEIR CHILDREN.-INCREASE ACCESS TO HEALTH AND SOCIAL SUPPORT SERVICES FOR SENIORS.-INCREASE OPPORTUNITIES FOR EDUCATION AND HEALTH PROMOTION PROGRAMMING AMONG AT-RISK YOUTH. -INCREASE THE NUMBER OF LATINX RESIDENTS WHO HAVE HEALTH INSURANCE.STRATEGIES:-CONDUCT COMMUNITY OUTREACH TO ASSIST LATINX RESIDENTS WITH ELIGIBILITY DETERMINATION AND ENROLLMENT IN SUBSIDIZED HEALTH INSURANCE PROGRAMS.-PARTNER WITH THE REGIONAL ACCOUNTABLE ENTITY (RAE) TO IMPLEMENT THE ACCOUNTABLE HEALTH COMMUNITIES MODEL SCREENING TOOL IN THE EMERGENCY DEPARTMENT FOR MEDICAID AND/OR MEDICARE PATIENTS, WITH PATIENT NAVIGATION FOLLOW-UP CARE PROVIDED BY THE RAE.-PARTNER WITH SENIOR CARE PROVIDERS TO INCREASE ACCESS TO TRANSITIONAL CARE AND WRAP-AROUND SUPPORT SERVICES FOR SENIOR PATIENTS. -PARTNER WITH THE VAIL VALLEY PARTNERSHIP TO SUPPORT WORKFORCE HOUSING INITIATIVES. -PROMOTE CERTIFICATION IN GERIATRIC CARE AMONG THE HEALTH CARE WORKFORCE.-PROVIDE HEALTH EDUCATION AND SCREENINGS, PUBLIC ASSISTANCE APPLICATION SUPPORT, FOOD RESOURCES, WORKFORCE DEVELOPMENT, EARLY CHILDHOOD EDUCATION COORDINATION, AND PHYSICAL ACTIVITY PROGRAMMING WITHIN COMMUNITIES, THROUGH MIRA AND OTHER INITIATIVES.-PROVIDE REDUCED-COST CHILDBIRTH, BREASTFEEDING, AND PARENTING SUPPORT CLASSES, TARGETING AT-RISK MOTHERS.-SUPPORT THE EDUCATION FOUNDATION OF EAGLE COUNTY TO PROMOTE SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS (STEM) EDUCATION, TARGETING UNDERSERVED YOUTH.VAIL HEALTH WILL CONTINUE ITS WORK TO IMPROVE THE HEALTH AND WELL-BEING OF EAGLE COUNTY RESIDENTS, GUIDED BY THE 2019 CHNA AND OUR MISSION TO PROVIDE SUPERIOR HEALTH SERVICES WITH COMPASSION AND EXCEPTIONAL OUTCOMES. WE ENCOURAGE YOU TO VISIT OUR WEBSITE TO LEARN MORE ABOUT THE CHNA AND OUR COMMUNITY HEALTH IMPROVEMENT INITIATIVES: VAILHEALTH.ORG. PART V, LINE 7 AND LINE 10: WWW.VAILHEALTH.ORG/PDF/VAILHEALTH/CHNA/2019_CHNA_FINAL_REPORT_2019_09.PDF 17 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 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 5 - EDWARDS MEDICAL CAMPUS 320 BEARD CREEK ROAD EDWARDS CO 81652 PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES 6 - EAGLE HEALTH CARE CENTER 377 SYLVAN LAKE ROAD EAGLE CO 81631 JV-PHYSICIAN OFFICES, COLORADO MTN MEDICAL, PHYSICAL THERAPY, URGENT 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 FOR 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 - BRECKENRIDGE 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 - HOWARD HEAD SPORTS MEDICINE - SILVERTHORNE 265 TANGLEWOOD LANE SILVERTHRONE CO 80498 PHYSICAL THERAPY 14 - FRISCO SPECIALTY CLINIC 323 WEST MAIN STREET SUITE 101 FRISCO CO 80443 CARDIOVASCULAR CENTER, COLORADO MTN MEDICAL, INTERNAL MED 15 - GYPSUM CLOCK TOWER BUILDING 410 MCGREGOR DRIVE GYPSUM CO 81637 SUPPORT SERVICES 16 - NORTHSTAR CENTER - EDWARDS 429 EDWARDS ACCESS ROAD A207 EDWARDS CO 81632 PHYSICIAN OFFICES 17 - HOWARD HEAD PERFORMANCE 450 MILLER RANCH ROAD EDWARDS CO 81632 HEALTH AND PERFORMANCE PLANS 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 ($4,200,000) 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 $7,893,217. 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 $2,854,007. THE MEDICARE COST COMPUTED FOR THE WHOLLY OWNED SUBSIDIARY IS $6,045,614. THE REMAINING $37,689,969 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: 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 TAX YEAR 2011, WE ALSO STARTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY THE IRS THAT WAS COMPLETED IN TAX YEAR 2012, TAX YEAR 2015, AND TAX YEAR 2018. 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 REGIONS 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: WE PROVIDED 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, HEART HEALTH, NUTRITION, AND MENTAL HEALTH. 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 WORK WITH THE LOCAL SCHOOL DISTRICT TO OFFER JOB SHADOWING FOR BOTH MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS. 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 MAGAZINES, 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.MEDITATION, 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 DONATED $14.4M IN FY20, INCLUDING $4.3M TO FUND BIOMECHANICAL RESEARCH AND $4.2M 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. WE DONATED $40K 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 $20K TO STARTING HEARTS TO PLACE DEFIBRILLATORS AROUND EAGLE COUNTY. WE DONATED $385K TO MOUNTAIN FAMILY HEALTH CENTERS TO SUBSIDIZE THEIR FEDERALLY QUALIFIED HEALTH CLINIC. WE DONATED $80K TO YOUTHPOWERS365 FOR A DOLLARS FOR SCHOLARS SPONSORSHIP.SHAW CANCER CENTER STAFF EDUCATES AROUND 1,000 ELEMENTARY SCHOOL STUDENTS ON THE USE OF SUNSCREEN IN OUR SHAW SUN SAFETY PROGRAM.SHAW CANCER CENTER HELPS EDUCATE HUNDREDS OF COMMUNITY FOLKS ON THE IMPORTANCE OF HAVING THEIR HOUSE TESTED FOR RADON GASES. THE CANCER CENTER ALONG WITH THE COUNTY HAND OUT OVER 500 FREE TESTING KITS DURING THE MONTH OF JANUARY. IN ADDITON TO THE KITS, AN EDUCATION CLASS WAS OFFERED AND 18 PEOPLE ATTENDED.VAIL HEALTH PARTNERED WITH MOUNTAIN YOUTH ON EAT, CHAT, PARENT, AN EDUCATIONAL BIMONTHLY SPEAKER SERIES FOR PARENTS AND KIDS ON THEIR MENTAL HEALTH. WE EDUCATED OVER 800 PEOPLE. VAIL HEALTH PARTNERED WITH CYCLE EFFECT TO OFFER A NUTRITION TALK TO 55 MIDDLE AND HIGH SCHOOL GIRLS THAT ENLIGHTED THEM ABOUT NUTRITION THEIR GROWING BODIES NEED WHILE STAYING ACTIVE.VAIL HEALTH THINK FIRST AND HOWARD HEAD SPORTS MEDICINE OFFER A FALL RISK PROGRAM TO SENIORS. THIS INCLUDES WEEKLY TAI CHI CLASSES AND PHYSICAL THERAPY FALL EDUCATION BY HOWARD HEAD PT'S TO LOCAL SENIORS.STOP THE BLEED CLASSES WERE TAUGHT BY THE VAIL HEALTH ED AND TRAUMA STAFF TO EAGLE COUNTY EMPLOYEES AND EAGLE COUNTY SCHOOLS EMPLOYEES. IN PARTNERSHIP WITH STARTING HEARTS AND EAGLE COUNTY SCHOOLS, 410 STOP THE BLEED KITS HAVE BEEN PLACED IN PUBLIC LOCATIONS INCLUDING SCHOOLS AND RECREATION CENTERS. 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) 4299996 PROGRAM SUPPORT EAGLE VALLEY BEHAVIORAL HEALTH PO BOX 40000 VAIL CO 81658 834327406 501(C)(3) 4781589 PROGRAM SUPPORT VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 501(C)(3) 4200000 PROGRAM SUPPORT BRIGHT FUTURE FOUNDATION PO BOX 2558 AVON CO 81620 840938374 501(C)(3) 5000 ACES & EAGLES 21ST ANNUAL BRIGHT FUTURE FOUNDATION GOLF TOURNAMENT EAGLE COUNTY SCHOOL DISTRICT PO BOX 740 EAGLE CO 81631 846012253 EAGLE COUNTY, CO 45000 PROJECT LEAD THE WAY EAGLE VALLEY CHILD CARE ASSOCIATION MILLER RANCH CHILD CARE CENTER PO BOX 1700 VAIL CO 81658 841606599 501(C)(3) 5910 FIRST RESPONDER CHILD CARE EAGLE VALLEY COMMUNITY FOUNDATION PO BOX 1580 VAIL CO 81658 471915583 501(C)(3) 25000 DONATION FOR HUNGER RELIEF FOR THE COMMUNITY MARKET EAGLE VALLEY COMMUNITY FOUNDATION PO BOX 1580 VAIL CO 81658 471915583 501(C)(3) 9500 DONATION FOR MIRA PROJECT IMPROVEMENTS EDUCATION FOUNDATION OF EAGLE COUNTY PO BOX 8012 AVON CO 81620 841585417 501(C)(3) 25000 2019 CLASSROOM STEM GRANT FUNDING, EDUCATION FOUNDATION OF EAGLE COUNTY PO BOX 8012 AVON CO 81620 841585417 501(C)(3) 5000 SPONSORSHIP - PROJECT FUNWAY ERIK WEIHENMAYER REACH FDTN 1200 ARAPAHOE STREET GOLDEN CO 80401 473765765 501(C)(3) 5000 DONATION MELISSA SIMPSON FILM PROJECT FAMILY & INTERCULTURAL RESOURCE CENTER PO BOX 1636 SILVERTHORNE CO 80498 841252900 501(C)(3) 15000 FIRC FASHION SHOW 2020 SPONSORSHIP MOUNTAIN FAMILY HEALTH CENTERS PO BOX 339 GLENWOOD SPRINGS CO 81601 840742145 501(C)(3) 384900 PROGRAM SUPPORT ROUND UP RIVER RANCH 8333 COLORADO RIVER ROAD GYPSUM CO 81637 204632248 501(C)(3) 5000 SPONSORSHIP - A GRATEFUL GATHERING STARTING HEARTS PO BOX 2981 AVON CO 81620 273008262 501(C)(3) 19750 SPONSORSHIP - DEFIB PARTNERSHIP THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE CO 80424 742341399 501(C)(3) 21500 RYLAN SORRELL'S SCHOLARSHIP & DUCK RACE SPONSORSHIP US SKI & SNOWBOARD FOUNDATION 1 VICTORY LANE BOX 100 PARK CITY UT 84060 846030639 501(C)(3) 40000 ANNUAL RIGHTS AND ANNUAL MESS COURSE FEES VAIL VALLEY FOUNDATION PO BOX 6550 AVON CO 81620 742215035 501(C)(3) 6000 2020 BLACK DIAMOND BALL SILVER SPONSORSHIP VAIL VALLEY PARTNERSHIP 97 MAIN STREET SUITE E201 EDWARDS CO 81632 840535997 501(C)(3) 12000 INVESTOR LEVEL 2020 VAILSUMMIT RESEARCH & EDUCATION FOUNDATION 208 SOUTH FRONTAGE ROAD SUITE 300 VAIL CO 81657 461957447 501(C)(3) 350000 PROGRAM SUPPORT WALKING MOUNTAIN SCIENCE CENTER PO BOX 9469 AVON CO 81620 841436731 501(C)(3) 5000 BRONZE SPONSORSHIP OF A TASTE OF NATURE GALA WALKING MOUNTAIN SCIENCE CENTER PO BOX 9469 AVON CO 81620 841436731 501(C)(3) 5000 2020 MEMBERSHIP CONTRIBUTION YOUTHPOWER365 PO BOX 6550 AVON CO 81620 841442909 501(C)(3) 5000 GIRL POWHER FASION SHOW YOUTHPOWER365 PO BOX 6550 AVON CO 81620 841442909 501(C)(3) 80000 DOLLARS FOR SCHOLARS SPONSORSHIP 19 1 PART I, LINE 2: MANAGERS AND DIRECTORS REGULARLY MONITOR ACTIVITIES AND THE USAGE OF GRANT FUNDS. 1 X X X X 0 1 0 0 0 0 0 1 0 WILL COOK PRESIDENT & CEO (FROM 1/19) 760673 0 500000 0 14737 0 12200 0 25833 0 1313443 0 0 0 PATRICIA HARDENBERGH MD PHYSICIAN 601349 0 85800 0 60897 0 14000 0 30624 0 792670 0 0 0 JERRY GREENBERG MD DIRECTOR 630631 0 58902 0 8925 0 14000 0 25801 0 738259 0 0 0 NELSON PRAGER MD PHYSICIAN 558020 0 152 0 13434 0 0 0 6525 0 578131 0 0 0 DORIS KIRCHNER FORMER PRESIDENT & CEO (THRU 1/19) 354464 0 100000 0 40666 0 13631 0 23270 0 532031 0 0 0 ALEXANDER URQUHART MD PHYSICIAN 439726 0 20250 0 21878 0 13808 0 30202 0 525864 0 0 0 MICHAEL WESTMILLER VVSC PRESIDENT 300666 0 91250 0 3612 0 14000 0 30396 0 439924 0 0 0 HAROLD DUPPER TREASURER AND CFO (THRU 5/20) 349803 0 0 0 4699 0 13415 0 22040 0 389957 0 0 0 DANIEL PENNINGTON FOUNDATION PRESIDENT 326760 0 152 0 3063 0 6715 0 29847 0 366537 0 0 0 FREDERICK SMITH CHIEF ADMINISTRATIVE OFFICER 306303 0 0 0 10748 0 17292 0 30220 0 364563 0 0 0 AMANDA VEIT CHIEF OPERATIONS OFFICER 145064 0 100000 0 3929 0 3200 0 3913 0 256106 0 0 0 PART I, LINE 4B 457F PLAN: WILL COOK, AMANDA VEIT AND FREDERICK SMITH PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNT WAS $12,200, $3,200 AND $6,559, RESPECTIVELY, 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 106777273 921241 105854467 1565 2020 0 0 0 1 B 8506191 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: 06/01/2017 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 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. 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 10/31/2020 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,598 PATIENT DAYS: 4,407 TOTAL SURGERIES: 3,569 AS PART OF AN ONGOING EFFORT TO OFFER ITS PATIENTS THE MOST CUTTING-EDGE MEDICAL IMAGING TECHNOLOGY AVAILABLE, VAIL HEALTH PURCHASED A BIOGRAPH VISION IN JANUARY OF 2020, THE NEXT-GENERATION PET/CT SCANNER FROM SIEMENS HEALTHCARE. THE ADVANCED TECHNOLOGY AT SHAW CANCER CENTER IS THE FIRST OF ITS KIND IN THE STATE OF COLORADO AND IS ONE OF ONLY TEN IN THE WESTERN UNITED STATES. BIOGRAPH VISION LEVERAGES PREMIUM PET/CT TECHNOLOGY TO HELP PHYSICIANS AT SHAW DETECT DISEASE AND BETTER UNDERSTAND DISEASE PROGRESSION FOR ACCURATE AND EARLY TREATMENT DECISIONS, ALL WITH SHORT SCAN TIMES AND A WIDE BORE FOR ENHANCED PATIENT COMFORT. BRINGING THE STATE-OF-THE-ART TECHNOLOGY OF BIOGRAPH VISION TO SHAW DEMONSTRATES VAIL HEALTH'S COMMITMENT TO PROVIDING THE BEST PATIENT CARE, RIGHT HERE IN EAGLE COUNTY. JANUARY IS RADON ACTION MONTH. TO HELP PREVENT LUNG CANCER FROM EXPOSURE TO RADON GAS, VAIL HEALTH'S SHAW CANCER CENTER PARTNERED WITH WALKING MOUNTAINS SCIENCE CENTER TO RAISE AWARENESS AND OFFER FREE RADON TEST KITS TO LOCALS. RADON IS AN INVISIBLE, RADIOACTIVE SOIL GAS THAT ENTERS HOMES THROUGH CRACKS IN SOLID FLOORS OR WALLS, CONSTRUCTION JOINTS, AND GAPS IN SUSPENDED FLOORS OR AROUND SERVICE PIPES. ONCE INSIDE, IT MIXES WITH THE AIR WE BREATHE, WHICH CAN PRESENT A SERIOUS HEALTH RISK IF HIGH LEVELS OF RADON ARE INHALED OVER TIME. RADON EXPOSURE IS THE LEADING CAUSE OF LUNG CANCER IN NONSMOKERS AND CAUSES THOUSANDS OF LUNG CANCER DEATHS IN THE U.S. EACH YEAR. ACCORDING TO SHAW CANCER CENTER, EDUCATION AND ADVOCACY FOR RADON TESTING AND MITIGATION MAY HELP PREVENT LUNG CANCER. IT IS CRITICAL FOR EAGLE COUNTY RESIDENTS TO BE AWARE OF THE RISKS OF RADON IN HOMES, AND THESE FREE RADON TEST KITS COULD MAKE A DIFFERENCE IN PREVENTING LUNG CANCER. ON JUNE 30, 2020, THE MOBILE INTERCULTURAL RESOURCE ALLIANCE (MIRA), SUPPORT BY VAIL HEALTH, CELEBRATED ITS TWO-YEAR ANNIVERSARY OF SERVING EAGLE COUNTY RESIDENTS. MIRA CONNECTS PEOPLE TO RESOURCES AND OFFERS SUPPORT TO ENSURE A BETTER FUTURE. MIRA SERVES AS A SINGLE-STOP, COMPREHENSIVE, INTEGRATED AND CULTURALLY-RELEVANT APPROACH TO RESOURCE CONNECTION AND SERVICE DELIVERY. UTILIZING A 40-FOOT RV, DONATED BY VAIL HEALTH, MIRA TRAVELS TO NEIGHBORHOODS, COMMUNITY SITES AND WORKPLACES THROUGHOUT EAGLE COUNTY AND PROVIDES RESOURCES SUCH AS BASIC HEALTH EDUCATION AND SCREENINGS, SUPPORT IN APPLYING TO PUBLIC ASSISTANCE PROGRAMS, FOOD RESOURCES, WORKFORCE DEVELOPMENT, AND COORDINATION WITH EARLY CHILDHOOD AND PHYSICAL ACTIVITY PROGRAMMING. THE RESOURCES AND SERVICES ARE PROVIDED BY A WIDE VARIETY OF LOCAL COMMUNITY ORGANIZATIONS, SUPPORTING THE CONCEPT OF AN "ALLIANCE," WHICH PROVIDES A PLATFORM TO FEATURE ALL PARTNERS INVOLVED IN THE PROJECT. IN SUMMER OF 2020, VAIL HEALTH DONATED A NEW EVACKART TO VAIL MOUNTAIN SKI PATROL. THE EVACKART, LIKE A TOBOGGAN, IS USED TO TRANSPORT SKIERS IN THE WINTER. IT ALLOWS FOR EASIER AND FASTER TRANSPORT OF AN INJURED PERSON FROM ROUGH TERRAIN AREAS. IT WILL BE UTILIZED ONLY DURING THE SUMMER AND WILL AID SKI PATROL MEMBERS IN THE ON-MOUNTAIN RESCUE OF INJURED HIKERS, BIKERS AND SIGHTSEERS. EAGLE VALLEY BEHAVIORAL HEALTH PARTNERS WITH MOUNTAIN RECREATION TO OFFER A YOUTH SCHOLARSHIP FOR QUALIFIED FAMILIES. THIS SCHOLARSHIP PROGRAM GIVES YOUTH A SAFE PLACE TO PLAY WHILE INSTILLING POSITIVE LIFE-LONG VALUES. THIS PROGRAM'S GOAL IS TO PROVIDE OPPORTUNITIES TO SOLVE A PROBLEM BEFORE IT EVER BECOMES ONE. DEVELOPING AND MAINTAINING SOCIAL CONNECTIONS AND ENGAGING IN PHYSICAL ACTIVITY ARE AMONG THE TOP PREVENTION MEASURES THAT CAN BE TAKEN TO REDUCE BEHAVIORAL HEALTH ISSUES. THIS GRANT SUPPORTS EVBH'S EFFORTS TOWARDS PREVENTING AND COMBATING MENTAL HEALTH ISSUES AMONG OUR LOCAL YOUTH. FAMILIES WHO ARE AWARDED SCHOLARSHIP FUNDS WILL BE ABLE TO USE THEM FOR AN ARRAY OF MOUNTAIN RECREATION PROGRAMS SUCH AS GYMNASTICS AND SWIMMING LESSONS, REC KIDS DAY CAMPS (CHILDCARE FOR WORKING PARENTS WHEN SCHOOL IS OUT), KARATE, BALLET, YOGA, YOUTH SPORTS LEAGUES, ICE SKATING, SUMMER SPORTS CAMPS AND EXPLORER SUMMER CAMPS. VAIL HEALTH'S LEADERSHIP IN THE COMMUNITY WAS APPARENT THROUGH 2020, AS THE ORGANIZATION LEVERAGED ITS BROAD HEALTHCARE SYSTEM TO QUICKLY RESPOND TO AN UNPRECEDENTED PANDEMIC. IN JANUARY 2020, TWO MONTHS BEFORE THE FIRST LOCAL CONFIRMED COVID CASE, VAIL HEALTH CREATED AN INTERNAL COVID-19 RESPONSE TEAM THAT BEGAN MEETING WITH OTHER COMMUNITY GROUPS TO CREATE A PROACTIVE PLAN TO ADDRESS THE GROWING THREAT. BY THE TIME THE FIRST CASE HIT LOCALLY IN MARCH, VAIL HEALTH HAD STOCKPILED CRUCIAL PPE, CREATED AN OVERFLOW PLAN AND WAS ADJUSTING OPERATIONS AS NEEDED. VAIL HEALTH AND ITS PARTNER, COLORADO MOUNTAIN MEDICAL, IMPLEMENTED SIX COVID-19 TESTING SITES THROUGHOUT THE EAGLE RIVER VALLEY, INCLUDING THE FIRST DRIVE-THROUGH TESTING SITE IN THE STATE; CREATED DESIGNATED RESPIRATORY CLINICS TO REDUCE THE RISK OF EXPOSURE BETWEEN SICK AND WELL PATIENTS; ESTABLISHED AN ISOLATION TRAILER FOR THE EMERGENCY DEPARTMENT; STAFFED THE MIRA BUS TO PROVIDE TESTING IN SPANISH-SPEAKING COMMUNITIES; PROVIDED RESOURCES TO CASTLE PEAK SENIOR CENTER; EXPANDED ITS LAB SERVICES TO BEGIN PROCESSING COVID-19 TESTS IN-HOUSE FOR A FASTER, MORE RELIABLE TURNAROUND TIME; LEVERAGED SOCIAL MEDIA VIDEOS AS INFORMATIONAL RESOURCES; LAUNCHED A COMMUNITY-WIDE EDUCATION CAMPAIGN IN BOTH ENGLISH AND SPANISH FOCUSED ON SOCIAL DISTANCING; AND DEBUTED A 'CLEAN CLINICS' PROMISE TO ENCOURAGE PATIENTS TO SEEK OTHER VITAL HEALTHCARE SERVICES. VAIL HEALTH CONTINUED TO FOSTER ITS PARTNERSHIPS WITH EAGLE COUNTY PUBLIC HEALTH, THE LOCAL POLICE, FIRE AND PARAMEDICS DEPARTMENTS, LOCAL GOVERNMENTS AND BUSINESSES, BRINGING HEALTHCARE SERVICE EXPERTISE AND ACCESS TO TESTING, CARE, RESOURCES - IN BOTH ENGLISH AND SPANISH - AND VACCINES TO THE COUNTY-WIDE COVID RESPONSE TEAM. IN ADDITION, VAIL HEALTH AND CMM WERE ABLE TO OFFER STAFFING, EDUCATIONAL RESOURCES AND COVID-19 TESTING DIRECTLY TO THE SPANISH-SPEAKING COMMUNITY THROUGH THE MIRA BUS, AS WELL AS TO SUMMIT COUNTY RESIDENTS AND VISITORS IN A CONVENIENT BRECKENRIDGE LOCATION. AS AN INDEPENDENT HEALTHCARE SYSTEM, VAIL HEALTH WAS ABLE TO BE NIMBLE AND ADJUST QUICKLY TO THE EVER-CHANGING NEEDS OF THE COMMUNITY THROUGHOUT THE PANDEMIC, WHILE ALSO CONTINUING TO PROVIDE OTHER VITAL HEALTHCARE SERVICES. WHEN SAFE AT HOME ORDERS AND BUSINESS SHUTDOWNS BEGAN TO EXACERBATE THE BEHAVIORAL HEALTH CRISIS IN THE COMMUNITY, VAIL HEALTH, THROUGH ITS SUBSIDIARY EAGLE VALLEY BEHAVIORAL HEALTH, PUSHED FORWARD THE LAUNCH OF OLIVIA'S FUND, A SCHOLARSHIP PROGRAM OFFERING FREE ACCESS TO BEHAVIORAL HEALTH CARE IN THE VALLEY AND IMPLEMENTED A NEW ONLINE COMMUNITY ENGAGEMENT PLATFORM KNOWN AS COMMUNITY STREAM TO PROVIDE A WAY FOR THE COMMUNITY TO ENGAGE DURING COVID STAY-AT-HOME ORDERS, INCLUDING THE LAUNCH OF A NEW PODCAST SERIES. VAIL HEALTH AND CMM ALSO EXPANDED THEIR INTEGRATED BEHAVIORAL HEALTH SERVICES, HELPING TO FURTHER REDUCE THE STIGMA IN THE COMMUNITY AND PROVIDE ACCESS TO MORE RESOURCES. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED DURING THE TAX YEAR TO ADD THE DIRECTOR OF COLORADO MOUNTAIN MEDICAL AS AN EX OFFICIO DIRECTOR OF THE BOARD. 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 2020 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 2020 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 3,513,970. MANAGEMENT AND GENERAL EXPENSES 10,918,226. FUNDRAISING EXPENSES 75,621. TOTAL EXPENSES 14,507,817. REPAIRS/MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 89,022. MANAGEMENT AND GENERAL EXPENSES 949,736. TOTAL EXPENSES 1,038,758. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 126,298. MANAGEMENT AND GENERAL EXPENSES 1,333,011. TOTAL EXPENSES 1,459,309. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,837,229. MANAGEMENT AND GENERAL EXPENSES 404,726. TOTAL EXPENSES 9,241,955. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 164,194. MANAGEMENT AND GENERAL EXPENSES 744,186. TOTAL EXPENSES 908,380. CONTRACT CLINICAL LABOR: PROGRAM SERVICE EXPENSES 1,213,279. MANAGEMENT AND GENERAL EXPENSES 37,901. TOTAL EXPENSES 1,251,180. FOOD SERVICES: MANAGEMENT AND GENERAL EXPENSES 2,195,897. TOTAL EXPENSES 2,195,897. FORM 990, PART XI, LINE 9: NET REVENUE PASSED THROUGH FROM THE CHA TRUST FOR WORKER'S COMPENSATION 10,930. EAGLE RIVER REAL ESTATE HOLDINGS LLC PO BOX 4000 VAIL CO 81658 831523347 RENTAL CO 635952 13921812 VAIL CLINIC COLORADO MOUNTAIN MEDICAL LLC PO BOX 4000 VAIL CO 81658 841887834 HEALTHCARE CO 21147536 11386578 VAIL CLINIC NORTH EAGLE INVESTMENTS PO BOX 4000 VAIL CO 81658 RENTAL CO 138299 3465470 VAIL CLINIC VVMC DIVERSIFIED SERVICES PO BOX 4000 VAIL CO 81658 261167922 HEALTH CARE CO 501(C)(3) LINE 10 VHS 1 VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL CO 81658 742505662 SUPPORT VHH CO 501(C)(3) LINE 12B, II VHS 1 SHAW OUTREACH TEAM PO BOX 4000 VAIL CO 81658 383710853 FUNDRAISING CO 501(C)(3) LINE 12C, III-FI 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 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 VHS 1 VAIL VALLEY SURGERY CENTER PO BOX 1270 VAIL CO 81658 030419967 HEALTH CARE CO VAIL CLINIC RELATED 33467526 28941915 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 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 VAIL VALLEY SURGERY CENTER LLC A 2840590 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES B 4200000 ACTUAL AMOUNT VAIL HEALTH SERVICES FOUNDATION C 1677139 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC D 2702823 LOAN AMOUNT VAIL VALLEY SURGERY CENTER LLC F 38469234 ACTUAL AMOUNT VVMC DIVERSIFIED SERVICES Q 3595022 ACTUAL AMOUNT VAIL VALLEY SURGERY CENTER LLC Q 25649544 ACTUAL AMOUNT EAGLE VALLEY BEHAVIORAL HEALTH B 4781589 ACTUAL AMOUNT