2025-09-15T11:35:58-05:00 2024-10-31 390859910 BAKER TILLY ADVISORY GROUP LP 790 N WATER ST SUITE 2000 MILWAUKEE WI 53202 990 2023-11-01 840563230 VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT VAIL 9704762451 PO BOX 40000 VAIL CO 81658 MICHAEL BROWN CHIEF FINANCIAL OFFICER 9704762451 2025-09-12 1 1 SHELBY NETZ P01405265 4147775500 2025-09-12 X 2023 2025-03-06 01:10:19Z VAIL HEALTH HOSPITAL WILL COOK PO BOX 40000 VAIL CO 81658 400946182 0 X WWW.VAILHEALTH.ORG X 1965 CO ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. 16 12 2088 92 3137991 0 38277586 2975846 337973486 371278046 1348862 3970533 10578033 11082732 388177967 389307157 19689897 19035572 0 0 172958892 182383793 0 0 0 213049528 208700975 405698317 410120340 -17520350 -20813183 841377599 853242680 237579702 226585657 603797897 626657023 X ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. 0 0 311214423 19035572 374910193 SEE SCHEDULE O. 311214423 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 321 0 2088 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X VHH ACCOUNTING DEPARTMENT 9704762451 PO BOX 40000 VAIL CO 81658 WILL COOK PRESIDENT AND CEO 40.00 1.00 X X 1323823 0 76146 PATRICIA HARDENBERGH MD PHYSICIAN 40.00 X 971648 0 48086 AMANDA VEIT CHIEF OPERATIONS OFFICER 40.00 1.00 X 815434 0 61560 ALEXANDER URQUHART MD PHYSICIAN 40.00 X 672994 0 48643 STEPHEN LAIRD MD PHYSICIAN 40.00 X 640040 0 48086 BARRY HAMMAKER MD PHYSICIAN 40.00 X 618584 0 52867 JERRY GREENBERG MD DIRECTOR 1.00 40.00 X 634599 0 36819 DAVID KAPLAN PRESIDENT CMM 40.00 X 617788 0 48351 KATHERINE SCHUETZE MD PHYSICIAN 1.00 40.00 X 608056 0 46586 JOHN HIGGINS TREASURER AND CFO - OUTGOING 40.00 1.00 X 537722 0 60179 JANET ENGLE DIRECTOR 40.00 X 514559 0 34916 CRAIG COHN CHIEF REAL ESTATE DEV OFFI 40.00 X 505994 0 21085 KRISTEN ICKES DO DIRECTOR 40.00 X 386322 0 33179 MICHAEL BROWN TREASURER AND CFO 40.00 1.00 X 296945 0 33207 ERIC AFFELDT CHAIRMAN 1.00 1.00 X X 0 0 0 CHRIS JARNOT SECRETARY 1.00 X X 0 0 0 ANDY DALY DIRECTOR 1.00 X 0 0 0 ART KELTON DIRECTOR 1.00 X 0 0 0 BRATZO HORRUITINER DIRECTOR 1.00 X 0 0 0 ELLEN MORITZ DIRECTOR 1.00 X 0 0 0 LINDA PANCRATZ 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 MIKE IMHOF DIRECTOR 1.00 X 0 0 0 SUSAN KASSER DIRECTOR 1.00 X 0 0 0 THOMAS GORRIE DIRECTOR 1.00 X 0 0 0 9144508 0 649710 571 0 1 0 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 10087 CONTRACT LABOR 7646624 RHIZE TECH PO BOX 913184 DENVER CO 80291 IT SERVICES 7466796 GE JOHNSON CONSTRUCTION CO 25 N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION 6400928 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 5514668 HASELDEN CONSTRUCTION LLC 6950 S POTOMAC ST STE 100 CENTENNIAL CO 80112 CONSTRUCTION 3187763 215 2961846 14000 2975846 PATIENT SERVICE REVENU 900099 227478426 225858889 1619537 MEDICARE/MEDICAID 900099 75151473 75151473 SUBSIDIARY EQUITY 900099 43091343 43091343 PROF SERVICES/OVERHEAD 900099 25556804 25556804 371278046 3936533 310029 3626504 9680199 6550727 3129472 3129472 3129472 34000 0 34000 34000 34000 6296723 5088298 1208425 1208425 MISCELLANEOUS REVENUE 900099 4788111 4788111 CAFETERIA REVENUE 900099 1493151 1493151 REBATES FROM VENDOR 900099 463573 463573 6744835 389307157 374910193 3137991 8283127 X 19035572 19035572 6418513 6418513 135290897 103518058 31772839 8309039 6658030 1651009 15758039 10290496 5467543 16607305 13966685 2640620 3808256 1 3808255 308495 308495 7801 7801 1250225 1250225 45630270 28061693 17568577 1508026 127616 1380410 2631147 900138 1731009 193976 37639 156337 10815657 79003 10736654 503223 277693 225530 542598 251761 290837 5186891 5186891 26262192 23737941 2524251 2610674 2610674 MEDICAL & OTHER SUPPLIE 70107115 68742247 1364868 BAD DEBT EXPENSE 14239769 14239769 REPAIRS & MAINTENANCE 10796284 4688864 6107420 PROVIDER FEE EXPENSE 6644272 6644272 5654104 4770054 884050 410120340 311214423 98905917 0 19140407 19053306 25157023 25830235 46271111 47508232 44649325 44649325 10249780 10263741 9085642 8399911 610659831 303800962 332895099 306858869 219520378 247366321 49618013 48768914 84790821 94543826 841377599 853242680 48935840 47552292 130053001 127217047 58590861 51816318 237579702 226585657 X 602940784 625953058 857113 703965 603797897 626657023 841377599 853242680 X -20813183 38642309 5030000 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 1 7801 7801 0 PART II-B, LINE 1: A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES. 13292883 1974161 335119 14931925 10398881 3358333 506729 971060 13292883 9053829 1691328 -23112 323164 10398881 7411055 497204 1362357 216787 9053829 7586468 22498 75931 273842 7411055 1.00000 0 1 1 9097549 9097549 426443671 160590320 265853351 4243142 3457760 785382 162111529 137830098 24281431 8763940 1922784 6841156 306858869 INVESETMENT IN JOINT VENTURES 48768914 C 48768914 RIGHT OF USE ASSET 51954613 DUE FROM VAIL VALLEY SURGERY CLINIC 3854950 DUE FROM VVMC DIVERSIFIED SERVICES 1331209 DUE FROM VAIL SERVICES FOUNDATION 1448130 DUE FROM EAGLE VALLEY MENTAL HEALTH 5002658 DUE FROM VAIL HEALTH SERVICES 15694 DUE FROM VAIL HEALTH HOLDINGS 28103702 DUE FROM VAIL HEALTH INNOVATIONS 4252 SECURITY DEPOSIT 837585 BENEF INTEREST VOL CORP 41289 OTHER RECEIVABLES 1949744 94543826 LEASE LIABILITY 51699301 DUE TO EAGLE VALLEY MENTAL HEALTH 32846 DUE TO EAGLE RIVER REAL ESTATE HOLDINGS 84171 51816318 X PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY. THESE ENDOWMENTS ARE HELD BY VAIL HEALTH SERVICES FOUNDATION FOR THE BENEFIT OF VAIL HEALTH HOSPITAL AND HAVE BEEN RESTRICTED FOR THE FOLLOWING PURPOSES: JACK'S PLACE ENDOWMENT: TO SUPPORT JACK'S PLACE GRAHAM/SMITH ENDOWMENT: TO SUPPORT SHAW PATIENT ASSISTANCE KUBIK ENDOWMENT: TO SUPPORT BEHAVIORAL HEALTH CASE MANAGEMENT CHAPLAINCY ENDOWMENT: TO SUPPORT HOSPITAL CHAPLAINCY VVMC ENDOWMENT: TO SUPPORT THE HOSPITAL SPRI ENDOWMENT: TO SUPPORT STEADMAN PHILIPPON RESEARCH INSTITUTE PART X, LINE 2: VAIL HEALTH SERVICES, VAIL HEALTH HOSPITAL, VAIL HEALTH FOUNDATION, VAIL HEALTH CLINICS AND EAGLE VALLEY BEHAVIORAL HEALTH ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. COLORADO MOUNTAIN MEDICAL, NORTH EAGLE INVESTMENTS, AND VAIL HEALTH HOLDINGS ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. EAGLE RIVER REAL ESTATE HOLDINGS AND THE SURGERY CENTER HAVE ELECTED TO HAVE THEIR INCOME TAXED AS PARTNERSHIPS UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE. MANAGEMENT SERVICES IS A TAXABLE CORPORATION UNDER PROVISIONS OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2024, AND 2023. 1 1 X 1 X 250.000000000000 1 X 550.000000000000 1 1 1 0 1 1 2319814 2319814 0.00580 29925069 18025920 11899149 0.02970 32244883 18025920 14218963 0.03550 1383345 524648 858697 0.00210 1081729 1081729 0.00270 1419546 142929 1276617 0.00320 510302 510302 16831486 303715 16527771 0.04120 21226408 1481594 19744814 0.04920 53471291 19507514 33963777 0.08470 434 434 0.00000 6643 6643 0.00000 1657 1657 0.00000 2241 2241 0.00000 7410 7410 0.00000 904 904 0.00000 19289 19289 0.00000 1 14239769 62896296 103438649 -40542353 X 1 1 1 VAIL VALLEY SURGERY CENTER AMBULATORY SURGERY CENTER 0.50170 0.49830 1 1 VAIL CLINIC INC PO BOX 40000 VAIL CO 81658 WWW.VAILHEALTH.ORG 010911 X X X VAIL CLINIC INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V STMT FOR FULL URL X 1 22 1 SEE PART V STMT FOR FULL URL 0 1 X 250.000000000000 550.000000000000 X X X X X 1 1 X X X X 1 X SEE PART V STMT FOR FULL URL X SEE PART V STMT FOR FULL URL X SEE PART V STMT FOR FULL URL X X X X X X 1 X 0 X X X X 1 X 0 0 VAIL CLINIC, INC. PART V, SECTION B, LINE 5: VAIL HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FY22, FROM NOV 2021-OCT 2022. THE NEXT ONE IS CURRENTLY BEING CONDUCTED AND WILL BE REFLECTED IN THE FY25 990. IT INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO IDENTIFY AND ANALYZE PRIORITY COMMUNITY HEALTH NEEDS WITHIN EAGLE COUNTY. AS STATED IN VAIL HEALTH'S FY22 990, THE PROCESS INCLUDED:- A COMPREHENSIVE ANALYSIS OF HEALTH AND POPULATION HEALTH-RELATED DATA - INCLUDING DEMOGRAPHIC, ECONOMIC, AND SOCIAL INDICATORS- FACILITATION OF 13 PARTNER AND COMMUNITY FOCUS GROUPS WHICH SOLICITED COMMUNITY INPUT TO IDENTIFY THE COMMUNITY'S HEALTH NEEDS- CREATION OF A GAP ANALYSIS WHICH IDENTIFIED EXISTING COMMUNITY NEEDS AND STRATEGIES TO ADDRESS THEMCOMMUNITY STAKEHOLDER ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA. VAIL HEALTH SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED, PRIORITY, OR MINORITY POPULATIONS. THROUGH THIS INPUT WE RECEIVED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AND GAPS IN SERVICES, AND INSIGHTS ABOUT ISSUES THAT CONTRIBUTE TO HEALTH DISPARITIES. FOR THE 2022 CHNA, VAIL HEALTH CONSULTED INDIVIDUALS FROM THE FOLLOWING COMMUNITY PARTNERS:VAIL VALLEY FOUNDATION, YOUR HOPE CENTER, YOUTH POWER 365, VALLEY VIEW WOMEN'S HEALTH, WIC COLORADO, VISITING ANGELS, VAIL VALLEY PARTNERSHIP, UNITED WAY OF EAGLE RIVER VALLEY, TOWN OF VAIL, SOWING SEEDS, THE SALVATION ARMY, SNAP, QUALITY HEALTH NETWORK, NURSE-FAMILY PARTNERSHIP, NORTHWEST COLORADO COMMUNITY HEALTH PARTNERSHIP, MY FUTURE PATHWAYS, MOUNTAIN FAMILY HEALTH CENTERS, MIRA, ILLUMINATE BUILDING BETTER CHILDHOODS, HOWARD HEAD SPORTS MEDICINE, HILLTOP, HEALTH FIRST COLORADO, GUARDIAN SCHOLARS, EARLY CHILDHOOD PARTNERS, EARLY CHILDHOOD OPTIONS, EAGLE VALLEY FAMILY PRACTICE, EAGLE VALLEY COMMUNITY FOUNDATION, EAGLE VALLEY BEHAVIORAL HEALTH, EAGLE COUNTY SCHOOL DISTRICT, EAGLE COUNTY PARAMEDIC SERVICES, EAGLE COUNTY PUBLIC HEALTH, EAGLE COUNTY HEALTHY AGING, THE COMMUNITY MARKET, COLORADO STATE UNIVERSITY EXTENSION, COLORADO MOUNTAIN MEDICAL, COLORADO HOME VISITING COALITION, COLORADO BLUEPRINT TO END HUNGER, COLORADO DEPARTMENT OF HUMAN SERVICES, CAREGIVER CONNECTIONS, BABYCAFE, ASPEN VALLEY HOSPITAL. VAIL CLINIC, INC. PART V, SECTION B, LINE 11: VAIL HEALTH DEVELOPED AN IMPLEMENTATION STRATEGY IN FY22 TO GUIDE COMMUNITY BENEFIT ACTIVITIES ACROSS EAGLE COUNTY. IN FY24, AS DETERMINED BY THE PRIORITIZATION PROCESS, VAIL HEALTH WILL DEVOTE RESOURCES AND EXPERTISE TO ADDRESS THE FOLLOWING 8 PRIORITIES:1. ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH2. BRING CARE TO THE PEOPLE3. FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES4. INCREASE UTILIZATION OF HEALTHY FOODS5. ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON INCREASED DIVERSITY6. INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS7. IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION (ADDRESS THE SES)8. ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENTTHE IMPLEMENTATION PLAN BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKES INTO CONSIDERATION THE EVALUATION OF IMPACTS FROM THE PREVIOUS IMPLEMENTATION PLAN CYCLE, WHILE RECOGNIZING NEW HEALTH NEEDS AND A CHANGING HEALTH CARE DELIVERY ENVIRONMENT IDENTIFIED IN THE 2022 CHNA. IN 2024, VAIL HEALTH MADE PROGRESS ON THE 8 PRIORITY AREAS BY IMPLEMENTING THE FOLLOWING INITIATIVES.1. ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH: THROUGHOUT 2024, VAIL HEALTH IMPROVED CARE COORDINATION AND TRANSITIONS OUT OF THE EMERGENCY DEPARTMENT THROUGH ADDITIONAL PATIENT NAVIGATORS. VAIL HEALTH CCONTINUED TO SUPPORT THE COMMUNITY MARKET, YOUR HOPE CENTER, AND MY FUTURE PATHWAYS WITH DEDICATED SPACE AT ITS EDWARDS COMMUNITY HEALTH CAMPUS TO BETTER CONNECT COMMUNITY MEMBERS TO SERVICES IN ONE CENTRALIZED LOCATION. VAIL HEALTH ADDED WHOLE-PERSON CARE WITHIN THE OUTPATIENT BEHAVIORAL HEALTH TEAM WITH THE ADDITION OF A FUNCTIONAL MEDICINE PROVIDER. BOTH FISCAL AND IN-KIND SUPPORT CONTINUED FOR MOUNTAIN FAMILY HEALTH CENTERS, BY PROVIDING CLINICAL SPACE FOR BOTH THEIR AVON AND GYPSUM CLINICS. VAIL HEALTH CCONTINUED TO SUPPORT RESEARCH THAT HELPS IMPROVE HEALTH OUTCOMES IN THE AREAS OF ORTHOPEDICS, ONCOLOGY AND BEHAVIORAL HEALTH. VAIL HEALTH'S CARDIAC REHABILITATION FITNESS AND NUTRITION PROGRAM PROVIDED MORE THAN 2,600 PATIENT SESSIONS TO AID IN PATIENT RECOVERY FROM CARDIAC EVENTS AND REDUCE PATIENTS' RISK OF FURTHER HEART DISEASE, AN INCREASE FROM 1,000+ THE PRIOR YEAR.RECOGNIZING BEHAVIORAL HEALTH IS THE GATEWAY TO ADDRESSING WHOLE PERSON HEALTH, VAIL HEALTH EXPANDED ITS BEHAVIORAL HEALTH SERVICE LINE (VHBH) WITH A 12% INCREASE IN STAFFING FROM 26 TO 29 FULL-TIME LICENSED PROVIDERS THAT ALL ACCEPT COMMERCIAL INSURANCE AND GOVERNMENTAL PROGRAMS. IN FY24, VHBH PROVIDED APPROXIMATELY 26,000 UNIQUE BEHAVIORAL HEALTH SESSIONS, INCLUDING 8,700 PSYCHIATRY SESSIONS, MORE THAN 14,000 THERAPY SESSIONS, AND 3,300 INTEGRATED BEHAVIORAL HEALTH SESSIONS. IN 2024, VHBH ADDED NATUROPATHIC MEDICINE WITH A FULL-TIME PROVIDER OFFERING 32 CLINICAL HOURS PER WEEK; STARTED THE TRANSCRANIAL MAGNETIC STIMULATION PROGRAM, SERVING MORE THAN 20 PATIENTS, COMPLETING THE 36-TREATMENT COURSE FOR 7-8 WEEKS WITH 90% OF PATIENTS HAVING CLINICALLY SIGNIFICANT BENEFITS AND 70% ENTERING FULL REMISSION; AND INCREASED SPANISH-SPEAKING THERAPISTS TO 5 PROVIDERS, SERVING AS YOUNG AS 3 UP TO 103 YEARS OLD.2. BRING CARE TO THE PEOPLE: VAIL HEALTH SUPPORTED THE EAGLE COUNTY HOME HEALTH COLLABORATIVE AND THE EAGLE COUNTY PARAMEDICS IN THE DEVELOPMENT OF A NEW HOME HEALTH CARE AGENCY. VAIL HEALTH ALSO CONTINUED TO REACH OUR MOST VULNERABLE POPULATIONS THROUGH ONGOING SUPPORT OF THE MOBILE INTERCULTURAL RESOURCE ALLIANCE (MIRA) BUS, AS WELL AS CONTINUED SUPPORT FOR COMMUNITY PARAMEDICS. VAIL HEALTH EXPANDED ITS SUPPORT OF YOUR HOPE CENTER BY PARTNERING TO OVERSEE THE IN-SCHOOL BEHAVIORAL HEALTH CLINICIAN PROGRAM, ENSURING THERE WAS ONE CLINICIAN IN EVERY SCHOOL IN THE EAGLE RIVER VALLEY FOR THE SCHOOL YEAR. VAIL HEALTH ALSO PROVIDED ENHANCED SUPPORT FOR YOUR HOPE CENTER'S 24/7, 365 MOBILE CRISIS RESPONSE AND A COMMUNITY SUPPORT TEAM. CONSTRUCTION ON THE PRECOURT HEALING CENTER, A 28-BED INPATIENT BEHAVIORAL HEALTH FACILITY CENTRALLY LOCATED IN EDWARDS, WAS COMPLETED IN 2024 AND THE FACILITY IS SCHEDULED TO OPEN TO PATIENTS IN MAY OF 2025. THE NURSE LINE PROVIDED FREE HEALTH CARE GUIDANCE FOR MORE THAN 29,200 CALLS. THE TRAUMA TEAM ALSO TRAINED 676 PEOPLE IN EAGLE COUNTY IN 'STOP THE BLEED' TECHNIQUES. VAIL HEALTH PARTNERED WITH MIRA, TOWN OF SILVERTHORNE, BRECKENRIDGE GRAND VACATIONS AND THE EAGLE COUNTY SCHOOL DISTRICT TO OFFER WELLNESS FAIRS TO THE COMMUNITY. 3. FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES: IN FY24, VAIL HEALTH EDUCATED MORE THAN 400 LOCALS IN MEN'S AND WOMEN'S WELLNESS TOPICS LIKE MENOPAUSE, EXERCISE, AND MENTAL HEALTH. SESSIONS WERE OFFERED IN ENGLISH AND SPANISH. EFFORTS WERE MADE TO IMPROVE ACCESSIBILITY AND UTILIZATION OF VAIL HEALTH'S BEHAVIORAL HEALTH SERVICES BY MULTIPLE UNDERSERVED POPULATIONS IN THE COMMUNITY. VAIL HEALTH EXPANDED CARE COORDINATION AND INTEROPERABILITY EFFORTS RELATED TO HEALTH SCREENERS AND IMPROVED PERFORMANCE IN QUALITY METRICS RELATED TO HEALTH PROMOTION WITHIN COLORADO MOUNTAIN MEDICAL, VAIL HEALTH'S PRIMARY AND SPECIALTY CARE PARTNER (I.E. BP MGT, BREAST/COLON CANCER SCREENING, DEPRESSION SCREENING). FALL PREVENTION EDUCATION AND EXERCISE CLASSES WERE PROVIDED FOR THE LOCAL AGING POPULATION. VAIL HEALTH PARTNERED WITH SHIFT BIKES AND THE EAGLE POLICE DEPARTMENT ON AN E-BIKE SAFETY PROGRAM, INCLUDING FREE BIKE HELMET DISTRIBUTION. THE TRAUMA TEAM ALSO TRAINED 676 PEOPLE IN EAGLE COUNTY IN FREE 'STOP THE BLEED' TECHNIQUES. VAIL HEALTH CONTINUED TO OFFER FREE LIFE JACKET RENTAL STATIONS AT BOTH SYLVAN LAKE AND EAGLE RIVER PARK.4. INCREASE UTILIZATION OF HEALTHY FOODS: VAIL HEALTH HELPED IMPROVE ACCESS TO MORE NUTRITIOUS FOOD FOR THE UNDERSERVED WITHIN THE COMMUNITY THROUGH FINANCIAL SUPPORT AND PARTNERSHIP WITH THE COMMUNITY MARKET AND SALVATION ARMY IN EAGLE COUNTY AND THE FAMILY AND INTERCULTURAL RESOURCE CENTER IN SUMMIT COUNTY. VAIL HEALTH COMPOSTS FOOD FROM EACH OF ITS CAFES AS PART OF ITS ENVIRONMENTAL SUSTAINABILITY PROGRAM, RESULTING IN A TOTAL 26% WASTE DIVERSION RATE FROM THE LANDFILL, INCLUDING 71,108 LBS. OF COMPOST DIVERTED FROM THE LANDFILL. 5. ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON RECRUITING AND RETAINING TALENT: UNDERSTANDING THE IMPACT AND THE HIGH COST OF HOUSING HAS ON RETAINING AND RECRUITING STAFF, VAIL HEALTH COMPLETED CONSTRUCTION ON 87 NEW LONG-TERM LEASE STAFFING UNITS AT FOX HOLLOW IN CENTRALLY LOCATED EDWARDS. VAIL HEALTH EXPANDED ITS INITIATIVES AMONG EMPLOYEES TO HELP RECRUIT AND RETAIN NEEDED STAFF FROM VARIED BACKGROUNDS BY: A) CREATING COMMITTEES FOCUSED ON ENSURING THE WELL-BEING OF ALL EMPLOYEES, B) INCORPORATING QUESTIONS ABOUT BUILDING A COHESIVE CULTURE INTO ANNUAL EMPLOYEE ENGAGEMENT SURVEY FOR THE SECOND CONSECUTIVE YEAR, C) RECOGNIZING VARIOUS HOLIDAYS IN MONTHLY EMPLOYEE NEWSLETTER, D) TRANSLATING HIPAA AND JUST CULTURE TRAINING INTO SPANISH, AND E) CONSULTING WITH OUTSIDE ADVISORS ON THE ISSUES. INTERNSHIPS, RESIDENCES, AND FELLOWSHIPS ARE PROVIDED ACROSS THE ORGANIZATION, INCLUDING DALLAS COLLEGE APPRENTICESHIPS TO FURTHER EDUCATION IN SPD, MA AND CODERS POSITIONS, FIVE HOWARD HEAD HIGH SCHOOL INTERNSHIPS, TWO ORTHOPEDIC PHYSICAL THERAPIST RESIDENTS, TWO SPORTS PHYSICAL THERAPIST RESIDENTS AND ONE CERTIFIED HAND THERAPIST FELLOWSHIP. A JOB SHADOW PROGRAM PROVIDES LEARNING OPPORTUNITIES FOR 50 LOCAL STUDENTS ANNUALLY THROUGH PARTNERSHIPS WITH MY FUTURE PATHWAYS, CAREER WISE AND EAGLE COUNTY SCHOOLS. ADDITIONALLY, VAIL HEALTH HOSTED 25 STUDENTS IN CLINICAL ROTATIONS AND 41 IN OBSERVATIONS FOR STUDENTS ENROLLED IN HEALTHCARE EDUCATION, INCLUDING NURSING, CERTIFIED NURSING ASSISTANT, SURGICAL TECH, CT TECH, LAB AND PHARMACY. CONTINUED A PATIENT CARE TECH AND CLINICAL ASSISTANT 12-MONTH TRAINING PROGRAM FOR LOCAL WORKFORCE. IN EACH PUBLIC HIGH SCHOOL, VAIL HEALTH PROVIDES ONE CERTIFIED ATHLETIC TRAINER TO ENGAGE STUDENT ATHLETES IN HELPING THEM OVERCOME INJURIES AND NOT HAVE TO COME TO A CLINIC FOR AN APPOINTMENT BECAUSE OF THEIR INJURY.6. INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS: OPENED THE MOTHERS MILK BANK AT THE FAMILY BIRTH CENTER AT VAIL HEALTH HOSPITAL TO INCREASE THE NUMBER OF BREASTMILK FED INFANTS THROUGHOUT OUR COMMUNITY AND PROVIDE A CONVENIENT DONATION LOCATION FOR LOCAL MOTHERS. CONDUCTED FREE CHILD PASSENGER SAFETY EDUCATION SESSIONS AT VAIL HEALTH HOSPITAL AND THROUGHOUT EAGLE COUNTY. THE VAIL HEALTH FAMILY BIRTH CENTER FURTHER EXPANDED THE FAMILY CONNECTS PROGRAM BY PARTNERING WITH VALLEY VIEW AND ASPEN VALLEY HOSPITALS. THIS HOME VISITATION PROGRAM AMONG NEW FAMILIES ENSURES PATIENTS FEEL SUPPORTED THROUGH POST-DISCHARGE SERVICES. OUT OF FAMILY CONNECTS 230 TOTAL INTEGRATED HOME VISITS IN EAGLE COUNTY, 135 OF THOSE WERE SCHEDULED AT THE BEDSIDE OF THE PATIENT BEFORE THEY LEFT VAIL HEALTH. (CONTINUED BELOW) SCHEDULE H, PART V, SECTION B, LINE 11: 7. IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION (ADDRESS THE SES): VAIL HEALTH EXPANDED UTILIZATION OF THE "FIND HELP" SOCIAL HIE (HEALTH INFORMATION EXCHANGE) FOR COMMUNITY-WIDE SERVICE NAVIGATION AND REFERRALS AND PARTNERED WITH THE STATE OF COLORADO ON STATEWIDE SOCIAL HIE EFFORTS. VAIL HEALTH BEHAVIORAL HEALTH TRANSITIONED YOUR HOPE CENTER TO THE VAIL HEALTH ELECTRONIC MEDICAL RECORD (EMR) SYSTEM, MOVING 24 CLINICIANS ONTO THE VAIL HEALTH SYSTEM, COORDINATING CARE, STREAMLINING COMPLIANCE AND INCREASING FISCAL SUSTAINABILITY. VAIL HEALTH EXPANDED UTILIZATION OF AND ENGAGEMENT WITH HEALTHCARE INFORMATION EXCHANGE (HIE), ESPECIALLY AS THIS SHIFTS TO A STATEWIDE HIE (I.E. HEALTH SCREENERS AND ADVANCE CARE PLAN DOCUMENTS).8. ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENT: VAIL HEALTH ACTIVELY MEETS WITH POLICY MAKERS AT THE STATE AND FEDERAL LEVEL TO DISCUSS AND SUPPORT VARIOUS HEALTHCARE POLICIES THAT SUPPORT THIS INITIATIVE. VAIL HEALTH PARTICIPATED IN SIGNIFICANT ADVOCACY WORK IN COLLABORATION WITH THE AMERICAN HOSPITAL ASSOCIATION AND THE COLORADO HOSPITAL ASSOCIATION TO HELP ENSURE HEALTH ACCESS, EQUITY AND QUALITY ARE MAINTAINED AND ENHANCED IN A SUSTAINABLE MANNER. VAIL HEALTH AND VAIL HEALTH FOUNDATION ALSO FUNDED RESEARCH AND PLANNING FOR EAGLE COUNTY PARAMEDICS COMMUNITY HEALTH PROGRAM. VAIL HEALTH PROVIDED HOSPITAL DISCOUNTED CARE (HDC) AND FINANCIAL AID FOR 528 PATIENTS IN 2024, INCLUDING 381 HDC PATIENTS AND 147 FA APPROVED PATIENTS. PART V, LINE 7 AND LINE 10: HTTPS://WWW.VAILHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS PART V, LINES 16A, 16B, AND 16C: HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE 16 1 - VAIL VALLEY SURGERY CENTER (EDWARDS) 320 BEARD CREEK ROAD SUITE 100 EDWARDS CO 81632 AMBULATORY SURGERY CENTER JV 2 - VAIL VALLEY SURGERY CENTER (VAIL) 180 SOUTH FRONTAGE ROAD WEST VAIL CO 81657 AMBULATORY SURGERY CENTER JV 3 - SHAW PAVILION (EDWARDS) 322 BEARD CREEK ROAD EDWARDS CO 81632 CANCER CTR, PHYSICIAN OFFICE, RETAIL PHARMACY, SUPPORT SER, JACK'S PLACE-A C 4 - BASALT 200 ROBINSON STREET SUITE D300 BASALT CO 81621 HOWARD HEAD SPORT MEDICINE, STEADMAN PHILIPON SURGERY CENTER 5 - DILLON HEALTH CENTER 365 DILLON RIDGE ROAD DILLON CO 80435 AMBULATORY SURGERY CENTER, CANCER, COLORADO MOUNTAIN MEDICAL, PT, MULTI-SPEC 6 - AVON MEDICAL CAMPUS 50 BUCK CREEK ROAD AVON CO 81620 URGENT CARE, OCCUPATIONAL HEALTH, IMAGING, COLORADO MTN MEDICAL 7 - EAGLE HEALTH CARE CENTER 377 SYLVAN LAKE ROAD EAGLE CO 81631 PHYSICIAN OFFICES, COLORADO MOUNTAIN MEDICAL, PT, URGENT CARE, WOUND CARE 8 - EDWARDS MEDICAL CAMPUS 320 BEARD CREEK ROAD EDWARDS CO 81632 PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES 9 - MEDICAL PROFESSIONAL BUILDING (VAIL) 108 SOUTH FRONTAGE ROAD WEST VAIL CO 81658 PHYSICIAN OFFICES, PHYSICAL THERAPY, SUPPORT SERVICES, URGENT CARE, CARDIOVA 10 - HOWARD HEAD SPORTS MEDICINE - FRISCO 100 BASE CAMP WAY SUITE 105 FRISCO CO 80443 PHYSICAL THERAPY 11 - BEAVER CREEK MEDICAL CENTER 1280 VILLAGE ROAD AVON CO 81620 ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY, URGENT C 12 - HOWARD HEAD SPORTS MEDICINE - GYPSUM 52 LUNDGREN BOULEVARD GYPSUM CO 81637 PHYSICAL THERAPY 13 - HOWARD HEAD SPORTS MEDICINE - AVON 126 RIVERFRONT LANE AVON CO 81620 PHYSICAL THERAPY 14 - HOWARD HEAD SPORTS MEDICINE - BRECKENRID 505 SOUTH MAIN STREET UNIT C4-5 BRECKENRIDGE CO 80424 PHYSICAL THERAPY 15 - GYPSUM CLOCK TOWER BUILDING 410 MCGREGOR DRIVE GYPSUM CO 81637 SUPPORT SERVICES 16 - HOWARD HEAD PERFORMANCE 450 MILLER RANCH ROAD EDWARDS CO 81632 HEALTH AND PERFORMANCE PLANS SCHEDULE H, PART I, LINE 7: THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINES 7A & 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E, 7F, AND 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. LINE 7I INCLUDES AN AMOUNT ($5,600,000) 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 $14,239,769. PART II, COMMUNITY BUILDING ACTIVITIES: VAIL HEALTH IS A COMMUNITY HOSPITAL IN MORE WAYS THAN JUST CARING FOR PATIENTS. OUR STAFF WORK WITH OTHER LOCAL AND STATE PARTNERS, LIKE EAGLE COUNTY GOVERNMENT, FOUR RIVERS EMERGENCY MANAGEMENT, NORTHWEST REGIONAL HEALTHCARE COALITION IN COLORADO (NWRHCC) AND OTHER LOCAL RESPONSE AGENCIES TO PREPARE FOR, RESPOND TO, AND RECOVER FROM EMERGENCIES. THIS WORK IS GUIDED BY THE EAGLE COUNTY EMERGENCY MANAGEMENT TEAM. THESE GROUPS HELP US PREPARE TO TAKE CARE OF LOCALS IF - AND WHEN - AN EMERGENCY, LIKE A WILDFIRE OR MASS SHOOTING, OCCURS IN OUR COUNTY AND SURROUNDING COUNTIES. VAIL HEALTH SUPPORTS YOUTH IN OUR COMMUNITY BY PARTNERING WITH VAIL VALLEY PARTNERSHIP AND THEIR CAREERWISE PROGRAM, INCLUDING CAREER FAIRS; WITH THE BOY SCOUTS ON THEIR EXPLORER PROGRAM, WHICH INCLUDES JOB SHADOWING IN OUR HEALTHCARE FACILITIES; AND WITH THE CHILDREN'S GLOBAL ALLOWANCE, SUPPORTING LOCAL YOUTH ON THEIR GIVEBACK MISSION. THESE PARTNERSHIPS OFFER OPPORTUNITIES FOR LEADERSHIP AND JOB SHADOWS AT OUR FACILITIES AND ABROAD. THE STUDENTS WITHIN THESE PROGRAMS GROW AND DEVELOP FROM REAL-LIFE EXPERIENCES IN THE MEDICAL FIELD. TO ENCOURAGE TRANSPARENCY AND LISTENING, VAIL HEALTH OFFERED A COMMUNITY FEEDBACK MEETING IN BOTH ENGLISH AND SPANISH, FOCUSING ON HOW THE ORGANIZATION IS PERFORMING AGAINST ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND WHAT AREAS OF OPPORTUNITY EXIST TO FURTHER MEET THE COMMUNITY'S HEALTH CARE NEEDS. OPERATING IN A NATURE-CENTRIC MOUNTAIN REGION, VAIL HEALTH FOCUSES ON ENVIRONMENTAL SUSTAINABILITY BY PARTNERING WITH WALKING MOUNTAINS SCIENCE CENTER AND THE EAGLE RIVER COALITION TO PRIORITIZE ACTIONS THAT PROMOTE A HEALTHY ENVIRONMENT. PART III, LINE 2: THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 4: SEE PAGES 19-20 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE. PART III, LINE 8: PART III, LINE 8A:IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THAT THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. OUR COMMUNITY INCLUDES PATIENTS COVERED BY MEDICARE. WE SHOULD GET CREDIT FOR THE REIMBURSEMENT SHORTFALL THAT RESULTS FROM SERVING THIS SEGMENT OF OUR COMMUNITY.THE MEDICARE ALLOWABLE COST COMPUTATION INCLUDES THE COSTS FOR 1) THE HOSPITAL 2) THE HOSPITAL'S APPLICABLE SHARE OF THEIR JOINT VENTURE'S COSTS AND 3) THE HOSPITAL'S APPLICABLE SHARE OF THEIR WHOLLY OWNED SUBSIDIARY (A DISREGARDED ENTITY). THE HOSPITAL'S MEDICARE ALLOWABLE COST IS DERIVED FROM THE MEDICARE COST REPORT. THE JOINT VENTURE AND WHOLLY OWNED SUBSIDIARY'S MEDICARE ALLOWABLE COST IS COMPUTED USING A COST-TO-CHARGE RATIO. THE MEDICARE COST COMPUTED FOR THE JOINT VENTURE IS $4,219,589. THE MEDICARE COST COMPUTED FOR THE WHOLLY OWNED SUBSIDIARY IS $11,354,590. THE REMAINING $87,864,469 OF ALLOWABLE COST IS FROM THE HOSPITAL'S MEDICARE COST REPORT.PART III, LINE 8B:THE ORGANIZATION USED A COST-TO CHARGE RATIO FOR LINES 7A & 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E, 7F, AND 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. LINE 7I INCLUDES AN AMOUNT ($5,600,000) PROVIDED TO VVMC DIVERSIFIED SERVICES DBA VAIL HEALTH CLINICS, A RELATED ORGANIZATION WHICH IS A GROUP OF PHYSICIAN PRACTICES AND URGENT CARE FACILITIES LOCATED IN A RURAL AREA IN EAGLE COUNTY, COLORADO. VAIL HEALTH CLINICS IS ABLE TO PROVIDE IMPROVED COMMUNITY ACCESS TO HEALTHCARE SERVICES, ALLOWING ALL MEMBERS OF THE COMMUNITY TO BE SERVED. PART III, LINE 9B: ANY EXTRAORDINARY COLLECTION ACTIONS IN PROGRESS AT THE TIME AN INCOMPLETE APPLICATION IS RECEIVED MUST BE SUSPENDED. SUCH COLLECTIONS MAY BE INITIATED OR RESUMED IF A COMPLETED APPLICATION IS NOT RECEIVED, OR AFTER A REQUEST FOR ADDITIONAL INFORMATION IS NOT RECEIVED AFTER 30 DAYS OF NOTIFICATION. UPON APPROVAL OF A FINANCIAL ASSISTANCE REQUEST, VHH SHALL TAKE REASONABLE MEASURES TO VACATE OR REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS. PART VI, LINE 2: IN ADDITION TO THE ROBUST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, VAIL HEALTH CONTINUALLY ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY AND POPULATIONS SERVED. VAIL HEALTH HELD A COMMUNITY FEEDBACK SESSION ON AUGUST 5, 2024, INCLUSIVE OF A MULTITUDE OF COMMUNITY PARTNERS AND THE PUBLIC THEMSELVES. DURING THE MEETING, THE STATUS OF AND NEXT STEPS FOR THE CHNA IMPLEMENTATION PLAN AND COMMUNITY BENEFIT WERE REVIEWED, AS WELL AS INTERVENTIONS RELATED TO THE HOSPITAL TRANSFORMATION PROGRAM AND GENERAL HEALTH EQUITY EFFORTS TO REDUCE DISPARITIES. A SECOND MEETING WAS HELD IN THE EVENING ON AUGUST 5, 2024, FOR SPANISH-SPEAKING MEMBERS OF THE COMMUNITY, A KEY PART OF THE COMMUNITY. IN THE LOCAL SCHOOLS, HALF OF THE STUDENT POPULATION SPEAK SPANISH, WHICH IS REFLECTIVE OF THE OVERALL POPULATION. VAIL HEALTH ALSO CONTINUES TO REVIEW QUALITY OUTCOMES AND POPULATION HEALTH DATA FOR THE PURPOSE OF ONGOING COMMUNITY HEALTH NEEDS. VAIL HEALTH IS A TRUE COMMUNITY HOSPITAL THAT TRULY DOES LIVE BY OUR MISSION OF "ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES." TO DELIVER ON OUR MISSION, VAIL HEALTH IS COMMITTED TO ONGOING EFFORTS TO ASSESS AND MEET THE NEEDS OF OUR COMMUNITY. PART VI, LINE 3: CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS PROVIDED AT REGISTRATION AND DISCHARGE FROM THE PATIENT ACCESS DEPARTMENT, AS WELL AS ON BOTH OUR BILLING STATEMENTS AND ON OUR WEBSITE. ADDITIONALLY, PATIENTS CONTACTING THE HOSPITAL THROUGH CUSTOMER SERVICE OR PATIENT ACCOUNTING ARE DIRECTED TO THE FINANCIAL COUNSELOR FOR ASSISTANCE. PART VI, LINE 4: OUR PRIMARY SERVICE AREA IS IN EAGLE COUNTY AND THE SURROUNDING FOUR COUNTY REGION IN THE RURAL MOUNTAINS OF COLORADO. MANY PATIENTS DRIVE UP TO 70 - 80 MILES TO ACCESS OUR SERVICES. WE HAVE SEVERAL CLINICS LOCATED THROUGHOUT OUR PRIMARY SERVICE AREA PROVIDING URGENT CARE, EMERGENCY SERVICES, AND PHYSICAL REHAB TO MAKE OUR SERVICES MORE ACCESSIBLE. WE ALSO GET A PORTION OF OUR BUSINESS FROM THE SURROUNDING FIVE COUNTIES, AND FROM COLORADO FRONT RANGE RESIDENTS VISITING OUR RESORT COMMUNITY. PART VI, LINE 5: THROUGH A COLLECTIVE IMPACT MODEL, VAIL HEALTH AND ITS PARTNERS ARE ABLE TO HELP IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY MEMBERS. SUPPORTING OTHER COMMUNITY NONPROFITS THROUGH CASH AND IN-KIND DONATIONS IS A KEY COMPONENT OF MOVING THE NEEDLE. IN FY24, VAIL HEALTH PROVIDED $14.5M IN CASH DONATIONS TO COMMUNITY PARTNERS. ADDITIONALLY, THROUGH ITS JOINT VENTURE PARTNERSHIP IN THE VAIL VALLEY SURGERY CENTER, VAIL HEALTH DONATED $150,000 TO COMMUNITY INITIATIVES THROUGH VVSC IN FY24. VAIL HEALTH HEARD A REQUEST FOR MORE WELLNESS EDUCATION IN OUR VALLEY AND TOOK ACTION. IN FY24, VAIL HEALTH EDUCATED MORE THAN 400 LOCALS IN MEN'S AND WOMEN'S WELLNESS TOPICS LIKE MENOPAUSE, EXERCISE, AND MENTAL HEALTH. SESSIONS WERE OFFERED IN ENGLISH AND SPANISH. NEW IN FY24: VAIL HEALTH PARTNERED WITH COLORADO MOUNTAIN COLLEGE TO SUPPORT THE SUMMIT CAMPUS NURSING AND OUTDOOR SKILLS LAB. VAIL HEALTH ALSO DONATED FUNDS TO MY FUTURE PATHWAYS TO HELP INSPIRE YOUTH TO IGNITE THEIR GRIT AND PASSION TO ACHIEVE THE ULTIMATE GOALS OF GRADUATION, EMPLOYABILITY AND LEADERSHIP FOR A FULFILLING AND PRODUCTIVE LIFE. VAIL HEALTH CONTINUED ITS PARTNERSHIP WITH VAIL VALLEY CHARITABLE FUND TO OFFER FINANCIAL ASSISTANCE TO THOSE VAIL VALLEY RESIDENTS WHO APPLY FOR DIRECT AID WITH THE CHARITABLE FUND. THESE LOCALS USE THE FUNDING TO HELP COVER RENT, UTILITIES, GROCERIES, AND ADA HOUSE IMPROVEMENTS AMONG OTHER THINGS. VAIL HEALTH SUPPORTED A VARIETY OF LOCAL INITIATIVES WITH PARTNERS SUCH AS BRIGHT FUTURE FOUNDATION, EAGLE COUNTY SCHOOL DISTRICT, YOUR HOPE CENTER, THE CYCLE EFFECT, THE COMMUNITY MARKET, AS WELL AS IN SUMMIT COUNTY. NEW IN FY24, VAIL HEALTH FUNDED THE VAIL RELIGIOUS FOUNDATION, EAGLE COUNTY JUNIOR LIVESTOCK AND 4H, AND VAIL VALLEY MOUNTAIN TRAILS ALLIANCE. VAIL HEALTH CONTINUED SUPPORT OF EAGLE COUNTY SCHOOLS THROUGH A JOB SHADOWING PROGRAM, THE THINK FIRST PROGRAM THAT DISTRIBUTED FREE BIKE HELMETS TO KIDS AND OFFERED A SKI SAFETY PROGRAM IN CONJUNCTION WITH VAIL RESORTS, THE SHAW CANCER CENTER SUN SAFETY PROGRAM EDUCATES KIDS ON SUN PROTECTION, TWO ATHLETIC TRAINERS ARE PROVIDED BY VH TO ENSURE ATHLETE SAFETY DURING SPORTING EVENTS, AND THE FUNDING OF THE STEM PROJECT LEAD THE WAY CURRICULUM FOR STUDENTS. THE VAIL HEALTH TRAUMA TEAM WORKED WITH LOCAL HIGH SCHOOL STUDENTS TO PROMOTE SAFE TEEN DRIVING THROUGH SAFETY FAIRS IN PARTNERSHIP WITH THE SCHOOL DISTRICT AND MOUNTAIN YOUTH. VAIL HEALTH SUPPORTS THE EDUCATION FOUNDATION OF EAGLE COUNTY THROUGH STEM GRANTS TO CLASSROOM TEACHERS AND PROJECT FUNWAY. VAIL HEALTH PARTNERS WITH THE EMERGENCY MEDICAL SERVICES IN EAGLE COUNTY TO EDUCATE 200 STUDENTS DURING THE SUMMER AT CAMP 911. VAIL HEALTH PARTNERED WITH MIRA, TOWN OF SILVERTHORNE, BRECKENRIDGE GRAND VACATIONS AND THE EAGLE COUNTY SCHOOL DISTRICT TO OFFER WELLNESS FAIRS TO THE COMMUNITY. THROUGH VAIL HEALTH'S WHOLLY OWNED SUBSIDIARY, EAGLE VALLEY BEHAVIORAL HEALTH, 13 LOCAL NON-PROFITS BENEFITED FROM MORE THAN $4.5M IN GRANTS AND PHILANTHROPY TO HELP THEIR COMMUNITY HEALTH CAUSES, AN INCREASE FROM $3.7M IN THE PRIOR FISCAL YEAR. VAIL HEALTH SUPPORTS CONTINUED CUTTING-EDGE MEDICAL RESEARCH WITH MORE THAN 60 STUDIES HAPPENING THROUGH ITS FUNDING OF STEADMAN PHILIPPON RESEARCH FOUNDATION. VAIL HEALTH'S PROGRAM SUPPORT OF VVMC DIVERSIFIED SERVICES BRINGS MUCH-NEEDED SPECIALTY HEALTH SERVICES SUCH AS CARDIOVASCULAR, PULMONOLOGY, SURGICAL ASSOCIATES, PLASTICS AND IMAGING CARE FOR THE COMMUNITY. WITH AN APPRECIATION FOR THE MAJESTIC MOUNTAIN REGION IN WHICH VAIL HEALTH IS LOCATED, IN 2024, VAIL HEALTH HOSPITAL REACHED A 26% WASTE DIVERSION RATE FROM THE LANDFILL AS PART OF ITS ENVIRONMENTAL SUSTAINABILITY PROGRAM WHICH FOCUSED ON COMPREHENSIVE RECYCLING, COMPOSTING, ELECTRONIC WASTE, EQUIPMENT DONATION, AND METAL RECYCLING PROGRAMS. VAIL HEALTH DIVERTED 71,108 LBS. OF COMPOST FROM THE LANDFILL, WHICH IS THE EQUIVALENT OF 50,842 NET POUNDS OF CO2 SAVED. ADDITIONALLY, IN MARCH 2024, VAIL HEALTH PARTNERED WITH SION60 TO ESTABLISH A CARBON EMISSIONS BASELINE, IDENTIFYING OPPORTUNITIES TO REDUCE POLLUTION. SION60 AND VAIL HEALTH COMPLETED AN INTERFACE TO ENERGY STAR PORTFOLIO MANAGER TO AUTOMATICALLY INTERFACE DATA FROM FACILITY ENERGY INVOICES. ANESTHESIA, GAS AND FLEET FUEL CONSUMPTION WERE ALSO MEASURED. SION60'S SOFTWARE, BUILT ON THE FOUNDATION OF THE GREENHOUSE PROTOCOL, EPA AND JOINT COMMISSION STANDARDS, SIMPLIFIED DIFFICULT MEASUREMENTS AND ALLOWED THE HEALTHCARE SYSTEM TO FIND EFFICIENCY AND IMPROVEMENTS IN THE FUTURE. PART VI, LINE 7, REPORTS FILED WITH STATES CO 1 VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 501(C)(3) 5600000 0 RELATED PARTY ADMINISTRATIVE SUPPORT EAGLE VALLEY BEHAVIORAL HEALTH PO BOX 40000 VAIL CO 81658 834327406 501(C)(3) 3856540 0 PROGRAM SUPPORT STEADMAN PHILIPPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL CO 81657 880245022 501(C)(3) 4310000 0 PROGRAM SUPPORT EAGLE VALLEY COMMUNITY FOUNDATION PO BOX 1580 VAIL CO 81658 471915583 501(C)(3) 97412 0 COMMUNITY MARKET FUNDING GIFT YOUTHPOWER365 PO BOX 6550 AVON CO 81620 841442909 501(C)(3) 90000 0 YOUTHPOWER 365 VALLEY SCHOLARS PROGRAM MY FUTURE PATHWAYS INC PO BOX 4525 EDWARDS CO 81632 834345901 501(C)(3) 85850 0 RENT EDWARDS COMMUNITY HEALTH CAMPUS BRIGHT FUTURE FOUNDATION PO BOX 2558 AVON CO 81620 840938374 501(C)(3) 60000 0 BRIGHTHOUSE CAPITAL CAMPAIGN EAGLE COUNTY SCHOOL DISTRICT PO BOX 740 EAGLE CO 81631 EAGLE COUNTY 55000 0 PROJECT LEAD THE WAY CURRICULUM THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE CO 80424 742341399 501(C)(3) 51000 0 VAIL HEALTH SCHOLARSHIPS VAIL RELIGIOUS FOUNDATION 19 VAIL ROAD VAIL CO 81657 846042788 501(C)(3) 50000 0 50TH ANNIVERSARY CAPITAL CAMPAIGN UNITED STATES SKI TEAM PO BOX 100 1 VICTORY LANE PARK CITY CO 84060 846030639 501(C)(3) 40000 0 ANNUAL MEDICAL SUPPLIER FEES/MESS COURSE SPONSORSHIP VAIL CHRISTIAN HIGH SCHOOL 31621 HWY 6 EDWARDS CO 81632 841464946 CHURCH 35000 0 SPORTS HEALTH & MEDICINE ATHLETIC TRAINING FUNDING HOPE CENTER OF THE EAGLE RIVER VALLEY PO BOX 2127 EAGLE CO 81631 852425930 501(C)(3) 25300 0 SUBLEASE AGREEMENT EDUCATION FOUNDATION OF EAGLE COUNTY 1121 MILLER RANCH ROAD EDWARDS CO 81632 841585417 501(C)(3) 20000 0 CLASSROOM STEM GRANTS VAIL VALLEY CHARITABLE FUND P O BOX 2307 EDWARDS CO 81632 841359124 501(C)(3) 20000 0 VVCF DIRECT AID GRANT PARTNERSHIP VAIL VALLEY PARTNERSHIP 97 MAIN STREET SUITE E201 EDWARDS CO 81632 840535997 501(C)(3) 12500 0 INVESTOR LEVEL MEMBERSHIP/VAIL VALLEY WORKS DONATION WALKING MOUNTAINS SCIENCE CTR PO BOX 9469 AVON CO 81620 841436731 501(C)(3) 10500 0 CLIMATE ACTION COLLABORATIVE CONTRIBUTION VAIL VALLEY FOUNDATION PO BOX 6550 AVON CO 81620 742215035 501(C)(3) 10000 0 BLACK DIAMOND BALL GOLD SPONSORSHIP VAIL MOUNTAINEER HOCKEY CLUB PO BOX 2591 EDWARDS CO 81632 840779148 501(C)(3) 7500 0 AVALANCHE ALUMNI WEEKEND SPONSORSHIP TOWN OF BRECKENRIDGE PO BOX 168 BRECKENRIDGE CO 80424 846000637 TOWN OF BRECKENRIDGE 6500 0 RACEBRECK SPONSORSHIP EAGLE COUNTY FAIR & RODEO PO BOX 850 EAGLE CO 81631 EAGLE COUNTY 6000 0 2024 EAGLE FOUNTY FAIR & RODEO MUTTON BUSTIN SPONSORSHIP VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL CO 81658 742505662 501(C)(3) 4491560 0 RELATED PARTY ADMINISTRATIVE SUPPORT 22 0 PART I, LINE 2: MANAGERS AND DIRECTORS REGULARLY MONITOR ACTIVITIES AND THE USAGE OF GRANT FUNDS. X X X X 0 1 0 0 0 0 0 1 0 WILL COOK PRESIDENT AND CEO 876827 0 257155 0 189841 0 39000 0 37146 0 1399969 0 0 0 PATRICIA HARDENBERGH MD PHYSICIAN 745971 0 55500 0 170177 0 16500 0 31586 0 1019734 0 0 0 AMANDA VEIT CHIEF OPERATIONS OFFICER 536862 0 160828 0 117744 0 32019 0 29541 0 876994 0 0 0 ALEXANDER URQUHART MD PHYSICIAN 567390 0 74160 0 31444 0 16500 0 32143 0 721637 0 0 0 STEPHEN LAIRD MD PHYSICIAN 605729 0 28159 0 6152 0 16500 0 31586 0 688126 0 0 0 BARRY HAMMAKER MD PHYSICIAN 492821 0 0 0 125763 0 11605 0 41262 0 671451 0 0 0 JERRY GREENBERG MD DIRECTOR 520486 0 25709 0 88404 0 16500 0 20319 0 671418 0 0 0 DAVID KAPLAN PRESIDENT CMM 481597 0 128749 0 7442 0 16500 0 31851 0 666139 0 0 0 KATHERINE SCHUETZE MD PHYSICIAN 529285 0 0 0 78771 0 16388 0 30198 0 654642 0 0 0 JOHN HIGGINS TREASURER AND CFO - OUTGOING 414070 0 99810 0 23842 0 21189 0 38990 0 597901 0 0 0 JANET ENGLE DIRECTOR 464101 0 30159 0 20299 0 14246 0 20670 0 549475 0 0 0 CRAIG COHN CHIEF REAL ESTATE DEV OFFI 393681 0 105874 0 6439 0 16500 0 4585 0 527079 0 0 0 KRISTEN ICKES DO DIRECTOR 322790 0 30491 0 33041 0 12875 0 20304 0 419501 0 0 0 MICHAEL BROWN TREASURER AND CFO 245175 0 38126 0 13644 0 12361 0 20846 0 330152 0 0 0 PART I, LINE 4B 457F PLAN: WILLIAM COOK, JOHN HIGGINS, AND AMANDA VEIT PARTICIPATED IN A SERP DURING THE YEAR. VESTING PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENTS OCCURS ON OCTOBER 1 OR DECEMBER 1, RESPECTIVELY, OF EACH YEAR. NO AMOUNTS WERE PAID OUT DURING THE CALENDAR YEAR 2023. PART I, LINE 7 NON FIXED AND BONUS PAYMENTS: INCENTIVE BONUSES ARE CALCULATED AS A PERCENT OF BASE COMPENSATION. THE DETERMINATION OF WHETHER OR NOT A PAYOUT IS MADE IS BASED ON COMPANY FINANCIAL PERFORMANCE AND ON INDIVIDUAL PERFORMANCE REVIEWS CONDUCTED BY THE CEO AND THE COMPENSATION COMMITTEE. CERTAIN PHYSICIAN PRODUCTIVITY BONUSES ARE PAID BASED ON RELATIVE VALUE UNITES (RVUS) WHICH ARE AN INDICATION OF THE EMPLOYEE'S PRODUCTIVITY OR LEVEL OF EFFORT. OTHER PHYSICIAN BONUSES ARE BASED ON SATISFACTION OF CRITERIA DEFINED IN EMPLOYMENT AGREEMENTS. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A4N2 2015-10-21 104038243 HOSP RENOVATION/EXPANSION 0 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 2012-06-06 19052899 REFUND SERIES 2001 0 0 0 A 2350000 106777273 921241 105854467 1565 2020 0 0 1 1 B 16744907 19052899 303592 18749307 2012 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2020 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2022 SCHEDULE K, PART I, COLUMN (E) FOR BOND A AND PART II, LINE 3: THE TOTAL PROCEEDS OF THE 2015 ISSUE A EXCEEDS THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS ON THE PROCEEDS. FORM 990, PART III, LINE 4A: KEY METRICS OF VAIL HEALTH HOSPITAL FOR FISCAL YEAR ENDED 10/31/2024 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,562 PATIENT DAYS: 4,565 TOTAL SURGERIES: 4,403 BEING A NONPROFIT, SOLE COMMUNITY PROVIDER WITH A LOCALLY BASED VOLUNTEER BOARD OF DIRECTORS, VAIL HEALTH CAN KEEP ITS DOLLARS LOCAL AND REINVEST BACK INTO THE COMMUNITIES IT SERVES, HELPING TO DELIVER ON ITS MISSION OF ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES WITH A FOCUS ON ITS STRATEGIC PILLARS OF AFFORDABILITY, ACCESSIBILITY, SUSTAINABILITY AND POPULATION HEALTH. VAIL HEALTH IS A COMPREHENSIVE COMMUNITY HEALTH CARE SYSTEM WITH CARE STARTING FROM CHILDBIRTH AND INCLUDES VAIL HEALTH HOSPITAL, COLORADO MOUNTAIN MEDICAL, SHAW CANCER CENTER, HOWARD HEAD SPORTS MEDICINE, VAIL HEALTH BEHAVIORAL HEALTH, AND VAIL HEALTH FOUNDATION. ACROSS ITS CONTINUUM OF CARE, VAIL HEALTH FOCUSES ON QUALITY, SAFETY, PATIENT EXPERIENCE, EXECUTING ITS STRATEGIC PLAN, AND FULFILLING ITS NON-PROFIT MISSION OF 'ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES.' VAIL HEALTH MAINTAINED ITS LEAP FROG "A" GRADE IN QUALITY AND SAFETY AND HAS A CMS RATING OF 5 STARS (1 OF 429 U.S. HOSPITALS WITH A 5-STAR RATING). VAIL HEALTH WAS A NOMINEE FOR THE VAIL VALLEY PARTNERSHIP (LOCAL CHAMBER OF COMMERCE) 2024 SUCCESS AWARDS FOR NONPROFIT OF THE YEAR, BEST PLACE TO WORK, AND COMMUNITY IMPACT AWARD ORGANIZATION. VAIL HEALTH WAS RECOGNIZED BY PRESS GANEY WITH TWO GUARDIAN OF EXCELLENCE AWARDS IN 2024, INCLUDING ONE FOR THE INPATIENT DEPARTMENTS (FAMILY BIRTH CENTER, INTENSIVE CARE UNIT, PATIENT CARE UNIT) AND ONE FOR THE EMERGENCY DEPARTMENT. IT MARKED THE FIFTH CONSECUTIVE YEAR THE EMERGENCY DEPARTMENT HAS EARNED THE AWARD. IN 2024, VAIL HEALTH ACHIEVED A NET PROMOTER SCORE OF 81, A JUMP FROM 79 IN 2023, AND AN EMPLOYEE ENGAGEMENT INDEX OF 89, AN INCREASE FROM 87 THE PREVIOUS YEAR AND 82 TWO YEARS PRIOR. VAIL HEALTH CONTINUED TO EXPAND ACCESS TO BEHAVIORAL HEALTH CARE SERVICES IN FY24, INCREASING STAFFING BY 12% WITH 29 FULL-TIME LICENSED PROVIDERS THAT ALL ACCEPT COMMERCIAL INSURANCE AND GOVERNMENTAL PROGRAMS. IN FY24, VAIL HEALTH BEHAVIORAL HEALTH (VHBH) PROVIDED APPROXIMATELY 26,000 UNIQUE BEHAVIORAL HEALTH SESSIONS, INCLUDING 8,700 PSYCHIATRY SESSIONS, MORE THAN 14,000 THERAPY SESSIONS, AND 3,300 INTEGRATED BEHAVIORAL HEALTH SESSIONS IN TWO LOCATIONS: EDWARDS AND FRISCO. IN 2024, VHBH ADDED NATUROPATHIC MEDICINE WITH A FULL-TIME PROVIDER OFFERING 32 CLINICAL HOURS PER WEEK; EXPANDED THE TRANSCRANIAL MAGNETIC STIMULATION PROGRAM, SERVING MORE THAN 20 PATIENTS WHO HAVE COMPLETED THE 36-TREATMENT COURSE FOR 7-8 WEEKS WITH 90% OF PATIENTS HAVING CLINICALLY SIGNIFICANT BENEFITS AND 70% ENTERING FULL REMISSION; AND INCREASED SPANISH-SPEAKING THERAPISTS TO 5 PROVIDERS, SERVING AS YOUNG AS 3 UP TO 103 YEARS OLD. ADDITIONALLY, VAIL HEALTH COMPLETED CONSTRUCTION ON THE PRECOURT HEALING CENTER, A 28-ROOM INPATIENT BEHAVIORAL HEALTH FACILITY CENTRALLY LOCATED IN EDWARDS, COLORADO, THAT WILL SERVE ADOLESCENTS (12-18) AND ADULTS (18+) IN BOTH ENGLISH AND SPANISH. WHEN THE FACILITY OPENS IN MAY 2025, IT WILL BE THE ONLY PSYCHIATRIC HOSPITAL BETWEEN THE FRONT RANGE AND SALT LAKE CITY, UTAH. BY ADDING MORE ACUTE CARE SERVICES, VAIL HEALTH WILL OFFER THE FULL CONTINUUM OF BEHAVIORAL HEALTH CARE FROM PREVENTION AND EARLY INTERVENTION, TO OUTPATIENT, CRISIS, COMMUNITY STABILIZATION, AND INPATIENT THUS TRULY TRANSFORMING THE BEHAVIORAL HEALTH LANDSCAPE IN OUR MOUNTAIN COMMUNITY. INTEGRATED BEHAVIORAL HEALTH (IBH) CONTINUES TO BE EMBEDDED WITHIN THE PRIMARY CARE SETTING AT ALL COLORADO MOUNTAIN MEDICAL (CMM) LOCATIONS, PROVIDING IMMEDIATE CLINICAL RESPONSE TO PATIENTS IN CRISIS OR WITH URGENT NEEDS. IBH COMPLETED MORE THAN 3,300 PATIENT VISITS IN FY24. THESE PATIENT VISITS RANGE FROM 15-MINUTE SCREENING AND PSYCHOEDUCATION TO UPWARDS OF FOUR HOURS OF STABILIZATION. THE PRIMARY REFERRALS FOR THESE SERVICES COME FROM URGENT CARE, PRIMARY CARE, PEDIATRICS, AND OBGYN TEAMS; HOWEVER, OTHER SPECIALTY SERVICES ALSO REQUEST SAME DAY CARE VIA WARM HANDOFFS WITH THE IBH TEAM. IBH ALSO PROVIDES SUPERVISION TO INCLUDE A PSYCHIATRIC RESIDENCY ROTATION AND PARTICIPATES IN THE COPIC CONSORTIUM AS FACULTY FOR UP TO 62 HOURS OF SUPERVISION PER YEAR. VAIL HEALTH COMPLETED CONSTRUCTION ON THE LARGEST PRIVATE, DEED-RESTRICTED AND FREE MARKET EMPLOYEE HOUSING JOINT VENTURE PROJECT IN EAGLE COUNTY, ADDING 87 UNITS OF WORKFORCE HOUSING INTO THE MARKET. THE FOX HOLLOW PROJECT ALMOST DOUBLED VAIL HEALTH'S EMPLOYEE HOUSING FROM 93 UNITS TO 180, AND THE TOTAL EMPLOYEE BED COUNT INCREASED BY 137% FROM 160 BEDS TO 380. VAIL HEALTH GAVE MORE THAN $27.7 MILLION BACK TO THE LOCAL COMMUNITY IN FISCAL 2024 THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES AND HELPING REDUCE SOCIAL DETERMINANTS OF HEALTH, WHOLE PERSON HEALTH CARE, CLINICAL EDUCATION, MEDICAL RESEARCH, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 VAIL HEALTH SERVICES IS THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A VAIL HEALTH SERVICES, THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL, APPOINTS BOARD MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNANCE DECISIONS ARE ALSO SUBJECT TO APPROVAL BY THE SOLE MEMBER: - APPOINTING AND REMOVING THE PRESIDENT OF THE CORPORATION - AMENDING OR APPROVING ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS - APPROVING BUDGETS - APPROVING UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000 - APPROVING UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000 - VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR BANKRUPTCY - APPROVING SALE OF ASSETS IN EXCESS OF $1,000,000 - CREATING A SUBSIDIARY OR AFFILIATE - SELECTING PUBLIC ACCOUNTANTS - ESTABLISHING INVESTMENT POLICIES - ESTABLISHING POLICIES ON THE DISTRIBUTION AND USE OF FUNDS - ADDING/DELETING MAJOR PROGRAM/SERVICE LINES FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A THIRD PARTY BASED ON DATA PREPARED AND SUBMITTED BY THE ACCOUNTING DEPARTMENT. THE DRAFT FORM 990 IS REVIEWED BY MEMBERS OF THE ACCOUNTING DEPARTMENT. THE REVIEW INCLUDES READING IT FOR ACCURACY OF DISCLOSURE AND COMPARING THE NUMBERS TO THOSE IN THE AUDITED FINANCIAL STATEMENTS. ONCE ACCOUNTING AND MANAGEMENT HAVE PERFORMED THEIR REVIEW, A COPY OF THE FORM FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY APPLIES THROUGHOUT VAIL HEALTH TO ALL AFFILIATED PERSONS INCLUDING, WITHOUT LIMITATION, BOARD MEMBERS, OFFICERS, EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND VOLUNTEERS. ALL AFFILIATED PERSONS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A CONFLICT-OF-INTEREST ELECTRONIC QUESTIONNAIRE UPON HIRE OR APPOINTMENT AND THEN ANNUALLY THEREAFTER. BOARD MEMBERS AND AGENTS MUST COMPLETE AND SUBMIT CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE TO THE COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY THEREAFTER. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE COMPLIANCE OFFICER WHEN THEY BEGIN PROVIDING SERVICES TO VAIL HEALTH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, ALL AFFILIATED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE COMPLIANCE OFFICER AND THE CONFLICT-OF-INTEREST COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE AFFILIATED PERSON OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VAIL HEALTH; - WHETHER THE AFFILIATED PERSON'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VAIL HEALTH DECISION OR ACTIVITY; - WHETHER THE AFFILIATED PERSON OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE AFFILIATED PERSON'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE AFFILIATED PERSON'S OBLIGATIONS TO VAIL HEALTH OR VAIL HEALTH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2024 BY AN EXTERNAL COMPENSATION CONSULTANT. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE EXECUTIVE AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2024 BY AN EXTERNAL COMPENSATION CONSULTANT. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE INDIVIDUAL AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC FOR VALID BUSINESS PURPOSES. THESE DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: WRITTEN POLICY RELATED TO JOINT VENTURE ARRANGEMENTS: VAIL HEALTH HOSPITAL DOES NOT HAVE A DOCUMENTED WRITTEN POLICY, HOWEVER, THE ORGANIZATION TAKES APPROPRIATE MEASURES AND HAS PROCESSES IN PLACE TO ENSURE THAT ANY PARTICIPATION IN JOINT VENTURE AGREEMENTS ARE EVALUATED EXTENSIVELY IN ORDER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 28,061,693. MANAGEMENT AND GENERAL EXPENSES 17,568,577. TOTAL EXPENSES 45,630,270. FORM 990, PART XI, LINE 9: TRANSFER FROM EAGLE VALLEY BEHAVIORAL HEALTH FOR CAPITAL EXPENDITURES 5,030,000. 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