VAIL CLINIC INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: VAIL CLINIC INC (EIN 84-0563230)
Tax period: 2018-11-01 to 2019-10-31
Filed: 2020-09-15
IRS object ID: 202042599349300619
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-09-15T12:44:54-05:00	ReturnTs
Tax Period End	2019-10-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 S 6TH ST 2300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-11-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840563230	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VAIL CLINIC INC	BusinessNameLine1Txt
Business Name Line2	% VHH ACCOUNTING DEPARTMENT	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	VAIL	BusinessNameControlTxt
Phone	9704762451	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 40000	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81658	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN HIGGINS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	9704797238	PhoneNum
Signature	2020-09-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAWRENCE H MOHR CPA	PreparerPersonNm
PTIN	P00447603	PTIN
Phone	6128764500	PhoneNum
Preparation	2020-09-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	45.62.178.239	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-09-14	IPDt
IP Tm	14:37:59	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EDB264CAD7F9F6CD2E19D356927987B2A35A11B0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	VAIL HEALTH HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	WILL COOK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 40000	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81658	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$339,008,616	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.VAILHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1213	TotalEmployeeCnt
Total Volunteers	93	TotalVolunteersCnt
Total Gross UBI	$6,831,066	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,530,184	PYContributionsGrantsAmt
CY Contributions Grants	$4,122,060	CYContributionsGrantsAmt
PY Program Service Revenue	$238,016,285	PYProgramServiceRevenueAmt
CY Program Service Revenue	$261,875,259	CYProgramServiceRevenueAmt
PY Investment Income	$14,368,954	PYInvestmentIncomeAmt
CY Investment Income	$9,652,866	CYInvestmentIncomeAmt
PY Other Revenue	$2,090,907	PYOtherRevenueAmt
CY Other Revenue	$3,686,438	CYOtherRevenueAmt
PY Total Revenue	$259,006,330	PYTotalRevenueAmt
CY Total Revenue	$279,336,623	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,726,154	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,321,092	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$73,229,658	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$87,693,115	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,601,791	CYTotalFundraisingExpenseAmt
PY Other Expenses	$112,720,196	PYOtherExpensesAmt
CY Other Expenses	$127,709,545	CYOtherExpensesAmt
PY Total Expenses	$196,676,008	PYTotalExpensesAmt
CY Total Expenses	$225,723,752	CYTotalExpensesAmt
PY Revenues Less Expenses	$62,330,322	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$53,612,871	CYRevenuesLessExpensesAmt
Total Assets BOY	$701,363,896	TotalAssetsBOYAmt
Total Assets EOY	$792,072,169	TotalAssetsEOYAmt
Total Liabilities BOY	$153,203,537	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$168,312,702	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$548,160,359	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$623,759,467	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$160,728,942	ExpenseAmt
Grant	$10,321,092	GrantAmt
Revenue	$256,978,253	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$160,728,942	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	198	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1213	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VHH ACCOUNTING DEPARTMENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9704762451	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 40000	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81658	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DORIS KIRCHNER
PRESIDENT, CEO (THRU 1/19), BOARD MEMBER	40.00	4.00	Yes (X)	Yes (X)	$778,650	$0	$47,404
WILL COOK
CEO (FROM 1/19)	40.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE SHANNON
CHAIRMAN OF THE BOARD	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DICK CLEVELAND
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
CHRIS JARNOT
SECRETARY	1.00	0.00	Yes (X)		$0	$0	$0
JEFF SHROLL
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
WAYNE WENZEL MD
TRUSTEE (OUTGOING)	1.00	0.00	Yes (X)		$0	$0	$0
ELLEN MORITZ
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JUSTIN STARZYK
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PAMELA BOCK
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
CHARLIE L'ESPERANCE
TRUSTEE (OUTGOING)	1.00	0.00	Yes (X)		$0	$0	$0
JERRY GREENBERG MD
BOARD MEMBER	0.00	40.00	Yes (X)		$637,664	$0	$34,619
JOHANNES FAESSLER
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JAY PRECOURT
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SALLY VEITCH
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ANDY ARNOLD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SAM BRONFMAN
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARC PHILIPPON MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ANDY DALY
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
HARRY FRAMPTON
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ERIC AFFELDT
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MIKE IMHOF
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARY RANDALL
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
REG FRANCIOSE
TRUSTEE (OUTGOING)	1.00	0.00	Yes (X)		$0	$0	$0
FREDERICK SMITH
CHIEF ADMINISTRATIVE OFFICER	40.00	0.00		Yes (X)	$365,542	$0	$57,545
HAROLD DUPPER
CFO AND ASST TREASURER	40.00	3.00		Yes (X)	$442,000	$0	$16,833
PATRICIA HARDENBERGH MD
PHYSICIAN	40.00	0.00			$702,203	$0	$36,337	Yes (X)
ALEXANDER URQUHART MD
PHYSICIAN	40.00	0.00			$482,408	$0	$36,873	Yes (X)
NELSON PRAGER MD
PHYSICIAN	0.00	40.00			$550,812	$0	$3,751	Yes (X)
DANIEL PENNINGTON
FOUNDATION PRESIDENT	0.00	40.00			$383,020	$0	$35,082	Yes (X)
MICHAEL WESTMILLER
VVSC PRESIDENT	0.00	40.00			$359,587	$0	$42,907	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,701,886	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$311,351	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	188	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GE JOHNSON CONSTRUCTION CO
40800 HIGHWAY 6 STE 8	AVON	CO	81620	CONSTRUCTION	$25,123,266
CERNER CORPORATION
PO BOX 410451	KANSAS CITY	MO	64141	IT SERVICES	$7,351,209
ADOLFSON & PETERSON CONSTRUCTION
0056 EDWDS VLGE BLVD 216	EDWARDS	CO	81632	CONSTRUCTION	$5,714,879
VAIL VALLEY EMERGENCY PHYSICIANS PC
27 MAIN STREET SUITE C301	EDWARDS	CO	81632	PHYSICIAN SERVICES	$3,712,828
DAVIS PARTNERSHIP PC ARCHITECTS
2901 BLAKE STREET SUITE 100	DENVER	CO	80205	ARCHITECT	$3,569,731

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	86	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,122,060	RelatedOrganizationsAmt
Total Contributions	$4,122,060	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	900099	$163,906,190	$161,538,357	$2,367,833
MEDICARE/MEDICAID	900099	$44,674,714	$44,674,714
EQUITY IN EARNINGS OF SUBSIDIARIE	900099	$35,065,256	$35,065,256
PROVIDER FEE INCOME	900099	$8,794,336	$8,794,336
RETAIL PHARMACY	446110	$4,467,940		$4,463,233	$4,707

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,966,823	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,966,823	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$261,875,259	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,912,136	TotalRevenueColumnAmt
Exclusion	$9,912,136	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,094,805	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,151,183	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$943,622	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$943,622	TotalRevenueColumnAmt
Exclusion	$943,622	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$53,261,540	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$53,341,231	SecuritiesAmt
Other	$179,579	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$79,691	SecuritiesAmt
Other	-$179,579	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$259,270	TotalRevenueColumnAmt
Exclusion	-$259,270	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$1,698,101	$1,698,101
CAFETERIA REVENUE	900099	$804,049		$804,049
REBATES FROM VENDOR	900099	$240,666	$240,666

Field	Value	IRS element (for citing)
Other Revenue Total	$2,742,816	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$279,336,623	TotalRevenueColumnAmt
Related Or Exempt Func Income	$256,978,253	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,831,066	UnrelatedBusinessRevenueAmt
Exclusion	$11,405,244	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$10,321,092	TotalAmt
Program Services	$10,321,092	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,807,626	TotalAmt
Management And General	$2,895,874	ManagementAndGeneralAmt
Fundraising	$911,752	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,544,426	TotalAmt
Program Services	$46,725,205	ProgramServicesAmt
Management And General	$19,318,630	ManagementAndGeneralAmt
Fundraising	$500,591	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,675,631	TotalAmt
Program Services	$1,892,849	ProgramServicesAmt
Management And General	$762,939	ManagementAndGeneralAmt
Fundraising	$19,843	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,059,893	TotalAmt
Program Services	$5,892,410	ProgramServicesAmt
Management And General	$3,109,973	ManagementAndGeneralAmt
Fundraising	$57,510	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,605,539	TotalAmt
Program Services	$3,965,584	ProgramServicesAmt
Management And General	$1,598,384	ManagementAndGeneralAmt
Fundraising	$41,571	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,912,301	TotalAmt
Management And General	$2,912,301	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,869	TotalAmt
Management And General	$133,869	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,285	TotalAmt
Management And General	$5,285	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$808,941	TotalAmt
Management And General	$808,941	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,904,534	TotalAmt
Program Services	$11,736,955	ProgramServicesAmt
Management And General	$6,117,853	ManagementAndGeneralAmt
Fundraising	$49,726	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,811,296	TotalAmt
Program Services	$155,287	ProgramServicesAmt
Management And General	$1,656,009	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,388,728	TotalAmt
Program Services	$642,476	ProgramServicesAmt
Management And General	$1,746,252	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$136,063	TotalAmt
Program Services	$46,429	ProgramServicesAmt
Management And General	$89,634	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,737,086	TotalAmt
Program Services	$843,775	ProgramServicesAmt
Management And General	$2,893,311	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$306,374	TotalAmt
Program Services	$181,651	ProgramServicesAmt
Management And General	$123,323	ManagementAndGeneralAmt
Fundraising	$1,400	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$158,256	TotalAmt
Program Services	$84,216	ProgramServicesAmt
Management And General	$74,040	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,803,388	TotalAmt
Program Services	$1,803,388	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,932,594	TotalAmt
Program Services	$13,894,544	ProgramServicesAmt
Management And General	$2,038,050	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,163,967	TotalAmt
Management And General	$1,163,967	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL & OTHER SUPPLIE	$42,985,292	$41,710,172	$1,264,597	$10,523
BAD DEBT EXPENSE	$14,203,433	$14,203,433
REPAIRS & MAINTENANCE	$12,251,144	$866,305	$11,383,644	$1,195
PROVIDER FEE EXPENSE	$4,701,511	$4,701,511

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,365,483	TotalAmt
Program Services	$1,061,660	ProgramServicesAmt
Management And General	$3,296,143	ManagementAndGeneralAmt
Fundraising	$7,680	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$225,723,752	TotalAmt
Program Services	$160,728,942	ProgramServicesAmt
Management And General	$63,393,019	ManagementAndGeneralAmt
Fundraising	$1,601,791	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,021	BOYAmt
EOY	$9,315	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$57,900,661	BOYAmt
EOY	$75,858,196	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,947,989	BOYAmt
EOY	$2,000,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,502,748	BOYAmt
EOY	$32,352,284	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,964,804	BOYAmt
EOY	$8,294,075	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,425,185	BOYAmt
EOY	$4,754,928	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$459,959,539	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$177,549,099	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$217,380,962	BOYAmt
EOY	$282,410,440	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$347,069,621	BOYAmt
EOY	$341,772,784	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,602,789	BOYAmt
EOY	$663,495	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$24,056,491	BOYAmt
EOY	$34,119,307	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,504,625	BOYAmt
EOY	$9,837,345	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$701,363,896	BOYAmt
EOY	$792,072,169	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$36,093,337	BOYAmt
EOY	$53,219,478	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$114,477,308	BOYAmt
EOY	$112,539,305	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,632,892	BOYAmt
EOY	$2,553,919	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,203,537	BOYAmt
EOY	$168,312,702	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$540,958,566	BOYAmt
EOY	$620,361,664	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,201,793	BOYAmt
EOY	$3,397,803	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$548,160,359	BOYAmt
EOY	$623,759,467	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$701,363,896	BOYAmt
EOY	$792,072,169	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$53,612,871	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,125,406	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$83,975	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$55,194	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$10,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,455	OtherActivitiesAmt
Total Lobbying Expenditures	$15,455	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION CONTRIBUTED $10,000 TO A CAMPAIGN FOR A LOCAL BALLOT INITIATIVE TO PROVIDE ADDITIONAL FUNDING FOR IT'S AMBULANCE DISTRICT. A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,161,649	BeginningYearBalanceAmt
Contributions	$101,998	ContributionsAmt
Investment Earnings Or Losses	$513,523	InvestmentEarningsOrLossesAmt
Other Expenditures	$190,702	OtherExpendituresAmt
End Year Balance	$7,586,468	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,671,666	BeginningYearBalanceAmt
Contributions	$2,253,603	ContributionsAmt
Investment Earnings Or Losses	$236,380	InvestmentEarningsOrLossesAmt
End Year Balance	$7,161,649	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,787,148	BeginningYearBalanceAmt
Contributions	$296,823	ContributionsAmt
Investment Earnings Or Losses	$587,695	InvestmentEarningsOrLossesAmt
End Year Balance	$4,671,666	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,343,361	BeginningYearBalanceAmt
Contributions	$369,350	ContributionsAmt
Investment Earnings Or Losses	$74,437	InvestmentEarningsOrLossesAmt
End Year Balance	$3,787,148	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,511,532	BeginningYearBalanceAmt
Contributions	$86,600	ContributionsAmt
Investment Earnings Or Losses	-$254,771	InvestmentEarningsOrLossesAmt
End Year Balance	$3,343,361	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.80400	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.19600	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,648,448	OtherCostOrOtherBasisAmt
Book Value	$11,648,448	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$223,208,360	OtherCostOrOtherBasisAmt
Depreciation	$86,722,652	DepreciationAmt
Book Value	$136,485,708	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,251,888	OtherCostOrOtherBasisAmt
Depreciation	$1,386,954	DepreciationAmt
Book Value	$1,864,934	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,137,698	OtherCostOrOtherBasisAmt
Depreciation	$87,680,035	DepreciationAmt
Book Value	$26,457,663	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,713,145	OtherCostOrOtherBasisAmt
Depreciation	$1,759,458	DepreciationAmt
Book Value	$105,953,687	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$282,410,440	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	UNAMORTIZED BOND ISSUANCE COST	Desc
Amt	$2,553,919	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,553,919	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$288,988,441	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$22,125,406	NetUnrealizedGainsInvstAmt
Other Revenue	$6,151,183	OtherRevenueAmt
Revenue Not Reported	$28,276,589	RevenueNotReportedAmt
Revenue Subtotal	$260,711,852	RevenueSubtotalAmt
Other Revenues Not Included	$18,624,771	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$18,624,771	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$279,336,623	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$213,305,358	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$6,151,183	OtherExpensesIncludedAmt
Expenses Not Reported	$6,151,183	ExpensesNotReportedAmt
Expenses Subtotal	$207,154,175	ExpensesSubtotalAmt
Other Expenses Not Included	$18,569,577	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$18,569,577	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$225,723,752	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY. THESE ENDOWMENTS ARE HELD BY VAIL HEALTH SERVICE FOUNDATION FOR THE BENEFIT OF VAIL HEALTH HOSPITAL AND HAVE BEEN RESTRICTED FOR THE FOLLOWING PURPOSES: (1) FOR SUPPORT OF JACK'S PLACE, A CANCER CARING HOUSE. (2) FOR SUPPORT OF THE PROGRAMS AND CAPITAL PROJECTS OF VAIL HEALTH HOSPITAL.
PART X, LINE 2:	VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. ACCORDINGLY, NO PROVISION FOR INCOME HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2019 AND 2018.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	DIRECT RENTAL EXPENSES 6,151,183.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REVENUE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 121,342. BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 14,203,433. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,996.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DIRECT RENTAL EXPENSES 6,151,183.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 14,203,433. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,996. EXPENSE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 66,148.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Specific Services Provided	N/A	SpecificServicesProvidedTxt
Region Total Expenditures	$663,494	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$663,494	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$663,494	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE (1), COLUMN (F):	FormAndLineReferenceDesc
Explanation	INVESTMENTS CONSIST OF FUNDS THAT ARE INVESTED IN UNDERLYING HEDGE FUNDS THROUGH A LEGAL ENTITY DOMICILED OFFSHORE. THESE INVESTMENTS REPRESENT LESS THAN 1% OF VAIL HEALTH HOSPITAL'S TOTAL INVESTMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,659,415	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,659,415	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,370,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,316,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,053,704	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,029,469	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,316,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,713,119	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$905,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$149,861	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$755,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$478,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$368,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,868	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,868	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,452,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,342,425	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,842,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$369,945	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,472,329	NetCommunityBenefitExpnsAmt
Total Expense	0.05510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,871,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,686,295	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,185,448	NetCommunityBenefitExpnsAmt
Total Expense	0.08050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,203,433	BadDebtExpenseAmt
Reimbursed By Medicare	$32,513,477	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,272,833	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,240,644	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 VAIL VALLEY SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50250	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49750	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VAIL CLINIC INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 40000	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81658	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.VAILHEALTH.ORG	WebsiteAddressTxt
State License	010911	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	VAIL CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V STMT FOR FULL URL	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V STMT FOR FULL URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - VAIL VALLEY SURGERY CENTER (VAIL)
PO BOX 1270	VAIL	CO	81658	AMBULATORY SURGERY CENTER JV
2 - SHAW PAVILION (EDWARDS)
PO BOX 40000	VAIL	CO	81658	CANCER CENTER, PHYSICIAN OFFICES, RETAIL PHARMACY, SUPPORT SERVICES
3 - EDWARDS MEDICAL CENTER
PO BOX 40000	VAIL	CO	81658	PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES
4 - VAIL VALLEY SURGERY CENTER (EDWARDS)
PO BOX 1270	VAIL	CO	81658	AMBULATORY SURGERY CENTER JV
5 - AVON URGENT CARE
PO BOX 40000	VAIL	CO	81658	URGENT CARE, OCCUPATIONAL HEALTH, TRAVELER'S CLINIC
6 - BEAVER CREEK MEDICAL CENTER
PO BOX 40000	VAIL	CO	81658	FOR ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY
7 - MEDICAL PROFESSIONAL BUILDING (VAIL)
PO BOX 40000	VAIL	CO	81658	PHYSICIAN OFFICES, PHYSICAL THERAPY, SUPPORT SERVICES
8 - GYPSUM URGENT CARE
PO BOX 40000	VAIL	CO	81658	URGENT CARE, SUPPORT SERVICES
9 - EAGLE HEALTH CARE CENTER
PO BOX 40000	VAIL	CO	81658	JOINT VENTURE - PHYSICIAN OFFICES, PHYSICAL THERAPY
10 - HOWARD HEAD FRISCO
PO BOX 40000	VAIL	CO	81658	PHYSICAL THERAPY
11 - HOWARD HEAD SILVERTHORNE
PO BOX 40000	VAIL	CO	81658	PHYSICAL THERAPY
12 - HOWARD HEAD GYPSUM
PO BOX 40000	VAIL	CO	81658	PHYSICAL THERAPY
13 - HOWARD HEAD AVON
PO BOX 40000	VAIL	CO	81658	PHYSICAL THERAPY
14 - JACK'S PLACE (EDWARDS)
PO BOX 40000	VAIL	CO	81658	CANCER CARING HOUSE
15 - HOWARD HEAD BRECKENRIDGE
PO BOX 40000	VAIL	CO	81658	PHYSICAL THERAPY
16 - COLORADO MOUNTAIN MEDICAL (AVON)
PO BOX 40000	VAIL	CO	81658	PHYSICIAN OFFICES

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ($5,000,000) 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 $14,203,433.
PART III, LINE 2:	THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 4:	SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE.
PART III, LINE 8:	IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THAT THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. OUR COMMUNITY INCLUDES PATIENTS COVERED BY MEDICARE. WE SHOULD GET CREDIT FOR THE REIMBURSEMENT SHORTFALL THAT RESULTS FROM SERVING THIS SEGMENT OF OUR COMMUNITY.THE MEDICARE ALLOWABLE COST COMPUTATION INCLUDES THE COSTS FOR BOTH THE HOSPITAL AS WELL AS THE HOSPITAL'S APPLICABLE SHARE OF THEIR JOINT VENTURE'S COSTS. THE HOSPITAL'S MEDICARE ALLOWABLE COST IS DERIVED FROM THE MEDICARE COST REPORT. THE JOINT VENTURE'S MEDICARE ALLOWABLE COST IS COMPUTED USING A COST-TO-CHARGE RATIO. THE MEDICARE COST COMPUTED FOR THE JOINT VENTURE IS $2,403,873. THE REMAINING $27,868,960 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 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:	WE PROVIDE SEVERAL FREE AND LOW COST GENERAL HEALTH SCREENINGS, CARDIAC SCREENINGS, AND CANCER SCREENINGS TO THE COMMUNITY. WE ALSO PROVIDE FREE EDUCATION IN SCHOOLS AND COMMUNITY MEETINGS FOR A VARIETY OF TOPICS INCLUDING: HEAD AND SPINAL CORD INJURY PREVENTION PROGRAMS, HELMET SAFETY, CAR SEAT SAFETY, 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 $9.9M IN FY19, INCLUDING $4.3M TO FUND BIOMECHANICAL RESEARCH AND $5M 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 $40,000 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 $50,000 TO STARTING HEARTS TO PLACE DEFIBRILLATORS AROUND EAGLE COUNTY. WE DONATED $288K TO MOUNTAIN FAMILY HEALTH CENTERS TO SUBSIDIZE THEIR FEDERALLY QUALIFIED HEALTH CLINIC.SHAW CANCER CENTER STAFF EDUCATES AROUND 1,000 ELEMENTARY SCHOOL STUDENTS ON THE USE OF SUNSCREEN IN OUR SHAW SUN SAFETY PROGRAM.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 700 PEOPLE. WE PARTNER WITH EDUCATION FOUNDATION OF EAGLE COUNTY (EFEC) TO OFFER CLASSROOM STEM GRANTS TO ALL TEACHERS IN EAGLE COUNTY. PLUS WE DONATED $45,000 TO EAGLE COUNTY SCHOOL DISTRICT TO FUND PROJECT LEAD THE WAY, A STEM CIRRICULUM PROGRAM THAT WAS ROLLED OUT IN 6 LOCAL SCHOOLS.
PART VI, LINE 7, REPORTS FILED WITH STATES	CO

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
STEADMAN PHILIPPON RESEARCH FOUNDATION
181 W MEADOW DR STE 1000	VAIL	CO	81657	880245022	501(C)(3)	$4,299,996	PROGRAM SUPPORT
VAIL VALLEY PARTNERSHIP
PO BOX 1130	VAIL	CO	81658	840535997	501(C)(3)	$7,500	SPONSORSHIP
VAIL BREAST CANCER AWARENESS
PO BOX 4043	AVON	CO	81620	841515602	501(C)(3)	$8,000	SILVER SPONSORSHIP LUNCHEON BENEFIT
STARTING HEARTS
PO BOX 4318	AVON	CO	81620	273008262	501(C)(3)	$39,500	SPONSORSHIP- DEFIB PARTNERSHIP
STARTING HEARTS
PO BOX 4318	AVON	CO	81620	273008262	501(C)(3)	$10,500	DONATION - COMMUNITY OUTREACH
EDUCATION FOUNDATION OF EAGLE COUNTY
PO BOX 18533	AVON	CO	81620	841585417	501(C)(3)	$25,000	PROJECT FUNWAY
MOUNTAIN FAMILY HEALTH CENTERS
2700 GILSTRAP CT	GLENWOOD SPRINGS	CO	81601	840742145	501(C)(3)	$288,146	PROGRAM SUPPORT
UNITED STATES SKI TEAM
1 VICTORY LANE BOX 100	PARK CITY	UT	84060	846030639	501(C)(3)	$40,000	ANNUAL RIGHTS AND ANNUAL MESS COURSE FEES
VVMC DIVERSIFIED SERVICES
PO BOX 40000	VAIL	CO	81658	261167922	501(C)(3)	$5,000,000	PROGRAM SUPPORT
WALKING MOUNTAIN SCIENCE CENTER
PO BOX 9469	AVON	CO	81620	841436731	501(C)(3)	$5,000	A TASTE OF NATURE 2019 BRONZE SPONSOR
VAIL VALLEY FOUNDATION
PO BOX 6550	AVON	CO	81620	742215035	501(C)(3)	$6,000	BLACK DIAMOND BALL TABLE SPONSORSHIP
VAIL VALLEY FOUNDATION
PO BOX 6550	AVON	CO	81620	742215035	501(C)(3)	$16,000	VAIL HEALTH EMPLOYEE DEPENDENT SCHOLARSHIP
VAIL VALLEY FOUNDATION
PO BOX 6550	AVON	CO	81620	742215035	501(C)(3)	$5,000	DONATION TO STAR DANCING GALA
VAIL VALLEY FOUNDATION
PO BOX 6550	AVON	CO	81620	742215035	501(C)(3)	$5,000	DONATION
DENVER HEALTH FOUNDATION
655 BROADWAY SUITE 750	DENVER	CO	80203	841085196	501(C)(3)	$5,000	NIGHT SHINE GALA
EAGLE COUNTY SCHOOL DISTRICT
PO BOX 740	EAGLE	CO	81631		EAGLE COUNTY, CO	$45,000	LEAD THE WAY GRANT
EAGLE COUNTY FAIR AND RODEO
PO BOX 850	EAGLE	CO	81631		EAGLE COUNTY, CO	$5,000	EAGLE COUNTRY FAIR AND RODEO DIAMOND SPONSORSHIP
ROUND UP RIVER RANCH
PO BOX 8589	AVON	CO	81620	204632248	501(C)(3)	$5,000	SPONSOR FOR A GRATEFUL HARVEST EVENT
COLORADO MOUNTAIN MEDICAL
108 S FRONTAGE RD W STE 101	VAIL	CO	81657			$79,200	SUBSIDIZE FOR OB SERVICES
OUR COMMUNITY FOUNDATION
PO BOX 1580	VAIL	CO	81658	471915583	501(C)(3)	$10,000	MIRA VEHICLE WRAP
OUR COMMUNITY FOUNDATION
PO BOX 1580	VAIL	CO	81658	471915583	501(C)(3)	$5,000	SUPPORT COMMUNITY FOOD BANK
ROCKY MOUNTAIN CHILDREN'S HEALTH FOUNDATION
5394 MARSHALL ST SUITE 400	ARVADA	CO	80002	263839761	501(C)(3)	$5,000	KALEIDOSCOPE PATIENT FAMILY SPONSOR
SPEAK UP REACH OUT
PO BOX 5913	EAGLE	CO	81631	900996653	501(C)(3)	$5,000	COMMUNITY TRAINING PARTNERSHIP
ICJR
4115 WEST SPRUCE ST	TAMPA	FL	33607	261268139	501(C)(3)	$5,000	2019 11TH ANNUAL WINTER HIP AND KNEE COURSE SPONSORSHIP
EAGLE VALLEY BEHAVIORAL HEALTH
PO BOX 40000	VAIL	CO	81658	834327406	501(C)(3)	$250,000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MANAGERS AND DIRECTORS REGULARLY MONITOR ACTIVITIES AND THE USAGE OF GRANT FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DORIS KIRCHNER
PRESIDENT, CEO (THRU 1/19), BOARD ME	$567,259	$0	$167,689	$0	$43,702	$0	$31,849	$0	$15,555	$0	$826,054	$0	$0	$0
JERRY GREENBERG MD
BOARD MEMBER	$613,787	$0	$14,688	$0	$9,189	$0	$13,750	$0	$20,869	$0	$672,283	$0	$0	$0
FREDERICK SMITH
CHIEF ADMINISTRATIVE OFFICER	$289,029	$0	$70,476	$0	$6,037	$0	$28,800	$0	$28,745	$0	$423,087	$0	$0	$0
HAROLD DUPPER
CFO AND ASST TREASURER	$349,793	$0	$87,500	$0	$4,707	$0	$0	$0	$16,833	$0	$458,833	$0	$0	$0
PATRICIA HARDENBERGH MD
PHYSICIAN	$596,457	$0	$57,760	$0	$47,986	$0	$13,750	$0	$22,587	$0	$738,540	$0	$0	$0
ALEXANDER URQUHART MD
PHYSICIAN	$439,853	$0	$22,500	$0	$20,055	$0	$13,308	$0	$23,565	$0	$519,281	$0	$0	$0
NELSON PRAGER MD
PHYSICIAN	$526,497	$0	$13,250	$0	$11,065	$0	$0	$0	$3,751	$0	$554,563	$0	$0	$0
DANIEL PENNINGTON
FOUNDATION PRESIDENT	$317,491	$0	$62,475	$0	$3,054	$0	$5,500	$0	$29,582	$0	$418,102	$0	$0	$0
MICHAEL WESTMILLER
VVSC PRESIDENT	$291,645	$0	$63,830	$0	$4,112	$0	$13,750	$0	$29,157	$0	$402,494	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

457F PLAN: DORIS KIRCHNER AND FREDERICK SMITH PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNT WAS $37,300 AND $1,938, 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A	840752932	19648A4N2	2015-10-21	$104,038,243	RENOVATION & EXPANSION OF HOSPITAL	0	0	0
COLORADO HEALTH FACILITIES AUTHORITY
B	840752932		2012-06-06	$19,052,899	REFUND SERIES 2001	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr
A	$106,709,940	$921,241	$95,679,755	$10,108,944	0	0	0	Yes (1)
B	$19,052,899	$303,592			Yes (1)	0	Yes (1)	Yes (1)	$6,513,594	$18,749,307	2012

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2017
SCHEDULE K, PART I, COLUMN (E) FOR BOND A AND PART II, LINE 3:	THE TOTAL PROCEEDS OF THE 2015 ISSUE A EXCEEDS THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS ON THE PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 10/31/2019 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,983 PATIENT DAYS: 5,157 TOTAL SURGERIES: 3,407 AS PART OF THE MASTER FACILITY PLAN EFFORTS, THE CONSTRUCTION ON THE WEST WING CONCLUDED IN 2017, AND INCLUDED THE COMPLETION OF A NEW PRE-OPERATIVE/RECOVERY SUITE, A NEW STERILE PROCESSING FACILITY, AND A PATIENT/FAMILY WAITING ROOM ON THE 3RD FLOOR. EAST WING CONSTRUCTION HAS BEGUN AND WILL TAKE PLACE FROM 2017-2020. VHH ENJOYED CONTINUOUS ACCREDITATION STATUS THROUGHOUT FYE 2019. VHH WAS RANKED IN THE TOP 3% OF 4,797 HOSPITALS IN ORTHOPEDICS, EARNING THE HEALTH CARE SYSTEM THE WOMEN'S CHOICE 2019 ORTHOPEDICS AWARD. VHH WAS RANKED IN THE TOP 16% OF 2,778 HOSPITALS IN OBSTETRICS, EARNING THE HEALTH CARE SYSTEM "THE WOMEN'S CHOICE 2019" OBSTETRICS AWARD. THIS IS THE THIRD YEAR IN A ROW VHH HAS RECEIVED THIS ACCOLADE. VHH WAS AWARDED AN "A", THE HIGHEST GRADE POSSIBLE FROM THE LEAPFROG GROUP'S FALL 2018 HOSPITAL SAFETY GRADE. VHH WAS RECOGNIZED BY THE NATIONAL ORGANIZATION OF STATE OFFICE OF RURAL HEALTH (NOSORH) AND THE CHARTIS CENTER FOR RURAL HEALTH/IVANTAGE HEALTH ANALYTICS FOR OVERALL EXCELLENCE IN OUTCOMES AND PATIENT SATISFACTION, REFLECTING TOP QUARTILE PERFORMANCE AMONG ALL RURAL HOSPITALS IN THE NATION. IN SEPTEMBER 2019, SHAW CANCER CENTER RECEIVED A GOLD ACCREDITATION FROM THE COMMISSION ON CANCER (COC), THE HIGHEST LEVEL ACHEVABLE BY THE SURVEY. SHAW MET 34 QUALITY CARE STANDARDS AND WENT THROUGH A RIGOROUS SURVEY PROCESS TO EARN THE VOLUNTARY THREE-YEAR ACCREDITATION. THE CANCER CENTER WAS RECOGNIZED FOR ITS NURSING EDUCATION EFFORTS GREATER THAN 25% OF THE CANCER CENTER'S ONCOLOGY NURSES HOLD AN ONCOLOGY NURSING CERTIFICATION, AND 100% OF THE NURSES HAVE SPECIALIZED ONCOLOGY TRAINING. SHAW HAS BEEN ACCREDITED BY THE COCO SINCE 2007. SHAW CANCER CENTER ALSO ACHIEVED ITS QUALITY ONCOLOGY PRACTICE INITIATIVE RE-ACCREDITATION IN EARLY 2019 THROUGH THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY. THE SONNENALP BREAST CENTER IS AN AMERICAN COLLEGE OF RADIOLOGY (ACR) BREAST IMAGING CENTER OF EXCELLENCE FOR ITS 2D AND 3D MAMMOGRAPHY SERVICES. THIS IS THE HIGHEST ACCREDITATION ACHIEVABLE FOR BREAST CENTERS AND IS AN ONGOING ACCREDITATION. THE ACR HAS ALSO ACCREDITED THE BREAST CENTER IN STEREOTACTIC BREAST BIOPSY, BREAST ULTRASOUND AND BREAST ULTRASOUND BIOPSY. AS PART OF ON-GOING WORK TO REDUCE VH CESAREAN SECTION (C-SECTION) RATE AMONG LOW-RISK, FIRST TIME MOTHERS, VH HAS PARTICIPATED IN THE SOAR PROJECT, A YEAR LONG PROJECT THROUGH COLORADO PERINATAL CARE QUALITY COLLABORATIVE TO WORK ON FURTHER DECREASING THE C-SECTION RATE (AMONG LOW-RISK, FIRST TIME MOTHERS) AND TO CREATE SUSTAINABILITY FOR OUR DECREASED RATE. IN RESPONSE TO INCREASING COMMUNITY AND PATIENT NEEDS RELATED TO HEAD INJURIES, CONCUSSIONS, VESTIBULAR CONDITIONS AND BALANCE PROBLEMS, HOWARD HEAD SPORTS MEDICINE DEVELOPED A SUB-SPECIALTY AREA CALLED BRAIN & BALANCE CARE. VHH CREATED A TRANSITION TO PRACTICE (TTP) PROGRAM. TTP IS A THOUGHTFUL APPROACH TO HOW ORGANIZATIONS ONBOARD AND INTEGRATE NEW GRADUATE NURSES INTO THE PRACTICE SETTING. VHH GAVE $18.2 MILLION BACK TO THE COMMUNITY THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS. IN APRIL 2019, VHH COMMITTED $60 MILLION OVER THE NEXT 10 YEARS TO CREATE EAGLE VALLEY BEHAVIORAL HEALTH, A NON-PROFIT FOCUSED ON TRANSFORMING BEHAVIORAL HEALTH SERVICES THROUGHOUT THE EAGLE RIVER VALLEY. AN EXECUTIVE DIRECTOR WAS NAMED IN JULY 2019, AND A WEBSITE AND ANTI-STIGMA CAMPAIGN WERE LAUNCHED LOCALLY IN OCTOBER 2019.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED TO ADD THE PRESIDENT OF THE MEDICAL STAFF AS AN EX OFFICIO BOARD MEMBER WITH A VOTING RIGHT TO THE ORGANIZATION'S 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 2019 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 2019 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 XI, LINE 9:	NET REVENUE PASSED THROUGH FROM THE CHA TRUST FOR WORKER'S COMPENSATION -55,194.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EAGLE RIVER REAL ESTATE HOLDINGS LLC
PO BOX 4000	VAIL	CO	81658	831523347	RENTAL	CO	$954,275	$14,211,177	VAIL CLINIC
COLORADO MOUNTAIN MEDICAL LLC
PO BOX 4000	VAIL	CO	81658	841887834	HEALTHCARE	CO	$6,438,941	$10,926,400	VAIL CLINIC
NORTH EAGLE INVESTMENTS
PO BOX 4000	VAIL	CO	81658		RENTAL	CO	$107,940	$3,438,124

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
VVMC DIVERSIFIED SERVICES
PO BOX 4000	VAIL	CO	81658	261167922	HEALTH CARE	CO	501(C)(3)	LINE 10	VHS	Yes (1)
VAIL HEALTH SERVICES FOUNDATION
PO BOX 4000	VAIL	CO	81658	742505662	SUPPORT VHH	CO	501(C)(3)	LINE 12B, II	VHS	Yes (1)
SHAW OUTREACH TEAM
PO BOX 4000	VAIL	CO	81658	383710853	FUNDRAISING	CO	501(C)(3)	LINE 12C, III-FI	VHS	Yes (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	Yes (1)
VAIL HEALTH SERVICES (VHS)
PO BOX 4000	VAIL	CO	81658	262648461	HOLDING CO.	CO	501(C)(3)	LINE 12C, III-FI		0	N/A
EAGLE VALLEY MENTAL HEALTH
PO BOX 4000	VAIL	CO	81658	834327406	BEHAVIORAL HEALTH SERVICES	CO	501(C)(3)	LINE 7	VHS	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VAIL VALLEY SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1270	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81658	ZIPCd

Field	Value	IRS element (for citing)
EIN	030419967	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VHH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$32,826,942	ShareOfTotalIncomeAmt
Share Of EOY Assets	$19,256,168	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.50250	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	VHS MANAGEMENT SERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	181 W MEADOW DR STE 100	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81657	ZIPCd

Field	Value	IRS element (for citing)
EIN	262647982	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of EOY Assets	$214	ShareOfEOYAssetsAmt
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VAIL VALLEY SURGERY CENTER LLC
A	$2,851,060	ACTUAL AMOUNT
VVMC DIVERSIFIED SERVICES
B	$5,000,000	ACTUAL AMOUNT
VAIL HEALTH SERVICES FOUNDATION
C	$4,122,060	ACTUAL AMOUNT
VAIL VALLEY SURGERY CENTER LLC
D	$2,417,254	LOAN AMOUNT
VAIL VALLEY SURGERY CENTER LLC
F	$34,516,344	ACTUAL AMOUNT
VVMC DIVERSIFIED SERVICES
D	$76,934	LOAN AMOUNT
VVMC DIVERSIFIED SERVICES
Q	$3,929,000	ACTUAL AMOUNT
VAIL VALLEY SURGERY CENTER LLC
Q	$24,903,714	ACTUAL AMOUNT
EAGLE VALLEY BEHAVIORAL HEALTH
B	$250,000	ACTUAL AMOUNT