VAIL CLINIC INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: VAIL CLINIC INC (EIN 84-0563230)
Tax period: 2017-11-01 to 2018-10-31
Filed: 2019-09-16
IRS object ID: 201902599349300335
Schema version: 2017v2.3
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	2019-09-16T13:12:51-05:00	ReturnTs
Tax Period End	2018-10-31	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 VIRCHOW KRAUSE 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	2017-11-01	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	9704797238	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	HAROLD DUPPER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9704797238	PhoneNum
Signature	2019-09-16	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	2019-09-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	38.88.188.75	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-09-16	IPDt
IP Tm	12:17:43	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F928441D2398D0B4DCF9932C1CB380BE5D4089C9	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	DORIS KIRCHNER	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	$286,242,622	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	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.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1173	TotalEmployeeCnt
Total Volunteers	89	TotalVolunteersCnt
Total Gross UBI	$5,178,583	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,937,462	PYContributionsGrantsAmt
CY Contributions Grants	$4,530,184	CYContributionsGrantsAmt
PY Program Service Revenue	$217,158,793	PYProgramServiceRevenueAmt
CY Program Service Revenue	$238,016,285	CYProgramServiceRevenueAmt
PY Investment Income	$23,998,208	PYInvestmentIncomeAmt
CY Investment Income	$14,368,954	CYInvestmentIncomeAmt
PY Other Revenue	$2,261,242	PYOtherRevenueAmt
CY Other Revenue	$2,090,907	CYOtherRevenueAmt
PY Total Revenue	$246,355,705	PYTotalRevenueAmt
CY Total Revenue	$259,006,330	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,680,421	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,726,154	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$68,047,694	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$73,229,658	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$7,243	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,612,604	CYTotalFundraisingExpenseAmt
PY Other Expenses	$99,835,418	PYOtherExpensesAmt
CY Other Expenses	$112,720,196	CYOtherExpensesAmt
PY Total Expenses	$181,570,776	PYTotalExpensesAmt
CY Total Expenses	$196,676,008	CYTotalExpensesAmt
PY Revenues Less Expenses	$64,784,929	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$62,330,322	CYRevenuesLessExpensesAmt
Total Assets BOY	$653,337,199	TotalAssetsBOYAmt
Total Assets EOY	$701,363,896	TotalAssetsEOYAmt
Total Liabilities BOY	$152,144,829	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$153,203,537	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$501,192,370	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$548,160,359	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	$140,530,571	ExpenseAmt
Grant	$10,726,154	GrantAmt
Revenue	$234,375,341	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$140,530,571	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	183	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1173	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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	9704797238	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 (18 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DORIS KIRCHNER
PRESIDENT, CEO AND BOARD MEMBER	40.00	4.00	Yes (X)	Yes (X)	$931,366	$0	$55,725
ART KELTON
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
BOARD MEMBER	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
BOARD MEMBER	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
CHARLIE L'ESPERANCE
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
FREDERICK SMITH
CHIEF ADMINISTRATIVE OFFICER	40.00	0.00		Yes (X)	$317,460	$0	$72,145
HAROLD DUPPER
CFO AND ASST TREASURER (PART YEAR)	40.00	3.00		Yes (X)	$90,496	$0	$4,549
TED SIROTTA
CFO AND ASST TREASURER (PART YEAR)	40.00	3.00		Yes (X)	$281,465	$0	$61,986
PATRICIA HARDENBERGH MD
PHYSICIAN	40.00	0.00			$660,429	$0	$74,499	Yes (X)
JERRY GREENBERG MD
PHYSICIAN	0.00	40.00			$769,489	$0	$84,929	Yes (X)
ALEXANDER URQUHART MD
PHYSICIAN	40.00	0.00			$473,393	$0	$69,076	Yes (X)
NELSON PRAGER MD
PHYSICIAN	0.00	40.00			$710,503	$0	$5,761	Yes (X)
DANIEL PENNINGTON
FOUNDATION PRESIDENT	0.00	40.00			$375,682	$0	$47,708	Yes (X)
CHARLES CREVLING
FORMER CFO AND ASST TREASURER	0.00	0.00			$161,538	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,771,821	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$476,378	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	166	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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	$14,795,224
DAVIS PARTNERSHIP PC ARCHITECTS
2901 BLAKE STREET SUITE 100	DENVER	CO	80205	ARCHITECT	$4,118,500
VAIL VALLEY EMERGENCY PHYSICIANS PC
27 MAIN STREET SUITE C301	EDWARDS	CO	81632	PHYSICIAN SERVICES	$3,487,118
CERNER CORPORATION
PO BOX 410451	KANSAS CITY	MO	64141	IT SERVICES	$3,456,659
DIVERSIFIED RADIOLOGY
938 BANNOCK STE C300	DENVER	CO	80204	RADIOLOGISTS	$2,441,053

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	72	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,530,184	RelatedOrganizationsAmt
Total Contributions	$4,530,184	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$141,009,772	$139,595,516	$1,414,256
MEDICARE/MEDICAID	900099	$45,609,093	$45,609,093
EQUITY IN EARNINGS OF SUBSIDIARIE	900099	$32,125,548	$32,125,548
PROVIDER FEE INCOME	900099	$10,111,332	$10,111,332
MANAGEMENT FEE INCOME	900099	$4,811,676	$4,811,676

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,348,864	TotalRevenueColumnAmt
Related Or Exempt Func Income	$573,909	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,764,327	UnrelatedBusinessRevenueAmt
Exclusion	$10,628	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$238,016,285	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,882,122	TotalRevenueColumnAmt
Exclusion	$8,882,122	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,122,415	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,230,006	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$107,591	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$107,591	TotalRevenueColumnAmt
Exclusion	-$107,591	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$26,493,118	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$20,748,112	SecuritiesAmt
Other	$258,174	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,745,006	SecuritiesAmt
Other	-$258,174	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,486,832	TotalRevenueColumnAmt
Exclusion	$5,486,832	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$885,726	$885,726
REBATES FROM VENDOR	900099	$662,541	$662,541
CAFETERIA REVENUE	900099	$650,231		$650,231

Field	Value	IRS element (for citing)
Other Revenue Total	$2,198,498	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,006,330	TotalRevenueColumnAmt
Related Or Exempt Func Income	$234,375,341	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,178,583	UnrelatedBusinessRevenueAmt
Exclusion	$14,922,222	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$10,726,154	TotalAmt
Program Services	$10,726,154	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,687,608	TotalAmt
Program Services	$872,418	ProgramServicesAmt
Management And General	$1,815,190	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$161,538	TotalAmt
Management And General	$161,538	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$56,763,253	TotalAmt
Program Services	$38,811,385	ProgramServicesAmt
Management And General	$16,544,919	ManagementAndGeneralAmt
Fundraising	$1,406,949	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,121,950	TotalAmt
Program Services	$1,512,728	ProgramServicesAmt
Management And General	$584,284	ManagementAndGeneralAmt
Fundraising	$24,938	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,070,316	TotalAmt
Program Services	$3,966,750	ProgramServicesAmt
Management And General	$2,037,607	ManagementAndGeneralAmt
Fundraising	$65,959	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,424,993	TotalAmt
Program Services	$3,814,961	ProgramServicesAmt
Management And General	$1,547,697	ManagementAndGeneralAmt
Fundraising	$62,335	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,488,513	TotalAmt
Management And General	$1,488,513	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$149,553	TotalAmt
Management And General	$149,553	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,526	TotalAmt
Management And General	$4,526	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$843,733	TotalAmt
Management And General	$843,733	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,142,867	TotalAmt
Program Services	$13,128,515	ProgramServicesAmt
Management And General	$8,963,926	ManagementAndGeneralAmt
Fundraising	$50,426	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,686,301	TotalAmt
Program Services	$113,164	ProgramServicesAmt
Management And General	$1,573,137	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,724,268	TotalAmt
Program Services	$770,013	ProgramServicesAmt
Management And General	$1,954,255	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,138,533	TotalAmt
Program Services	$255,673	ProgramServicesAmt
Management And General	$882,860	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,992,961	TotalAmt
Program Services	$380,483	ProgramServicesAmt
Management And General	$2,612,478	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$264,626	TotalAmt
Program Services	$142,265	ProgramServicesAmt
Management And General	$122,361	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$199,146	TotalAmt
Program Services	$72,843	ProgramServicesAmt
Management And General	$126,303	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,497,834	TotalAmt
Program Services	$1,497,834	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,842,829	TotalAmt
Program Services	$13,561,177	ProgramServicesAmt
Management And General	$1,281,652	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,081,778	TotalAmt
Management And General	$1,081,778	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL & OTHER SUPPLIE	$35,362,713	$34,552,544	$808,172	$1,997
BAD DEBT EXPENSE	$10,607,863	$10,607,863
REPAIRS & MAINTENANCE	$9,943,598	$188,597	$9,755,001
PROVIDER FEE EXPENSE	$5,152,028	$5,152,028

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$596,526	TotalAmt
Program Services	$403,176	ProgramServicesAmt
Management And General	$193,350	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$196,676,008	TotalAmt
Program Services	$140,530,571	ProgramServicesAmt
Management And General	$54,532,833	ManagementAndGeneralAmt
Fundraising	$1,612,604	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,222	BOYAmt
EOY	$8,021	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,806,057	BOYAmt
EOY	$57,900,661	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,908,343	BOYAmt
EOY	$3,947,989	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,205,002	BOYAmt
EOY	$20,502,748	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,290,497	BOYAmt
EOY	$6,964,804	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,658,408	BOYAmt
EOY	$4,425,185	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$393,437,452	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$176,056,490	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$173,927,752	BOYAmt
EOY	$217,380,962	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$367,542,317	BOYAmt
EOY	$347,069,621	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,373,974	BOYAmt
EOY	$13,602,789	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$21,516,664	BOYAmt
EOY	$24,056,491	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,100,963	BOYAmt
EOY	$5,504,625	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$653,337,199	BOYAmt
EOY	$701,363,896	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,289,308	BOYAmt
EOY	$36,093,337	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$115,117,204	BOYAmt
EOY	$114,477,308	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$26,453	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,711,864	BOYAmt
EOY	$2,632,892	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,144,829	BOYAmt
EOY	$153,203,537	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$492,053,708	BOYAmt
EOY	$540,958,566	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,138,662	BOYAmt
EOY	$7,201,793	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$501,192,370	BOYAmt
EOY	$548,160,359	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$653,337,199	BOYAmt
EOY	$701,363,896	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$62,330,322	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$15,287,868	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$74,465	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

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	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$6,938	OtherActivitiesAmt
Total Lobbying Expenditures	$6,938	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	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	$4,671,666	BeginningYearBalanceAmt
Contributions	$2,253,603	ContributionsAmt
Investment Earnings Or Losses	$236,380	InvestmentEarningsOrLossesAmt
End Year Balance	$7,161,649	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,507,859	BeginningYearBalanceAmt
Contributions	$50,000	ContributionsAmt
Investment Earnings Or Losses	$10,337	InvestmentEarningsOrLossesAmt
Other Expenditures	$56,664	OtherExpendituresAmt
End Year Balance	$3,511,532	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.83740	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16260	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	$8,741,687	OtherCostOrOtherBasisAmt
Book Value	$8,741,687	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,260,648	OtherCostOrOtherBasisAmt
Depreciation	$78,872,814	DepreciationAmt
Book Value	$133,387,834	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,744,887	OtherCostOrOtherBasisAmt
Depreciation	$1,250,304	DepreciationAmt
Book Value	$494,583	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,132,703	OtherCostOrOtherBasisAmt
Depreciation	$94,002,209	DepreciationAmt
Book Value	$19,130,494	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,557,527	OtherCostOrOtherBasisAmt
Depreciation	$1,931,163	DepreciationAmt
Book Value	$55,626,364	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$217,380,962	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	UNAMORTIZED BOND ISSUANCE COST	Desc
Amt	$2,632,892	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,632,892	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$234,776,892	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$15,287,868	NetUnrealizedGainsInvstAmt
Other Revenue	$6,112,639	OtherRevenueAmt
Revenue Not Reported	-$9,175,229	RevenueNotReportedAmt
Revenue Subtotal	$243,952,121	RevenueSubtotalAmt
Other Revenues Not Included	$15,054,209	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$15,054,209	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$259,006,330	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$187,808,903	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$6,112,639	OtherExpensesIncludedAmt
Expenses Not Reported	$6,112,639	ExpensesNotReportedAmt
Expenses Subtotal	$181,696,264	ExpensesSubtotalAmt
Other Expenses Not Included	$14,979,744	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$14,979,744	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$196,676,008	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, 2018 AND 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	DIRECT RENTAL EXPENSES 6,112,639.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REVENUE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 146,353. BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 10,607,863. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,993.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DIRECT RENTAL EXPENSES 6,112,639.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 10,607,863. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,993. EXPENSE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 71,888.

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	$13,602,788	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	$13,602,788	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$13,602,788	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 5% 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	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,469,781	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,469,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,920,579	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,616,333	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,390,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,616,333	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,469,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$977,564	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$977,564	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$988,555	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$988,555	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,885	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,031,699	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,031,699	NetCommunityBenefitExpnsAmt
Total Expense	0.06120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,029,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,025,703	NetCommunityBenefitExpnsAmt
Total Expense	0.07130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,419,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,619,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,495,484	NetCommunityBenefitExpnsAmt
Total Expense	0.07880	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,607,863	BadDebtExpenseAmt
Reimbursed By Medicare	$32,077,442	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,401,330	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,323,888	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	0.50360	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49640	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	15	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	HTTPS://WWW.VAILHEALTH.ORG/ABOUT/RESEARCH	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.VAILHEALTH.ORG/ABOUT/RESEARCH	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

VAIL CLINIC, INC.

PART V, SECTION B, LINE 5: IN CONDUCTING THE CHNA FOR EAGLE COUNTY, VAIL HEALTH HOSPITAL GATHERED DATA FROM A VARIETY OF SOURCES. PRIMARY DATA COLLECTION INVOLVED DATA FROM THREE DIFFERENT SURVEYS CONDUCTED IN EAGLE COUNTY, INCLUDING:1. VAIL HEALTH HOSPITAL COMMUNITY STAKEHOLDER QUESTIONNAIRE,2. EAGLE COUNTY IMMIGRANT SURVEY, AND3. THE EAGLE COUNTY PUBLIC HEALTH COMMUNITY HEALTH ASSESSMENT SURVEY.THE CHNA PROVIDES A DETAILED ANALYSIS OF THE CURRENT STATE OF HEALTH IN EAGLE COUNTY. THIS INFORMATION IS COMPARED TO BOTH LOCAL SURVEY FINDINGS REGARDING PERCEIVED HEALTH NEEDS AMONG RESIDENTS, AS WELL AS STATE AND NATIONAL BENCHMARKS TO HELP IDENTIFY COMMUNITY HEALTH NEEDS. THIS ANALYSIS ASSISTS IN DETERMINING AREAS OF COMMUNITY HEALTH IMPORTANCE AND POTENTIAL AREAS FOR EITHER IMPROVEMENT TO CURRENT PRACTICE OR NOVEL ENDEAVORS FOR THE ORGANIZATION TO ADDRESS COMMUNITY HEALTH NEEDS. THIS ASSESSMENT USED PRIMARY DATA COLLECTION COUPLED WITH SECONDARY DATA ANALYSIS TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF EAGLE COUNTY.

VAIL CLINIC, INC.

PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA:1. ACCESS TO CARE - VAIL HEALTH HOSPITAL (VHH) HAS COMMITTED TO INCREASING ACCESS TO PRIMARY CARE CLINICS INCLUDING ADJUSTING COST STRUCTURES. VHH'S WALK IN CLINICS HEALTH CLINICS ARE IN VARIOUS STAGES OF DEVELOPMENT2. CANCER - INCREASE COLORECTAL SCREENING AWARENESS IN EAGLE COUNTY THROUGH A COUNTY WIDE MARKETING CAMPAIGN3. HEART DISEASE - CONSIDERATIONS FOR INCREASED COVERAGE OF THE CARDIAC CATHETERIZATION LAB WILL BE BASED ON PATIENT VOLUME AND COMMUNITY NEED.4. UNINTENTIONAL INJURY - VHH WILL PROVIDE FUNDING TO THE THINKFIRST PROGRAM TO EXPAND INJURY PREVENTION ACTIVITIES AS THERE IS A CURRENT LACK OF SIGNIFICANT ADULT INJURY PREVENTION PROGRAMS. VHH IS ALSO CURRENTLY RESEARCHING THE INFLUENCE OF THE RECENT LEGALIZATION OF MARIJUANA MAY HAVE ON THE PATTERNS OF AND SEVERITY OF SKI AND SNOWBOARD INJURIES5. CHRONIC LOWER RESPIRATORY DISEASE - THIS AREA WILL BE WATCHED CLOSELY AND SHOULD INCIDENCE RATES RISE AND PATIENT DEMAND INCREASE, EXPANDING THE SERVICE LINE WOULD BE CONSIDERED BY THE ORGANIZATION.6. MENTAL HEALTH - VHH HAS RECENTLY COMMITTED TO BRINGING A TELE-PSYCH PROGRAM TO VHH AND RESIDENTS OF EAGLE COUNTY. THIS PROGRAM WILL ALLOW FOR DIRECT COMMUNICATION BETWEEN MENTAL HEALTH SPECIALISTS AND LOCAL PROVIDERS AND PATIENTS.7. SUBSTANCE ABUSE - VHH WILL CONTINUE THE PROMOTION OF SCREENING BRIEF INTERVENTION AND REFERRAL FOR TREATMENT (SBIRT) AS A STANDARD OF CARE AT VHH. VHH WILL ALLOCATE RESOURCES TO CONTINUE PROVIDING SBIRT SCREENING AND INTERVENTION DUE TO DECREASED GRANT FUNDING.

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 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

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 ($5,700,000) PROVIDED TO VVMC DIVERSIFIED SERVICES DBA VAIL HEALTH CLINICS, A RELATED ORGANIZATION WHICH IS A GROUP OF PHYSICIAN PRACTICES AND URGENT CARE FACILITIES LOCATED IN A RURAL AREA IN EAGLE COUNTY, COLORADO. VAIL HEALTH CLINICS IS ABLE TO PROVIDE IMPROVED COMMUNITY ACCESS TO HEALTHCARE SERVICES, ALLOWING ALL MEMBERS OF THE COMMUNITY TO BE SERVED.SCHEDULE H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $10,607,863.
PART III, LINE 2:	THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 4:	SEE PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE.
PART III, LINE 8:	IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THAT THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. OUR COMMUNITY INCLUDES PATIENTS COVERED BY MEDICARE. WE SHOULD GET CREDIT FOR THE REIMBURSEMENT SHORTFALL THAT RESULTS FROM SERVING THIS SEGMENT OF OUR COMMUNITY.THE MEDICARE ALLOWABLE COST COMPUTATION INCLUDES THE COSTS FOR BOTH THE MEDICAL CENTER AS WELL AS THE MEDICAL CENTER'S APPLICABLE SHARE OF THEIR JOINT VENTURE'S COSTS. THE MEDICAL CENTER'S MEDICARE ALLOWABLE COST IS DERIVED FROM THE MEDICARE COST REPORT. THE JOINT VENTURE'S MEDICARE ALLOWABLE COST IS COMPUTED USING A COST-TO-CHARGE RATIO. THE MEDICARE COST COMPUTED FOR THE JOINT VENTURE IS $2,070,209. THE REMAINING $48,331,121 OF ALLOWABLE COST IS FROM THE MEDICAL CENTER'S MEDICARE COST REPORT.
PART III, LINE 9B:	ANY EXTRAORDINARY COLLECTION ACTIONS IN PROGRESS AT THE TIME AN INCOMPLETE APPLICATION IS RECEIVED MUST BE SUSPENDED. SUCH COLLECTIONS MAY BE INITIATED OR RESUMED IF A COMPLETED APPLICATION IS NOT RECEIVED OR AFTER A REQUEST FOR ADDITIONAL INFORMATION IS NOT RECEIVED AFTER 30 DAYS OF NOTIFICATION. UPON APPROVAL OF A FINANCIAL ASSISTANCE REQUEST, VHH SHALL: TAKE REASONABLE MEASURES TO VACATE OR REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS, SUCH AS LIFTING A LIEN AND REMOVING ADVERSE INFORMATION ON CREDIT REPORTS.
PART VI, LINE 2:	WE LOOK AT THE POPULATION AND BENCHMARK PRODUCTIVITY DATA TO DETERMINE THE DEMAND IN OUR PRIMARY SERVICE AREA BY PHYSICIAN SPECIALTY. THEN WE LOOK AT MARKET DATA TO DETERMINE THE CURRENT NUMBER OF PROVIDERS IN OUR PRIMARY SERVICE AREA. WE WORK CLOSELY WITH OUR PHYSICIAN PARTNERS IN OUR COMMUNITY TO IDENTIFY IF WE HAVE A SHORTAGE OF PROVIDERS AND TO DETERMINE THE BEST WAY TO FILL THAT NEED. IN THE TAX YEAR 2011, WE ALSO STARTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY THE IRS THAT WAS COMPLETED IN THE TAX YEAR 2012, AND THIS WAS UPDATED IN THE TAX YEAR 2015.
PART VI, LINE 3:	CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS PROVIDED AT REGISTRATION AND DISCHARGE FROM THE PATIENT ACCESS DEPARTMENT, AS WELL AS ON BOTH OUR BILLING STATEMENTS AND ON OUR WEBSITE. ADDITIONALLY, PATIENTS CONTACTING THE HOSPITAL THROUGH CUSTOMER SERVICE OR PATIENT ACCOUNTING ARE DIRECTED TO THE FINANCIAL COUNSELOR FOR ASSISTANCE.
PART VI, LINE 4:	OUR PRIMARY SERVICE AREA IS IN EAGLE COUNTY AND THE SURROUNDING FOUR COUNTY REGION IN THE RURAL MOUNTAINS OF COLORADO. MANY PATIENTS DRIVE UP TO 70 - 80 MILES TO ACCESS OUR SERVICES. WE HAVE SEVERAL CLINICS LOCATED THROUGHOUT OUR PRIMARY SERVICE AREA PROVIDING URGENT CARE, EMERGENCY SERVICES, AND PHYSICAL REHAB TO MAKE OUR SERVICES MORE ACCESSIBLE. WE ALSO GET A PORTION OF OUR BUSINESS FROM THE SURROUNDING FIVE COUNTIES, AND FROM COLORADO FRONT RANGE RESIDENTS VISITING OUR RESORT COMMUNITY.
PART VI, LINE 5:	INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY: WE PROVIDE SEVERAL FREE AND LOW COST GENERAL HEALTH SCREENINGS, CARDIAC SCREENINGS, AND CANCER SCREENINGS TO THE COMMUNITY. WE ALSO PROVIDE FREE EDUCATION IN SCHOOLS AND COMMUNITY MEETINGS FOR A VARIETY OF TOPICS INCLUDING: HEAD AND SPINAL CORD INJURY PREVENTION PROGRAMS, HELMET SAFETY, CAR SEAT SAFETY, DIABETES, HEART HEALTH, AND NUTRITION. WE PARTICIPATE IN COMMUNITY COALITION BUILDING MEETINGS IN TOWN HALLS AND COUNTY MEETINGS.WE CONTRIBUTE TO DISASTER PREPAREDNESS PLANNING AND TRAINING WITH LAW ENFORCEMENT, FIRE DEPARTMENTS, COUNTY HEALTH OFFICIALS, SCHOOLS, AND OTHER HEALTH CARE PROVIDERS IN THE COMMUNITY. WE ALSO PARTICIPATE IN COUNTY FLU COALITION PLANNING. WE PROVIDE ON-THE-JOB TRAINING FOR NURSING, EMT AND PARAMEDIC STUDENTS FROM COLORADO MOUNTAIN COLLEGE IN OUR FACILITIES. WE ALSO OFFER A SAFE DRUG DISPOSAL PROGRAM.WE RECOGNIZE CANCER SURVIVORS AT OUR LOCAL COUNTY RODEO. WE OFFER FIT FOR SURVIVAL, AN EXERCISE PROGRAM FOR CANCER PATIENTS. WE HAVE A TEAM OF NUTRITION EXPERTS WHO HELP THE COMMUNITY PROTECT ITSELF AGAINST CANCER THROUGH ITS PRESENCE AT LOCAL HEALTH FAIRS, PUBLISHING NUTRITION ARTICLES IN THE LOCAL PAPER, AND OFFERING MONTHLY COOKING CLASSES, CANCER SUPPORT PROGRAMS, AND GROUPS. JACK'S PLACE IS OUR CANCER CARING HOUSE THAT ALLOWS CONVENIENT AND COMFORTABLE ACCOMMODATIONS FOR CANCER PATIENTS, CAREGIVERS, AND FAMILY MEMBERS FREE OF CHARGE.YOGA AND TAI CHI CLASSES ARE ALSO OFFERED AT JACK'S PLACE. THE ARTS IN HEALING PROGRAM PROVIDES REGULAR MUSICAL PERFORMANCES, VISUAL ART EXHIBITS AND WORKSHOPS, AND PERFORMANCES TO ENHANCE THE OVERALL HEALTHCARE ENVIRONMENT FOR OUR PATIENTS, VISITORS AND STAFF. WE ALSO PARTICIPATE IN PET PARTNERS, A THERAPY ANIMAL PROGRAM. WE OFFER CHILDBIRTH AND LACTATION CLASSES TO THE COMMUNITY.SURPLUS FUNDS ARE USED TO INVEST IN COMMUNITY NEEDS - WE CONSTRUCTED AN AMBULATORY SURGERY CENTER IN EDWARDS, AS WELL AS INVESTED IN NEW MEDICAL EQUIPMENT. WE DONATED $4,299,996 TO FUND BIOMECHANICAL RESEARCH, DONATED $40,000 DIRECTLY TO THE US SKI TEAM, AND PARTIALLY FUNDED THE SALARIES AND OTHER EXPENSES OF LOCAL SCHOOL ATHLETIC TRAINERS TO PROMOTE LOCAL ATHLETE DEVELOPMENT. WE DONATED $5,700,000 TO VAIL HEALTH CLINICS TO SUBSIDIZE PHYSICIAN SPECIALTIES TO WORK IN EAGLE COUNTY, WHO WOULD OTHERWISE NOT BE ABLE TO PRACTICE AND PROVIDE THOSE SERVICES TO THE COMMUNITY AND DONATED $290,291 TO MOUNTAIN FAMILY HEALTH CENTERS TO SUBSIDIZE THEIR FEDERALLY QUALIFIED HEALTH CLINIC.SHAW CANCER CENTER STAFF EDUCATES AROUND 1,000 ELEMENTARY SCHOOL STUDENTS ON THE USE OF SUNSCREEN IN OUR SHAW SUN SAFETY PROGRAM.IN SEPTEMBER, 2018 WE PARTNERED WITH EAT, CHAT, PARENT, A SPEAKER SERIES FOR PARENTS AND KIDS, ON THEIR MENTAL HEALTH. WE EDUCATED OVER 600 PEOPLE IN SPETEMBER AND OCTOBER, 2018.WE PARTNER WITH EDUCATION FOUNDATION OF EAGLE COUNTY (EFEC) TO OFFER CLASSROOM STEM GRANTS TO ALL TEACHERS IN EAGLE COUNTY.
PART VI, LINE 7, REPORTS FILED WITH STATES	CO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 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)	$4,299,993	PROGRAM SUPPORT
VAIL VALLEY PARTNERSHIP
PO BOX 1130	VAIL	CO	81658	840535997	501(C)(3)	$7,800	SPONSORSHIP
VAIL BREAST CANCER AWARENESS
PO BOX 4043	AVON	CO	81620	841515602	501(C)(3)	$8,000	SILVER SPONSORSHIP LUNCHEON BENEFIT
YOUTHPOWER 365
PO BOX 6550	VAIL	CO	81620	841442909	501(C)(3)	$15,000	STAR DANCING GALA SPONSORSHIP
STARTING HEARTS
PO BOX 4318	AVON	CO	81620	273008262	501(C)(3)	$57,865	SPONSORSHIP
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)	$384,900	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)	$5,700,000	PROGRAM SUPPORT
WALKING MOUNTAIN SCIENCE CENTER
PO BOX 9469	AVON	CO	81620	841436731	501(C)(3)	$5,000	CLIMATE ACTION COLLABORATIVE SPONSORSHIP
VAIL VALLEY FOUNDATION
PO BOX 6550	AVON	CO	81620	742215035	501(C)(3)	$5,000	BLACK DIAMOND BALL TABLE SPONSORSHIP
SONNENALP OF VAIL FOUNDATION
PO BOX 4401	VAIL	CO	81658	841442704	501(C)(3)	$5,000	GOLF SCRAMBLE
DENVER HEALTH FOUNDATION
655 BROADWAY SUITE 750	DENVER	CO	80203	841085196	501(C)(3)	$5,000	2018 NIGHT SHINE GALA
COLORADO MOUNTAIN COLLEGE FOUNDATION
802 GRAND AVENUE	GLENWOOD SPRINGS	CO	81601	742393418	501(C)(3)	$9,700	VVMC SCHOLARSHIP
EAGLE COUNTY SCHOOL DISTRICT
PO BOX 740	EAGLE	CO	81631		EAGLE COUNTY, CO	$50,000	GRANT FOR SCIENCE ROOM
EAGLE COUNTY FAIR AND RODEO
PO BOX 850	EAGLE	CO	81631		EAGLE COUNTY, CO	$5,000	2018 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			$84,200	SUBSIDIZE FOR OB SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	15	Total501c3OrgCnt
Total Other Org	3	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	Yes (1)	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 AND BOARD MEMBER	$500,928	$0	$174,650	$0	$255,788	$0	$13,010	$0	$42,715	$0	$987,091	$0	$0	$0
FREDERICK SMITH
CHIEF ADMINISTRATIVE OFFICER	$249,472	$0	$64,169	$0	$3,819	$0	$10,115	$0	$62,030	$0	$389,605	$0	$0	$0
TED SIROTTA
CFO AND ASST TREASURER (PART YEAR)	$227,484	$0	$0	$0	$53,981	$0	$11,769	$0	$50,217	$0	$343,451	$0	$0	$0
PATRICIA HARDENBERGH MD
PHYSICIAN	$592,957	$0	$15,155	$0	$52,317	$0	$12,363	$0	$62,136	$0	$734,928	$0	$0	$0
JERRY GREENBERG MD
PHYSICIAN	$609,180	$0	$153,907	$0	$6,402	$0	$13,500	$0	$71,429	$0	$854,418	$0	$0	$0
ALEXANDER URQUHART MD
PHYSICIAN	$441,188	$0	$5,000	$0	$27,205	$0	$12,899	$0	$56,177	$0	$542,469	$0	$0	$0
NELSON PRAGER MD
PHYSICIAN	$559,975	$0	$141,250	$0	$9,278	$0	$0	$0	$5,761	$0	$716,264	$0	$0	$0
DANIEL PENNINGTON
FOUNDATION PRESIDENT	$299,587	$0	$61,250	$0	$14,845	$0	$5,418	$0	$42,290	$0	$423,390	$0	$0	$0
CHARLES CREVLING
FORMER CFO AND ASST TREASURER	$0	$0	$0	$0	$161,538	$0	$0	$0	$0	$0	$161,538	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

SEVERANCE PAYMENTS: CHARLES CREVLING RECEIVED A SEVERANCE PAYMENT OF $161,538 DURING THE 2017 CALENDAR YEAR. 457F PLAN: DORIS KIRCHNER PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNT WAS $31,900 AND VESTING OF PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENT OCCURS ON OCTOBER 1 OF EACH YEAR.

PART I, LINE 7

NON FIXED AND BONUS PAYMENTS: INCENTIVE BONUSES ARE CALCULATED AS A PERCENT OF BASE COMPENSATION. THE DETERMINATION OF WHETHER OR NOT A PAYOUT IS MADE IS BASED ON COMPANY FINANCIAL PERFORMANCE AND ON INDIVIDUAL PERFORMANCE REVIEWS CONDUCTED BY THE CEO AND THE COMPENSATION COMMITTEE. CERTAIN PHYSICIAN PRODUCTIVITY BONUSES ARE PAID BASED ON RELATIVE VALUE UNITS (RVUS) WHICH ARE AN INDICATION OF THE EMPLOYEE'S PRODUCTIVITY OR LEVEL OF EFFORT. OTHER PHYSICIAN BONUSES ARE BASED ON SATISFACTION OF CRITERIA DEFINED IN EMPLOYMENT AGREEMENTS.

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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr
A	$105,910,237	$921,241	$49,812,643	$55,176,353	0	0	0	Yes (1)
B	$19,052,899	$303,592			Yes (1)	0	Yes (1)	Yes (1)	$4,575,591	$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	VAIL HEALTH WILL CONTINUE ITS DEVELOPMENT AS AN INDEPENDENT, NONPROFIT HEALTH CARE SYSTEM, PROVIDING SUPERIOR HEALTH SERVICES ALIGNED TO THE NEEDS OF EAGLE COUNTY RESIDENTS AND VISITORS, WORLD-RENOWNED ORTHOPAEDIC SERVICES, REGIONAL CANCER SERVICES AND EMERGENCY SERVICES. VAIL HEALTH WILL INTEGRATE AND ALIGN SERVICE OFFERINGS WITH OUR PHYSICIAN PARTNERS TO MAXIMIZE: -FLEXIBILITY AND RESPONSIVENESS TO PATIENT NEEDS, INCLUDING PREVENTIVE HEALTH SERVICES -EXCELLENCE IN SPECIALIZED CARE SUPPORTED BY COMPREHENSIVE RESEARCH AND EDUCATION -CONTINUOUS QUALITY IMPROVEMENT THROUGH INVESTMENT IN TECHNOLOGY, FACILITIES AND STAFF DEVELOPMENT VAIL HEALTH WILL PROVIDE THESE SERVICES IN AN ENVIRONMENT THAT ENABLES AND SUPPORTS TRUST AND RESPECT.
FORM 990, PART III, LINE 4A	KEY METRICS OF VAIL HEALTH HOSPITAL FOR FISCAL YEAR ENDED 10/31/2018 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 2,089 PATIENT DAYS: 5,297 TOTAL SURGERIES: 3,228 AS PART OF THE MASTER FACILITY PLAN EFFORTS, THE CONSTRUCTION ON THE WEST WING CONCLUDED IN 2017, AND INCLUDED THE COMPLETION OF A NEW PRE-OPERATIVE/RECOVERY SUITE, A NEW STERILE PROCESSING FACILITY, AND A PATIENT/FAMILY WAITING ROOM ON THE 3RD FLOOR. EAST WING CONSTRUCTION HAS BEGUN AND WILL TAKE PLACE FROM 2017-2020. VHH ENJOYED CONTINUOUS ACCREDITATION STATUS THROUGHOUT FYE 2018. VHH WAS RANKED IN THE TOP 3% OF 4,797 HOSPITALS IN ORTHOPEDICS, EARNING THE HEALTH CARE SYSTEM THE WOMEN'S CHOICE 2019 ORTHOPEDICS AWARD. VHH WAS RANKED IN THE TOP 16% OF 2,778 HOSPITALS IN OBSTETRICS, EARNING THE HEALTH CARE SYSTEM THE WOMEN'S CHOICE 2019 OBSTETRICS AWARD. THIS IS THE THIRD YEAR IN A ROW VHH HAS RECEIVED THIS ACCOLADE. VHH WAS AWARDED AN "A", THE HIGHEST GRADE POSSIBLE FROM THE LEAPFROG GROUP'S FALL 2018 HOSPITAL SAFETY GRADE. VHH WAS RECOGNIZED BY THE NATIONAL ORGANIZATION OF STATE OFFICE OF RURAL HEALTH (NOSORH) AND THE CHARTIS CENTER FOR RURAL HEALTH/IVANTAGE HEALTH ANALYTICS FOR OVERALL EXCELLENCE IN OUTCOMES AND PATIENT SATISFACTION, REFLECTING TOP QUARTILE PERFORMANCE AMONG ALL RURAL HOSPITALS IN THE NATION. IN JULY, 2018 SHAW CANCER CENTER WAS GRANTED RE-ACCREDITION AS A QUALITY ONCOLOGY PRACTICE INITIATIVE CERTIFIED SITE. SHAW ORIGINALLY RECEIVED ACCREDITION IN 2015 AND IS RESURVEYED EVERY THREE YEARS. THERE ARE APPROXIMATELY 300 QOPI CERTIFIED SITES WORLDWIDE AND SHAW IS ONE OF THREE PRACTICES IN COLORADO TO HAVE RECEIVED QOPI DESIGNATION. SHAW CANCER CENTER WAS AWARDED THE ESTEEMED THREE-YEAR COMMISSION ON CANCER (COC) ACCREDITION WITH COMMENDATION, ONE OF THE HIGHEST LEVELS THAT CAN BE ACHIEVED BY THE SURVEY. THE SONNENALP BREAST CENTER IS AN AMERICAN COLLEGE OF RADIOLOGY (ACR) BREAST IMAGING CENTER OF EXCELLENCE. THIS IS THE HIGHEST ACCREDITATION ACHIEVABLE FOR BREAST CENTERS AND IS AN ONGOING ACCREDITATION. AS PART OF ON-GOING WORK TO REDUCE VH CESAREAN SECTION (C-SECTION) RATE AMONG LOW-RISK, FIRST TIME MOTHERS, VH HAS PARTICIPATED IN THE SOAR PROJECT, A YEAR LONG PROJECT THROUGH COLORADO PERINATAL CARE QUALITY COLLABORATIVE TO WORK ON FURTHER DECREASING THE C-SECTION RATE (AMONG LOW-RISK, FIRST TIME MOTHERS) AND TO CREATE SUSTAINABILITY FOR OUR DECREASED RATE. IN RESPONSE TO INCREASING COMMUNITY AND PATIENT NEEDS RELATED TO HEAD INJURIES, CONCUSSIONS, VESTIBULAR CONDITIONS AND BALANCE PROBLEMS HOWARD HEAD SPORTS MEDICINE DEVELOPED A SUB SPECIALTY AREA CALLED BRAIN & BALANCE CARE. VHH CREATED A TRANSITION TO PRACTICE (TTP) PROGRAM. TTP IS A THOUGHTFUL APPROACH TO HOW ORGANIZATIONS ONBOARD AND INTEGRATE NEW GRADUATE NURSES INTO THE PRACTICE SETTING. VHH GAVE $15.5 MILLION BACK TO THE COMMUNITY THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS.
FORM 990, PART VI, SECTION A, LINE 6	VAIL HEALTH SERVICES IS THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	VAIL HEALTH SERVICES, THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL, APPOINTS BOARD MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING GOVERNANCE DECISIONS ARE ALSO SUBJECT TO APPROVAL BY THE SOLE MEMBER: - APPOINTING AND REMOVING THE PRESIDENT OF THE CORPORATION - AMENDING OR APPROVING ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS - APPROVING BUDGETS - APPROVING UNBUDGETED EXPENDITURES IN EXCESS OF $100,000 - APPROVING UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000 - VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR BANKRUPTCY - APPROVING SALE OF ASSETS IN EXCESS OF $1,000,000 - CREATING A SUBSIDIARY OR AFFILIATE - SELECTING PUBLIC ACCOUNTANTS - ESTABLISHING INVESTMENT POLICIES - ESTABLISHING POLICIES ON THE DISTRIBUTION AND USE OF FUNDS - ADDING/DELETING MAJOR PROGRAM/SERVICE LINES
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY A THIRD PARTY BASED ON DATA PREPARED AND SUBMITTED BY THE ACCOUNTING DEPARTMENT. THE DRAFT FORM 990 IS REVIEWED BY MEMBERS OF THE ACCOUNTING DEPARTMENT PRIOR TO ITS FILING. THE REVIEW INCLUDES READING IT FOR ACCURACY OF DISCLOSURE AND COMPARING THE NUMBERS TO THOSE IN THE AUDITED FINANCIAL STATEMENTS. A COPY OF THE FORM FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY APPLIES TO VAIL HEALTH HOSPITAL (VHH) BOARD MEMBERS, OFFICERS, MEDICAL STAFF, LICENSED INDEPENDENT PRACTITIONERS, VOLUNTEERS, AGENTS, CONTRACTORS AND EMPLOYEES. ALL BOARD MEMBERS, MEDICAL STAFF, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND EMPLOYEES OF VHH ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. BOARD MEMBERS AND AGENTS MUST COMPLETE AND SUBMIT CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE TO THE CHIEF ETHICS AND COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE MANAGER OF VOLUNTEERS WHEN THEY BEGIN PROVIDING SERVICES TO VHH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, COVERED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE CHIEF ETHICS AND COMPLIANCE OFFICER, THE VOLUNTEER SERVICES PROGRAM MANAGER AND THE COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VHH; - WHETHER THE COLLEAGUE'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VHH DECISION OR ACTIVITY; - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE COLLEAGUE'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE COLLEAGUE'S OBLIGATIONS TO, VHH OR VHH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2018 BY SULLIVAN COTTER. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE EXECUTIVE AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2018 BY SULLIVAN COTTER. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE INDIVIDUAL AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC FOR VALID BUSINESS PURPOSES. THESE DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	WRITTEN POLICY RELATED TO JOINT VENTURE ARRANGEMENTS: VAIL HEALTH HOSPITAL DOES NOT HAVE A DOCUMENTED WRITTEN POLICY, HOWEVER, THE ORGANIZATION TAKES APPROPRIATE MEASURES AND HAS PROCESSES IN PLACE TO ENSURE THAT ANY PARTICIPATION IN JOINT VENTURE AGREEMENTS ARE EVALUATED EXTENSIVELY IN ORDER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 3,735,329. MANAGEMENT AND GENERAL EXPENSES 2,060,835. FUNDRAISING EXPENSES 50,426. TOTAL EXPENSES 5,846,590. REPAIRS/MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 183,804. MANAGEMENT AND GENERAL EXPENSES 982,573. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,166,377. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 643,331. MANAGEMENT AND GENERAL EXPENSES 2,921,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,564,652. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,876,704. MANAGEMENT AND GENERAL EXPENSES 166,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,043,359. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 84,620. MANAGEMENT AND GENERAL EXPENSES 790,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 874,620. CONTRACT CLINICAL LABOR: PROGRAM SERVICE EXPENSES 604,727. MANAGEMENT AND GENERAL EXPENSES 34,619. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 639,346. FOOD SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,007,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,007,923.
FORM 990, PART XI, LINE 9:	NET REVENUE PASSED THROUGH FROM THE CHA TRUST FOR WORKER'S COMPENSATION -74,465.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EAGLE RIVER REAL ESTATE HOLDINGS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 4000	AddressLine1Txt
City	VAIL	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81658	ZIPCd

Field	Value	IRS element (for citing)
EIN	831523347	EIN
Primary Activities	RENTAL	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd
Total Income	$157,325	TotalIncomeAmt
End Of Year Assets	$8,915,157	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 11	VHS	Yes (1)
VAIL HEALTH SERVICES FOUNDATION
PO BOX 4000	VAIL	CO	81658	742505662	SUPPORT VHH	CO	501(C)(3)	LINE 12C, III-FI	VHS	Yes (1)
SHAW OUTREACH TEAM
PO BOX 4000	VAIL	CO	81658	383710853	FUNDRAISING	CO	501(C)(3)	PF	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 12D, III-O		0	N/A

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	$24,512,202	ShareOfTotalIncomeAmt
Share Of EOY Assets	$18,585,386	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.50360	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
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 (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VAIL VALLEY SURGERY CENTER LLC
A	$2,511,865	ACTUAL AMOUNT
VVMC DIVERSIFIED SERVICES
B	$5,700,000	ACTUAL AMOUNT
VAIL HEALTH SERVICES FOUNDATION
C	$2,778,717	ACTUAL AMOUNT
VAIL VALLEY SURGERY CENTER LLC
D	$2,480,309	LOAN AMOUNT
VAIL VALLEY SURGERY CENTER LLC
F	$29,585,721	ACTUAL AMOUNT
VAIL VALLEY SURGERY CENTER LLC
P	$695,037	ACTUAL AMOUNT
VVMC DIVERSIFIED SERVICES
Q	$3,670,000	ACTUAL AMOUNT
VAIL VALLEY SURGERY CENTER LLC
Q	$20,618,288	ACTUAL AMOUNT