VAIL CLINIC INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: VAIL CLINIC INC (EIN 84-0563230)
Tax period: 2016-11-01 to 2017-10-31
Filed: 2018-09-17
IRS object ID: 201802609349301040
Schema version: 2016v3.0
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	2018-09-17T16:25:31-05:00	ReturnTs
Tax Period End	2017-10-31	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	2016-11-01	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	2018-09-17	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	2018-09-17	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	2018-09-17	IPDt
IP Tm	14:36:58	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8E7B4B2323D592AC89F362C47B54D669E291C402	AtSubmissionCreationDeviceId
At Submission Filing Device Id	167182DFA60A41E45EAE2F4EF9C72CA9A698CA21	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-06-14 16:35:46Z	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	$393,761,222	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1098	TotalEmployeeCnt
Total Volunteers	90	TotalVolunteersCnt
Total Gross UBI	$4,988,248	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$467,938	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,198,635	PYContributionsGrantsAmt
CY Contributions Grants	$2,937,462	CYContributionsGrantsAmt
PY Program Service Revenue	$198,146,199	PYProgramServiceRevenueAmt
CY Program Service Revenue	$217,158,793	CYProgramServiceRevenueAmt
PY Investment Income	$11,871,479	PYInvestmentIncomeAmt
CY Investment Income	$23,998,208	CYInvestmentIncomeAmt
PY Other Revenue	$3,199,144	PYOtherRevenueAmt
CY Other Revenue	$2,261,242	CYOtherRevenueAmt
PY Total Revenue	$216,415,457	PYTotalRevenueAmt
CY Total Revenue	$246,355,705	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,943,330	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,680,421	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,867,293	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,047,694	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$240,335	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$7,243	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,812,126	CYTotalFundraisingExpenseAmt
PY Other Expenses	$90,855,444	PYOtherExpensesAmt
CY Other Expenses	$99,835,418	CYOtherExpensesAmt
PY Total Expenses	$165,906,402	PYTotalExpensesAmt
CY Total Expenses	$181,570,776	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,509,055	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$64,784,929	CYRevenuesLessExpensesAmt
Total Assets BOY	$578,918,593	TotalAssetsBOYAmt
Total Assets EOY	$653,337,199	TotalAssetsEOYAmt
Total Liabilities BOY	$152,753,406	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$152,144,829	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$426,165,187	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$501,192,370	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	$130,231,514	ExpenseAmt
Grant	$13,680,421	GrantAmt
Revenue	$213,155,758	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$130,231,514	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	0	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	144	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1098	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	10	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	0	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 (19 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)	$694,435	$0	$35,738
ART KELTON
CHAIRMAN OF THE BOARD	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JERRY GREENBERG MD
BOARD MEMBER & PHYSICIAN	1.00	40.00	Yes (X)		$664,670	$0	$54,249
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
HARRY FRAMPTON
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
CHARLIE L'ESPERANCE
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
FREDERICK SMITH
CHIEF ADMINISTRATIVE OFFICER	40.00	0.00		Yes (X)	$291,546	$0	$49,456
TED SIROTTA
CHIEF FINANCIAL OFFICER AND ASST TREASURER	40.00	3.00		Yes (X)	$336,040	$0	$32,989
HAROLD DUPPER
CFO AND ASST TREASURER	1.00	43.00		Yes (X)	$0	$0	$0
PATRICIA HARDENBERGH MD
PHYSICIAN	40.00	0.00			$662,772	$0	$46,425	Yes (X)
LAWRENCE GAUL MD
PHYSICIAN	0.00	40.00			$365,245	$0	$29,713	Yes (X)
ALEXANDER URQUHART MD
PHYSICIAN	40.00	0.00			$457,536	$0	$45,899	Yes (X)
JEFFREY RESNICK MD
PHYSICIAN	0.00	40.00			$356,314	$0	$33,337	Yes (X)
NELSON PRAGER MD
PHYSICIAN	0.00	40.00			$637,829	$0	$5,370	Yes (X)
CHARLES CREVLING
FORMER CFO AND ASST TREASURER	0.00	0.00			$300,000	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,766,387	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$333,176	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	133	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	$27,993,371
VAIL VALLEY EMERGENCY PHYSICIANS PC
27 MAIN STREET SUITE C301	EDWARDS	CO	81632	PHYSICIAN SERVICES	$4,919,750
CERNER CORPORATION
PO BOX 410451	KANSAS CITY	MO	64141	IT SERVICES	$3,192,192
DIVERSIFIED RADIOLOGY
938 BANNOCK STE C300	DENVER	CO	80204	RADIOLOGISTS	$2,481,575
DENVER HEALTH & HOSPITAL AUTHORITY
PO BOX 40411	DENVER	CO	80204	TRAUMA SURGEONS	$2,320,517

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,937,462	RelatedOrganizationsAmt
Total Contributions	$2,937,462	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	$140,750,599	$139,258,065	$1,492,534
Medicare/medicaid	900099	$33,625,566	$33,625,566
EQUITY IN EARNINGS OF SUBSIDIARIE	900099	$26,878,116	$26,878,116
PROVIDER FEE INCOME	900099	$8,344,202	$8,344,202
MANAGEMENT FEE INCOME	900099	$3,929,602	$3,929,602

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,630,708	TotalRevenueColumnAmt
Related Or Exempt Func Income	$121,437	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,495,769	UnrelatedBusinessRevenueAmt
Exclusion	$13,502	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$217,158,793	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,075,909	TotalRevenueColumnAmt
Unrelated Business Revenue	-$55	UnrelatedBusinessRevenueAmt
Exclusion	$7,075,964	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,253,289	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,676,711	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$576,578	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$576,578	TotalRevenueColumnAmt
Exclusion	$576,578	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$159,651,105	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$142,502,498	SecuritiesAmt
Other	$226,308	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,148,607	SecuritiesAmt
Other	-$226,308	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,922,299	TotalRevenueColumnAmt
Exclusion	$16,922,299	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$999,018	$998,770	$248
CAFETERIA REVENUE	900099	$685,646		$685,646

Field	Value	IRS element (for citing)
Other Revenue Total	$1,684,664	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$246,355,705	TotalRevenueColumnAmt
Related Or Exempt Func Income	$213,155,758	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,988,248	UnrelatedBusinessRevenueAmt
Exclusion	$25,274,237	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	$13,680,421	TotalAmt
Program Services	$13,680,421	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,159,123	TotalAmt
Program Services	$718,919	ProgramServicesAmt
Management And General	$1,440,204	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$300,000	TotalAmt
Management And General	$300,000	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$53,998,166	TotalAmt
Program Services	$36,323,353	ProgramServicesAmt
Management And General	$16,116,199	ManagementAndGeneralAmt
Fundraising	$1,558,614	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,886,809	TotalAmt
Program Services	$1,322,642	ProgramServicesAmt
Management And General	$525,004	ManagementAndGeneralAmt
Fundraising	$39,163	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,984,171	TotalAmt
Program Services	$3,137,368	ProgramServicesAmt
Management And General	$1,747,459	ManagementAndGeneralAmt
Fundraising	$99,344	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,719,425	TotalAmt
Program Services	$3,275,127	ProgramServicesAmt
Management And General	$1,348,285	ManagementAndGeneralAmt
Fundraising	$96,013	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,018,070	TotalAmt
Management And General	$1,018,070	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$163,155	TotalAmt
Management And General	$163,155	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,282	TotalAmt
Management And General	$6,282	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$7,243	TotalAmt
Fundraising	$7,243	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$845,007	TotalAmt
Management And General	$845,007	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,130,569	TotalAmt
Program Services	$13,778,971	ProgramServicesAmt
Management And General	$8,341,859	ManagementAndGeneralAmt
Fundraising	$9,739	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,556,738	TotalAmt
Program Services	$115,938	ProgramServicesAmt
Management And General	$1,440,800	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,040,188	TotalAmt
Program Services	$1,088,451	ProgramServicesAmt
Management And General	$1,951,737	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$611,089	TotalAmt
Program Services	$109,020	ProgramServicesAmt
Management And General	$502,069	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,506,740	TotalAmt
Program Services	$525,077	ProgramServicesAmt
Management And General	$1,981,663	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$276,929	TotalAmt
Program Services	$161,703	ProgramServicesAmt
Management And General	$115,226	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$176,242	TotalAmt
Program Services	$73,016	ProgramServicesAmt
Management And General	$103,226	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,085,615	TotalAmt
Program Services	$1,085,615	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,389,295	TotalAmt
Program Services	$12,272,222	ProgramServicesAmt
Management And General	$1,117,073	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$843,794	TotalAmt
Program Services	$6,245	ProgramServicesAmt
Management And General	$837,549	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical & other supplie	$29,533,937	$28,706,981	$824,946	$2,010
Bad debt expense	$9,071,156	$9,071,156
Repairs & Maintenance	$8,773,356	$147,366	$8,625,990
Provider Fee Expense	$4,336,804	$4,336,804

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$470,452	TotalAmt
Program Services	$295,119	ProgramServicesAmt
Management And General	$175,333	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$181,570,776	TotalAmt
Program Services	$130,231,514	ProgramServicesAmt
Management And General	$49,527,136	ManagementAndGeneralAmt
Fundraising	$1,812,126	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,534	BOYAmt
EOY	$7,222	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,930,557	BOYAmt
EOY	$31,806,057	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,969,948	BOYAmt
EOY	$5,908,343	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,502,961	BOYAmt
EOY	$22,205,002	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,209,974	BOYAmt
EOY	$7,290,497	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,043,795	BOYAmt
EOY	$4,658,408	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$334,270,381	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$160,342,629	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$154,573,823	BOYAmt
EOY	$173,927,752	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$333,178,183	BOYAmt
EOY	$367,542,317	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,638,024	BOYAmt
EOY	$13,373,974	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$13,756,254	BOYAmt
EOY	$21,516,664	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,107,540	BOYAmt
EOY	$5,100,963	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$578,918,593	BOYAmt
EOY	$653,337,199	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,148,376	BOYAmt
EOY	$34,289,308	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$207,692	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$290,252	BOYAmt
EOY	$26,453	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,989,882	BOYAmt
EOY	$2,711,864	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$152,753,406	BOYAmt
EOY	$152,144,829	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$414,886,837	BOYAmt
EOY	$492,053,708	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,278,350	BOYAmt
EOY	$9,138,662	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$426,165,187	BOYAmt
EOY	$501,192,370	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$578,918,593	BOYAmt
EOY	$653,337,199	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$64,784,929	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,279,990	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$37,736	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	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$6,282	OtherActivitiesAmt
Total Lobbying Expenditures	$6,282	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	$3,787,148	BeginningYearBalanceAmt
Contributions	$296,823	ContributionsAmt
Investment Earnings Or Losses	$587,695	InvestmentEarningsOrLossesAmt
End Year Balance	$4,671,666	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,343,253	BeginningYearBalanceAmt
Investment Earnings Or Losses	$218,740	InvestmentEarningsOrLossesAmt
Other Expenditures	$54,134	OtherExpendituresAmt
End Year Balance	$3,507,859	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.80140	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.19860	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	$6,200,687	OtherCostOrOtherBasisAmt
Book Value	$6,200,687	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,356,959	OtherCostOrOtherBasisAmt
Depreciation	$68,957,597	DepreciationAmt
Book Value	$129,399,362	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,734,525	OtherCostOrOtherBasisAmt
Depreciation	$1,028,877	DepreciationAmt
Book Value	$705,648	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,958,206	OtherCostOrOtherBasisAmt
Depreciation	$88,493,992	DepreciationAmt
Book Value	$20,464,214	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,020,004	OtherCostOrOtherBasisAmt
Depreciation	$1,862,163	DepreciationAmt
Book Value	$17,157,841	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$173,927,752	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Unamortized bond issuance cost	Desc
Amt	$2,711,864	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,711,864	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$247,827,824	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$10,279,990	NetUnrealizedGainsInvstAmt
Other Revenue	$4,676,711	OtherRevenueAmt
Revenue Not Reported	$14,956,701	RevenueNotReportedAmt
Revenue Subtotal	$232,871,123	RevenueSubtotalAmt
Other Revenues Not Included	$13,484,582	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$13,484,582	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$246,355,705	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$172,800,641	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$4,676,711	OtherExpensesIncludedAmt
Expenses Not Reported	$4,676,711	ExpensesNotReportedAmt
Expenses Subtotal	$168,123,930	ExpensesSubtotalAmt
Other Expenses Not Included	$13,446,846	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,446,846	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$181,570,776	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, 2017 AND 2016.
Part XI, Line 2d - Other Adjustments:	DIRECT RENTAL EXPENSES 4,676,711.
Part XI, Line 4b - Other Adjustments:	REVENUE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 113,430. BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 9,071,156. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,996.
Part XII, Line 2d - Other Adjustments:	DIRECT RENTAL EXPENSES 4,676,711.
Part XII, Line 4b - Other Adjustments:	BAD DEBT TREATED AS EXPENSE FOR TAX PURPOSES 9,071,156. GRANT EXPENSE NETTED AS REVENUE, TREATED AS EXPENSE FOR TAX PURPOSES 4,299,996. EXPENSE PASSED THROUGH FROM CHA TRUST FOR WORKER'S COMPENSATION 75,694.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Specific Services Provided	N/A	SpecificServicesProvidedTxt
Region Total Expenditures	$13,373,973	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$13,373,973	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$13,373,973	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	$1,243,940	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,243,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,888,476	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,237,032	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,651,444	NetCommunityBenefitExpnsAmt
Total Expense	0.01460	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,132,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,237,032	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,895,384	NetCommunityBenefitExpnsAmt
Total Expense	0.02150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$932,304	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$932,304	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$958,807	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$958,807	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,860,456	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,860,456	NetCommunityBenefitExpnsAmt
Total Expense	0.08180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,778,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,775,030	NetCommunityBenefitExpnsAmt
Total Expense	0.09230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,910,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,240,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,670,414	NetCommunityBenefitExpnsAmt
Total Expense	0.11380	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,071,156	BadDebtExpenseAmt
Reimbursed By Medicare	$25,141,917	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,945,924	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,804,007	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	0.50180	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49820	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	Yes (1)	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 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.
VAIL CLINIC, INC.	Part V, Section B, Line 23: SCHEDULE H, PART V, SECTION B, LINE 22D, 23 & 24:DISCLOSURE UNDER REV. PROC. 2015-21THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE POLICY-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE - AMOUNTS GENERALLY BILLED (AGB) APPLIED TO THE REQUEST FOR THE APPROVAL FOR APPROVED FINANCIAL ASSISTANCE DISCOUNT.HOSPITALS WERE REQUIRED TO MAKE REASONABLE, GOOD FAITH EFFORTS TO COMPLY WITH DRAFT 501(R) IRS REGULATIONS THAT HAD BEEN ISSUED PRIOR TO 2016, WITH COMPLIANCE OF THE FINAL ISSUED REGULATIONS BY NO LATER THAN NOVEMBER 1, 2016. THE HOSPITAL CONSULTED WITH THEIR OUTSIDE ACCOUNTING FIRM TO HELP INTERPRET THE REGULATIONS AS THE HOSPITAL DEVELOPED A POLICY IN COMPLIANCE WITH THE IRS REGULATIONS. THE REVISED POLICY NOW INDICATES THAT THE HOSPITAL WILL USE THE LOOK BACK METHOD IN DETERMINING AMOUNTS GENERALLY BILLED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AND FAP ELIGIBLE PATIENTS SHALL NOT BE CHARGED MORE THAN AGB. BOARD APPROVAL OF THE REVISED POLICIES TOOK PLACE IN LATE 2016 AND THE FINANCIAL ASSISTANCE POLICY WAS APPROVED IN FEBRUARY, 2017.INITIAL IMPLEMENTATION OF THE NEW POLICY BEGAN IMMEDIATELY, WITH THE LIMITATION OF CHARGES BEING IMPLEMENTED IN 2017. ANY PATIENT THAT RECEIVED LESS THAN 100% FINANCIAL ASSISTANCE WAS RECALCULATED USING AGB AND THEN THE APPROVED AMOUNT PER THEIR ELIGIBILITY WAS APPLIED. ANY REFUNDS THAT REQUIRED ISSUANCE WERE MADE BASED UPON THIS REVIEW.THE HOSPITAL HAS TAKEN MEASURES TO PREVENT OVERSIGHTS OF THIS NATURE FROM REOCCURRING BY PROVIDING MORE TRAINING TO ALL EMPLOYEES WHO HAVE PATIENT CONTACT REGARDING BILLING MATTERS, SUCH AS FINANCIAL COUNSELORS, BILLING PERSONNEL, CUSTOMER SERVICE REPRESENTATIVES, AND PATIENT ACCESS REPRESENTATIVES. THE HOSPITAL HAS ALSO INCREASED THEIR RESOURCES AROUND FINANCIAL ASSISTANCE COUNSELORS BY ADDING MORE FTES TO SUPPORT THIS ACTIVITY.

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
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
6 - BEAVER CREEK MEDICAL CENTER
PO BOX 40000	VAIL	CO	81658	FOR ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY
7 - US BANK 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	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 ($8,700,000) 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 $9,071,156.
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 AND 11 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 $1,819,347. THE REMAINING $39,126,577 OF ALLOWABLE COST IS FROM THE MEDICAL CENTER'S MEDICARE COST REPORT.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 ($8,700,000) 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.
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 FY12, WE ALSO STARTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT REQUIRED BY THE IRS THAT WAS COMPLETED IN FY13, AND THIS WAS UPDATED IN FY15 AND COMPLETED IN FY16.
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 $8,700,000 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 $384,894 TO MOUNTAIN FAMILY HEALTH CENTERS TO SUBSIDIZE THEIR FEDERALLY QUALIFIED HEALTH CLINIC.
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 (16 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
Youthpower 365
PO Box 309	VAIL	CO	81658	841442909	501(C)(3)	$10,000	STAR DANCING GALA SPONSORSHIP
Starting Hearts
PO Box 4318	AVON	CO	81620	273008262	501(C)(3)	$25,000	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)	$384,894	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)	$8,700,000	PROGRAM SUPPORT
Walking Mountain Science Center
PO Box 9469	AVON	CO	81620	841436731	501(C)(3)	$5,000	TASTE OF NATURE 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)	$10,000	2017 NIGHT SHINE GALA
Colorado Mountain College Foundation
802 Grand Avenue	Glenwood Springs	CO	81601	742393418	501(C)(3)	$9,700	VVMC Scholarship
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			$89,700	SUBSIDIZE FOR OB SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	15	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)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
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 (10 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	$506,948	$0	$149,700	$0	$37,787	$0	$13,010	$0	$22,728	$0	$730,173	$0	$0	$0
JERRY GREENBERG MD
BOARD MEMBER & PHYSICIAN	$611,900	$0	$46,875	$0	$5,895	$0	$13,250	$0	$40,999	$0	$718,919	$0	$0	$0
FREDERICK SMITH
CHIEF ADMINISTRATIVE OFFICER	$238,028	$0	$50,250	$0	$3,268	$0	$10,168	$0	$39,288	$0	$341,002	$0	$0	$0
TED SIROTTA
CHIEF FINANCIAL OFFICER AND ASST TRE	$301,244	$0	$30,000	$0	$4,796	$0	$1,770	$0	$31,219	$0	$369,029	$0	$0	$0
PATRICIA HARDENBERGH MD
PHYSICIAN	$488,445	$0	$170,591	$0	$3,736	$0	$9,603	$0	$36,822	$0	$709,197	$0	$0	$0
LAWRENCE GAUL MD
PHYSICIAN	$352,191	$0	$8,600	$0	$4,454	$0	$12,251	$0	$17,462	$0	$394,958	$0	$0	$0
ALEXANDER URQUHART MD
PHYSICIAN	$433,499	$0	$200	$0	$23,837	$0	$13,250	$0	$32,649	$0	$503,435	$0	$0	$0
JEFFREY RESNICK MD
PHYSICIAN	$332,988	$0	$18,750	$0	$4,576	$0	$13,250	$0	$20,087	$0	$389,651	$0	$0	$0
NELSON PRAGER MD
PHYSICIAN	$583,614	$0	$43,875	$0	$10,340	$0	$0	$0	$5,370	$0	$643,199	$0	$0	$0
CHARLES CREVLING
FORMER CFO AND ASST TREASURER	$0	$0	$0	$0	$300,000	$0	$0	$0	$0	$0	$300,000	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Ted Sirotta received temporary housing in a rental unit until a permanent residence could be purchased. This amount is included as taxable income during the 2016 calendar year.
Part I, Lines 4a-b	SEVERANCE PAYMENTS: CHARLES CREVLING RECEIVED A SEVERANCE PAYMENT OF $300,000 DURING THE 2016 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	$104,915,416	$921,241	$24,658,515	$79,335,660	0	0	0	Yes (1)
B	$19,052,899	$303,592			Yes (1)	0	Yes (1)	Yes (1)	$3,935,695	$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 10/31/2017 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 2,070 PATIENT DAYS: 6,080 TOTAL SURGERIES: 3,006 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 2017. 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. VHH SUCCESSFULLY PASSED THE LEVEL III TRAUMA DESIGNATION WITH NO CITATIONS. THE MAIN LAB SUCCESSFULLY PASSED THE COLLEGE OF AMERICAN PATHOLOGY (CAP) ACCREDITATION INSPECTION. FAMILY BIRTH CENTER WAS ACKNOWLEDGED, FOR THE SECOND CONSECUTIVE YEAR, AS ONE OF AMERICA'S BEST HOSPITALS FOR OBSTETRICS BY THE WOMEN'S CHOICE AWARD. VHH INSTALLED 50 AUTOMATED EXTERNAL DEFIBRILLATORS IN EAGLE COUNTY IN PARTNERSHIP WITH STARTING HEARTS. VHH AND SPRI LAUNCHED THE TOGETHER CAMPAIGN, WITH A GOAL OF RAISING $75,000,000 TO FUND THE ONGOING MASTER FACILITY PLAN. VHH GAVE $20,700,000 BACK TO THE COMMUNITY THROUGH CHARITY CARE; EVENTS AND OUTREACH EFFORTS; PROGRAMS LIKE THINKFIRST; AND FINANCIALLY SUPPORTING GROUPS LIKE STARTING HEARTS, MIND SPRINGS HEALTH, CASTLE PEAK SENIOR CARE, HOMECARE & HOSPICE OF THE VALLEY, MOUNTAIN FAMILY HEALTH, SPRI, VAIL-SUMMIT ORTHOPAEDICS FOUNDATION, EAGLE COUNTY SCHOOLS, AND THE EDUCATION FOUNDATION OF EAGLE COUNTY. SHAW CANCER CENTER CREATED A POSITION FOR AN ONCOLOGY FINANCIAL NAVIGATOR TO PROACTIVELY IDENTIFY PATIENTS IN NEED AND DEVELOP A PLAN TO HELP THEM MEET THEIR COSTS OF CARE.
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	DURING FY 17 CONFLICT OF INTEREST SURVEYS WERE NOT CIRCULATED WHILE THE CURRENT POLICY WAS BEING REVIEWED, HOWEVER THE SURVEY PROCESS WAS COMPLETED DURING JULY 2018. 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 2017 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 2017 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 3,935,656. Management and general expenses 1,466,975. Fundraising expenses 9,739. Total expenses 5,412,370. REPAIRS/MAINTENANCE SERVICES: Program service expenses 1,224,046. Management and general expenses 554,738. Fundraising expenses 0. Total expenses 1,778,784. CONSULTING SERVICES: Program service expenses 264,917. Management and general expenses 3,568,246. Fundraising expenses 0. Total expenses 3,833,163. PHYSICIAN FEES: Program service expenses 7,347,790. Management and general expenses 125,500. Fundraising expenses 0. Total expenses 7,473,290. LAUNDRY SERVICES: Program service expenses 66,846. Management and general expenses 782,353. Fundraising expenses 0. Total expenses 849,199. CONTRACT CLINICAL LABOR: Program service expenses 939,716. Management and general expenses 0. Fundraising expenses 0. Total expenses 939,716. FOOD SERVICES: Program service expenses 0. Management and general expenses 1,844,047. Fundraising expenses 0. Total expenses 1,844,047.
Form 990, Part XI, line 9:	Net revenue passed through from the CHA Trust for Worker's Compensation -37,736.

Schedule R IRS990ScheduleR

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 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 12d, III-O	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 12c, III-FI	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

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	$44,022,420	ShareOfTotalIncomeAmt
Share Of EOY Assets	$17,652,039	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.50180	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	Yes (1)	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	$2,140,907	ACTUAL AMOUNT
VVMC Diversified Services
B	$8,700,000	ACTUAL AMOUNT
Vail Health Services Foundation
C	$2,937,462	ACTUAL AMOUNT
Vail Valley Surgery Center LLC
D	$1,996,243	LOAN AMOUNT
VVMC Diversified Services
D	$334,386	LOAN AMOUNT
Vail Valley Surgery Center LLC
F	$24,305,247	ACTUAL AMOUNT
Vail Valley Surgery Center LLC
Q	$17,052,703	ACTUAL AMOUNT
VVMC Diversified Services
Q	$3,177,000	ACTUAL AMOUNT
Vail Valley Surgery Center LLC
R	$5,187,544	ACTUAL AMOUNT