2017-09-14T17:41:34-05:00 2016-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2015-11-01 840563230 Vail Clinic Inc % VHH ACCOUNTING DEPARTMENT VAIL 9704797238 PO Box 40000 Vail CO 81658 TED SIROTTA CFO 9704797238 2017-09-15 true Adam R Smith CPA P00958966 7194714290 2015 2021-01-29 14:40:06Z Vail Health Hospital DORIS KIRCHNER PO BOX 40000 Vail CO 81658 272877555 false X www.vailhealth.org X 1965 CO VHH IS AN ACUTE CARE, GENERAL HOSPITAL AND ORTHOPEDIC REFERRAL CENTER. ITS PRIMARY MISSION IS TO PROVIDE HEALTH RELATED SERVICES TO CITIZENS OF THE LOCAL COMMUNITY AND REGION. 9 7 1107 200 5350916 12939307 3198635 190695813 198146199 4742267 11871479 3013582 3199144 211390969 216415457 5759087 8943330 0 0 66299902 65867293 172463 240335 2156649 88007413 90855444 160238865 165906402 51152104 50509055 502290116 578918593 141828252 152753406 360461864 426165187 X VAIL HEALTH HOSPITAL WILL PROVIDE SUPERIOR HEALTH SERVICES WITH COMPASSION AND EXCEPTIONAL OUTCOMES. WE PROVIDE SUPERIOR HEALTH SERVICES ALIGNED TO THE NEEDS OF EAGLE COUNTY RESIDENTS AND VISITORS, WORLD RENOWNED ORTHOPEDIC SERVICES, REGIONAL CANCER SERVICES AND EMERGENCY SERVICES. WE INTEGRATE AND ALIGN SERVICE OFFERINGS WITH OUR PHYSICIAN PARTNERS TO MAXIMIZE FLEXIBILITY AND RESPONSIVENESS TO PATIENT NEEDS INCLUDING PREVENTIVE HEALTH SERVICES AND CONTINUOUS QUALITY IMPROVEMENT THROUGH INVESTMENT IN TECHNOLOGY, FACILITIES AND STAFF DEVELOPMENT. false false 122296042 8943330 192758736 KEY METRICS OF VAIL HEALTH HOSPITAL FOR FISCAL YEAR ENDED 10/31/2016 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,786 PATIENT DAYS: 5,404 TOTAL SURGERIES: 2,672. VHH'S MASTER FACILITY PLAN MADE PROGRESS ON THE WEST WING PHASE 1, INCLUDING A 4TH FLOOR FOR ORTHOPEDICS, ADDITIONAL RESEARCH FACILITIES, AND AN UPGRADED PCU/ICU. VHH ENJOYED CONTINUOUS ACCREDITATION STATUS THROUGHOUT FYE 2016. THE SHAW CANCER CENTER RECEIVED A THREE-YEAR ACCREDITATION WITH COMMENDATION FROM THE COMMISSION ON CANCER. THE WOMEN'S AND CHILDREN'S CENTER WAS ACKNOWLEDGED AS ONE OF AMERICA'S BEST HOSPITALS FOR OBSTETRICS BY THE WOMEN'S CHOICE AWARDS. HOWARD HEAD SPORTS MEDICINE CONTINUES TO BE THE MEDICAL PROVIDER FOR THE US SKI, SNOWBOARD, FREE SKI, AND CLIMBING TEAM. VHH'S LABORATORY ENJOYED SUCCESSFUL INSPECTION AND RE-ACCREDITATION BY THE COLA INSPECTION AGENCY FOR THE GYPSUM AND EDWARDS SATELLITE LABORATORIES. VHH INSTALLED 50 AEDS IN EAGLE COUNTY WITH STARTING HEARTS PARTNERSHIP. VHH PARTNERED WITH COLORADO MOUNTAIN COLLEGE TO OFFER A SURGICAL TECHNOLOGY DEGREE. HIKE, WINE, & DINE RAISED OVER $128,000 WITH PROCEEDS BENEFITTING JACK'S PLACE AND SHAW REGIONAL CANCER CENTER. VHH'S ANNUAL CANCER AWARENESS EVENT, PINKVAIL, BROUGHT MORE THAN 5,500 INDIVIDUAL DONATIONS AND $750,000. PINKVAIL HAS RAISED ALMOST $2,500,000 SINCE THE EVENT BEGAN. THE TRAUMA SERVICES INJURY PREVENTION PROGRAM PROVIDED EDUCATION TO OVER 12,000 AND PROVIDED OVER 900 SKI AND BIKE HELMETS. HOWARD HEAD SPORTS MEDICINE OPENED THE BRECKENRIDGE CLINIC ON NOVEMBER 1, 2015 AND SAW 3000 PATIENTS DURING THE FISCAL YEAR. SONNENALP BREAST CENTER BROUGHT A NEW AUTOMATED BREAST ULTRASOUND (ABUS) TO EAGLE COUNTY. 122296042 true true false true false false false false false true true false false false true false false true false false true false false true false false true true true false true true false false false false false true false false false false false false false false false true true true false true 160 0 true 1107 true true true false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true true true true false X VHH ACCOUNTING DEPARTMENT 9704797238 PO BOX 40000 Vail CO 81658 X Doris Kirchner President, CEO & Board Member 40.0 4.0 X X 698830 0 42341 Charlie L'Esperance Trustee 1.0 0.0 X 0 0 0 Art Kelton Chairman of the Board 1.0 1.0 X X 0 0 0 Dick Cleveland Board Member 1.0 0.0 X 0 0 0 Chris Jarnot Board Member 1.0 0.0 X 0 0 0 Jeff Shroll Board Member 1.0 0.0 X 0 0 0 Wayne Wenzel MD Board Member 1.0 0.0 X 0 0 0 Reg Franciose MD Board Member 1.0 2.0 X 0 0 0 Susan Suggs Board Member 1.0 0.0 X 0 0 0 Jerry Greenberg MD Board Member & Physician 1.0 40.0 X 712878 0 71640 Frederick Smith Chief Administrative Officer 40.0 0.0 X 283630 0 52834 Ted Sirotta CFO AND ASST TREASURER 40.0 3.0 X 63835 0 22522 Patricia Hardenbergh MD Physician 40.0 0.0 X 618501 0 48581 Lawrence Gaul MD Physician 0.0 40.0 X 375828 0 57406 Alexander Urquhart MD Physician 40.0 0.0 X 471167 0 64351 Jeffrey Resnick MD Physician 0.0 40.0 X 334576 0 35320 NELSON PRAGER MD Physician 0.0 40.0 X 729137 0 22193 Charles Crevling CFO and Asst Treasurer 0.0 0.0 X 448809 0 25952 4737191 0 443140 128 true true false VAIL VALLEY EMERGENCY PHYSICIANS PC 27 MAIN STREET SUITE C301 EDWARDS CO 81632 Physician Services 5074826 GE JOHNSON CONSTRUCTION CO 40800 HIGHWAY 6 STE 8 AVON CO 81620 CONSTRUCTION 4816520 Diversified Radiology of colo pc 938 bannock suite C300 DENVER CO 80204 radiologists 2800170 JACKSON BUILDING CO LLC PO BOX 6625 VAIL CO 81658 CONSTRUCTION 2731417 CERNER CORPORATION PO BOX 410451 KANSAS CITY MO 64141 IT SERVICES 2606407 59 3150130 5365 43140 3198635 NET PATIENT SERVICE REVENUE 900099 139810313 138420869 1389444 MEDICARE/MEDICAID 900099 25790554 25790554 EQUITY IN EARNINGS OF SUBSIDIARIES 900099 18333337 18333337 PROVIDER FEE INCOME 900099 6820591 6820591 RETAIL PHARMACY 446110 3922030 3906127 15903 3469374 3469374 198146199 5087724 55345 5032379 0 0 4931658 3373316 1558342 0 1558342 1558342 59872537 52761750 327032 7110787 -327032 6783755 6783755 0 0 0 CAFETERIA REVENUE 900099 678409 678409 MISCELLANEOUS REVENUE 900099 962393 961778 615 1640802 216415457 193796503 5350916 14069403 X 8943330 8943330 0 0 0 2160520 758519 1402001 300000 300000 49616709 35441975 12686589 1488145 1976800 1398008 520723 58069 7374890 4895434 2273996 205460 4438374 3052796 1259965 125613 0 863657 863657 126122 126122 7837 7837 240335 240335 709596 709596 20058770 13526736 6495040 36994 1305563 69640 1235470 453 3209337 1283542 1924864 931 5198114 72429 5125685 0 2595279 1407904 1187375 191876 119808 72068 0 132159 61845 70314 435681 435681 0 11959578 11212803 746775 863484 36178 827306 BAD DEBT EXPENSE 10159308 10159308 MEDICAL & OTHER SUPPLIES 25653569 25000904 652016 649 REPAIRS & MAINTENANCE 3410605 682596 2728009 PROVIDER FEE EXPENSE 3406478 3406478 568431 330128 238303 165906402 122296042 41453711 2156649 7089 7534 50566901 25930557 10038956 7969948 18315103 19502961 0 0 0 0 0 0 7778939 7209974 3417672 4043795 303356451 148782628 118302232 154573823 262834211 333178183 12258698 7638024 12759019 13756254 0 0 6011296 5107540 502290116 578918593 22449356 34148376 0 0 0 0 115117204 115117204 0 0 507692 207692 546519 290252 0 0 3207481 2989882 141828252 152753406 X 348473873 414886837 11987991 11278350 0 0 360461864 426165187 502290116 578918593 X 50509055 -5028115 20222383 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7837 7837 false Schedule C, Part II-B, Line 1i Description of Other Activities: A portion of the dues Vail Health Hospital pays to Colorado Hospital Association are for lobbying activities. 3343361 369350 74437 3787148 3511532 86600 -254771 3343361 3507859 50000 10337 56664 3511532 3343253 218740 54134 3507859 3340931 50000 178619 226297 3343253 0.00000 0.91020 0.08980 false true true 6200687 6200687 134929034 60649331 74279703 1730065 769700 960365 103642660 85577216 18065444 56854005 1786381 55067624 154573823 0 UNAMORTIZED BOND ISSUANCE COST 2989882 2989882 200413664 -5028115 3373316 -1654799 202068463 14346994 14346994 216415457 155052623 3373316 3373316 151679307 14227095 14227095 165906402 Schedule D, Part V, Line 4 Intended uses of the organization's endowment funds: 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 Schedule D, Part X, Line 2 Uncertain Tax Positions: Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. Schedule D, Part XI, Line 2d Revenue on Books, Not on Return: Rental Expenses reclassed from expense and net against revenue 3,373,316 Schedule D, Part XI, Line 4b Revenue on Return, Not on Books: REVENUE PASSED THRU FROM THE COLORADO HOSPITAL ASSOCIATION TRUST FOR WORKER'S COMPENSATION 206,059 BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 10,159,308 EXPENSE NET WITH REVENUE ON FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 3,583,330 REVENUE NET WITH EXPENSE ON FINANCIALS, TREATED AS REVENUE FOR TAX PURPOSES 398,297 TOTAL 14,346,994 Schedule D, Part XII, Line 2d Expense on Books, Not on Return: Rental Expenses reclassed from expense and net against revenue 3,373,316 Schedule D, Part XII, Line 4b Expense on return, not on books: EXPENSE PASSED THRU FROM THE COLORADO HOSPITAL ASSOCIATION TRUST FOR WORKER'S COMPENSATION 86,160 BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 10,159,308 EXPENSE NET WITH REVENUE ON FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 3,583,330 REVENUE NET WITH EXPENSE ON FINANCIALS, TREATED AS REVENUE FOR TAX PURPOSES 398,297 TOTAL 14,227,095 Central America and the Caribbean Investments 7511646 7511646 7511646 true false true true false false Schedule F, Part I, Line (1), column (f) description of investments: Investments consist of fund of funds that invest in underlying hedge funds through a legal entity domiciled offshore. These investments represent less than 5% of Vail Health Hospitals total investments. X X X X true Marts Lundy 1200 Wall Street West Lyndhurst NJ 07071 Fundraising Consulting false 0 240335 0 240335 CO true true X true X true X true true false true false 436791 436791 0.00240 15033440 13005587 2027853 0.01100 15470231 13005587 2464644 0.01340 656329 656329 0.00360 588159 588159 0.00320 24786 5580 19206 0.00010 9616043 9616043 0.05240 10885317 5580 10879737 0.05930 26355548 13011167 13344381 0.07270 true 10411340 16314393 31148885 -14834492 X true true Vail Valley Surgery Ambulatory Surgery Center 0.5018 0.4982 1 1 Vail Clinic Inc PO Box 40000 Vail CO 81658 www.vailhealth.org 010911 X X X Vail Clinic Inc false false true X X X X X X X X X 15 true false false true X see Part V, Section C for URL X true 15 true https://www.vailhealth.org/pdf/VailHealth/CHN false true X 100 350. X X X true true X X true X see part v section c for url X see part v section c for url X see part v section c for url X X X X X true X false X X X X true X true true SCHEDULE H, 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, AND 3.) 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. SCHEDULE H, PART V, SECTION B, LINE 7a DIRECT URL WHERE CHNA IS MADE AVAILABLE: https://www.vailhealth.org/media/389462/chna-2016-pdf.pdf SCHEDULE H, 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 DEVELOPMENT 2. CANCER - INCREASE COLORECTAL SCREENING AWARENESS IN EAGLE COUNTY THROUGH A COUNTY WIDE MARKETING CAMPAIGN 3. 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 INJURIES 5. 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 REFERAL 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. SCHEDULE H, PART V, SECTION B, LINE 16A URL WHERE FAP IS MADE WIDELY AVAILABLE: https://www.vailhealth.org/pdf/VailHealth/Patient_Financial_Assistance.pdf SCHEDULE H, PART V, SECTION B, LINE 16B URL WHERE FAP APPLICATION FORM IS MADE WIDELY AVAILABLE: https://www.vailhealth.org/pdf/VailHealth/Financial/Vail_Health_FinAstApp_ ENGLISH.pdf SCHEDULE H, PART V, SECTION B, LINE 16C URL WHERE PLAIN LANGUAGE SUMMARY IS MADE WIDELY AVAILABLE: https://www.vailhealth.org/pdf/VailHealth/Financial/VAIL_HEALTH_LOGO_Finan cial_Ass%20-%20Copy%203.pdf SCHEDULE H, PART V, SECTION B, LINE 22d THE HOSPITAL FACILITY DID NOT HAVE A SPECIFIC POLICY/PROCEDURE IN CALCULATING AMOUNTS GENERALLY BILLED FOR FISCAL YEAR 16 (2015 TAX YEAR). SCHEDULE H, PART V, SECTION B, LINE 22D, 23 & 24 DISCLOSURE UNDER REV. PROC. 2015-21 DURING THE FISCAL YEAR ENDED 10/31/16, VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL DID NOT LIMIT THE AMOUNT CHARGED FOR CARE IT PROVIDED TO ANY INDIVIDUAL WHO WAS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) AS PRESCRIBED BY THE IRS. THIS WAS IDENTIFIED IN 2016. 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 DETERMING 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. Initial implementation of the new policy began immediately, with the limitation of charges being implemented in 2017. THE HOSPITAL IS CURRENTLY IN THE PROCESS OF REVIEWING THE patient CHARGES in 2016 and 2017 AND WILL DETERMINE IF ANY REFUNDS NEED TO BE ISSUED TO AFFECTED INDIVIDUALS. 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. 15 Vail Valley Surgery Center (Vail) PO Box 1270 Vail CO 81658 Ambulatory Surgery Center JV Shaw Pavilion (Edwards) PO Box 40000 Vail CO 81658 Cancer Center, Physician Offices Edwards Medical Center PO Box 40000 Vail CO 81658 Physician Offices, Physical Therapy, Support Services Vail Valley Surgery Center (Edwards) PO Box 1270 Vail CO 81658 Ambulatory Surgery Center JV Avon Urgent Care PO Box 40000 Vail CO 81658 Urgent Care Beaver Creek Medical Center PO Box 40000 Vail CO 81658 For on-mountain accidents and illnesses of BC guests, PHYSICAL THERAPY US Bank Building (Vail) PO Box 40000 Vail CO 81658 Physician offices, physical therapy, support services Gypsum Urgent Care PO Box 40000 Vail CO 81658 Urgent Care Eagle Health Care Center PO Box 40000 Vail CO 81658 Physician offices, Physical therapy Howard Head Frisco PO Box 40000 Vail CO 81658 Physical Therapy Howard Head Silverthorne PO Box 40000 Vail CO 81658 Physical Therapy Howard Head Gypsum PO Box 40000 Vail CO 81658 Physical Therapy Howard Head Avon PO Box 40000 Vail CO 81658 Physical Therapy Jack's Place (Edwards) PO Box 40000 Vail CO 81658 Cancer Caring House HOWARD HEAD BRECKENRIDGE PO BOX 40000 VAIL CO 81658 PHYSICAL THERAPY 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 ($4,600,000) provided to VVMC Diversified Services dba VAIL Health Clinics, a related organization which is a group of physician practices and urgent care facilities located in a rural area in Eagle County, Colorado. VAIL Health Clinics is able to provide improved community access to healthcare services, allowing all members of the community to be served. SCHEDULE H, Part I, Line 7, Column F BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $10,411,340. SCHEDULE H, PART III, Section A, 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. SCHEDULE H, PART III, Section A, LINE 4 see page 10 AND 11 of the attached audited financial statements for the footnote describing bad debt expense. SCHEDULE H, PART III, Section B, 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 $1,426,231. The remaining $29,722,654 of allowable cost is from the Medical Center's Medicare cost report. SCHEDULE H, PART III, Section C, 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. SCHEDULE H, PART VI, LINE 3 NEEDS ASSESSMENT: 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. SCHEDULE H, PART VI, LINE 2 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: 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 ROUGHLY 20% of our business from the surrounding five counties, AND 7% OF OUR BUSINESS FROM COLORADO FRONT RANGE RESIDENTS VISITING OUR RESORT COMMUNITY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: 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 $3,583,330 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 also donated $4,600,000 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. true MIND SPRINGS HEALTH PO BOX 40 GLENWOOD SPRINGS CO 81602 264166675 501(C)(3) 15000 DETOX FUNDING STEADMAN PHILIPPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL CO 81657 880245022 501(C)(3) 3633330 PLEDGE PAYMENTS TO BENEFIT SPRI VAIL VALLEY PARTNERSHIP PO BOX 1130 VAIL CO 81658 840535997 501(C)(3) 6500 SPONSORSHIP HEALTHNETWORK FOUNDATION 33 RIVER STREET CHAGRIN FALLS OH 44022 043804600 501(C)(3) 12500 DONATION VAIL BREAST CANCER AWARENESS PO BOX 4043 AVON CO 81620 841515602 501(C)(3) 8000 SILVER SPONSORSHIP LUNCHEON BENEFIT RPC YOUTHPOWER 365 PO BOX 309 VAIL CO 81658 841442909 501(C)(3) 10000 Program Support STARTING HEARTS PO BOX 4318 AVON CO 81620 273008262 501(C)(3) 25000 SPONSORSHIP EDUCATION FOUNDATION OF EAGLE COUNTY PO BOX 18533 AVON CO 81620 841585417 501(C)(3) 25000 DONATION VAIL SYMPOSIUM PO BOX 3038 VAIL CO 81658 742568912 501(C)(3) 13000 UNDERWRITING/DONATION MOUNTAIN FAMILY HEALTH CENTERS 2700 GILSTRAP COURT 230 GLENWOOD SPRINGS CO 81601 840742145 501(C)(3) 384900 PROGRAM SUPPORT UNITED STATES SKI TEAM 1 VICTORY LANE BOX 100 PARK CITY UT 84060 846030639 501(C)(3) 40000 PROGRAM SUPPORT VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 501(C)(3) 4600000 PROGRAM SUPPORT 12 0 SCHEDULE I, PART I, LINE 2 Organization's procedures for monitoring the use of grant funds: MANAGERS AND DIRECTORS REGULARLY MONITOR ACTIVITIES AND USAGE OF GRANT FUNDS X true true X X X X X true true false false false false false true false Doris Kirchner President, CEO & Board Member 493018 0 130988 0 74824 0 18000 0 24341 0 741171 0 0 0 Charles Crevling CFO and Asst Treasurer 181142 0 0 0 267667 0 12897 0 13055 0 474761 0 0 0 Frederick Smith Chief Administrative Officer 220601 0 60000 0 3029 0 16388 0 36446 0 336464 0 0 0 Patricia Hardenbergh MD Physician 495504 0 119472 0 3525 0 15182 0 33399 0 667082 0 0 0 Lawrence Gaul MD Physician 363457 0 8600 0 3771 0 35550 0 21856 0 433234 0 0 0 Alexander Urquhart MD Physician 444520 0 23671 0 2976 0 35584 0 28767 0 535518 0 0 Jeffrey Resnick MD Physician 315088 0 15000 0 4488 0 18000 0 17320 0 369896 0 0 0 Jerry Greenberg MD Board Member & Physician 615974 0 91146 0 5758 0 36000 0 35640 0 784518 0 0 0 NELSON PRAGER MD Physician 639938 0 84635 0 4564 0 18000 0 4193 0 751330 0 0 0 SCHEDULE J, PART I, LINE 4a Severance Payments: The following individuals received severance payments during the 2015 calendar year: Charles Crevling - $138,462 SCHEDULE J, PART I, LINE 4b 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. Charles Crevling participated in a SERP during the year. The 457(f) amount was $16,170 and vesting of percentages specified in the written agreement occurs on March 1 of each year. Schedule J, Part I, line 7 Non-Fixed 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 (RVU's) 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 J, PART I, LINE 1a Information Regarding Benefits Provided: TED SIROTTA RECEIVED TEMPORARY HOUSING IN A RENTAL UNTIL A PERMANENT RESIDENCE COULD BE PURCHASED. THIS AMOUNT IS INCLUDED AS TAXABLE INCOME DURING THE 2015 CALENDAR YEAR. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A4N2 2015-10-21 104038243 Renovation & Expansion of Hospital false false false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 2012-06-06 19052899 Refund series 2001 false false false A 0 0 104118143 0 0 0 921241 0 0 18793268 0 84403634 false false false true B 0 0 19052899 0 0 0 303592 0 0 0 18749307 0 2012 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B 0 A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true Charles Crevling former officer Severance Payable X 600000 207692 false true true 207692 Form 990, Part VI, Section A, Line 6, 7a & 7b DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: VAIL HEALTH SERVICES, THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL, CAN APPOINT BOARD MEMBERS. 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 Process to Review the Form 990: THE FORM 990 IS PREPARED BY A THIRD PARTY BASED ON DATA PREPARED AND SUBMITTED BY THE ACCOUNTING DEPARTMENT. THE DRAFT 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 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 15a Review of CEO or Top Mgmt Official Compensation: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2016 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. Form 990, Part VI, Section B, line 15b 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 2016 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 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 VI, Section C, line 19 Describe how Governing Documents are made Available to the Public: THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC FOR VIEWING FOR VALID BUSINESS PURPOSES. Form 990, Part XI, Line 9 Other changes in net assets: Net revenue passed thru from the Colorado Hospital Association Trust for Worker's Compensation -119,899 Net Asset change due to adoption of ASC 800 20,342,282 Total 20,222,383 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIANS TOTAL FEES:6285740 FORM 990 PART IX LINE 11G DESCRIPTION:CODING SERVICES TOTAL FEES:649902 FORM 990 PART IX LINE 11G DESCRIPTION:FACILITIES TOTAL FEES:596486 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY/IMAGING TOTAL FEES:2827860 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY TOTAL FEES:786015 FORM 990 PART IX LINE 11G DESCRIPTION:HEALTH INFORMATION TOTAL FEES:1341888 FORM 990 PART IX LINE 11G DESCRIPTION:FOOD & NUTRITION TOTAL FEES:1690317 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:1393230 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT FIN SVCS/RELATIONS TOTAL FEES:1388181 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPY TOTAL FEES:136626 FORM 990 PART IX LINE 11G DESCRIPTION:HUMAN RESOURCES TOTAL FEES:314926 FORM 990 PART IX LINE 11G DESCRIPTION:ADMIN TOTAL FEES:405712 FORM 990 PART IX LINE 11G DESCRIPTION:ADMISSIONS TOTAL FEES:107404 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY TOTAL FEES:817454 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:572483 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISCELLANEOUS TOTAL FEES:744546 VVMC DIVERSIFIED SERVICES PO Box 40000 Vail CO 81658 261167922 Health Care CO 501(c)(3) Line 9 VHS true Vail Health Services Foundation PO Box 40000 Vail CO 81658 742505662 Support VHH CO 501(c)(3) Ln11 TypeII VHS true Shaw Outreach Team PO Box 40000 Vail CO 81658 383710853 Fundraising CO 501(c)(3) LN11TypeIII VHS true Volun Corps of the Vail Valley Med Ctr PO Box 40000 Vail CO 81658 113730281 Support VHH CO 501(c)(3) LN11TypeIII VHS true Vail Health Services (VHS) PO Box 40000 Vail CO 81658 262648461 Holding Co CO 501(c)(3) LN11TypeIII NA false Vail Vlly Srgry Ctr PO Box 1270 Vail CO 81658 030419967 Health Care CO VHH related 14473072 8241297 false 0 false 0.50180 VHS Management Services Inc 181 W Meadow Drive Suite 100 Vail CO 81657 262647982 health care CO VHS C Corporation true true true true false true false false false true false true true true true true true false false Vail Valley Surgery Center LLC A 2009716 ACTUAL AMOUNTS VVMC DIVERSIFIED SERVICES B 4600000 ACTUAL AMOUNTS Vail Health Services Foundation C 3150130 ACTUAL AMOUNTS Vail Valley Surgery Center LLC D 1501539 LOAN AMOUNT VVMC DIVERSIFIED SERVICES D 1605464 LOAN AMOUNT Vail Valley Surgery Center LLC F 17803323 ACTUAL AMOUNTS Vail Valley Surgery Center LLC P 507000 ACTUAL AMOUNTS Vail Valley Surgery Center LLC Q 15716516 ACTUAL AMOUNTS VVMC DIVERSIFIED SERVICES Q 2154000 ACTUAL AMOUNTS