2016-09-15T13:57:08-05:00 2015-10-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2014-11-01 840563230 Vail Clinic Inc % VVMC ACCOUNTING DEPARTMENT VAIL 9704797238 PO Box 40000 Vail CO 81658 Ted Sirotta SVP, Finance and CFO 9707772811 2016-09-15 true David S Mason CPA P00137279 7194714290 2014 2017-02-10 21:41:12Z Vail Valley Medical Center DORIS KIRCHNER PO BOX 40000 Vail CO 81658 250839212 false X www.vvmc.com X 1965 CO VVMC 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. 10 8 1090 200 4203327 -1066333 1818066 12939307 189644875 190695813 8013140 4742267 2045423 3013582 201521504 211390969 5382112 5759087 0 0 62168609 66299902 0 172463 2036888 92066854 88007413 159617575 160238865 41903929 51152104 365170342 502290116 42749231 141828252 322421111 360461864 X VAIL VALLEY MEDICAL CENTER 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 115438272 5759087 191580388 The fiscal year ended 10/31/2015 was a big year for Vail Valley Medical Center (VVMC). Some key metrics of VVMC providing inpatient and outpatient health care services throughout the mountain communities we serve are: Total Inpatient admissions: 2,219 Total Inpatient days: 5,277 Total Adjusted Patient Days (IP and OP): 17,080 Total Emergency Room/Urgent Care visits: 27,862 Total Surgeries: 3,092 In addition to the above: VVMC broke ground on a $200 million Master Facility Plan that will provide a new and bigger Emergency Department, upgraded Patient and Intensive Care Units, an on-site helipad to expedite critical transfers, increased privacy for patients, more workspace, additional scientific research capabilities and more parking. VVMC received the Gold Seal of Approval from The Joint Commission and was recognized as a Top Performer on Key Quality Measures. The Joint Commission is the leading accreditor of healthcare organizations in the United States. VVMC signed a 10-year partnership with the Steadman Philippon Research Institute to support research on regenerative medicine and using patients' own stem cells to heal the musculoskeletal system. Howard Head Sports Medicine, the same medical provider for the US Ski, Snowboard and Free Ski Teams, became the official provider for USA Climbing. VVMC formed a partnership with local nonprofit Starting Hearts to install 50 additional defibrillators in the community with the goal of making Eagle County the safest place in America to experience sudden cardiac arrest. Shaw Regional Cancer Center received certification from the Quality Oncology Practice Initiative (QOPI) for its commitment to excellence and ongoing quality improvement. Pink Vail was named "Colorado Nonprofit Project of the Year" by Colorado Healthcare Communicators. VVMC's Trauma Services Injury Prevention program educated over 12,000 people about brain and spinal cord injuries and donated 1,142 bike and ski helmets to children and adults in the community. VVMC was recognized as one America's Best Hospitals for Orthopedics by the 2015 Women's Choice Award. 115438272 true true false true false false false false false true true true false false true false false true false false true false false true false false true true true false true true false true false false false true false false false false false false false false false true true true false true 168 0 true 1090 true true true false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true true true true true X VVMC ACCOUNTING DEPARTMENT 9704797238 PO BOX 40000 Vail CO 81658 X Doris Kirchner President, CEO & Board Member 40.0 3.0 X X 721557 0 40986 Charlie L'Esperance Trustee 1.0 0.0 X 0 0 0 Art Kelton Chairman of the Board 1.0 2.0 X X 0 0 0 Dick Cleveland Board Member 1.0 0.0 X 0 0 0 Chris Jarnot SecretaryTreasurer and Board Member 1.0 0.0 X 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 1.0 X 0 0 0 Susan Suggs Board Member 1.0 0.0 X 0 0 0 Jerry Greenberg MD Board Member & Physician 40.0 0.0 X 373029 0 12499 Charles Crevling CFO and Asst Treasurer 40.0 3.0 X 461654 0 40065 Frederick Smith Chief Administrative Officer 40.0 0.0 X 265369 0 45694 Patricia Hardenbergh MD Physician 40.0 0.0 X 694983 0 49463 Lawrence Gaul MD Physician 40.0 0.0 X 364766 0 36586 Alexander Urquhart MD Physician 40.0 0.0 X 470554 0 26201 Jeffrey Resnick MD Physician 40.0 0.0 X 419348 0 32063 Robert Orr MD Physician 40.0 0.0 X 455214 0 8672 Alice Weydt Former Key Employee 40.0 0.0 X 194450 0 12060 4420924 0 304289 119 true true false VAIL VALLEY EMERGENCY PHYSICIANS PC 27 MAIN STREET SUITE C301 EDWARDS CO 81632 PHYSICIAN SERVICES 4689543 Denver Health and Hospital Authorit PO Box 40411 DENVER CO 80204 Physician Services 2389115 CERNER CORPORATION PO BOX 410451 KANSAS CITY MO 64141 it services 3702262 Haselden Construction LLC 6950 S Potomac St Ste 100 CENTENNIAL CO 80112 Construction Svc 1782750 Diversified Radiology of colo pc 938 bannock suite C300 DENVER CO 80204 radiologists 2478848 61 0 2941368 9997939 12939307 RETAIL PHARMACY 446110 4079358 4058573 20785 NET PATIENT SERVICE REVENUE 900099 138467534 138467534 MEDICARE/MEDICAID 900099 23358350 23358350 EQUITY IN EARNINGS OF SUBSIDIARIES 900099 14157037 14157037 PROVIDER FEE INCOME 900099 7482107 7482107 3151427 3051906 99521 190695813 4405219 45233 4359986 336912 336912 0 5311227 3790772 1520455 0 1520455 1520455 35625057 32550 34852499 804972 772558 -772422 136 136 0 0 0 CAFETERIA REVENUE 900099 652991 652991 MISCELLANEOUS REVENUE 900099 840136 676979 163157 1493127 211390969 187193913 4203327 7054422 X 5759087 5759087 0 0 0 2335476 1954055 381421 0 50571796 35853213 13734695 983888 2333535 1627001 661253 45281 6822701 4672106 2026489 124106 4236394 2979516 1179514 77364 0 711593 1625 709968 125614 125614 8072 8072 172463 172463 760464 760464 19508171 12768645 6714065 25461 1334054 66478 1153428 114148 3526269 1207038 2287896 31335 185076 58128 97526 29422 0 2554210 1471897 1082313 191027 111920 65421 13686 0 141759 61446 76791 3522 400582 400582 0 12175378 11527365 648013 809932 45984 763948 BAD DEBT EXPENSE 8183594 8183594 MEDICAL & OTHER SUPPLIES 23798979 23363944 409769 25266 REPAIRS & MAINTENANCE 8715735 666220 8049515 PROVIDER FEE EXPENSE 4380168 4380168 496736 232315 254896 9525 160238865 115438272 42763705 2036888 X 7011 7089 24164146 50566901 0 10038956 23746796 18315103 0 0 0 0 0 0 7374483 7778939 2916683 3417672 260311374 142009142 107677695 118302232 50926653 42702510 123639479 232390399 20375390 12759019 0 0 4342006 6011296 365170342 502290116 21456665 22449356 0 0 0 0 20467204 115117204 0 0 0 507692 795471 546519 0 0 29891 3207481 42749231 141828252 X 312653104 348473873 6776971 11987991 2991036 0 322421111 360461864 365170342 502290116 X 51152104 -5110896 -8000455 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8015 8015 false Description of Other Activities A portion of the dues Vail Valley Medical Center pays Colorado Hospital Association are for lobbying activities. 2991036 86600 3077636 2941036 50000 2991036 2941036 2941036 2891036 50000 2941036 2815036 76000 2891036 1.00000 false true true 6200687 6200687 130913464 55832478 75080986 1712415 581416 1130999 105668450 83879797 21788653 15816358 1715451 14100907 118302232 MUTUAL FUNDS 42855796 C MUTUAL FUNDS 74158904 F INVESTMENT IN PARTNERSHIP 372166 C INVESTMENT IN FOREIGN CORPS 8997069 C INVESTMENT IN FOREIGN CORPS 2889463 F FEDERAL TREASURY OBLIGATIONS 103117001 F 232390399 0 UNAMORTIZED BOND ISSUANCE COST 3207481 3207481 201547377 -5110896 3790772 -1320124 202867501 8523468 8523468 211390969 155734191 3790772 3790772 151943419 8295446 8295446 160238865 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 VVMC 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 Valley Medical Center. 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 3,790,772 net against revenue 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 339,874 BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 8,183,594 --------- TOTAL 8,523,468 Schedule D, Part XII, Line 2d Expense on Books, Not on Return Rental Expenses reclassed from expense and 3,790,772 net against revenue 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 111,852 BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON FINANCIALS, TREATED AS EXPENSE FOR TAX PURPOSES 8,183,594 --------- TOTAL 8,295,446 Central America and the Caribbean Investments 12043776 12043776 12043776 true false true true false false X X X X true Marts Lundy 1200 Wall Street 5th Floor Lyndhurst NJ 07071 Fundraising Consulting false 0 172463 -172463 0 172463 -172463 CO true true X true X true X true true false false 274538 0 274538 0.00150 15689921 12295199 3394722 0.01880 15964459 12295199 3669260 0.02030 825141 0 825141 0.00460 631435 0 631435 0.00350 6412111 0 6412111 0.03550 7868687 0 7868687 0.04360 23833146 12295199 11537947 0.06390 true 8376773 16516605 30692124 -14175519 X false Vail Valley Surgery Ambulatory Surgery Center 0.50313 0.49687 1 1 Vail Clinic Inc PO Box 40000 Vail CO 81658 www.vvmc.com 010911 X X X Vail Clinic Inc false false true X X X X X X X X X 12 true false false true X see Part V, Section C for URL X true 12 false true false true X 100 250. X X X X true true X X X true X see part v section c for url X see part v section c for url X X X X false X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY: In conducting the CHNA for Eagle County, VVMC gathered data from a variety of sources. Primary data collection involved data from three different surveys conducted in Eagle County, including: 1.) VVMC 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.vvmc.com/media/257846/vvmc_coloradohealthneedsassess ment_2013.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 - vvmc's new outpatient internal medicine physician will help expand access to primary care needs for eagle county residents including the medicare/medicaid population. 2. Unintentional injury - provide funding to vvmc thinkfirst program to expand injury prevention activities related to traumatic brain injury. 3. Substance abuse - promote sbirt (screening brief intervention referral for treatment) as a standard of care at vvmc. Increase current sbirt health educator position from 0.6 fte to 1.0 fte. This represents an increased cost of $26,530/year to the organization. Require additional staff (e.g. social workers and case managers) to provide sbirt to patients. Require staff at satellite clinics (e.g. avon and gypsum urgent care) to perform sbirt. 4. Cancer - initiate epidemiological research projects related to risk factors that correlate with cancer in eagle county as available. 5. Diabetes - vvmc is hiring an endocrinologist to provide consultation and treatment for diabetic patients in eagle county while coordinating care with Colorado mountain medical (cmm) when applicable. 6. Heart disease - vvmc is hiring a new invasive cardiologist, with the ability to provide more invasive cardiac procedures, like implanting pace makers and internal defibrillator devices. 7. Communication and language barriers - current interpretation needs at vvmc are being met by a translation service contractor. 8. Mental health - explore a partnership with an outside mental health facility (denver health or centennial peaks hospital) to help with consultation, assessment, placement, and coordination of care for our mental health patients. Needs not addressed in the most recently conducted chna: Two community health needs were identified in which the organization did not take action to address. 1) dental care: mountain family health center currently provides fluoride treatment to children of low-income uninsured residents of eagle county. Eagle county smiles provides dental care to uninsured residents of eagle county. 2) alzheimer's disease: currently, there are programs available in eagle County to work with this patient population. The consideration of incorporating increased care for the patient Populations of dental care and alzheimer's disease is not currently Feasible within the constraints of available resources and/or the vvmc financial environment. SCHEDULE H, PART V, SECTION B, LINE 16B-16C URL WHERE FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE: https://www.vvmc.com/PATIENTS-GUESTS/FINANCIAL-ASSISTANCE-INFORMATION.ASPX 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 15 (2014 TAX YEAR). 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, a related organization which is a physician practice located in a rural area in Eagle County, Colorado. VVMC Diversified Services 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 $8,183,594. SCHEDULE H, PART III, Section A, LINE 2 EXPLAIN THE ORGANIZATION'S METHODOLOGY TO ESTIMATE THE AMOUNT REPORTED FOR BAD DEBT EXPENSE: 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 11 AND 12 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 $1,238,505. The remaining $29,453,619 of allowable cost is from the Medical Center's Medicare cost report. SCHEDULE H, PART VI, LINE 2 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 WILL BE UPDATED EVERY THREE YEARS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS PROVIDED 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 10-15% OF OUR BUSINESS FROM OUT-OF-STATE TOURISTS, AND 8-10% 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 & 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, ADN, 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 recently constructed a new ambulatory surgery center in Edwards, as well as invested in new medical equipment. We donated $300,000 to fund orthopedic 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 VVMC Diversified Services 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 CW Regional Mental Health dba Mind Springs Health PO Box 40 Glenwood Springs CO 81602 840625890 501(c)(3) 181666 Program Support Starting Hearts PO Box 4318 Avon CO 81620 Avon CO 81620 273008262 501(c)(3) 27500 Program Support Steadman Philippon Research Foundation 181 W Meadow Dr Ste 1000 Vail CO 81657 880245022 501(c)(3) 300000 Program Support Vail Breast Cancer Awareness PO Box 4043 Avon CO 81620 Avon CO 81620 841515602 501(c)(3) 8000 Program Support Vail Valley Foundation PO Box 309 Vail CO 81658 Vail CO 81658 742215035 501(c)(3) 6500 Program Support VVMC Diversified Services PO Box 40000 Vail CO 81658 Vail CO 81658 261167922 501(c)(3) 4600000 Program Support UNITED STATES SKI TEAM 1 Victory Lane box 100 PARK CITY UT 84060 846030639 501(C)(3) 40000 Program Support Vail Summit Orthopedic Foundation 180 S Frontage Rd Vail CO 81658 451957447 501(C)(3) 25000 Program Support The Youth Foundation PO Box 309 Vail CO 81658 841442909 501(C)(3) 6000 Program Support Mountain Family Health 1905 Blake Ave 101 Glenwood Springs CO 81601 840742145 501(C)(3) 384900 Program Support Educational Foundation of Eagle County PO Box 18533 Avon CO 81620 841585417 501(C)(3) 25000 Program Support Colorado Ski Museum 231 S Frontage Rd East Vail CO 81657 510167088 501(C)(3) 10000 Program Support 12 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 462152 0 164500 0 94905 0 17500 0 23486 0 762543 0 20900 0 Charles Crevling CFO and Asst Treasurer 319828 0 83750 0 58076 0 20734 0 19331 0 501719 0 10400 0 Frederick Smith Chief Administrative Officer 216340 0 45000 0 4029 0 15786 0 29908 0 311063 0 0 0 Alice Weydt Former Key Employee 70211 0 0 0 124239 0 5067 0 6993 0 206510 0 0 0 Patricia Hardenbergh MD Physician 516773 0 172558 0 5652 0 10030 0 39433 0 744446 0 0 0 Lawrence Gaul MD Physician 336984 0 6190 0 21592 0 17500 0 19086 0 401352 0 0 0 Alexander Urquhart MD Physician 426824 0 5000 0 38730 0 0 0 26201 0 496755 0 0 0 Jeffrey Resnick MD Physician 398298 0 16250 0 4800 0 17500 0 14563 0 451411 0 0 0 Jerry Greenberg MD Board Member & Physician 326769 0 26041 0 20219 0 0 0 12499 0 385528 0 0 0 Robert Orr MD Physician 430781 0 20833 0 3600 0 0 0 8672 0 463886 0 0 0 SCHEDULE J, PART I, LINE 4a The following individuals received severance payments during the year: Alice Weydt $101,182 SCHEDULE J, PART I, LINE 4b 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 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. 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. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A4N2 2015-10-21 104038243 Renovation & Expansion of Hospital false true false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 2012-06-06 19052899 Refund series 2001 false true false A 0 0 104038243 0 0 0 921241 0 0 0 0 103117002 false false false true B 3935695 0 19052899 0 0 0 303592 0 0 0 18749307 0 2012 true false true true A false false false false 0 false false true B 0 A false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true Charles Crevling CFO thru July 2015 Severance Payable X 600000 507692 false true true 507692 Form 990, Part VI, Section A, Line 6 Question 6, 7a & 7b Vail Health Services, the sole member of Vail Clinic, Inc. dba Vail Valley Medical Center, 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 The form 990 is prepared by a third party. The 990 was reviewed by members of the Accounting Department prior to its filing. The review included 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 Directors and Officers are covered by the conflict of interest policy. The accounting group that issues checks and prepares the financial statements would advise the Board of any apparent or clear conflict of interest. The Board authorizes, approves, or ratifies any conflict in regard to voting rights based on good faith and fairness to the organization. An interested person may make a presentation at the meeting considering the matter giving rise to the conflict, however, they must leave the meeting during the discussion of and the vote on the matter. A committee might be appointed to investigate alternatives to the proposed arrangement. Form 990, Part VI, Section B, line 15a A formal external review is conducted every year. Executive compensation was last formally reviewed in 2015 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 A formal external review is conducted every year. Other Officer and Key Employee compensation was last formally reviewed in 2015 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. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS (228,022) Net revenue passed thru from the Colorado Hospital Association Trust for Worker's Compensation (7,772,433) Transfer of interest in Vail Health Services Foundation to Vail Health Services ----------- (8,000,455) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:6353233 FORM 990 PART IX LINE 11G DESCRIPTION:CODING SERVICES TOTAL FEES:596378 FORM 990 PART IX LINE 11G DESCRIPTION:FACILITIES SERVICES TOTAL FEES:691954 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY/IMAGING SERVICES TOTAL FEES:2904872 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY SERVICES TOTAL FEES:912578 FORM 990 PART IX LINE 11G DESCRIPTION:HEALTH INFORMATION SERVICES TOTAL FEES:604533 FORM 990 PART IX LINE 11G DESCRIPTION:FOOD & NUTRITION SERVICES TOTAL FEES:1708492 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1130612 FORM 990 PART IX LINE 11G DESCRIPTION:FINANCIAL SERVICES/COLLECTION TOTAL FEES:1926672 FORM 990 PART IX LINE 11G DESCRIPTION:THERAPY TOTAL FEES:114800 FORM 990 PART IX LINE 11G DESCRIPTION:HUMAN RESOURCES TOTAL FEES:324487 FORM 990 PART IX LINE 11G DESCRIPTION:ADMISSIONS TOTAL FEES:149818 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:723397 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:700404 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:417243 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MISC SERVICES TOTAL FEES:248698 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 VVMC 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 VVMC 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 NA RELATED 12342900 7543349 false 0 false 0.50313 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 true true false true true true true true true true true Vail Valley Surgery Center LLC A 1866938 ACTUAL AMOUNTS VVMC DIVERSIFIED SERVICES B 4600000 ACTUAL AMOUNTS Vail Health Services Foundation C 2941368 ACTUAL AMOUNTS Vail Valley Surgery Center LLC D 1415772 LOAN AMOUNT VVMC DIVERSIFIED SERVICES D 2046968 LOAN AMOUNT Vail Health Services Foundation D 987884 ACTUAL AMOUNTS Vail Valley Surgery Center LLC F 14000975 ACTUAL AMOUNTS Vail Valley Surgery Center LLC Q 14071802 ACTUAL AMOUNTS VVMC DIVERSIFIED SERVICES Q 2651129 ACTUAL AMOUNTS