2022-09-15T13:32:29-05:00 2021-10-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2020-11-01 261167922 VVMC DIVERSIFIED SERVICES VVMC 9704762451 PO BOX 40000 VAIL CO 81658 JOHN HIGGINS CFO VAIL HEALTH 9704762451 2022-09-15 1 JOHN HIGGINS XXX-XX-XXXX LAWRENCE H MOHR CPA P00447603 6128764500 2022-09-15 X 2 AAL1 IAL1 2020 2023-04-26 12:10:37Z VAIL HEALTH CLINICS WILL COOK PO BOX 40000 VAIL CO 81658 8208578 0 X WWW.VAILHEALTH.ORG X 2007 CO TO PROVIDE SPECIALIZED MEDICAL SERVICES THROUGH ONE OR MORE OUTPATIENT CLINICS TO THE RESIDENTS AND VISITORS IN AND AROUND EAGLE COUNTY, COLORADO 2 1 0 1 0 0 4310988 4800834 4025754 3393541 869 886 27716 13317 8365327 8208578 0 0 0 0 0 0 0 0 0 8279808 7861398 8279808 7861398 85519 347180 587700 1109586 361114 535820 226586 573766 X SEE SCHEDULE O. 0 0 7546634 3406858 SEE SCHEDULE O. 7546634 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN HIGGINS CFO VAIL HEALTH 9704762451 PO BOX 40000 VAIL CO 81658 WILL COOK PRESIDENT AND CEO 1.00 40.00 X X 0 1477035 83353 ERIC AFFELDT CHAIRMAN 1.00 1.00 X X 0 0 0 JOHN HIGGINS TREASURER AND CFO 1.00 40.00 X 0 202714 9850 JULIE BARONE MD PHYSICIAN 40.00 0.00 X 0 341829 9320 JERRY GREENBERG MD PHYSICIAN 40.00 0.00 X 0 738444 36616 WILIAM MARTIN MD PHYSICIAN 40.00 0.00 X 0 308992 0 NELSON PRAGER MD PHYSICIAN 40.00 0.00 X 0 556863 3409 HAROLD DUPPER FORMER TREASURER AND CFO 1.00 40.00 X 0 511971 17334 0 4137848 159882 0 1 1 0 0 4800000 804 30 4800834 NET PATIENT SERVICE RE 621110 2780543 2780543 MEDICARE/MEDICAID 621110 612998 612998 3393541 886 886 MISCELLANEOUS INCOME 900099 13317 13317 13317 8208578 3406858 0 886 X 3100 3100 7547747 7288963 258784 52171 10466 41705 1773 138 1635 7721 7721 3031 1459 1572 2250 2250 BAD DEBT EXPENSE 130581 130581 MEDICAL SUPPLIES 75724 68408 7316 LICENSE/CERTIFICATIONS/ 36648 36648 MISCELLANEOUS 652 652 7861398 7546634 314764 0 114508 330321 473192 779027 0 238 587700 1109586 355504 306527 5610 229293 361114 535820 X 226586 573766 226586 573766 587700 1109586 347180 0 X X 0 1 X 1 0 X 8700000 5700000 5000000 4310988 4800834 28511822 4352691 4987231 5027408 4025754 3437794 21830878 13052691 10687231 10027408 8336742 8238628 50342700 0 0 0 50342700 2130 2785 2514 869 886 9184 2130 2785 2514 869 886 9184 13054821 10690016 10029922 8337611 8239514 50351884 0.99980 0.99980 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO VAIL HEALTH HOSPITAL 229293 229293 X 8077997 0 8077997 130581 130581 8208578 7730817 0 7730817 130581 130581 7861398 PART X, LINE 2: VVMC DIVERSIFIED SERVICES 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 TAXES FOR THIS ENTITY 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, 2021 AND 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON FINANCIAL STATEMENT TREATED AS EXPENSE FOR TAX PURPOSES 130,581. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NET AGAINST PATIENT SERVICE REVENUE ON FINANCIAL STATEMENT TREATED AS EXPENSE FOR TAX PURPOSES 130,581. 1 1 0 0 0 0 0 0 0 WILL COOK PRESIDENT AND CEO 0 837209 0 400000 0 239826 0 50814 0 32539 0 1560388 0 0 JERRY GREENBERG MD PHYSICIAN 0 660577 0 59925 0 17942 0 14250 0 22366 0 775060 0 0 NELSON PRAGER MD PHYSICIAN 0 539616 0 0 0 17247 0 0 0 3409 0 560272 0 0 HAROLD DUPPER FORMER TREASURER AND CFO 0 146821 0 99088 0 266062 0 7626 0 9708 0 529305 0 0 JULIE BARONE MD PHYSICIAN 0 267113 0 0 0 74716 0 0 0 9320 0 351149 0 0 WILIAM MARTIN MD PHYSICIAN 0 286922 0 22070 0 0 0 0 0 0 0 308992 0 0 JOHN HIGGINS TREASURER AND CFO 0 151947 0 50000 0 767 0 0 0 9850 0 212564 0 0 PART I, LINE 3 SCHEDULE J, PART I, LINE 3 EXECUTIVE COMPENSATION COMPENSATION IS PAID THROUGH A RELATED ENTITY, VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR COMPENSATION DETERMINATION FOR EXECUTIVES. PART I, LINES 4A-B SEVERANCE: HAROLD DUPPER RECEIVED SEVERANCE IN CALENDAR YEAR 2020. THE SEVERANCE AMOUNT WAS $201,640 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III), OTHER REPORTABLE COMPENSATION. 457(F) PLAN: WILL COOK PARTICIPATED IN A SERP DURING THE YEAR. THE 457(F) AMOUNT WAS $36,564, AND VESTING OF PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENT OCCURS ON OCTOBER 1 OF EACH YEAR. THES 457(F) CONTRIBUTION AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C. PART I, LINE 7 NON FIXED AND BONUS PAYMENTS: EXECUTIVE COMPENSATION IS PAID AND DETERMINED BY A RELATED PARTY, VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL. 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. FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION: VVMC DIVERSIFIED SERVICES, DBA VAIL HEALTH CLINICS, IS ORGANIZED AND OPERATED FOR THE SPECIFIC PURPOSE AND OBJECTIVE OF THE FOLLOWING: 1) ADVANCING AND PROMOTING HEALTH BY PROVIDING AND SUPPORTING THE PROVISION OF MEDICAL SERVICES IN CONNECTION WITH THE DIAGNOSIS, PREVENTION AND TREATMENT OF DISEASES; 2) PROVIDING AND SUPPORTING THE PROVISION OF TREATMENT AND REHABILITATION OF ANY PHYSICAL OR MENTAL DISABILITY OR CONDITION ON AN OUTPATIENT BASIS; 3) CREATING, MAINTAINING, AND SUPPORTING THE CREATION AND MAINTENANCE OF ONE OR MORE OUTPATIENT CLINICS; 4) PROVIDING INSTRUCTION AND TRAINING TO MEDICAL AND NURSING STUDENTS AND RESIDENTS; 5) PROVIDING CLAIMS MANAGEMENT, BILLING AND COLLECTIONS, AND GENERAL PRACTICE MANAGEMENT SERVICES FOR PHYSICIANS AND OTHER LICENSED HEALTHCARE PROVIDERS. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: VAIL HEALTH CLINICS PROVIDES SERVICES TO THE RESIDENTS OF EAGLE COUNTY, TOTAL POPULATION APPROXIMATELY 55,000, INCLUDING SURGERY, CARDIOLOGY, AND PLASTIC SURGERY. DURING THE FISCAL YEAR ENDING OCTOBER 31, 2021, VAIL HEALTH CLINICS ACCOMMODATED APPROXIMATELY 10,000 PATIENT VISITS. EAGLE COUNTY, COLORADO DOES NOT HAVE A LARGE ENOUGH POPULATION TO SUPPORT MEDICAL PRACTICES IN RARE SPECIALTIES. SINCE EAGLE COUNTY IS IN A RURAL AREA, THE DEVELOPMENT OF THESE MEDICAL PRACTICES HAVE SIGNIFICANTLY IMPROVED COMMUNITY ACCESS TO HEALTHCARE SERVICES. THESE PRACTICES HAVE ALLOWED US TO SERVE ALL MEMBERS OF THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY. FORM 990, PART VI, SECTION A, LINE 6 DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS OR STOCKHOLDERS THE ORGANIZATION HAS A SINGLE MEMBER, VAIL HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A DESCRIBE CIRCUMSTANCES FOR MEMBERS ELECTING GOVERNING BODY THE SINGLE MEMBER, VAIL HEALTH SERVICES, CAN APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE SINGLE MEMBER HAS THE AUTHORITY TO: 1) ELECT DIRECTORS; 2) APPOINT THE PRESIDENT; 3) APPROVE ARTICLES AND BYLAWS; 4) APPROVE BUDGETS; 5) APPROVE UNBUDGETED EXPENDITURES IN EXCESS OF $100,000; 6) APPROVE UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000; 7) CAUSE VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, OR BANKRUPTCY; 8) APPROVE SALE OF ASSETS IN EXCESS OF $1,000,000; 9) CREATE SUBSIDIARY OR AFFILIATE; 10) SELECT PUBLIC ACCOUNTANTS; 11) ESTABLISH INVESTMENT POLICIES; 12) ESTABLISH POLICIES ON THE DISTRIBUTION AND USE OF FUNDS; 13) ADD/ DELETE MAJOR PROGRAM/ SERVICE LINES. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS TO REVIEW THE FORM 990 REVIEW OF THE FORM 990 IS DELEGATED TO MORE QUALIFIED PERSONNEL SINCE THE BOARD MEMBERS ARE NOT TRAINED IN TAX MATTERS. THE CFO, CONTROLLER AND ACCOUNTING STAFF OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL PROVIDE SERVICES TO VVMC DIVERSIFIED SERVICES, REVIEW THE TAX FORM AND WORK WITH AN EXTERNAL CPA/TAX FIRM IN THE PRODUCTION OF THE FORM 990. AN ELECTRONIC VERSION IS PROVIDED TO DIRECTORS AND OFFICERS FOR REVIEW, DISCUSSION AND COMMENT PRIOR TO FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY APPLIES TO VAIL HEALTH HOSPITAL (VHH) BOARD MEMBERS, OFFICERS, MEDICAL STAFF, LICENSED INDEPENDENT PRACTITIONERS, VOLUNTEERS, AGENTS, CONTRACTORS AND EMPLOYEES. ALL BOARD MEMBERS, MEDICAL STAFF, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND EMPLOYEES OF VHH ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. BOARD MEMBERS AND AGENTS MUST COMPLETE AND SUBMIT CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE TO THE CHIEF ETHICS AND COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE MANAGER OF VOLUNTEERS WHEN THEY BEGIN PROVIDING SERVICES TO VHH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, COVERED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE CHIEF ETHICS AND COMPLIANCE OFFICER, THE VOLUNTEER SERVICES PROGRAM MANAGER AND THE COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VHH; - WHETHER THE COLLEAGUE'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VHH DECISION OR ACTIVITY; - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE COLLEAGUE'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE COLLEAGUE'S OBLIGATIONS TO, VHH OR VHH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 PROCESS TO DETERMINE EXECUTIVE COMPENSATION EXECUTIVE COMPENSATION IS PAID AND DETERMINED BY A RELATED PARTY, VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL. A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2021 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 C, LINE 19 DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC FOR VIEWING FOR VALID BUSINESS PURPOSES. FORM 990, PART IX, LINE 11G OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 5,806,620. MANAGEMENT AND GENERAL EXPENSES 258,784. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,065,404. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,482,343. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,482,343. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS FOR THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE TAX YEAR. VAIL CLINIC INC PO BOX 4000 VAIL CO 81658 840563230 HOSPITAL CO 501(C)(3) LINE 3 VHS 1 VAIL HEALTH SERVICES (VHS) PO BOX 4000 VAIL CO 81658 262648461 HOLDING CO CO 501(C)(3) LINE 12C, III-FI N/A 0 VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL CO 81658 742505662 FUNDRAISING CO 501(C)(3) LINE 12B, II VHS 1 VOLUNTEER CORPS OF THE VAIL VALLEY MEDICAL CENTER PO BOX 4000 VAIL CO 81658 113730281 SUPPORTING ORG CO 501(C)(3) LINE 12D, III-O VHS 1 EAGLE VALLEY MENTAL HEALTH PO BOX 4000 VAIL CO 81658 834327406 BEHAVIORAL HEALTH SERVICES CO 501(C)(3) LINE 7 VHS 1 VAIL VALLEY SURGERY CENTER LLC PO BOX 1270 VAIL CO 816581270 030419967 HEALTH CARE CO N/A 0 0 BASALT ORTHOPEDIC SURGERY CENTER LLC PO BOX 40000 VAIL CO 81658 844161898 HEALTH CARE CO N/A 0 0 SUMMIT ORTHOPEDIC SURGERY CENTER LLC PO BOX 40000 VAIL CO 81658 844141051 HEALTH CARE CO N/A 0 0 DILLON MEDICAL PROPERTIES JV LLC PO BOX 40000 VAIL CO 81658 DEVELOPMENT DE N/A 0 0 VHS MANAGEMENT SERVICES INC 181 W MEADOW DRIVE SUITE 100 VAIL CO 81657 262647982 HEALTH CARE CO N/A C 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 VAIL CLINIC INC C 4800000 ACTUAL AMOUNT VAIL CLINIC INC O 6065404 ACTUAL AMOUNT