2022-09-15T13:29:24-05:00 2021-10-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2020-11-01 262648461 VAIL HEALTH SERVICES VAIL 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 WILL COOK PO BOX 40000 VAIL CO 81658 0 0 X WWW.VAILHEALTH.ORG X 2008 CO VAIL HEALTH SERVICES IS THE PARENT COMPANY OF A GROUP GENERALLY KNOWN AS VAIL HEALTH. 20 18 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5335 0 5335 0 -5335 0 1855 1855 13374 13374 -11519 -11519 VAIL HEALTH SERVICES IS THE PARENT COMPANY OF A GROUP OF COMPANIES GENERALLY KNOWN AS VAIL HEALTH, WHOSE MISSION IS TO ELEVATE HEALTH AMONG OUR MOUNTAIN COMMUNITIES. 0 0 VAIL HEALTH SERVICES IS THE PARENT COMPANY OF A GROUP OF COMPANIES GENERALLY KNOWN AS VAIL HEALTH, WHOSE MISSION IS TO ELEVATE HEALTH AMONG OUR MOUNTAIN COMMUNITIES. THESE COMPANIES PROVIDE SUPERIOR HEALTH SERVICES ALIGNED TO THE NEEDS OF EAGLE COUNTY RESIDENTS AND VISITORS, WORLD RENOWNED ORTHOPEDIC SERVICES, REGIONAL CANCER SERVICES, MEDICAL SPECIALISTS, 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. 1 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN HIGGINS CFO 9704762451 PO BOX 40000 VAIL CO 81658 WILL COOK PRESIDENT AND CEO 1.00 40.00 X X 0 1477035 83353 JERRY GREENBERG MD DIRECTOR 1.00 40.00 X 0 738444 36616 ERIC AFFELDT CHAIR 1.00 1.00 X X 0 0 0 CHRIS JARNOT SECRETARY 1.00 1.00 X X 0 0 0 ANDY ARNOLD DIRECTOR 1.00 1.00 X 0 0 0 SAM BRONFMAN DIRECTOR 1.00 1.00 X 0 0 0 MARC PHILIPPON MD DIRECTOR 1.00 1.00 X 0 0 0 ANDY DALY DIRECTOR 1.00 1.00 X 0 0 0 ELLEN MORITZ DIRECTOR 1.00 1.00 X 0 0 0 HARRY FRAMPTON DIRECTOR 1.00 1.00 X 0 0 0 JUSTIN STARZYK DIRECTOR 1.00 1.00 X 0 0 0 MIKE IMHOF DIRECTOR 1.00 1.00 X 0 0 0 MARY RANDALL DIRECTOR 1.00 1.00 X 0 0 0 JEFF SHROLL DIRECTOR 1.00 1.00 X 0 0 0 DICK CLEVELAND DIRECTOR 1.00 1.00 X 0 0 0 SALLY VEITCH DIRECTOR 1.00 1.00 X 0 0 0 ART KELTON DIRECTOR 1.00 1.00 X 0 0 0 THOMAS GORRIE DIRECTOR 1.00 1.00 X 0 0 0 BRATZO HORRUITINER DIRECTOR 1.00 1.00 X 0 0 0 LINDA PANCRATZ DIRECTOR 1.00 1.00 X 0 0 0 JOHN HIGGINS TREASURER AND CFO 1.00 40.00 X 0 202714 9850 DORIS KIRCHNER FORMER PRESIDENT AND CEO (THRU 1/19) 40.00 1.00 X 0 378492 33573 HAROLD DUPPER FORMER TREASURER AND CFO 1.00 40.00 X 0 511971 17334 0 3308656 180726 0 1 1 0 0 0 0 0 0 0 0 0 0 1855 1855 1855 1855 13374 13374 13374 13374 X -11519 -11519 -11519 -11519 1855 1855 0 0 X X 0 1 X 1 0 X X X 2 VAIL CLINIC INC DBA VAIL HEALTH HOSPITAL 840563230 3 1 0 0 VVMC DIVERSIFIED SERVICES DBA VAIL HEALTH CLINICS 261167922 10 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION D, LINE 3 SUPPORTED ORGANIZATIONS IN DECISION MAKING THE MEMBERS OF THE BOARD OF DIRECTORS FOR VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL ALSO SERVE ON THE BOARD OF DIRECTORS FOR VAIL HEALTH SERVICES. THE CHAIR OF THE BOARD OF DIRECTORS FOR VAIL HEALTH SERVICES FOUNDATION SERVES ON THE BOARD OF VAIL HEALTH SERVICES. THESE INDIVIDUALS ARE ALL VOTING MEMBERS OF THE ORGANIZATION AND ARE RESPONSIBLE FOR VOTING IN THE BEST INTEREST OF THE RESPECTIVE ORGANIZATIONS THEY REPRESENT. SCHEDULE A, PART IV, SECTION E, LINE 3A PARENTS OF SUPPORTED ORGANIZATIONS AS THE SOLE CORPORATE MEMBERS OF ITS SUPPORTED ORGANIZATIONS: VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL;, VAIL HEALTH SERVICES FOUNDATION, AND VVMC DIVERSIFIED SERVICES, DBA VAIL HEALTH CLINICS, THE FILING ORGANIZATION, VAIL HEALTH SERVICES, HAS THE RIGHT TO APPOINT AND REMOVE THE BOARD MEMBERS OF ITS SUPPORTED ORGANIZATIONS AND EXERCISES REGULAR OVERSIGHT OVER THEIR PROGRAMS AND ACTIVITIES VIA SHARED BOARD MEMBERS AND OFFICERS. SCHEDULE A, PART IV, SECTION E, LINE 3B SEE EXPLANATION 3A ABOVE. 0 DUE TO VAIL HEALTH HOSPITAL 13374 13374 X PART X, LINE 2: VAIL HEALTH 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. 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 DIRECTOR 0 660577 0 59925 0 17942 0 14250 0 22366 0 775060 0 0 HAROLD DUPPER FORMER TREASURER AND CFO 0 146821 0 99088 0 266062 0 7626 0 9708 0 529305 0 0 DORIS KIRCHNER FORMER PRESIDENT AND CEO (THRU 1/19) 0 353758 0 17550 0 7184 0 14100 0 19473 0 412065 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 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. COMPENSATION FOR WILL COOK AND HAROLD DUPPER ARE FOR THEIR SERVICES AS EMPLOYEES OF VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL. PART I, LINES 4A-B PART I, LINE 4B SEVERANCE: HAROLD DUPPER, FORMER TREASURER/CFO, RECEIVED $201,640 SEVERANCE DURING THE YEAR. 457F PLAN: WILLIAM COOK PARTICIPATED IN A SERP DURING THE YEAR. THE 457F AMOUNT WAS $36,564 AND VESTING PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENT OCCURS ON OCTOBER 1 OF EACH YEAR. 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 VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF VAIL HEALTH SERVICES (VHS) CONSISTS OF THOSE INDIVIDUALS WHO ARE FROM TIME TO TIME MEMBERS OF THE BOARD OF DIRECTORS OF VAIL CLINIC, INC., DBA VAIL HEALTH HOSPITAL (VHH); AND IF ANY MEMBER OF THE BOARD OF DIRECTORS CEASES FOR ANY REASON TO BE A MEMBER OF BOARD OF DIRECTORS OF VHH, HE OR SHE SHALL AUTOMATICALLY CEASE TO BE A MEMBER OF THE VHS'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B 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, PROVIDING SERVICES TO VAIL HEALTH SERVICES, REVIEWS THE TAX FORM AND WORKS WITH AN EXTERNAL CPA FIRM IN THE PRODUCTION OF THE FORM 990. AN ELECTRONIC VERSION IS PROVIDED TO DIRECTORS AND OFFICERS FOR REVIEW, DISCUSSION, AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY APPLIES TO VAIL HEALTH HOSPITAL (VHH) BOARD MEMBERS, OFFICERS, MEDICAL STAFF, LICENSED INDEPENDENT PRACTITIONERS, VOLUNTEERS, AGENTS, CONTRACTORS AND EMPLOYEES. ALL BOARD MEMBERS, MEDICAL STAFF, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND EMPLOYEES OF VHH ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. BOARD MEMBERS AND AGENTS MUST COMPLETE AND SUBMIT CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE TO THE CHIEF ETHICS AND COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE MANAGER OF VOLUNTEERS WHEN THEY BEGIN PROVIDING SERVICES TO VHH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, COVERED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE CHIEF ETHICS AND COMPLIANCE OFFICER, THE VOLUNTEER SERVICES PROGRAM MANAGER AND THE COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VHH; - WHETHER THE COLLEAGUE'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VHH DECISION OR ACTIVITY; - WHETHER THE COLLEAGUE OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE COLLEAGUE'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE COLLEAGUE'S OBLIGATIONS TO, VHH OR VHH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 REVIEW OF OTHER CEO OR TOP MANAGEMENT OFFICIAL 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 THE 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 AND KEY EMPLOYEE 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 THE 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 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 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 40000 VAIL CO 81658 840563230 HOSPITAL CO 501(C)(3) LINE 3 VHS 1 VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL CO 81658 261167922 HEALTH CARE CO 501(C)(3) LINE 10 VHS 1 VAIL HEALTH SERVICES FOUNDATION PO BOX 40000 VAIL CO 81658 742505662 FUNDRAISING CO 501(C)(3) LINE 12B, II VHS 1 VOLUNTEER CORPS OF THE VAIL VALLEY MEDICAL CENTER PO BOX 40000 VAIL CO 81658 113730281 SUPPORTING ORG CO 501(C)(3) LINE 12D, III-O VHS 1 EAGLE VALLEY MENTAL HEALTH PO BOX 40000 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 VAIL HEALTH SERVICES C 214 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0