TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) WILL COOK...................................................................... PRESIDENT AND CEO	40.00 ................. 1.00	X	X			1,323,823	76,146
(2) PATRICIA HARDENBERGH MD...................................................................... PHYSICIAN	40.00 .................				X	971,648	48,086
(3) AMANDA VEIT...................................................................... CHIEF OPERATIONS OFFICER	40.00 ................. 1.00			X		815,434	61,560
(4) ALEXANDER URQUHART MD...................................................................... PHYSICIAN	40.00 .................				X	672,994	48,643
(5) STEPHEN LAIRD MD...................................................................... PHYSICIAN	40.00 .................				X	640,040	48,086
(6) BARRY HAMMAKER MD...................................................................... PHYSICIAN	40.00 .................				X	618,584	52,867
(7) JERRY GREENBERG MD...................................................................... DIRECTOR	1.00 ................. 40.00	X				634,599	36,819
(8) DAVID KAPLAN...................................................................... PRESIDENT CMM	40.00 .................			X		617,788	48,351
(9) KATHERINE SCHUETZE MD...................................................................... PHYSICIAN	1.00 ................. 40.00				X	608,056	46,586
(10) JOHN HIGGINS...................................................................... TREASURER AND CFO - OUTGOING	40.00 ................. 1.00		X			537,722	60,179
(11) JANET ENGLE...................................................................... DIRECTOR	40.00 .................	X				514,559	34,916
(12) CRAIG COHN...................................................................... CHIEF REAL ESTATE DEV OFFI	40.00 .................			X		505,994	21,085
(13) KRISTEN ICKES DO...................................................................... DIRECTOR	40.00 .................	X				386,322	33,179
(14) MICHAEL BROWN...................................................................... TREASURER AND CFO	40.00 ................. 1.00		X			296,945	33,207
(15) ERIC AFFELDT...................................................................... CHAIRMAN	1.00 ................. 1.00	X	X			0	0
(16) CHRIS JARNOT...................................................................... SECRETARY	1.00 .................	X	X			0	0
(17) ANDY DALY...................................................................... DIRECTOR	1.00 .................	X				0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK,NY10087	CONTRACT LABOR	7,646,624
RHIZE TECH PO BOX 913184 DENVER,CO80291	IT SERVICES	7,466,796
GE JOHNSON CONSTRUCTION CO 25 N CASCADE AVE STE 400 COLORADO SPRINGS,CO80903	CONSTRUCTION	6,400,928
CERNER CORPORATION PO BOX 959156 ST LOUIS,MO63195	IT SERVICES	5,514,668
HASELDEN CONSTRUCTION LLC 6950 S POTOMAC ST STE 100 CENTENNIAL,CO80112	CONSTRUCTION	3,187,763
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 215

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT		Employer identification number 84-0563230

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization VAIL CLINIC INC % VHH ACCOUNTING DEPARTMENT			Employer identification number 84-0563230
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

$ 0

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

$ 0

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

7,801

Total. Add lines 1c through 1i ....................................................................................................

7,801

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF THE DUES VAIL HEALTH HOSPITAL PAYS TO COLORADO HOSPITAL ASSOCIATION ARE FOR LOBBYING ACTIVITIES.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	13,292,883	10,398,881	9,053,829	7,411,055	7,586,468
b	Contributions ...		3,358,333	1,691,328	497,204	22,498
c	Net investment earnings, gains, and losses	1,974,161	506,729	-23,112	1,362,357	75,931
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	335,119	971,060	323,164	216,787	273,842
f	Administrative expenses ....
g	End of year balance ......	14,931,925	13,292,883	10,398,881	9,053,829	7,411,055

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

100.000 %

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	9,097,549		9,097,549
b	Buildings ....	426,443,671	160,590,320	265,853,351
c	Leasehold improvements	4,243,142	3,457,760	785,382
d	Equipment ....	162,111,529	137,830,098	24,281,431
e	Other .....	8,763,940	1,922,784	6,841,156
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				306,858,869

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INVESETMENT IN JOINT VENTURES	48,768,914	C
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	48,768,914

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)RIGHT OF USE ASSET				51,954,613
(2)DUE FROM VAIL VALLEY SURGERY CLINIC				3,854,950
(3)DUE FROM VVMC DIVERSIFIED SERVICES				1,331,209
(4)DUE FROM VAIL SERVICES FOUNDATION				1,448,130
(5)DUE FROM EAGLE VALLEY MENTAL HEALTH				5,002,658
(6)DUE FROM VAIL HEALTH SERVICES				15,694
(7)DUE FROM VAIL HEALTH HOLDINGS				28,103,702
(8)DUE FROM VAIL HEALTH INNOVATIONS				4,252
(9)SECURITY DEPOSIT				837,585
(10)BENEF INTEREST VOL CORP				41,289
(11)OTHER RECEIVABLES				1,949,744
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				94,543,826

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
LEASE LIABILITY	51,699,301
DUE TO EAGLE VALLEY MENTAL HEALTH	32,846
DUE TO EAGLE RIVER REAL ESTATE HOLDINGS	84,171






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	51,816,318
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY. THESE ENDOWMENTS ARE HELD BY VAIL HEALTH SERVICES FOUNDATION FOR THE BENEFIT OF VAIL HEALTH HOSPITAL AND HAVE BEEN RESTRICTED FOR THE FOLLOWING PURPOSES: JACK'S PLACE ENDOWMENT: TO SUPPORT JACK'S PLACE GRAHAM/SMITH ENDOWMENT: TO SUPPORT SHAW PATIENT ASSISTANCE KUBIK ENDOWMENT: TO SUPPORT BEHAVIORAL HEALTH CASE MANAGEMENT CHAPLAINCY ENDOWMENT: TO SUPPORT HOSPITAL CHAPLAINCY VVMC ENDOWMENT: TO SUPPORT THE HOSPITAL SPRI ENDOWMENT: TO SUPPORT STEADMAN PHILIPPON RESEARCH INSTITUTE

PART X, LINE 2:

VAIL HEALTH SERVICES, VAIL HEALTH HOSPITAL, VAIL HEALTH FOUNDATION, VAIL HEALTH CLINICS AND EAGLE VALLEY BEHAVIORAL HEALTH ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. COLORADO MOUNTAIN MEDICAL, NORTH EAGLE INVESTMENTS, AND VAIL HEALTH HOLDINGS ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. EAGLE RIVER REAL ESTATE HOLDINGS AND THE SURGERY CENTER HAVE ELECTED TO HAVE THEIR INCOME TAXED AS PARTNERSHIPS UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE. MANAGEMENT SERVICES IS A TAXABLE CORPORATION UNDER PROVISIONS OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT OCTOBER 31, 2024, AND 2023.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 55000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,319,814		2,319,814	0.580 %
b	Medicaid (from Worksheet 3, column a) . . . . .	29,925,069	18,025,920	11,899,149	2.970 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	32,244,883	18,025,920	14,218,963	3.550 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,383,345	524,648	858,697	0.210 %
f	Health professions education (from Worksheet 5) . . .	1,081,729		1,081,729	0.270 %
g	Subsidized health services (from Worksheet 6) . . . .	1,419,546	142,929	1,276,617	0.320 %
h	Research (from Worksheet 7) .	510,302	510,302
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	16,831,486	303,715	16,527,771	4.120 %
j	Total. Other Benefits . .	21,226,408	1,481,594	19,744,814	4.920 %
k	Total. Add lines 7d and 7j .	53,471,291	19,507,514	33,963,777	8.470 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			434		434	0 %
3	Community support			6,643		6,643	0 %
4	Environmental improvements			1,657		1,657	0 %
5	Leadership development and training for community members
6	Coalition building			2,241		2,241	0 %
7	Community health improvement advocacy			7,410		7,410	0 %
8	Workforce development			904		904	0 %
9	Other
10	Total			19,289		19,289	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

14,239,769

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

62,896,296

Enter Medicare allowable costs of care relating to payments on line 5.....

103,438,649

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-40,542,353

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 VAIL VALLEY SURGERY CENTER	AMBULATORY SURGERY CENTER	50.170 %	49.830 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	VAIL CLINIC INC PO BOX 40000 VAIL,CO81658 WWW.VAILHEALTH.ORG 010911	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	VAIL CLINIC INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V STMT FOR FULL URL

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V STMT FOR FULL URL

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	VAIL CLINIC INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 550.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V STMT FOR FULL URL

The FAP application form was widely available on a website (list url):

SEE PART V STMT FOR FULL URL

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V STMT FOR FULL URL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	VAIL CLINIC INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	VAIL CLINIC INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
VAIL CLINIC, INC.	PART V, SECTION B, LINE 5: VAIL HEALTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN FY22, FROM NOV 2021-OCT 2022. THE NEXT ONE IS CURRENTLY BEING CONDUCTED AND WILL BE REFLECTED IN THE FY25 990. IT INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO IDENTIFY AND ANALYZE PRIORITY COMMUNITY HEALTH NEEDS WITHIN EAGLE COUNTY. AS STATED IN VAIL HEALTH'S FY22 990, THE PROCESS INCLUDED:- A COMPREHENSIVE ANALYSIS OF HEALTH AND POPULATION HEALTH-RELATED DATA - INCLUDING DEMOGRAPHIC, ECONOMIC, AND SOCIAL INDICATORS- FACILITATION OF 13 PARTNER AND COMMUNITY FOCUS GROUPS WHICH SOLICITED COMMUNITY INPUT TO IDENTIFY THE COMMUNITY'S HEALTH NEEDS- CREATION OF A GAP ANALYSIS WHICH IDENTIFIED EXISTING COMMUNITY NEEDS AND STRATEGIES TO ADDRESS THEMCOMMUNITY STAKEHOLDER ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA. VAIL HEALTH SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING UNDERSERVED, PRIORITY, OR MINORITY POPULATIONS. THROUGH THIS INPUT WE RECEIVED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AND GAPS IN SERVICES, AND INSIGHTS ABOUT ISSUES THAT CONTRIBUTE TO HEALTH DISPARITIES. FOR THE 2022 CHNA, VAIL HEALTH CONSULTED INDIVIDUALS FROM THE FOLLOWING COMMUNITY PARTNERS:VAIL VALLEY FOUNDATION, YOUR HOPE CENTER, YOUTH POWER 365, VALLEY VIEW WOMEN'S HEALTH, WIC COLORADO, VISITING ANGELS, VAIL VALLEY PARTNERSHIP, UNITED WAY OF EAGLE RIVER VALLEY, TOWN OF VAIL, SOWING SEEDS, THE SALVATION ARMY, SNAP, QUALITY HEALTH NETWORK, NURSE-FAMILY PARTNERSHIP, NORTHWEST COLORADO COMMUNITY HEALTH PARTNERSHIP, MY FUTURE PATHWAYS, MOUNTAIN FAMILY HEALTH CENTERS, MIRA, ILLUMINATE BUILDING BETTER CHILDHOODS, HOWARD HEAD SPORTS MEDICINE, HILLTOP, HEALTH FIRST COLORADO, GUARDIAN SCHOLARS, EARLY CHILDHOOD PARTNERS, EARLY CHILDHOOD OPTIONS, EAGLE VALLEY FAMILY PRACTICE, EAGLE VALLEY COMMUNITY FOUNDATION, EAGLE VALLEY BEHAVIORAL HEALTH, EAGLE COUNTY SCHOOL DISTRICT, EAGLE COUNTY PARAMEDIC SERVICES, EAGLE COUNTY PUBLIC HEALTH, EAGLE COUNTY HEALTHY AGING, THE COMMUNITY MARKET, COLORADO STATE UNIVERSITY EXTENSION, COLORADO MOUNTAIN MEDICAL, COLORADO HOME VISITING COALITION, COLORADO BLUEPRINT TO END HUNGER, COLORADO DEPARTMENT OF HUMAN SERVICES, CAREGIVER CONNECTIONS, BABYCAFE, ASPEN VALLEY HOSPITAL.
VAIL CLINIC, INC.	PART V, SECTION B, LINE 11: VAIL HEALTH DEVELOPED AN IMPLEMENTATION STRATEGY IN FY22 TO GUIDE COMMUNITY BENEFIT ACTIVITIES ACROSS EAGLE COUNTY. IN FY24, AS DETERMINED BY THE PRIORITIZATION PROCESS, VAIL HEALTH WILL DEVOTE RESOURCES AND EXPERTISE TO ADDRESS THE FOLLOWING 8 PRIORITIES:1. ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH2. BRING CARE TO THE PEOPLE3. FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES4. INCREASE UTILIZATION OF HEALTHY FOODS5. ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON INCREASED DIVERSITY6. INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS7. IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION (ADDRESS THE SES)8. ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENTTHE IMPLEMENTATION PLAN BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKES INTO CONSIDERATION THE EVALUATION OF IMPACTS FROM THE PREVIOUS IMPLEMENTATION PLAN CYCLE, WHILE RECOGNIZING NEW HEALTH NEEDS AND A CHANGING HEALTH CARE DELIVERY ENVIRONMENT IDENTIFIED IN THE 2022 CHNA. IN 2024, VAIL HEALTH MADE PROGRESS ON THE 8 PRIORITY AREAS BY IMPLEMENTING THE FOLLOWING INITIATIVES.1. ENGAGE, ENROLL, AND CONNECT PEOPLE TO WHOLE-PERSON HEALTH: THROUGHOUT 2024, VAIL HEALTH IMPROVED CARE COORDINATION AND TRANSITIONS OUT OF THE EMERGENCY DEPARTMENT THROUGH ADDITIONAL PATIENT NAVIGATORS. VAIL HEALTH CCONTINUED TO SUPPORT THE COMMUNITY MARKET, YOUR HOPE CENTER, AND MY FUTURE PATHWAYS WITH DEDICATED SPACE AT ITS EDWARDS COMMUNITY HEALTH CAMPUS TO BETTER CONNECT COMMUNITY MEMBERS TO SERVICES IN ONE CENTRALIZED LOCATION. VAIL HEALTH ADDED WHOLE-PERSON CARE WITHIN THE OUTPATIENT BEHAVIORAL HEALTH TEAM WITH THE ADDITION OF A FUNCTIONAL MEDICINE PROVIDER. BOTH FISCAL AND IN-KIND SUPPORT CONTINUED FOR MOUNTAIN FAMILY HEALTH CENTERS, BY PROVIDING CLINICAL SPACE FOR BOTH THEIR AVON AND GYPSUM CLINICS. VAIL HEALTH CCONTINUED TO SUPPORT RESEARCH THAT HELPS IMPROVE HEALTH OUTCOMES IN THE AREAS OF ORTHOPEDICS, ONCOLOGY AND BEHAVIORAL HEALTH. VAIL HEALTH'S CARDIAC REHABILITATION FITNESS AND NUTRITION PROGRAM PROVIDED MORE THAN 2,600 PATIENT SESSIONS TO AID IN PATIENT RECOVERY FROM CARDIAC EVENTS AND REDUCE PATIENTS' RISK OF FURTHER HEART DISEASE, AN INCREASE FROM 1,000+ THE PRIOR YEAR.RECOGNIZING BEHAVIORAL HEALTH IS THE GATEWAY TO ADDRESSING WHOLE PERSON HEALTH, VAIL HEALTH EXPANDED ITS BEHAVIORAL HEALTH SERVICE LINE (VHBH) WITH A 12% INCREASE IN STAFFING FROM 26 TO 29 FULL-TIME LICENSED PROVIDERS THAT ALL ACCEPT COMMERCIAL INSURANCE AND GOVERNMENTAL PROGRAMS. IN FY24, VHBH PROVIDED APPROXIMATELY 26,000 UNIQUE BEHAVIORAL HEALTH SESSIONS, INCLUDING 8,700 PSYCHIATRY SESSIONS, MORE THAN 14,000 THERAPY SESSIONS, AND 3,300 INTEGRATED BEHAVIORAL HEALTH SESSIONS. IN 2024, VHBH ADDED NATUROPATHIC MEDICINE WITH A FULL-TIME PROVIDER OFFERING 32 CLINICAL HOURS PER WEEK; STARTED THE TRANSCRANIAL MAGNETIC STIMULATION PROGRAM, SERVING MORE THAN 20 PATIENTS, COMPLETING THE 36-TREATMENT COURSE FOR 7-8 WEEKS WITH 90% OF PATIENTS HAVING CLINICALLY SIGNIFICANT BENEFITS AND 70% ENTERING FULL REMISSION; AND INCREASED SPANISH-SPEAKING THERAPISTS TO 5 PROVIDERS, SERVING AS YOUNG AS 3 UP TO 103 YEARS OLD.2. BRING CARE TO THE PEOPLE: VAIL HEALTH SUPPORTED THE EAGLE COUNTY HOME HEALTH COLLABORATIVE AND THE EAGLE COUNTY PARAMEDICS IN THE DEVELOPMENT OF A NEW HOME HEALTH CARE AGENCY. VAIL HEALTH ALSO CONTINUED TO REACH OUR MOST VULNERABLE POPULATIONS THROUGH ONGOING SUPPORT OF THE MOBILE INTERCULTURAL RESOURCE ALLIANCE (MIRA) BUS, AS WELL AS CONTINUED SUPPORT FOR COMMUNITY PARAMEDICS. VAIL HEALTH EXPANDED ITS SUPPORT OF YOUR HOPE CENTER BY PARTNERING TO OVERSEE THE IN-SCHOOL BEHAVIORAL HEALTH CLINICIAN PROGRAM, ENSURING THERE WAS ONE CLINICIAN IN EVERY SCHOOL IN THE EAGLE RIVER VALLEY FOR THE SCHOOL YEAR. VAIL HEALTH ALSO PROVIDED ENHANCED SUPPORT FOR YOUR HOPE CENTER'S 24/7, 365 MOBILE CRISIS RESPONSE AND A COMMUNITY SUPPORT TEAM. CONSTRUCTION ON THE PRECOURT HEALING CENTER, A 28-BED INPATIENT BEHAVIORAL HEALTH FACILITY CENTRALLY LOCATED IN EDWARDS, WAS COMPLETED IN 2024 AND THE FACILITY IS SCHEDULED TO OPEN TO PATIENTS IN MAY OF 2025. THE NURSE LINE PROVIDED FREE HEALTH CARE GUIDANCE FOR MORE THAN 29,200 CALLS. THE TRAUMA TEAM ALSO TRAINED 676 PEOPLE IN EAGLE COUNTY IN 'STOP THE BLEED' TECHNIQUES. VAIL HEALTH PARTNERED WITH MIRA, TOWN OF SILVERTHORNE, BRECKENRIDGE GRAND VACATIONS AND THE EAGLE COUNTY SCHOOL DISTRICT TO OFFER WELLNESS FAIRS TO THE COMMUNITY. 3. FOCUS PREVENTION AND EARLY INTERVENTION ON OUR GREATEST HEALTH OPPORTUNITIES: IN FY24, VAIL HEALTH EDUCATED MORE THAN 400 LOCALS IN MEN'S AND WOMEN'S WELLNESS TOPICS LIKE MENOPAUSE, EXERCISE, AND MENTAL HEALTH. SESSIONS WERE OFFERED IN ENGLISH AND SPANISH. EFFORTS WERE MADE TO IMPROVE ACCESSIBILITY AND UTILIZATION OF VAIL HEALTH'S BEHAVIORAL HEALTH SERVICES BY MULTIPLE UNDERSERVED POPULATIONS IN THE COMMUNITY. VAIL HEALTH EXPANDED CARE COORDINATION AND INTEROPERABILITY EFFORTS RELATED TO HEALTH SCREENERS AND IMPROVED PERFORMANCE IN QUALITY METRICS RELATED TO HEALTH PROMOTION WITHIN COLORADO MOUNTAIN MEDICAL, VAIL HEALTH'S PRIMARY AND SPECIALTY CARE PARTNER (I.E. BP MGT, BREAST/COLON CANCER SCREENING, DEPRESSION SCREENING). FALL PREVENTION EDUCATION AND EXERCISE CLASSES WERE PROVIDED FOR THE LOCAL AGING POPULATION. VAIL HEALTH PARTNERED WITH SHIFT BIKES AND THE EAGLE POLICE DEPARTMENT ON AN E-BIKE SAFETY PROGRAM, INCLUDING FREE BIKE HELMET DISTRIBUTION. THE TRAUMA TEAM ALSO TRAINED 676 PEOPLE IN EAGLE COUNTY IN FREE 'STOP THE BLEED' TECHNIQUES. VAIL HEALTH CONTINUED TO OFFER FREE LIFE JACKET RENTAL STATIONS AT BOTH SYLVAN LAKE AND EAGLE RIVER PARK.4. INCREASE UTILIZATION OF HEALTHY FOODS: VAIL HEALTH HELPED IMPROVE ACCESS TO MORE NUTRITIOUS FOOD FOR THE UNDERSERVED WITHIN THE COMMUNITY THROUGH FINANCIAL SUPPORT AND PARTNERSHIP WITH THE COMMUNITY MARKET AND SALVATION ARMY IN EAGLE COUNTY AND THE FAMILY AND INTERCULTURAL RESOURCE CENTER IN SUMMIT COUNTY. VAIL HEALTH COMPOSTS FOOD FROM EACH OF ITS CAFES AS PART OF ITS ENVIRONMENTAL SUSTAINABILITY PROGRAM, RESULTING IN A TOTAL 26% WASTE DIVERSION RATE FROM THE LANDFILL, INCLUDING 71,108 LBS. OF COMPOST DIVERTED FROM THE LANDFILL. 5. ADDRESS HEALTHCARE STAFFING SHORTAGES WITH A FOCUS ON RECRUITING AND RETAINING TALENT: UNDERSTANDING THE IMPACT AND THE HIGH COST OF HOUSING HAS ON RETAINING AND RECRUITING STAFF, VAIL HEALTH COMPLETED CONSTRUCTION ON 87 NEW LONG-TERM LEASE STAFFING UNITS AT FOX HOLLOW IN CENTRALLY LOCATED EDWARDS. VAIL HEALTH EXPANDED ITS INITIATIVES AMONG EMPLOYEES TO HELP RECRUIT AND RETAIN NEEDED STAFF FROM VARIED BACKGROUNDS BY: A) CREATING COMMITTEES FOCUSED ON ENSURING THE WELL-BEING OF ALL EMPLOYEES, B) INCORPORATING QUESTIONS ABOUT BUILDING A COHESIVE CULTURE INTO ANNUAL EMPLOYEE ENGAGEMENT SURVEY FOR THE SECOND CONSECUTIVE YEAR, C) RECOGNIZING VARIOUS HOLIDAYS IN MONTHLY EMPLOYEE NEWSLETTER, D) TRANSLATING HIPAA AND JUST CULTURE TRAINING INTO SPANISH, AND E) CONSULTING WITH OUTSIDE ADVISORS ON THE ISSUES. INTERNSHIPS, RESIDENCES, AND FELLOWSHIPS ARE PROVIDED ACROSS THE ORGANIZATION, INCLUDING DALLAS COLLEGE APPRENTICESHIPS TO FURTHER EDUCATION IN SPD, MA AND CODERS POSITIONS, FIVE HOWARD HEAD HIGH SCHOOL INTERNSHIPS, TWO ORTHOPEDIC PHYSICAL THERAPIST RESIDENTS, TWO SPORTS PHYSICAL THERAPIST RESIDENTS AND ONE CERTIFIED HAND THERAPIST FELLOWSHIP. A JOB SHADOW PROGRAM PROVIDES LEARNING OPPORTUNITIES FOR 50 LOCAL STUDENTS ANNUALLY THROUGH PARTNERSHIPS WITH MY FUTURE PATHWAYS, CAREER WISE AND EAGLE COUNTY SCHOOLS. ADDITIONALLY, VAIL HEALTH HOSTED 25 STUDENTS IN CLINICAL ROTATIONS AND 41 IN OBSERVATIONS FOR STUDENTS ENROLLED IN HEALTHCARE EDUCATION, INCLUDING NURSING, CERTIFIED NURSING ASSISTANT, SURGICAL TECH, CT TECH, LAB AND PHARMACY. CONTINUED A PATIENT CARE TECH AND CLINICAL ASSISTANT 12-MONTH TRAINING PROGRAM FOR LOCAL WORKFORCE. IN EACH PUBLIC HIGH SCHOOL, VAIL HEALTH PROVIDES ONE CERTIFIED ATHLETIC TRAINER TO ENGAGE STUDENT ATHLETES IN HELPING THEM OVERCOME INJURIES AND NOT HAVE TO COME TO A CLINIC FOR AN APPOINTMENT BECAUSE OF THEIR INJURY.6. INCREASE EARLY CHILDHOOD AND FAMILY SUPPORTS: OPENED THE MOTHERS MILK BANK AT THE FAMILY BIRTH CENTER AT VAIL HEALTH HOSPITAL TO INCREASE THE NUMBER OF BREASTMILK FED INFANTS THROUGHOUT OUR COMMUNITY AND PROVIDE A CONVENIENT DONATION LOCATION FOR LOCAL MOTHERS. CONDUCTED FREE CHILD PASSENGER SAFETY EDUCATION SESSIONS AT VAIL HEALTH HOSPITAL AND THROUGHOUT EAGLE COUNTY. THE VAIL HEALTH FAMILY BIRTH CENTER FURTHER EXPANDED THE FAMILY CONNECTS PROGRAM BY PARTNERING WITH VALLEY VIEW AND ASPEN VALLEY HOSPITALS. THIS HOME VISITATION PROGRAM AMONG NEW FAMILIES ENSURES PATIENTS FEEL SUPPORTED THROUGH POST-DISCHARGE SERVICES. OUT OF FAMILY CONNECTS 230 TOTAL INTEGRATED HOME VISITS IN EAGLE COUNTY, 135 OF THOSE WERE SCHEDULED AT THE BEDSIDE OF THE PATIENT BEFORE THEY LEFT VAIL HEALTH. (CONTINUED BELOW)
SCHEDULE H, PART V, SECTION B, LINE 11:	7. IMPROVE SYSTEM INTEROPERABILITY AND INTEGRATION (ADDRESS THE SES): VAIL HEALTH EXPANDED UTILIZATION OF THE "FIND HELP" SOCIAL HIE (HEALTH INFORMATION EXCHANGE) FOR COMMUNITY-WIDE SERVICE NAVIGATION AND REFERRALS AND PARTNERED WITH THE STATE OF COLORADO ON STATEWIDE SOCIAL HIE EFFORTS. VAIL HEALTH BEHAVIORAL HEALTH TRANSITIONED YOUR HOPE CENTER TO THE VAIL HEALTH ELECTRONIC MEDICAL RECORD (EMR) SYSTEM, MOVING 24 CLINICIANS ONTO THE VAIL HEALTH SYSTEM, COORDINATING CARE, STREAMLINING COMPLIANCE AND INCREASING FISCAL SUSTAINABILITY. VAIL HEALTH EXPANDED UTILIZATION OF AND ENGAGEMENT WITH HEALTHCARE INFORMATION EXCHANGE (HIE), ESPECIALLY AS THIS SHIFTS TO A STATEWIDE HIE (I.E. HEALTH SCREENERS AND ADVANCE CARE PLAN DOCUMENTS).8. ADVANCE POLICY TO IMPROVE COMMUNITY HEALTH, INCREASES ACCESS, LOWER COST, & DRIVE ENGAGEMENT: VAIL HEALTH ACTIVELY MEETS WITH POLICY MAKERS AT THE STATE AND FEDERAL LEVEL TO DISCUSS AND SUPPORT VARIOUS HEALTHCARE POLICIES THAT SUPPORT THIS INITIATIVE. VAIL HEALTH PARTICIPATED IN SIGNIFICANT ADVOCACY WORK IN COLLABORATION WITH THE AMERICAN HOSPITAL ASSOCIATION AND THE COLORADO HOSPITAL ASSOCIATION TO HELP ENSURE HEALTH ACCESS, EQUITY AND QUALITY ARE MAINTAINED AND ENHANCED IN A SUSTAINABLE MANNER. VAIL HEALTH AND VAIL HEALTH FOUNDATION ALSO FUNDED RESEARCH AND PLANNING FOR EAGLE COUNTY PARAMEDICS COMMUNITY HEALTH PROGRAM. VAIL HEALTH PROVIDED HOSPITAL DISCOUNTED CARE (HDC) AND FINANCIAL AID FOR 528 PATIENTS IN 2024, INCLUDING 381 HDC PATIENTS AND 147 FA APPROVED PATIENTS.
PART V, LINE 7 AND LINE 10:	HTTPS://WWW.VAILHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS
PART V, LINES 16A, 16B, AND 16C:	HTTPS://WWW.VAILHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?16
Name and address		Type of Facility (describe)
1	1 - VAIL VALLEY SURGERY CENTER (EDWARDS) 320 BEARD CREEK ROAD SUITE 100 EDWARDS,CO81632	AMBULATORY SURGERY CENTER JV
2	2 - VAIL VALLEY SURGERY CENTER (VAIL) 180 SOUTH FRONTAGE ROAD WEST VAIL,CO81657	AMBULATORY SURGERY CENTER JV
3	3 - SHAW PAVILION (EDWARDS) 322 BEARD CREEK ROAD EDWARDS,CO81632	CANCER CTR, PHYSICIAN OFFICE, RETAIL PHARMACY, SUPPORT SER, JACK'S PLACE-A C
4	4 - BASALT 200 ROBINSON STREET SUITE D300 BASALT,CO81621	HOWARD HEAD SPORT MEDICINE, STEADMAN PHILIPON SURGERY CENTER
5	5 - DILLON HEALTH CENTER 365 DILLON RIDGE ROAD DILLON,CO80435	AMBULATORY SURGERY CENTER, CANCER, COLORADO MOUNTAIN MEDICAL, PT, MULTI-SPEC
6	6 - AVON MEDICAL CAMPUS 50 BUCK CREEK ROAD AVON,CO81620	URGENT CARE, OCCUPATIONAL HEALTH, IMAGING, COLORADO MTN MEDICAL
7	7 - EAGLE HEALTH CARE CENTER 377 SYLVAN LAKE ROAD EAGLE,CO81631	PHYSICIAN OFFICES, COLORADO MOUNTAIN MEDICAL, PT, URGENT CARE, WOUND CARE
8	8 - EDWARDS MEDICAL CAMPUS 320 BEARD CREEK ROAD EDWARDS,CO81632	PHYSICIAN OFFICES, PHYSICAL, THERAPY, SUPPORT SERVICES
9	9 - MEDICAL PROFESSIONAL BUILDING (VAIL) 108 SOUTH FRONTAGE ROAD WEST VAIL,CO81658	PHYSICIAN OFFICES, PHYSICAL THERAPY, SUPPORT SERVICES, URGENT CARE, CARDIOVA
10	10 - HOWARD HEAD SPORTS MEDICINE - FRISCO 100 BASE CAMP WAY SUITE 105 FRISCO,CO80443	PHYSICAL THERAPY
11	11 - BEAVER CREEK MEDICAL CENTER 1280 VILLAGE ROAD AVON,CO81620	ON-MOUNTAIN ACCIDENTS AND ILLNESSES OF BC GUESTS, PHYSICAL THERAPY, URGENT C
12	12 - HOWARD HEAD SPORTS MEDICINE - GYPSUM 52 LUNDGREN BOULEVARD GYPSUM,CO81637	PHYSICAL THERAPY
13	13 - HOWARD HEAD SPORTS MEDICINE - AVON 126 RIVERFRONT LANE AVON,CO81620	PHYSICAL THERAPY
14	14 - HOWARD HEAD SPORTS MEDICINE - BRECKENRID 505 SOUTH MAIN STREET UNIT C4-5 BRECKENRIDGE,CO80424	PHYSICAL THERAPY
15	15 - GYPSUM CLOCK TOWER BUILDING 410 MCGREGOR DRIVE GYPSUM,CO81637	SUPPORT SERVICES
16	16 - HOWARD HEAD PERFORMANCE 450 MILLER RANCH ROAD EDWARDS,CO81632	HEALTH AND PERFORMANCE PLANS

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 ($5,600,000) 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 FBAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $14,239,769.
PART II, COMMUNITY BUILDING ACTIVITIES:	VAIL HEALTH IS A COMMUNITY HOSPITAL IN MORE WAYS THAN JUST CARING FOR PATIENTS. OUR STAFF WORK WITH OTHER LOCAL AND STATE PARTNERS, LIKE EAGLE COUNTY GOVERNMENT, FOUR RIVERS EMERGENCY MANAGEMENT, NORTHWEST REGIONAL HEALTHCARE COALITION IN COLORADO (NWRHCC) AND OTHER LOCAL RESPONSE AGENCIES TO PREPARE FOR, RESPOND TO, AND RECOVER FROM EMERGENCIES. THIS WORK IS GUIDED BY THE EAGLE COUNTY EMERGENCY MANAGEMENT TEAM. THESE GROUPS HELP US PREPARE TO TAKE CARE OF LOCALS IF - AND WHEN - AN EMERGENCY, LIKE A WILDFIRE OR MASS SHOOTING, OCCURS IN OUR COUNTY AND SURROUNDING COUNTIES. VAIL HEALTH SUPPORTS YOUTH IN OUR COMMUNITY BY PARTNERING WITH VAIL VALLEY PARTNERSHIP AND THEIR CAREERWISE PROGRAM, INCLUDING CAREER FAIRS; WITH THE BOY SCOUTS ON THEIR EXPLORER PROGRAM, WHICH INCLUDES JOB SHADOWING IN OUR HEALTHCARE FACILITIES; AND WITH THE CHILDREN'S GLOBAL ALLOWANCE, SUPPORTING LOCAL YOUTH ON THEIR GIVEBACK MISSION. THESE PARTNERSHIPS OFFER OPPORTUNITIES FOR LEADERSHIP AND JOB SHADOWS AT OUR FACILITIES AND ABROAD. THE STUDENTS WITHIN THESE PROGRAMS GROW AND DEVELOP FROM REAL-LIFE EXPERIENCES IN THE MEDICAL FIELD. TO ENCOURAGE TRANSPARENCY AND LISTENING, VAIL HEALTH OFFERED A COMMUNITY FEEDBACK MEETING IN BOTH ENGLISH AND SPANISH, FOCUSING ON HOW THE ORGANIZATION IS PERFORMING AGAINST ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND WHAT AREAS OF OPPORTUNITY EXIST TO FURTHER MEET THE COMMUNITY'S HEALTH CARE NEEDS. OPERATING IN A NATURE-CENTRIC MOUNTAIN REGION, VAIL HEALTH FOCUSES ON ENVIRONMENTAL SUSTAINABILITY BY PARTNERING WITH WALKING MOUNTAINS SCIENCE CENTER AND THE EAGLE RIVER COALITION TO PRIORITIZE ACTIONS THAT PROMOTE A HEALTHY ENVIRONMENT.
PART III, LINE 2:	THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 4:	SEE PAGES 19-20 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE.
PART III, LINE 8:	PART III, LINE 8A: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 1) THE HOSPITAL 2) THE HOSPITAL'S APPLICABLE SHARE OF THEIR JOINT VENTURE'S COSTS AND 3) THE HOSPITAL'S APPLICABLE SHARE OF THEIR WHOLLY OWNED SUBSIDIARY (A DISREGARDED ENTITY). THE HOSPITAL'S MEDICARE ALLOWABLE COST IS DERIVED FROM THE MEDICARE COST REPORT. THE JOINT VENTURE AND WHOLLY OWNED SUBSIDIARY'S MEDICARE ALLOWABLE COST IS COMPUTED USING A COST-TO-CHARGE RATIO. THE MEDICARE COST COMPUTED FOR THE JOINT VENTURE IS $4,219,589. THE MEDICARE COST COMPUTED FOR THE WHOLLY OWNED SUBSIDIARY IS $11,354,590. THE REMAINING $87,864,469 OF ALLOWABLE COST IS FROM THE HOSPITAL'S MEDICARE COST REPORT.PART III, LINE 8B: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 ($5,600,000) 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.
PART III, LINE 9B:	ANY EXTRAORDINARY COLLECTION ACTIONS IN PROGRESS AT THE TIME AN INCOMPLETE APPLICATION IS RECEIVED MUST BE SUSPENDED. SUCH COLLECTIONS MAY BE INITIATED OR RESUMED IF A COMPLETED APPLICATION IS NOT RECEIVED, OR AFTER A REQUEST FOR ADDITIONAL INFORMATION IS NOT RECEIVED AFTER 30 DAYS OF NOTIFICATION. UPON APPROVAL OF A FINANCIAL ASSISTANCE REQUEST, VHH SHALL TAKE REASONABLE MEASURES TO VACATE OR REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS.
PART VI, LINE 2:	IN ADDITION TO THE ROBUST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, VAIL HEALTH CONTINUALLY ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY AND POPULATIONS SERVED. VAIL HEALTH HELD A COMMUNITY FEEDBACK SESSION ON AUGUST 5, 2024, INCLUSIVE OF A MULTITUDE OF COMMUNITY PARTNERS AND THE PUBLIC THEMSELVES. DURING THE MEETING, THE STATUS OF AND NEXT STEPS FOR THE CHNA IMPLEMENTATION PLAN AND COMMUNITY BENEFIT WERE REVIEWED, AS WELL AS INTERVENTIONS RELATED TO THE HOSPITAL TRANSFORMATION PROGRAM AND GENERAL HEALTH EQUITY EFFORTS TO REDUCE DISPARITIES. A SECOND MEETING WAS HELD IN THE EVENING ON AUGUST 5, 2024, FOR SPANISH-SPEAKING MEMBERS OF THE COMMUNITY, A KEY PART OF THE COMMUNITY. IN THE LOCAL SCHOOLS, HALF OF THE STUDENT POPULATION SPEAK SPANISH, WHICH IS REFLECTIVE OF THE OVERALL POPULATION. VAIL HEALTH ALSO CONTINUES TO REVIEW QUALITY OUTCOMES AND POPULATION HEALTH DATA FOR THE PURPOSE OF ONGOING COMMUNITY HEALTH NEEDS. VAIL HEALTH IS A TRUE COMMUNITY HOSPITAL THAT TRULY DOES LIVE BY OUR MISSION OF "ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES." TO DELIVER ON OUR MISSION, VAIL HEALTH IS COMMITTED TO ONGOING EFFORTS TO ASSESS AND MEET THE NEEDS OF OUR COMMUNITY.
PART VI, LINE 3:	CONTACT INFORMATION FOR OUR FINANCIAL COUNSELOR IS PROVIDED AT REGISTRATION AND DISCHARGE FROM THE PATIENT ACCESS DEPARTMENT, AS WELL AS ON BOTH OUR BILLING STATEMENTS AND ON OUR WEBSITE. ADDITIONALLY, PATIENTS CONTACTING THE HOSPITAL THROUGH CUSTOMER SERVICE OR PATIENT ACCOUNTING ARE DIRECTED TO THE FINANCIAL COUNSELOR FOR ASSISTANCE.
PART VI, LINE 4:	OUR PRIMARY SERVICE AREA IS IN EAGLE COUNTY AND THE SURROUNDING FOUR COUNTY REGION IN THE RURAL MOUNTAINS OF COLORADO. MANY PATIENTS DRIVE UP TO 70 - 80 MILES TO ACCESS OUR SERVICES. WE HAVE SEVERAL CLINICS LOCATED THROUGHOUT OUR PRIMARY SERVICE AREA PROVIDING URGENT CARE, EMERGENCY SERVICES, AND PHYSICAL REHAB TO MAKE OUR SERVICES MORE ACCESSIBLE. WE ALSO GET A PORTION OF OUR BUSINESS FROM THE SURROUNDING FIVE COUNTIES, AND FROM COLORADO FRONT RANGE RESIDENTS VISITING OUR RESORT COMMUNITY.
PART VI, LINE 5:	THROUGH A COLLECTIVE IMPACT MODEL, VAIL HEALTH AND ITS PARTNERS ARE ABLE TO HELP IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY MEMBERS. SUPPORTING OTHER COMMUNITY NONPROFITS THROUGH CASH AND IN-KIND DONATIONS IS A KEY COMPONENT OF MOVING THE NEEDLE. IN FY24, VAIL HEALTH PROVIDED $14.5M IN CASH DONATIONS TO COMMUNITY PARTNERS. ADDITIONALLY, THROUGH ITS JOINT VENTURE PARTNERSHIP IN THE VAIL VALLEY SURGERY CENTER, VAIL HEALTH DONATED $150,000 TO COMMUNITY INITIATIVES THROUGH VVSC IN FY24. VAIL HEALTH HEARD A REQUEST FOR MORE WELLNESS EDUCATION IN OUR VALLEY AND TOOK ACTION. IN FY24, VAIL HEALTH EDUCATED MORE THAN 400 LOCALS IN MEN'S AND WOMEN'S WELLNESS TOPICS LIKE MENOPAUSE, EXERCISE, AND MENTAL HEALTH. SESSIONS WERE OFFERED IN ENGLISH AND SPANISH. NEW IN FY24: VAIL HEALTH PARTNERED WITH COLORADO MOUNTAIN COLLEGE TO SUPPORT THE SUMMIT CAMPUS NURSING AND OUTDOOR SKILLS LAB. VAIL HEALTH ALSO DONATED FUNDS TO MY FUTURE PATHWAYS TO HELP INSPIRE YOUTH TO IGNITE THEIR GRIT AND PASSION TO ACHIEVE THE ULTIMATE GOALS OF GRADUATION, EMPLOYABILITY AND LEADERSHIP FOR A FULFILLING AND PRODUCTIVE LIFE. VAIL HEALTH CONTINUED ITS PARTNERSHIP WITH VAIL VALLEY CHARITABLE FUND TO OFFER FINANCIAL ASSISTANCE TO THOSE VAIL VALLEY RESIDENTS WHO APPLY FOR DIRECT AID WITH THE CHARITABLE FUND. THESE LOCALS USE THE FUNDING TO HELP COVER RENT, UTILITIES, GROCERIES, AND ADA HOUSE IMPROVEMENTS AMONG OTHER THINGS. VAIL HEALTH SUPPORTED A VARIETY OF LOCAL INITIATIVES WITH PARTNERS SUCH AS BRIGHT FUTURE FOUNDATION, EAGLE COUNTY SCHOOL DISTRICT, YOUR HOPE CENTER, THE CYCLE EFFECT, THE COMMUNITY MARKET, AS WELL AS IN SUMMIT COUNTY. NEW IN FY24, VAIL HEALTH FUNDED THE VAIL RELIGIOUS FOUNDATION, EAGLE COUNTY JUNIOR LIVESTOCK AND 4H, AND VAIL VALLEY MOUNTAIN TRAILS ALLIANCE. VAIL HEALTH CONTINUED SUPPORT OF EAGLE COUNTY SCHOOLS THROUGH A JOB SHADOWING PROGRAM, THE THINK FIRST PROGRAM THAT DISTRIBUTED FREE BIKE HELMETS TO KIDS AND OFFERED A SKI SAFETY PROGRAM IN CONJUNCTION WITH VAIL RESORTS, THE SHAW CANCER CENTER SUN SAFETY PROGRAM EDUCATES KIDS ON SUN PROTECTION, TWO ATHLETIC TRAINERS ARE PROVIDED BY VH TO ENSURE ATHLETE SAFETY DURING SPORTING EVENTS, AND THE FUNDING OF THE STEM PROJECT LEAD THE WAY CURRICULUM FOR STUDENTS. THE VAIL HEALTH TRAUMA TEAM WORKED WITH LOCAL HIGH SCHOOL STUDENTS TO PROMOTE SAFE TEEN DRIVING THROUGH SAFETY FAIRS IN PARTNERSHIP WITH THE SCHOOL DISTRICT AND MOUNTAIN YOUTH. VAIL HEALTH SUPPORTS THE EDUCATION FOUNDATION OF EAGLE COUNTY THROUGH STEM GRANTS TO CLASSROOM TEACHERS AND PROJECT FUNWAY. VAIL HEALTH PARTNERS WITH THE EMERGENCY MEDICAL SERVICES IN EAGLE COUNTY TO EDUCATE 200 STUDENTS DURING THE SUMMER AT CAMP 911. VAIL HEALTH PARTNERED WITH MIRA, TOWN OF SILVERTHORNE, BRECKENRIDGE GRAND VACATIONS AND THE EAGLE COUNTY SCHOOL DISTRICT TO OFFER WELLNESS FAIRS TO THE COMMUNITY. THROUGH VAIL HEALTH'S WHOLLY OWNED SUBSIDIARY, EAGLE VALLEY BEHAVIORAL HEALTH, 13 LOCAL NON-PROFITS BENEFITED FROM MORE THAN $4.5M IN GRANTS AND PHILANTHROPY TO HELP THEIR COMMUNITY HEALTH CAUSES, AN INCREASE FROM $3.7M IN THE PRIOR FISCAL YEAR. VAIL HEALTH SUPPORTS CONTINUED CUTTING-EDGE MEDICAL RESEARCH WITH MORE THAN 60 STUDIES HAPPENING THROUGH ITS FUNDING OF STEADMAN PHILIPPON RESEARCH FOUNDATION. VAIL HEALTH'S PROGRAM SUPPORT OF VVMC DIVERSIFIED SERVICES BRINGS MUCH-NEEDED SPECIALTY HEALTH SERVICES SUCH AS CARDIOVASCULAR, PULMONOLOGY, SURGICAL ASSOCIATES, PLASTICS AND IMAGING CARE FOR THE COMMUNITY. WITH AN APPRECIATION FOR THE MAJESTIC MOUNTAIN REGION IN WHICH VAIL HEALTH IS LOCATED, IN 2024, VAIL HEALTH HOSPITAL REACHED A 26% WASTE DIVERSION RATE FROM THE LANDFILL AS PART OF ITS ENVIRONMENTAL SUSTAINABILITY PROGRAM WHICH FOCUSED ON COMPREHENSIVE RECYCLING, COMPOSTING, ELECTRONIC WASTE, EQUIPMENT DONATION, AND METAL RECYCLING PROGRAMS. VAIL HEALTH DIVERTED 71,108 LBS. OF COMPOST FROM THE LANDFILL, WHICH IS THE EQUIVALENT OF 50,842 NET POUNDS OF CO2 SAVED. ADDITIONALLY, IN MARCH 2024, VAIL HEALTH PARTNERED WITH SION60 TO ESTABLISH A CARBON EMISSIONS BASELINE, IDENTIFYING OPPORTUNITIES TO REDUCE POLLUTION. SION60 AND VAIL HEALTH COMPLETED AN INTERFACE TO ENERGY STAR PORTFOLIO MANAGER TO AUTOMATICALLY INTERFACE DATA FROM FACILITY ENERGY INVOICES. ANESTHESIA, GAS AND FLEET FUEL CONSUMPTION WERE ALSO MEASURED. SION60'S SOFTWARE, BUILT ON THE FOUNDATION OF THE GREENHOUSE PROTOCOL, EPA AND JOINT COMMISSION STANDARDS, SIMPLIFIED DIFFICULT MEASUREMENTS AND ALLOWED THE HEALTHCARE SYSTEM TO FIND EFFICIENCY AND IMPROVEMENTS IN THE FUTURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	CO

Schedule H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number
84-0563230

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) VVMC DIVERSIFIED SERVICES PO BOX 40000 VAIL,CO81658	26-1167922	501(C)(3)	5,600,000	RELATED PARTY ADMINISTRATIVE SUPPORT
(2) EAGLE VALLEY BEHAVIORAL HEALTH PO BOX 40000 VAIL,CO81658	83-4327406	501(C)(3)	3,856,540	PROGRAM SUPPORT
(3) STEADMAN PHILIPPON RESEARCH FOUNDATION 181 W MEADOW DR STE 1000 VAIL,CO81657	88-0245022	501(C)(3)	4,310,000	PROGRAM SUPPORT
(4) EAGLE VALLEY COMMUNITY FOUNDATION PO BOX 1580 VAIL,CO81658	47-1915583	501(C)(3)	97,412	COMMUNITY MARKET FUNDING GIFT
(5) YOUTHPOWER365 PO BOX 6550 AVON,CO81620	84-1442909	501(C)(3)	90,000	YOUTHPOWER 365 VALLEY SCHOLARS PROGRAM
(6) MY FUTURE PATHWAYS INC PO BOX 4525 EDWARDS,CO81632	83-4345901	501(C)(3)	85,850	RENT EDWARDS COMMUNITY HEALTH CAMPUS
(7) BRIGHT FUTURE FOUNDATION PO BOX 2558 AVON,CO81620	84-0938374	501(C)(3)	60,000	BRIGHTHOUSE CAPITAL CAMPAIGN
(8) EAGLE COUNTY SCHOOL DISTRICT PO BOX 740 EAGLE,CO81631		EAGLE COUNTY	55,000	PROJECT LEAD THE WAY CURRICULUM
(9) THE SUMMIT FOUNDATION PO BOX 4000 BRECKENRIDGE,CO80424	74-2341399	501(C)(3)	51,000	VAIL HEALTH SCHOLARSHIPS
(10) VAIL RELIGIOUS FOUNDATION 19 VAIL ROAD VAIL,CO81657	84-6042788	501(C)(3)	50,000	50TH ANNIVERSARY CAPITAL CAMPAIGN
(11) UNITED STATES SKI TEAM PO BOX 100 1 VICTORY LANE PARK CITY,CO84060	84-6030639	501(C)(3)	40,000	ANNUAL MEDICAL SUPPLIER FEES/MESS COURSE SPONSORSHIP
(12) VAIL CHRISTIAN HIGH SCHOOL 31621 HWY 6 EDWARDS,CO81632	84-1464946	CHURCH	35,000	SPORTS HEALTH & MEDICINE ATHLETIC TRAINING FUNDING
(13) HOPE CENTER OF THE EAGLE RIVER VALLEY PO BOX 2127 EAGLE,CO81631	85-2425930	501(C)(3)	25,300	SUBLEASE AGREEMENT
(14) EDUCATION FOUNDATION OF EAGLE COUNTY 1121 MILLER RANCH ROAD EDWARDS,CO81632	84-1585417	501(C)(3)	20,000	CLASSROOM STEM GRANTS
(15) VAIL VALLEY CHARITABLE FUND P O BOX 2307 EDWARDS,CO81632	84-1359124	501(C)(3)	20,000	VVCF DIRECT AID GRANT PARTNERSHIP
(16) VAIL VALLEY PARTNERSHIP 97 MAIN STREET SUITE E201 EDWARDS,CO81632	84-0535997	501(C)(3)	12,500	INVESTOR LEVEL MEMBERSHIP/VAIL VALLEY WORKS DONATION
(17) WALKING MOUNTAINS SCIENCE CTR PO BOX 9469 AVON,CO81620	84-1436731	501(C)(3)	10,500	CLIMATE ACTION COLLABORATIVE CONTRIBUTION
(18) VAIL VALLEY FOUNDATION PO BOX 6550 AVON,CO81620	74-2215035	501(C)(3)	10,000	BLACK DIAMOND BALL GOLD SPONSORSHIP
(19) VAIL MOUNTAINEER HOCKEY CLUB PO BOX 2591 EDWARDS,CO81632	84-0779148	501(C)(3)	7,500	AVALANCHE ALUMNI WEEKEND SPONSORSHIP
(20) TOWN OF BRECKENRIDGE PO BOX 168 BRECKENRIDGE,CO80424	84-6000637	TOWN OF BRECKENRIDGE	6,500	RACEBRECK SPONSORSHIP
(21) EAGLE COUNTY FAIR & RODEO PO BOX 850 EAGLE,CO81631		EAGLE COUNTY	6,000	2024 EAGLE FOUNTY FAIR & RODEO MUTTON BUSTIN SPONSORSHIP
(22) VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL,CO81658	74-2505662	501(C)(3)	4,491,560	RELATED PARTY ADMINISTRATIVE SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	MANAGERS AND DIRECTORS REGULARLY MONITOR ACTIVITIES AND THE USAGE OF GRANT FUNDS.

Schedule I (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1WILL COOK PRESIDENT AND CEO	(i) (ii)	876,827 ------------- 0	257,155 ------------- 0	189,841 ------------- 0	39,000 ------------- 0	37,146 ------------- 0	1,399,969 ------------- 0	0 ------------- 0
2PATRICIA HARDENBERGH MD PHYSICIAN	(i) (ii)	745,971 ------------- 0	55,500 ------------- 0	170,177 ------------- 0	16,500 ------------- 0	31,586 ------------- 0	1,019,734 ------------- 0	0 ------------- 0
3AMANDA VEIT CHIEF OPERATIONS OFFICER	(i) (ii)	536,862 ------------- 0	160,828 ------------- 0	117,744 ------------- 0	32,019 ------------- 0	29,541 ------------- 0	876,994 ------------- 0	0 ------------- 0
4ALEXANDER URQUHART MD PHYSICIAN	(i) (ii)	567,390 ------------- 0	74,160 ------------- 0	31,444 ------------- 0	16,500 ------------- 0	32,143 ------------- 0	721,637 ------------- 0	0 ------------- 0
5STEPHEN LAIRD MD PHYSICIAN	(i) (ii)	605,729 ------------- 0	28,159 ------------- 0	6,152 ------------- 0	16,500 ------------- 0	31,586 ------------- 0	688,126 ------------- 0	0 ------------- 0
6BARRY HAMMAKER MD PHYSICIAN	(i) (ii)	492,821 ------------- 0	0 ------------- 0	125,763 ------------- 0	11,605 ------------- 0	41,262 ------------- 0	671,451 ------------- 0	0 ------------- 0
7JERRY GREENBERG MD DIRECTOR	(i) (ii)	520,486 ------------- 0	25,709 ------------- 0	88,404 ------------- 0	16,500 ------------- 0	20,319 ------------- 0	671,418 ------------- 0	0 ------------- 0
8DAVID KAPLAN PRESIDENT CMM	(i) (ii)	481,597 ------------- 0	128,749 ------------- 0	7,442 ------------- 0	16,500 ------------- 0	31,851 ------------- 0	666,139 ------------- 0	0 ------------- 0
9KATHERINE SCHUETZE MD PHYSICIAN	(i) (ii)	529,285 ------------- 0	0 ------------- 0	78,771 ------------- 0	16,388 ------------- 0	30,198 ------------- 0	654,642 ------------- 0	0 ------------- 0
10JOHN HIGGINS TREASURER AND CFO - OUTGOING	(i) (ii)	414,070 ------------- 0	99,810 ------------- 0	23,842 ------------- 0	21,189 ------------- 0	38,990 ------------- 0	597,901 ------------- 0	0 ------------- 0
11JANET ENGLE DIRECTOR	(i) (ii)	464,101 ------------- 0	30,159 ------------- 0	20,299 ------------- 0	14,246 ------------- 0	20,670 ------------- 0	549,475 ------------- 0	0 ------------- 0
12CRAIG COHN CHIEF REAL ESTATE DEV OFFI	(i) (ii)	393,681 ------------- 0	105,874 ------------- 0	6,439 ------------- 0	16,500 ------------- 0	4,585 ------------- 0	527,079 ------------- 0	0 ------------- 0
13KRISTEN ICKES DO DIRECTOR	(i) (ii)	322,790 ------------- 0	30,491 ------------- 0	33,041 ------------- 0	12,875 ------------- 0	20,304 ------------- 0	419,501 ------------- 0	0 ------------- 0
14MICHAEL BROWN TREASURER AND CFO	(i) (ii)	245,175 ------------- 0	38,126 ------------- 0	13,644 ------------- 0	12,361 ------------- 0	20,846 ------------- 0	330,152 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 4B

457F PLAN: WILLIAM COOK, JOHN HIGGINS, AND AMANDA VEIT PARTICIPATED IN A SERP DURING THE YEAR. VESTING PERCENTAGES SPECIFIED IN THE WRITTEN AGREEMENTS OCCURS ON OCTOBER 1 OR DECEMBER 1, RESPECTIVELY, OF EACH YEAR. NO AMOUNTS WERE PAID OUT DURING THE CALENDAR YEAR 2023.

PART I, LINE 7

NON FIXED AND BONUS PAYMENTS: INCENTIVE BONUSES ARE CALCULATED AS A PERCENT OF BASE COMPENSATION. THE DETERMINATION OF WHETHER OR NOT A PAYOUT IS MADE IS BASED ON COMPANY FINANCIAL PERFORMANCE AND ON INDIVIDUAL PERFORMANCE REVIEWS CONDUCTED BY THE CEO AND THE COMPENSATION COMMITTEE. CERTAIN PHYSICIAN PRODUCTIVITY BONUSES ARE PAID BASED ON RELATIVE VALUE UNITES (RVUS) WHICH ARE AN INDICATION OF THE EMPLOYEE'S PRODUCTIVITY OR LEVEL OF EFFORT. OTHER PHYSICIAN BONUSES ARE BASED ON SATISFACTION OF CRITERIA DEFINED IN EMPLOYMENT AGREEMENTS.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number
84-0563230

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A4N2	10-21-2015	104,038,243	HOSP RENOVATION/EXPANSION		X		X		X
B	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932		06-06-2012	19,052,899	REFUND SERIES 2001		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,350,000		16,744,907
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	106,777,273		19,052,899
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	921,241		303,592
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	105,854,467
11 Other spent proceeds .............			18,749,307
12 Other unspent proceeds .............	1,565
13 Year of substantial completion .............	2020		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........		X		X
c No rebate due? .........	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/21/2020 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2022
SCHEDULE K, PART I, COLUMN (E) FOR BOND A AND PART II, LINE 3:	THE TOTAL PROCEEDS OF THE 2015 ISSUE A EXCEEDS THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS ON THE PROCEEDS.

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Return Reference	Explanation
FORM 990, PART III, LINE 4A:	KEY METRICS OF VAIL HEALTH HOSPITAL FOR FISCAL YEAR ENDED 10/31/2024 INCLUDE: INPATIENT ADMISSIONS EXCLUDING NEWBORNS: 1,562 PATIENT DAYS: 4,565 TOTAL SURGERIES: 4,403 BEING A NONPROFIT, SOLE COMMUNITY PROVIDER WITH A LOCALLY BASED VOLUNTEER BOARD OF DIRECTORS, VAIL HEALTH CAN KEEP ITS DOLLARS LOCAL AND REINVEST BACK INTO THE COMMUNITIES IT SERVES, HELPING TO DELIVER ON ITS MISSION OF ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES WITH A FOCUS ON ITS STRATEGIC PILLARS OF AFFORDABILITY, ACCESSIBILITY, SUSTAINABILITY AND POPULATION HEALTH. VAIL HEALTH IS A COMPREHENSIVE COMMUNITY HEALTH CARE SYSTEM WITH CARE STARTING FROM CHILDBIRTH AND INCLUDES VAIL HEALTH HOSPITAL, COLORADO MOUNTAIN MEDICAL, SHAW CANCER CENTER, HOWARD HEAD SPORTS MEDICINE, VAIL HEALTH BEHAVIORAL HEALTH, AND VAIL HEALTH FOUNDATION. ACROSS ITS CONTINUUM OF CARE, VAIL HEALTH FOCUSES ON QUALITY, SAFETY, PATIENT EXPERIENCE, EXECUTING ITS STRATEGIC PLAN, AND FULFILLING ITS NON-PROFIT MISSION OF 'ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES.' VAIL HEALTH MAINTAINED ITS LEAP FROG "A" GRADE IN QUALITY AND SAFETY AND HAS A CMS RATING OF 5 STARS (1 OF 429 U.S. HOSPITALS WITH A 5-STAR RATING). VAIL HEALTH WAS A NOMINEE FOR THE VAIL VALLEY PARTNERSHIP (LOCAL CHAMBER OF COMMERCE) 2024 SUCCESS AWARDS FOR NONPROFIT OF THE YEAR, BEST PLACE TO WORK, AND COMMUNITY IMPACT AWARD ORGANIZATION. VAIL HEALTH WAS RECOGNIZED BY PRESS GANEY WITH TWO GUARDIAN OF EXCELLENCE AWARDS IN 2024, INCLUDING ONE FOR THE INPATIENT DEPARTMENTS (FAMILY BIRTH CENTER, INTENSIVE CARE UNIT, PATIENT CARE UNIT) AND ONE FOR THE EMERGENCY DEPARTMENT. IT MARKED THE FIFTH CONSECUTIVE YEAR THE EMERGENCY DEPARTMENT HAS EARNED THE AWARD. IN 2024, VAIL HEALTH ACHIEVED A NET PROMOTER SCORE OF 81, A JUMP FROM 79 IN 2023, AND AN EMPLOYEE ENGAGEMENT INDEX OF 89, AN INCREASE FROM 87 THE PREVIOUS YEAR AND 82 TWO YEARS PRIOR. VAIL HEALTH CONTINUED TO EXPAND ACCESS TO BEHAVIORAL HEALTH CARE SERVICES IN FY24, INCREASING STAFFING BY 12% WITH 29 FULL-TIME LICENSED PROVIDERS THAT ALL ACCEPT COMMERCIAL INSURANCE AND GOVERNMENTAL PROGRAMS. IN FY24, VAIL HEALTH BEHAVIORAL HEALTH (VHBH) PROVIDED APPROXIMATELY 26,000 UNIQUE BEHAVIORAL HEALTH SESSIONS, INCLUDING 8,700 PSYCHIATRY SESSIONS, MORE THAN 14,000 THERAPY SESSIONS, AND 3,300 INTEGRATED BEHAVIORAL HEALTH SESSIONS IN TWO LOCATIONS: EDWARDS AND FRISCO. IN 2024, VHBH ADDED NATUROPATHIC MEDICINE WITH A FULL-TIME PROVIDER OFFERING 32 CLINICAL HOURS PER WEEK; EXPANDED THE TRANSCRANIAL MAGNETIC STIMULATION PROGRAM, SERVING MORE THAN 20 PATIENTS WHO HAVE COMPLETED THE 36-TREATMENT COURSE FOR 7-8 WEEKS WITH 90% OF PATIENTS HAVING CLINICALLY SIGNIFICANT BENEFITS AND 70% ENTERING FULL REMISSION; AND INCREASED SPANISH-SPEAKING THERAPISTS TO 5 PROVIDERS, SERVING AS YOUNG AS 3 UP TO 103 YEARS OLD. ADDITIONALLY, VAIL HEALTH COMPLETED CONSTRUCTION ON THE PRECOURT HEALING CENTER, A 28-ROOM INPATIENT BEHAVIORAL HEALTH FACILITY CENTRALLY LOCATED IN EDWARDS, COLORADO, THAT WILL SERVE ADOLESCENTS (12-18) AND ADULTS (18+) IN BOTH ENGLISH AND SPANISH. WHEN THE FACILITY OPENS IN MAY 2025, IT WILL BE THE ONLY PSYCHIATRIC HOSPITAL BETWEEN THE FRONT RANGE AND SALT LAKE CITY, UTAH. BY ADDING MORE ACUTE CARE SERVICES, VAIL HEALTH WILL OFFER THE FULL CONTINUUM OF BEHAVIORAL HEALTH CARE FROM PREVENTION AND EARLY INTERVENTION, TO OUTPATIENT, CRISIS, COMMUNITY STABILIZATION, AND INPATIENT THUS TRULY TRANSFORMING THE BEHAVIORAL HEALTH LANDSCAPE IN OUR MOUNTAIN COMMUNITY. INTEGRATED BEHAVIORAL HEALTH (IBH) CONTINUES TO BE EMBEDDED WITHIN THE PRIMARY CARE SETTING AT ALL COLORADO MOUNTAIN MEDICAL (CMM) LOCATIONS, PROVIDING IMMEDIATE CLINICAL RESPONSE TO PATIENTS IN CRISIS OR WITH URGENT NEEDS. IBH COMPLETED MORE THAN 3,300 PATIENT VISITS IN FY24. THESE PATIENT VISITS RANGE FROM 15-MINUTE SCREENING AND PSYCHOEDUCATION TO UPWARDS OF FOUR HOURS OF STABILIZATION. THE PRIMARY REFERRALS FOR THESE SERVICES COME FROM URGENT CARE, PRIMARY CARE, PEDIATRICS, AND OBGYN TEAMS; HOWEVER, OTHER SPECIALTY SERVICES ALSO REQUEST SAME DAY CARE VIA WARM HANDOFFS WITH THE IBH TEAM. IBH ALSO PROVIDES SUPERVISION TO INCLUDE A PSYCHIATRIC RESIDENCY ROTATION AND PARTICIPATES IN THE COPIC CONSORTIUM AS FACULTY FOR UP TO 62 HOURS OF SUPERVISION PER YEAR. VAIL HEALTH COMPLETED CONSTRUCTION ON THE LARGEST PRIVATE, DEED-RESTRICTED AND FREE MARKET EMPLOYEE HOUSING JOINT VENTURE PROJECT IN EAGLE COUNTY, ADDING 87 UNITS OF WORKFORCE HOUSING INTO THE MARKET. THE FOX HOLLOW PROJECT ALMOST DOUBLED VAIL HEALTH'S EMPLOYEE HOUSING FROM 93 UNITS TO 180, AND THE TOTAL EMPLOYEE BED COUNT INCREASED BY 137% FROM 160 BEDS TO 380. VAIL HEALTH GAVE MORE THAN $27.7 MILLION BACK TO THE LOCAL COMMUNITY IN FISCAL 2024 THROUGH FINANCIAL ASSISTANCE, COMMUNITY HEALTH IMPROVEMENT SERVICES AND HELPING REDUCE SOCIAL DETERMINANTS OF HEALTH, WHOLE PERSON HEALTH CARE, CLINICAL EDUCATION, MEDICAL RESEARCH, SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS.
FORM 990, PART VI, SECTION A, LINE 6	VAIL HEALTH SERVICES IS THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	VAIL HEALTH SERVICES, THE SOLE MEMBER OF VAIL CLINIC, INC. DBA VAIL HEALTH HOSPITAL, APPOINTS BOARD MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING GOVERNANCE DECISIONS ARE ALSO SUBJECT TO APPROVAL BY THE SOLE MEMBER: - APPOINTING AND REMOVING THE PRESIDENT OF THE CORPORATION - AMENDING OR APPROVING ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS - APPROVING BUDGETS - APPROVING UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000 - APPROVING UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000 - VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR BANKRUPTCY - APPROVING SALE OF ASSETS IN EXCESS OF $1,000,000 - CREATING A SUBSIDIARY OR AFFILIATE - SELECTING PUBLIC ACCOUNTANTS - ESTABLISHING INVESTMENT POLICIES - ESTABLISHING POLICIES ON THE DISTRIBUTION AND USE OF FUNDS - ADDING/DELETING MAJOR PROGRAM/SERVICE LINES
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY A THIRD PARTY BASED ON DATA PREPARED AND SUBMITTED BY THE ACCOUNTING DEPARTMENT. THE DRAFT FORM 990 IS REVIEWED BY MEMBERS OF THE ACCOUNTING DEPARTMENT. THE REVIEW INCLUDES READING IT FOR ACCURACY OF DISCLOSURE AND COMPARING THE NUMBERS TO THOSE IN THE AUDITED FINANCIAL STATEMENTS. ONCE ACCOUNTING AND MANAGEMENT HAVE PERFORMED THEIR REVIEW, A COPY OF THE FORM FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT-OF-INTEREST POLICY APPLIES THROUGHOUT VAIL HEALTH TO ALL AFFILIATED PERSONS INCLUDING, WITHOUT LIMITATION, BOARD MEMBERS, OFFICERS, EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND VOLUNTEERS. ALL AFFILIATED PERSONS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A CONFLICT-OF-INTEREST ELECTRONIC QUESTIONNAIRE UPON HIRE OR APPOINTMENT AND THEN ANNUALLY THEREAFTER. BOARD MEMBERS AND AGENTS MUST COMPLETE AND SUBMIT CONFLICT OF INTEREST ELECTRONIC QUESTIONNAIRE TO THE COMPLIANCE OFFICER UPON HIRE OR APPOINTMENT AND THEN ANNUALLY THEREAFTER. VOLUNTEERS MUST COMPLETE AND SUBMIT DISCLOSURE FORMS TO THE COMPLIANCE OFFICER WHEN THEY BEGIN PROVIDING SERVICES TO VAIL HEALTH AND THEN ANNUALLY. IF DURING THE YEAR ANY NEW POTENTIAL CONFLICTS OF INTEREST ARISE, ALL AFFILIATED PERSONS MUST REPORT THE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY (AND PRIOR TO UNDERTAKING ANY ACTIVITY THAT MAY RAISE A POTENTIAL CONFLICT OF INTEREST). THE COMPLIANCE OFFICER AND THE CONFLICT-OF-INTEREST COMMITTEE SHALL CONSIDER THE FOLLOWING FACTORS WHEN REVIEWING COMPLETED DISCLOSURE FORMS: - WHETHER THE AFFILIATED PERSON OR AN IMMEDIATE FAMILY MEMBER IS A PARTY TO, OR MAY DIRECTLY OR INDIRECTLY BENEFIT FROM, A PROPOSED AGREEMENT OR TRANSACTION INVOLVING VAIL HEALTH; - WHETHER THE AFFILIATED PERSON'S DESIRE FOR, OR EXPECTATION OF, DIRECT OR INDIRECT EXTERNAL ECONOMIC ADVANTAGE COULD DISTORT A VAIL HEALTH DECISION OR ACTIVITY; - WHETHER THE AFFILIATED PERSON OR AN IMMEDIATE FAMILY MEMBER IS ENGAGING IN AN ACTIVITY, BUSINESS, OR TRANSACTION IN WHICH VHH IS LIKELY TO ENGAGE; - WHETHER THE AFFILIATED PERSON'S OUTSIDE ACTIVITIES MAY CONFLICT WITH RIGHTS OF, OR THE AFFILIATED PERSON'S OBLIGATIONS TO VAIL HEALTH OR VAIL HEALTH'S PATIENTS; - WHETHER THE CONFLICT OF INTEREST CAN BE CURED OR MANAGED BY RECUSAL OR OTHER APPROPRIATE ACTION; - WHETHER THERE IS AN APPEARANCE OF A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. EXECUTIVE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2024 BY AN EXTERNAL COMPENSATION CONSULTANT. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE EXECUTIVE AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: A FORMAL EXTERNAL REVIEW IS CONDUCTED EVERY YEAR. OTHER OFFICER AND KEY EMPLOYEE COMPENSATION WAS LAST FORMALLY REVIEWED IN 2024 BY AN EXTERNAL COMPENSATION CONSULTANT. THIS REVIEW EVALUATES TOTAL COMPENSATION OF THE INDIVIDUAL AGAINST COMPENSATION DATA FOR THE SAME OR SIMILAR JOB BY INDUSTRY, REVENUE SIZE AND GEOGRAPHIC LOCATION AND OTHER FACTORS TO ENSURE THAT THE COMPENSATION PAID IS APPROPRIATE AND REASONABLE. THAT INFORMATION IS THEN REVIEWED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. INTERNAL REVIEWS ARE PERFORMED AS WELL AT TIME OF HIRE AND ON AN ONGOING BASIS USING COMPENSATION SURVEYS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING BY THE PUBLIC FOR VALID BUSINESS PURPOSES. THESE DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	WRITTEN POLICY RELATED TO JOINT VENTURE ARRANGEMENTS: VAIL HEALTH HOSPITAL DOES NOT HAVE A DOCUMENTED WRITTEN POLICY, HOWEVER, THE ORGANIZATION TAKES APPROPRIATE MEASURES AND HAS PROCESSES IN PLACE TO ENSURE THAT ANY PARTICIPATION IN JOINT VENTURE AGREEMENTS ARE EVALUATED EXTENSIVELY IN ORDER TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 28,061,693. MANAGEMENT AND GENERAL EXPENSES 17,568,577. TOTAL EXPENSES 45,630,270.
FORM 990, PART XI, LINE 9:	TRANSFER FROM EAGLE VALLEY BEHAVIORAL HEALTH FOR CAPITAL EXPENDITURES 5,030,000.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

VAIL CLINIC INC
% VHH ACCOUNTING DEPARTMENT

Employer identification number

84-0563230

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) COLORADO MOUNTAIN MEDICAL LLC PO BOX 4000 VAIL,CO81658 84-1887834	HEALTHCARE	CO	32,824,196	25,297,700	VAIL CLINIC
(2) NORTH EAGLE INVESTMENTS PO BOX 4000 VAIL,CO81658	RENTAL	CO	0	2,980,708	VAIL CLINIC
(3) 10 MILE HOLDINGS LLC PO BOX 4000 VAIL,CO81658	HOLDING COMPANY	CO	0	6,927,208	VAIL CLINIC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)VVMC DIVERSIFIED SERVICES PO BOX 4000 VAIL,CO81658 26-1167922	HEALTH CARE	CO	501(C)(3)	LINE 10	VAIL HEALTH SERVICES		No
(2)VAIL HEALTH SERVICES FOUNDATION PO BOX 4000 VAIL,CO81658 74-2505662	SUPPORT VAIL CLINIC	CO	501(C)(3)	LINE 12B, II	VAIL HEALTH SERVICES		No
(3)VAIL HEALTH SERVICES PO BOX 4000 VAIL,CO81658 26-2648461	HOLDING CO.	CO	501(C)(3)	LINE 12C, III-FI	N/A		No
(4)EAGLE VALLEY MENTAL HEALTH PO BOX 4000 VAIL,CO81658 83-4327406	BEHAVIORAL HEALTH SERVICES	CO	501(C)(3)	LINE 7	VAIL HEALTH SERVICES		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) VAIL VALLEY SURGERY CENTER PO BOX 1270 VAIL,CO81658 03-0419967	HEALTH CARE	CO	VAIL CLINIC	RELATED	38,636,115	17,023,964		No			No	50.170 %
(2) EAGLE RIVER REAL ESTATE HOLDINGS PO BOX 4000 VAIL,CO81658 83-1523347	RENTAL	CO	VAIL CLINIC	RELATED	-12,842	56,260,628		No			No	75.000 %
(3) VHS FUND A SERIES OF GLOBAL ENDOWMENT TARGETED STRATEGY FUND LP 224 WEST TREMONT AVE CHARLOTTE,NC28203 87-3189337	INVESTMENT	NC	VAIL CLINIC	INVESTMENT	76,419	190,555,216		No	173,588		No	92.090 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) VHS MANAGEMENT SERVICES INC 181 W MEADOW DR STE 100 VAIL,CO81657 26-2647982	HEALTH CARE	CO	N/A	C				Yes

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) VAIL VALLEY SURGERY CENTER LLC	J	4,176,688	ACTUAL AMOUNT
(2) VAIL HEALTH SERVICES FOUNDATION	B	4,491,560	ACTUAL AMOUNT
(3) VVMC DIVERSIFIED SERVICES	B	5,600,000	ACTUAL AMOUNT
(4) EAGLE VALLEY BEHAVIORAL HEALTH	B	3,856,540	ACTUAL AMOUNT
(5) VAIL HEALTH SERVICES FOUNDATION	C	2,961,846	ACTUAL AMOUNT
(6) EAGLE RIVER REAL ESTATE HOLDINGS LLC	C	4,136,652	ACTUAL AMOUNT
(7) VAIL VALLEY SURGERY CENTER LLC	D	3,854,950	YEAR-END BALANCE
(8) VAIL HEALTH SERVICES FOUNDATION	D	1,448,130	YEAR-END BALANCE
(9) EAGLE VALLEY BEHAVIORAL HEALTH	D	4,969,812	YEAR-END BALANCE
(10) VAIL HEALTH SERVICES	D	28,123,648	YEAR-END BALANCE
(11) VVMC DIVERSIFIED SERVICES	D	1,331,209	YEAR-END BALANCE
(12) EAGLE RIVER REAL ESTATE HOLDINGS LLC	E	84,171	YEAR-END BALANCE
(13) VAIL VALLEY SURGERY CENTER LLC	F	44,087,680	ACTUAL AMOUNT
(14) VVMC DIVERSIFIED SERVICES	Q	2,860,000	ACTUAL AMOUNT
(15) EAGLE VALLEY BEHAVIORAL HEALTH	Q	7,308,770	ACTUAL AMOUNT
(16) VAIL VALLEY SURGERY CENTER LLC	Q	40,832,922	ACTUAL AMOUNT
(17) EAGLE VALLEY BEHAVIORAL HEALTH	S	5,030,000	ACTUAL AMOUNT
(18) VHS FUND	F	13,000,000	ACTUAL AMOUNT

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Predominant income (related, unrelated, excluded from tax under sections 512-514)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)		Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) GEM LIQUID MARKETS FUND A LP 224 WEST TREMONT AVENUECHARLOTTE,NC28203 27-4527021	INVESTMENT	NC	INVESTMENT		No	1,197,083	51,435,698		No			No	15.950 %

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	2,088
6	Total number of volunteers (estimate if necessary) .............	6	92
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,137,991
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	38,277,586	2,975,846
9	Program service revenue (Part VIII, line 2g) .........	337,973,486	371,278,046
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,348,862	3,970,533
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,578,033	11,082,732
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	388,177,967	389,307,157
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	19,689,897	19,035,572
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	172,958,892	182,383,793
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	213,049,528	208,700,975
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	405,698,317	410,120,340
19	Revenue less expenses. Subtract line 18 from line 12.......	-17,520,350	-20,813,183
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	841,377,599	853,242,680
21	Total liabilities (Part X, line 26).............	237,579,702	226,585,657
22	Net assets or fund balances. Subtract line 21 from line 20.....	603,797,897	626,657,023

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 311,214,423 including grants of $ 19,035,572 ) (Revenue $ 374,910,193 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses311,214,423

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) ART KELTON........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(19) BRATZO HORRUITINER........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(20) ELLEN MORITZ........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(21) LINDA PANCRATZ........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(22) MARC PHILIPPON MD........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(23) MARY RANDALL........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(24) MIKE IMHOF........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(25) SUSAN KASSER........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(26) THOMAS GORRIE........................................................................ DIRECTOR	1.00 .......................	X	0	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	9,144,508	0	649,710

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,961,846
e	Government grants (contributions)		1e	14,000

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,975,846

		Business Code
2a	PATIENT SERVICE REVENU	900099	227,478,426	225,858,889	1,619,537
b	MEDICARE/MEDICAID	900099	75,151,473	75,151,473
c	SUBSIDIARY EQUITY	900099	43,091,343	43,091,343
d	PROF SERVICES/OVERHEAD	900099	25,556,804	25,556,804
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		371,278,046

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,936,533		310,029	3,626,504
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	9,680,199
b	Less: rental expenses	6b	6,550,727
c	Rental income or (loss)	6c	3,129,472
d	Net rental income or (loss).......			3,129,472			3,129,472
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		34,000
b	Less: cost or other basis and sales expenses	7b		0
c	Gain or (loss)	7c		34,000
d	Net gain or (loss).........			34,000			34,000
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	6,296,723
b	Less: cost of goods sold ..		10b	5,088,298
c	Net income or (loss) from sales of inventory..			1,208,425		1,208,425

Business Code
11a	MISCELLANEOUS REVENUE		900099	4,788,111	4,788,111
b	CAFETERIA REVENUE		900099	1,493,151			1,493,151
c	REBATES FROM VENDOR		900099	463,573	463,573
d	All other revenue ....
e	Total. Add lines 11a–11d ......			6,744,835
12	Total revenue. See instructions.....			389,307,157	374,910,193	3,137,991	8,283,127

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	19,035,572	19,035,572
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	6,418,513		6,418,513
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	135,290,897	103,518,058	31,772,839
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,309,039	6,658,030	1,651,009
9	Other employee benefits .......	15,758,039	10,290,496	5,467,543
10	Payroll taxes ...........	16,607,305	13,966,685	2,640,620
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,808,256	1	3,808,255
c	Accounting ...........	308,495		308,495
d	Lobbying ...........	7,801		7,801
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,250,225		1,250,225
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	45,630,270	28,061,693	17,568,577
12	Advertising and promotion ....	1,508,026	127,616	1,380,410
13	Office expenses .......	2,631,147	900,138	1,731,009
14	Information technology ......	193,976	37,639	156,337
15	Royalties ..
16	Occupancy ...........	10,815,657	79,003	10,736,654
17	Travel ............	503,223	277,693	225,530
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	542,598	251,761	290,837
20	Interest ...........	5,186,891	5,186,891
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	26,262,192	23,737,941	2,524,251
23	Insurance ...	2,610,674		2,610,674
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL & OTHER SUPPLIE	70,107,115	68,742,247	1,364,868
b	BAD DEBT EXPENSE	14,239,769	14,239,769
c	REPAIRS & MAINTENANCE	10,796,284	4,688,864	6,107,420
d	PROVIDER FEE EXPENSE	6,644,272	6,644,272
e	All other expenses	5,654,104	4,770,054	884,050
25	Total functional expenses. Add lines 1 through 24e	410,120,340	311,214,423	98,905,917	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			19,140,407	1	19,053,306
2	Savings and temporary cash investments .........			25,157,023	2	25,830,235
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			46,271,111	4	47,508,232
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			44,649,325	7	44,649,325
8	Inventories for sale or use ............			10,249,780	8	10,263,741
9	Prepaid expenses and deferred charges ......			9,085,642	9	8,399,911
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	610,659,831
b	Less: accumulated depreciation	10b	303,800,962	332,895,099	10c	306,858,869
11	Investments—publicly traded securities .			219,520,378	11	247,366,321
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			49,618,013	13	48,768,914
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			84,790,821	15	94,543,826
16	Total assets. Add lines 1 through 15 (must equal line 33)...			841,377,599	16	853,242,680

17	Accounts payable and accrued expenses .....	48,935,840	17	47,552,292
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	130,053,001	20	127,217,047
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	58,590,861	25	51,816,318
26	Total liabilities. Add lines 17 through 25..	237,579,702	26	226,585,657

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	602,940,784	27	625,953,058
28	Net assets with donor restrictions ...........	857,113	28	703,965
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	603,797,897	32	626,657,023
33	Total liabilities and net assets/fund balances ........	841,377,599	33	853,242,680