VVMC Diversified Services

“Describe circumstances for having members or stockholders the organization has a single member, vail health services.”

“Describe circumstances for members electing governing body the single member, vail health services, can appoint board members.”

“Governance decisions reserved to members or stockholders the single member has the authority to: 1) elect directors; 2) appoint the president; 3) approve articles and bylaws; 4) approve budgets; 5) approve unbudgeted expenditures in excess of $100,000; 6) approve unbudgeted borrowings in excess of $1,000,000; 7) cause voluntary dissolution, merger, consolidation, or bankruptcy; 8) approve sale of assets in excess of $1,000,000; 9) create subsidiary or affiliate; 10) select public accountants; 11) establish investment policies; 12) establish policies on the distribution and use of funds; 13) add/ delete major program/ service lines.”

“Describe the process to review the form 990 review of the form 990 is delegated to more qualified personnel since the board members are not trained in tax matters. The cfo, controller and accounting staff of vail clinic, inc. Dba vail health hospital, providing services to vail health clinics, reviews the tax form and works with an external cpa/tax firm in the production of the form 990. An electronic version is provided to directors and officers for review, discussion and comment prior to filing the form 990 with the irs.”

“During fy 17 conflict of interest surveys were not circulated while the current policy was being reviewed, however the survey process was completed during july 2018. Process for monitoring compliance with conflict of interest policy: the conflict of interest policy applies to vail health hospital (vhh) board members, officers, medical staff, licensed independent practitioners, volunteers, agents, contractors and employees. All board members, medical staff, nurse practitioners, physician assistants, and employees of vhh are required to disclose potential conflicts of interest by completing a conflict of interest electronic questionnaire upon hire or appointment and then annually. Board members and agents must complete and submit conflict of interest electronic questionnaire to the chief ethics and compliance officer upon hire or appointment and then annually. Volunteers must complete and submit disclosure forms to the manager of volunteers when they begin providing services to vhh and then annually. If during the year any new potential conflicts of interest arise, covered persons must report the potential conflicts of interest immediately (and prior to undertaking any activity that may raise a potential conflict of interest). The chief ethics and compliance officer, the volunteer services program manager and the committee shall consider the following factors when reviewing completed disclosure forms: - whether the colleague or an immediate family member is a party to, or may directly or indirectly benefit from, a proposed agreement or transaction involving vhh; - whether the colleague's desire for, or expectation of, direct or indirect external economic advantage could distort a vhh decision or activity; - whether the colleague or an immediate family member is engaging in an activity, business, or transaction in which vhh is likely to engage; - whether the colleague's outside activities may conflict with rights of, or the colleague's obligations to, vhh or vhh's patients; - whether the conflict of interest can be cured or managed by recusal or other appropriate action; - whether there is an appearance of a conflict of interest.”

“Process to determine executive compensation executive compensation is paid and determined by a related party, vail clinic, inc. , dba vail health hospital. A formal external review is conducted every year. Executive compensation was last formally reviewed in 2017 by sullivan cotter. This review evaluates total compensation of the executive against compensation data for the same or similar job by industry, revenue size and geographic location and other factors to ensure that the compensation paid is appropriate and reasonable. That information is then reviewed by the compensation committee and the board of directors. Internal reviews are performed as well at time of hire and on an ongoing basis using compensation surveys.”

“Describe how documents are made available to the public the financial statements are made available to the public for viewing for valid business purposes.”

“Vvmc diversified services, dba vail health clinics, is organized and operated for the specific purpose and objective of the following: 1) advancing and promoting health by providing and supporting the provision of medical services in connection with the diagnosis, prevention and treatment of diseases; 2) providing and supporting the provision of treatment and rehabilitation of any physical or mental disability or condition on an outpatient basis; 3) creating, maintaining, and supporting the creation and maintenance of one or more outpatient clinics; 4) providing instruction and training to medical and nursing students and residents; 5) providing claims management, billing and collections, and general practice management services for physicians and other licensed healthcare providers.”

“Vail health clinics provides services to the residents of eagle county, total population approximately 50,000, including two urgent care locations, trauma services, cardiology, occupational health, plastic surgery, internal medicine and endocrinology. During the fiscal year ending october 31, 2017, vail health clinics accommodated approximately 19,000 patient visits. The unreimbursed value of providing care to medicaid and medicare patients totaled approximately $2.2 million during fiscal 2017. Eagle county does not have a large enough population to support medical practices in rare specialties. Since eagle county is in a rural area, the development of these medical practices have significantly improved community access to healthcare services. These practices have allowed us to serve all members of the community without regard to ability to pay.”

“other contract services: Program service expenses 2,289,415. Management and general expenses 1,240. Fundraising expenses 0. Total expenses 2,290,655.”