Liabilities / Assets
47th percentile
Higher debt load relative to assets than 47% of similar nonprofits.
EIN 84-0563230 • 501(c)3 • Vail, CO
Profile
Elevating health across our mountain communities.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
47th percentile
Higher debt load relative to assets than 47% of similar nonprofits.
Liabilities / Revenue
58th percentile
Higher debt load relative to revenue than 58% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
69th percentile
Higher top officer pay than 69% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
28th percentile
Faster asset growth than 28% of similar nonprofits.
Revenue Growth
23rd percentile
Faster revenue growth than 23% of similar nonprofits.
Assets
Up$853,242,680
Up $11,865,081 (+1.4%) from 2023
Liabilities
Down$226,585,657
Down $10,994,045 (-4.6%) from 2023
Net Assets
Up$626,657,023
Up $22,859,126 (+3.8%) from 2023
Revenue
Up$389,307,157
Up $1,129,190 (+0.3%) from 2023
Expenses
Up$410,120,340
Up $4,422,023 (+1.1%) from 2023
Net Income
Down-$20,813,183
Down $3,292,833 (-19%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Elevating health across our mountain communities.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $332,895,099 | $306,858,869 | ▼ $26,036,230 |
| Investments in Publicly Traded Securities | $219,520,378 | $247,366,321 | ▲ $27,845,943 |
| Investments Program Related | $49,618,013 | $48,768,914 | ▼ $849,099 |
| Accounts Receivable | $46,271,111 | $47,508,232 | ▲ $1,237,121 |
| Other Notes and Loans Receivable, Net | $44,649,325 | $44,649,325 | → $0 |
| Savings and Temporary Cash Investments | $25,157,023 | $25,830,235 | ▲ $673,212 |
| Cash and Non-Interest-Bearing Accounts | $19,140,407 | $19,053,306 | ▼ $87,101 |
| Inventories for Sale or Use | $10,249,780 | $10,263,741 | ▲ $13,961 |
| Prepaid Expenses and Deferred Charges | $9,085,642 | $8,399,911 | ▼ $685,731 |
| Total Assets | $841,377,599 | $853,242,680 | ▲ $11,865,081 |
| Other Assets Total | $84,790,821 | $94,543,826 | ▲ $9,753,005 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $130,053,001 | $127,217,047 | ▼ $2,835,954 |
| Other Liabilities | $58,590,861 | $51,816,318 | ▼ $6,774,543 |
| Accounts Payable and Accrued Expenses | $48,935,840 | $47,552,292 | ▼ $1,383,548 |
| Total Liabilities | $237,579,702 | $226,585,657 | ▼ $10,994,045 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $602,940,784 | $625,953,058 | ▲ $23,012,274 |
| Net Assets With Donor Restrictions | $857,113 | $703,965 | ▼ $153,148 |
| Total Net Assets Fund Balance | $603,797,897 | $626,657,023 | ▲ $22,859,126 |
| Total Liabilities and Net Assets / Fund Balance | $841,377,599 | $853,242,680 | ▲ $11,865,081 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $265,853,351 | $160,590,320 | $426,443,671 |
| Equipment | $24,281,431 | $137,830,098 | $162,111,529 |
| Land | $9,097,549 | - | $9,097,549 |
| Other Land Buildings | $6,841,156 | $1,922,784 | $8,763,940 |
| Leasehold Improvements | $785,382 | $3,457,760 | $4,243,142 |
| Investment Program Related Org | $48,768,914 | - | - |
| Other Assets Org | $1,949,744 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $13,292,883 | - | ▲ $1,974,161 | $335,119 | $14,931,925 |
| 2022 | $10,398,881 | $3,358,333 | ▲ $506,729 | $971,060 | $13,292,883 |
| 2021 | $9,053,829 | $1,691,328 | ▼ $23,112 | $323,164 | $10,398,881 |
| 2020 | $7,411,055 | $497,204 | ▲ $1,362,357 | $216,787 | $9,053,829 |
| 2019 | $7,586,468 | $22,498 | ▲ $75,931 | $273,842 | $7,411,055 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Will Cook | President and CEO | FT | $876,827 | $523,142 | $1,399,969 |
| Patricia Hardenbergh Md | Physician | FT | $745,971 | $273,763 | $1,019,734 |
| Amanda Veit | Chief Operations Officer | FT | $536,862 | $340,132 | $876,994 |
| Alexander Urquhart Md | Physician | FT | $567,390 | $154,247 | $721,637 |
| Stephen Laird Md | Physician | FT | $605,729 | $82,397 | $688,126 |
| Barry Hammaker Md | Physician | FT | $492,821 | $178,630 | $671,451 |
| Jerry Greenberg Md | Director | - | $520,486 | $150,932 | $671,418 |
| David Kaplan | President CMM | FT | $481,597 | $184,542 | $666,139 |
| Katherine Schuetze Md | Physician | - | $529,285 | $125,357 | $654,642 |
| John Higgins | Treasurer and CFO - Outgoing | FT | $414,070 | $183,831 | $597,901 |
| Janet Engle | Director | FT | $464,101 | $85,374 | $549,475 |
| Craig Cohn | Chief Real Estate Dev Offi | FT | $393,681 | $133,398 | $527,079 |
| Kristen Ickes Do | Director | FT | $322,790 | $96,711 | $419,501 |
| Michael Brown | Treasurer and CFO | FT | $245,175 | $84,977 | $330,152 |
| Name | Title |
|---|---|
| Eric Affeldt | Chairman |
| Andy Daly | Director |
| Art Kelton | Director |
| Bratzo Horruitiner | Director |
| Ellen Moritz | Director |
| Linda Pancratz | Director |
| Marc Philippon Md | Director |
| Mary Randall | Director |
| Mike Imhof | Director |
| Susan Kasser | Director |
| Thomas Gorrie | Director |
| Chris Jarnot | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Medefis Consolidated | Contract Labor | PO BOX 5068, New York, NY 10087 | $7,646,624 |
| Rhize Tech | It Services | PO BOX 913184, Denver, CO 80291 | $7,466,796 |
| Ge Johnson Construction Co | Construction | 25 N CASCADE AVE STE 400, Colorado Springs, CO 80903 | $6,400,928 |
| Cerner Corporation | It Services | PO BOX 959156, St Louis, MO 63195 | $5,514,668 |
| Haselden Construction LLC | Construction | 6950 S POTOMAC ST STE 100, Centennial, CO 80112 | $3,187,763 |
| Line Item | Amount |
|---|---|
| Other Expenses | $208,700,975 |
| Salaries, Compensation, and Employee Benefits | $182,383,793 |
| Grants and Similar Amounts Paid | $19,035,572 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $103,518,058 | $31,772,839 | - | $135,290,897 |
| Fees for Services Other | $28,061,693 | $17,568,577 | - | $45,630,270 |
| Depreciation Depletion | $23,737,941 | $2,524,251 | - | $26,262,192 |
| Grants to Domestic Orgs | $19,035,572 | - | - | $19,035,572 |
| Payroll Taxes | $13,966,685 | $2,640,620 | - | $16,607,305 |
| Other Employee Benefits | $10,290,496 | $5,467,543 | - | $15,758,039 |
| Occupancy | $79,003 | $10,736,654 | - | $10,815,657 |
| Pension Plan Contributions | $6,658,030 | $1,651,009 | - | $8,309,039 |
| Other Expenses | $6,644,272 | $6,107,420 | - | $6,644,272 |
| Current Officers, Directors, Trustees, and Key Employees | - | $6,418,513 | - | $6,418,513 |
| All Other Expenses | $4,770,054 | $884,050 | - | $5,654,104 |
| Interest | $5,186,891 | - | - | $5,186,891 |
| Fees for Services Legal | $1 | $3,808,255 | - | $3,808,256 |
| Office Expenses | $900,138 | $1,731,009 | - | $2,631,147 |
| Insurance | - | $2,610,674 | - | $2,610,674 |
| Advertising | $127,616 | $1,380,410 | - | $1,508,026 |
| Fees for Service Investment Mgmnt Fees | - | $1,250,225 | - | $1,250,225 |
| Conferences and Meetings | $251,761 | $290,837 | - | $542,598 |
| Travel | $277,693 | $225,530 | - | $503,223 |
| Fees for Services Accounting | - | $308,495 | - | $308,495 |
| Information Technology | $37,639 | $156,337 | - | $193,976 |
| Fees for Services Lobbying | - | $7,801 | - | $7,801 |
| Total Functional Expenses | $311,214,423 | $98,905,917 | $0 | $410,120,340 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Vvmc Diversified Services | Vail, CO | 501(c)(3) | Related Party Administrative Support | $5,600,000 |
| Vail Health Services Foundation | Vail, CO | 501(c)(3) | Related Party Administrative Support | $4,491,560 |
| Steadman Philippon Research Foundation | Vail, CO | 501(c)(3) | Program Support | $4,310,000 |
| Eagle Valley Behavioral Health | Vail, CO | 501(c)(3) | Program Support | $3,856,540 |
| Eagle Valley Community Foundation | Vail, CO | 501(c)(3) | Community Market Funding Gift | $97,412 |
| Youthpower365 | Avon, CO | 501(c)(3) | Youthpower 365 Valley Scholars Program | $90,000 |
| My Future Pathways Inc | Edwards, CO | 501(c)(3) | Rent Edwards Community Health Campus | $85,850 |
| Bright Future Foundation | Avon, CO | 501(c)(3) | Brighthouse Capital Campaign | $60,000 |
| Eagle County School District | Eagle, CO | Eagle County | Project Lead the Way Curriculum | $55,000 |
| The Summit Foundation | Breckenridge, CO | 501(c)(3) | Vail Health Scholarships | $51,000 |
| Vail Religious Foundation | Vail, CO | 501(c)(3) | 50th Anniversary Capital Campaign | $50,000 |
| United States Ski Team | Park City, CO | 501(c)(3) | Annual Medical Supplier Fees/mess Course Sponsorship | $40,000 |
| Vail Christian High School | Edwards, CO | Church | Sports Health & Medicine Athletic Training Funding | $35,000 |
| Hope Center of the Eagle River Valley | Eagle, CO | 501(c)(3) | Sublease Agreement | $25,300 |
| Education Foundation of Eagle County | Edwards, CO | 501(c)(3) | Classroom Stem Grants | $20,000 |
| Vail Valley Charitable Fund | Edwards, CO | 501(c)(3) | Vvcf Direct Aid Grant Partnership | $20,000 |
| Vail Valley Partnership | Edwards, CO | 501(c)(3) | Investor Level Membership/vail Valley Works Donation | $12,500 |
| Walking Mountains Science Ctr | Avon, CO | 501(c)(3) | Climate Action Collaborative Contribution | $10,500 |
| Vail Valley Foundation | Avon, CO | 501(c)(3) | Black Diamond Ball Gold Sponsorship | $10,000 |
| Vail Mountaineer Hockey Club | Edwards, CO | 501(c)(3) | Avalanche Alumni Weekend Sponsorship | $7,500 |
| Town of Breckenridge | Breckenridge, CO | Town of Breckenridge | Racebreck Sponsorship | $6,500 |
| Eagle County Fair & Rodeo | Eagle, CO | Eagle County | 2024 Eagle Founty Fair & Rodeo Mutton Bustin Sponsorship | $6,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease Liability | $51,699,301 |
| Due to Eagle River Real Estate Holdings | $84,171 |
| Due to Eagle Valley Mental Health | $32,846 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Colorado Health Facilities Authority | 2015-10-21 | $104,038,243 | Hosp renovation/expansion |
| B | Colorado Health Facilities Authority | 2012-06-06 | $19,052,899 | REFUND SERIES 2001 |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $106,777,273 | $18,749,307 | $2,350,000 | $921,241 |
| B | $19,052,899 | - | $16,744,907 | $303,592 |
“Vail health services is the sole member of vail clinic, inc. Dba vail health hospital.”
“Vail health services, the sole member of vail clinic, inc. Dba vail health hospital, appoints board members of the organization's board of directors.”
“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”
“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.”
“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.”
“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.”
“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.”
“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.”
“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 req”
“Other fees: program service expenses 28,061,693. Management and general expenses 17,568,577. Total expenses 45,630,270.”
“Transfer from eagle valley behavioral health for capital expenditures 5,030,000.”
“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”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 48935840 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 47552292 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 46271111 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 47508232 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1380410 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 127616 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1508026 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 884050 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4770054 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5654104 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | VHH ACCOUNTING DEPARTMENT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9704762451 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 40000 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | VAIL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 81658 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 19140407 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 19053306 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 215 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 6418513 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 6418513 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 290837 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 251761 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 542598 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 7646624 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 7466796 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 6400928 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 5514668 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 3187763 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 5068 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 913184 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 25 N CASCADE AVE STE 400 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 959156 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 6950 S POTOMAC ST STE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DENVER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | COLORADO SPRINGS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ST LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CENTENNIAL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 10087 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 80291 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 80903 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 63195 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 80112 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MEDEFIS CONSOLIDATED |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | RHIZE TECH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | GE JOHNSON CONSTRUCTION CO |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | CERNER CORPORATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | HASELDEN CONSTRUCTION LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | IT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | IT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSTRUCTION |
| IRS990/CostOfGoodsSoldAmt | 0 | 5088298 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2975846 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 19035572 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3970533 |
| IRS990/CYOtherExpensesAmt | 0 | 208700975 |
| IRS990/CYOtherRevenueAmt | 0 | 11082732 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 371278046 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -20813183 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 182383793 |
| IRS990/CYTotalExpensesAmt | 0 | 410120340 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 389307157 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2524251 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 23737941 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 26262192 |
| IRS990/Desc | 0 | SEE SCHEDULE O. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | VAIL HEALTH HOSPITAL |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 857113 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 703965 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 2088 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 311214423 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 308495 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 308495 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 3808255 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3808256 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 7801 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 7801 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 17568577 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 28061693 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 45630270 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 1250225 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 1250225 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 76146 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 48086 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 61560 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 48643 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 48086 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 52867 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 36819 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 48351 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 46586 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 60179 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 34916 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 21085 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 33179 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 33207 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WILL COOK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PATRICIA HARDENBERGH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | AMANDA VEIT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ALEXANDER URQUHART MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | STEPHEN LAIRD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BARRY HAMMAKER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JERRY GREENBERG MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAVID KAPLAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KATHERINE SCHUETZE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JOHN HIGGINS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JANET ENGLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CRAIG COHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KRISTEN ICKES DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHAEL BROWN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ERIC AFFELDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CHRIS JARNOT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ANDY DALY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ART KELTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | BRATZO HORRUITINER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ELLEN MORITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | LINDA PANCRATZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MARC PHILIPPON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | MARY RANDALL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MIKE IMHOF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | SUSAN KASSER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | THOMAS GORRIE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1323823 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 971648 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 815434 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 672994 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 640040 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 618584 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 634599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 617788 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 608056 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 537722 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 514559 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 505994 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 386322 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 296945 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT AND CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHIEF OPERATIONS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PRESIDENT CMM |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TREASURER AND CFO - OUTGOING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF REAL ESTATE DEV OFFI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TREASURER AND CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1965 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 34000 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GovernmentGrantsAmt | 0 | 14000 |
| IRS990/GrantAmt | 0 | 19035572 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 19035572 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 19035572 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 34000 |
| IRS990/GrossReceiptsAmt | 0 | 400946182 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 9680199 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 6296723 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 12 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 571 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 156337 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 37639 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 193976 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 2610674 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2610674 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 5186891 |
| IRS990/InterestGrp/TotalAmt | 0 | 5186891 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 10249780 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 10263741 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 3626504 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 3936533 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 310029 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 49618013 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 48768914 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 219520378 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 247366321 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 321 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 303800962 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 332895099 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 306858869 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 610659831 |
| IRS990/LegalDomicileStateCd | 0 | CO |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 6550727 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | ELEVATING HEALTH ACROSS OUR MOUNTAIN COMMUNITIES. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 603797897 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 626657023 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 34000 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 34000 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1208425 |
| IRS990/NetIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | 1208425 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 3129472 |
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