ASPEN VALLEY HOSPITAL FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ASPEN VALLEY HOSPITAL FOUNDATION (EIN 46-0865487)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349303267
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T08:10:12-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672066601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460865487EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPEN VALLEY HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DEBORAH BREENInCareOfNm
Business Name ControlASPEBusinessNameControlTxt
Phone9705441302PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line10401 CASTLE CREEK ROADAddressLine1Txt
CityASPENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81611ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGINETTE SEBENALERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9705441302PhoneNum
Signature2021-03-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGinettePersonFirstNm
Person LastSebenalerPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNELL LINOTPreparerPersonNm
PTINP01663908PTIN
Phone3162652811PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBORAH BREENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line10401 CASTLE CREEK ROADAddressLine1Txt
CityASPENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81611ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,348,485GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUPPORTASPENVALLEYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,551,111PYContributionsGrantsAmt
CY Contributions Grants$5,270,610CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$515CYInvestmentIncomeAmt
PY Other Revenue-$150,224PYOtherRevenueAmt
CY Other Revenue$77,360CYOtherRevenueAmt
PY Total Revenue$4,400,887PYTotalRevenueAmt
CY Total Revenue$5,348,485CYTotalRevenueAmt
PY Grants And Similar Paid$4,780,116PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,100,555CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$770,413PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$813,307CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$686,179CYTotalFundraisingExpenseAmt
PY Other Expenses$545,153PYOtherExpensesAmt
CY Other Expenses$259,104CYOtherExpensesAmt
PY Total Expenses$6,095,682PYTotalExpensesAmt
CY Total Expenses$6,172,966CYTotalExpensesAmt
PY Revenues Less Expenses-$1,694,795PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$824,481CYRevenuesLessExpensesAmt
Total Assets BOY$4,351,895TotalAssetsBOYAmt
Total Assets EOY$4,613,208TotalAssetsEOYAmt
Total Liabilities BOY$9,067,961TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,153,755TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,716,066NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,540,547NetAssetsOrFundBalancesEOYAmt
MissionTO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,100,555ExpenseAmt
Grant$5,100,555GrantAmt
Revenue$0RevenueAmt
DescTHIS FOUNDATION RAISED AND GRANTED A SIGNIFICANT AMOUNT OF FUNDING FOR THE THIRD AND FOURTH PHASES OF THE MASTER FACILITIES PLAN OF ASPEN VALLEY HOSPITAL DISTRICT (AVHD). THIS FOUNDATION CONTINUED TO GRANT FUNDS TO ITS SOLE MEMBER, AVHD, IN EXCESS OF THE ANNUAL DONATIONS RECEIVED IN THE CURRENT YEAR. THE GRANTS ARE PAID THROUGH CURRENT DONATIONS AND, PRIOR YEAR PLEDGE PAYMENTS WHICH AMOUNTED TO $602,064, AND FROM CASH CARRIED OVER FROM PRIOR YEAR DONATIONS.Desc
Total Program Service Expenses$5,100,555TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDEBORAH BREENPersonNm
Phone9705441302PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line10401 CASTLE CREEK ROADAddressLine1Txt
CityASPENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81611ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAVID RESSLER
DIRECTOR5.035.0Yes (X)$0$605,165$87,110
GINETTE SEBENALER
TREASURER5.035.0Yes (X)$0$365,803$80,698Yes (X)
DEBORAH BREEN
PRESIDENT60.00.0$280,619$0$70,412Yes (X)
ARCHER BISHOP MD
DIRECTOR5.00.0Yes (X)$0$0$0
JOHN SARPA
CHAIRMAN5.00.0Yes (X)$0$0$0Yes (X)
ERNIE FYRWALD
VICE CHAIRMAN5.00.0Yes (X)$0$0$0Yes (X)
GREG BALKO MD
DIRECTOR5.05.0Yes (X)$0$0$0
LEE SCHUMACHER
DIRECTOR5.05.0Yes (X)$0$0$0
PAM ALEXANDER
DIRECTOR5.00.0Yes (X)$0$0$0
COLEY CASSIDY
DIRECTOR5.00.0Yes (X)$0$0$0
JOAN GURRENTZ
SECRETARY5.00.0Yes (X)$0$0$0Yes (X)
DOUGLAS ROVIRA
DIRECTOR5.00.0Yes (X)$0$0$0
PETE LOURAS
DIRECTOR5.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$280,619TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$970,968TotReportableCompRltdOrgAmt
Total Other Compensation$238,220TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$137,050FundraisingAmt
Related Organizations$79,618RelatedOrganizationsAmt
All Other Contributions$5,053,942AllOtherContributionsAmt
Total Contributions$5,270,610TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$515TotalRevenueColumnAmt
Exclusion$515ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$77,360FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$137,050ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,360TotalRevenueColumnAmt
Exclusion$77,360ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,348,485TotalRevenueColumnAmt
Exclusion$77,875ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,100,555TotalAmt
Program Services$5,100,555ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$351,031TotalAmt
Management And General$35,103ManagementAndGeneralAmt
Fundraising$315,928FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$242,605TotalAmt
Management And General$72,782ManagementAndGeneralAmt
Fundraising$169,823FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$56,618TotalAmt
Management And General$11,244ManagementAndGeneralAmt
Fundraising$45,374FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$155,074TotalAmt
Management And General$27,844ManagementAndGeneralAmt
Fundraising$127,230FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,979TotalAmt
Management And General$1,580ManagementAndGeneralAmt
Fundraising$6,399FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$49,055TotalAmt
Management And General$49,055ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,945TotalAmt
Management And General$7,945ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,888TotalAmt
Management And General$4,888ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$84,537TotalAmt
Management And General$66,457ManagementAndGeneralAmt
Fundraising$18,080FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,640TotalAmt
Management And General$7,616ManagementAndGeneralAmt
Fundraising$9,024FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,404TotalAmt
Management And General$13,402ManagementAndGeneralAmt
Fundraising$12,002FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$49,308TotalAmt
Management And General$49,308ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,078TotalAmt
Management And General$2,570ManagementAndGeneralAmt
Fundraising$508FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$989TotalAmt
Management And General$989ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,586TotalAmt
Management And General$11,586ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
PROV. FOR UNCOLLECTIBLE PLEDGE-$27,639-$27,639
DUES AND SUBSCRIPTIONS$21,336$21,336
_$0
_$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,977TotalAmt
Management And General$2,527ManagementAndGeneralAmt
Fundraising$9,450FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,172,966TotalAmt
Program Services$5,100,555ProgramServicesAmt
Management And General$386,232ManagementAndGeneralAmt
Fundraising$686,179FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$168,244BOYAmt
EOY$824,432EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,905,086BOYAmt
EOY$3,648,030EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$263,092BOYAmt
EOY$136,050EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,473BOYAmt
EOY$4,696EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,351,895BOYAmt
EOY$4,613,208EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,067,961BOYAmt
EOY$10,153,755EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,067,961BOYAmt
EOY$10,153,755EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,716,066BOYAmt
EOY-$5,540,547EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,716,066BOYAmt
EOY-$5,540,547EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,351,895BOYAmt
EOY$4,613,208EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$824,481ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,969,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,410,977CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,126,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,551,111CurrentTaxYearMinus1YearAmt
Current Tax Year$5,270,610CurrentTaxYearAmt
Total$23,328,054TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,969,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,410,977CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,126,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,551,111CurrentTaxYearMinus1YearAmt
Current Tax Year$5,270,610CurrentTaxYearAmt
Total$23,328,054TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,063,406SubstantialContributorsTotAmt
Public Support Total170$22,264,648PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$515CurrentTaxYearAmt
Total$515TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$322,606CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Total$322,606TotalAmt
FieldValueIRS element (for citing)
Total Support$23,651,175TotalSupportAmt
Public Support CY1700.94138PublicSupportCY170Pct
Public Support PY1700.89587PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO ASPEN VALLEY HOSPITALDesc
Amt$10,153,755Amt
FieldValueIRS element (for citing)
Total Liability$10,153,755TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonGHIORSI AND SORRENTI INCPersonNm
ActivityFUNDRAISING CONSULTINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1POLO BENEFITEvent1Nm
Gross Receipts Event1$194,410GrossReceiptsEvent1Amt
Charitable Contri Event1$135,050CharitableContriEvent1Amt
Gross Revenue Event1$59,360GrossRevenueEvent1Amt
Event2SNOW POLO BENEFEvent2Nm
Gross Receipts Event2$20,000GrossReceiptsEvent2Amt
Charitable Contri Event2$2,000CharitableContriEvent2Amt
Gross Revenue Event2$18,000GrossRevenueEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$214,410GrossReceiptsTotalAmt
Charitable Contributions Tot$137,050CharitableContributionsTotAmt
Gross Revenue Total Events$77,360GrossRevenueTotalEventsAmt
Net Income Summary$77,360NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ASPEN VALLEY HOSPITAL DISTRICTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line10401 CASTLE CREEK ROADAddressLine1Txt
CityASPENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81611ZIPCd
FieldValueIRS element (for citing)
Recipient EIN840720309RecipientEIN
IRC SectionGOVERNMENTALIRCSectionDesc
Cash Grant$5,100,555CashGrantAmt
Purpose Of GrantOPERATION & CAPITAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationALL GRANTS REFLECTED (FORM 990, PART I, LINE 8) ARE MADE SOLELY TO ASPEN VALLEY HOSPITAL DISTRICT AND ARE REPORTED AS EXPENSES ON FORM 990, PART I, LINE 13. ASPEN VALLEY HOSPITAL FOUNDATION'S GRANTS PAID EXCEED CONTRIBUTIONS RAISED AS EXPLAINED ON FORM 990, PART III, LINE 4A. ADDITIONALLY, THIS FOUNDATION LAUNCHED A $60 MILLION CAPITAL CAMPAIGN IN 2013 AND THE CONTRIBUTIONS ON FORM 990, SCH A, PART II, SECTION B, LINE 4 REFLECT SEVERAL MAJOR LEAD GIFTS INTO THE CAMPAIGN IN 2014 AND 2015 WITH SUBSEQUENT YEARS REFLECTING ON-GOING PROGRESS. TO DATE, ASPEN VALLEY HOSPITAL FOUNDATION HAS RAISED $48.7M FOR THIS CAMPAIGN.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GINETTE SEBENALER
TREASURER$0$318,866$0$46,937$0$0$0$38,500$0$42,198$0$446,501$0$0
DAVID RESSLER
DIRECTOR$0$477,844$0$127,321$0$0$0$43,500$0$43,610$0$692,275$0$0
DEBORAH BREEN
PRESIDENT$254,582$0$26,037$0$0$0$28,706$0$41,706$0$351,031$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 3FormAndLineReferenceDesc
ExplanationCOMPENSATION FOR DEBORAH BREEN, GINETTE SEBENALER, AND DAVE RESSLER IS PROVIDED BY ASPEN VALLEY HOSPITAL DISTRICT, A RELATED ORGANIZATION. THESE EMPLOYEES ARE LEASED THROUGH THE HOSPITAL AND THE HOSPITAL'S BOARD OF DIRECTORS ANNUALLY APPROVES THEIR COMPENSATION AFTER USING AN INDEPENDENT COMPENSATION CONSULTANT.ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$20,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationTHE NUMBER REPORTED IN COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINES 1A & 2AASPEN VALLEY HOSPITAL DISTRICT (EIN 84-0720309), A RELATED ORGANIZATION, PROVIDES EMPLOYEES AND CONTRACTED LABOR TO ASPEN VALLEY HOSPITAL FOUNDATION. ASPEN VALLEY HOSPITAL DISTRICT FILES ALL FORMS 1099 AND W-2 APPLICABLE UNDER THIS ARRANGEMENT. WHILE ASPEN VALLEY HOSPITAL FOUNDATION RAISES RESTRICTED FUNDS IN A $60 MILLION PHILANTHROPIC CAMPAIGN, ASPEN VALLEY HOSPITAL DISTRICT IS FUNDING THE COSTS OF THE FOUNDATION, WHICH WILL BE PAID BACK OVER TIME AT THE CONCLUSION OF THE CAPITAL CAMPAIGN WITH UNRESTRICTED FUNDS RAISED, UNLESS IT IS FORGIVEN IN THE FUTURE.
FORM 990, PART VI, SECTION A, LINE 1ATHE PRESIDENT OF THE FOUNDATION IS NOT A VOTING MEMBER.
FORM 990, PART VI, SECTION A, LINE 2DAVE RESSLER, GINETTE SEBENALER, DEBORAH BREEN, GREG BALKO, AND LEE SCHUMACHER HAVE AN EMPLOYER AND EMPLOYEE RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6ASPEN VALLEY HOSPITAL DISTRICT, A SPECIAL DISTRICT OF THE STATE OF COLORADO, IS THE SOLE MEMBER OF ASPEN VALLEY HOSPITAL FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7AASPEN VALLEY HOSPITAL DISTRICT, AS THE SOLE MEMBER OF ASPEN VALLEY HOSPITAL FOUNDATION, HAS THE POWER TO ELECT OR APPOINT THE MEMBERS OF AVHF'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BASPEN VALLEY HOSPITAL DISTRICT, AS THE SOLE MEMBER OF ASPEN VALLEY HOSPITAL FOUNDATION, HAS THE POWER TO MAKE GOVERNANCE DECISIONS FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE FORM 990 IS THEN REVIEWED BY THE TREASURER AND THE PRESIDENT OF ASPEN VALLEY HOSPITAL FOUNDATION. THE TREASURER REVIEWS THE FORM 990 WITH THE BOARD AFTER THE FORM IS FILED WITH THE IRS. THE TREASURER IS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE CLARIFICATION.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS AND OFFICERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE CONFLICT OF INTEREST POLICY. THE PRESIDENT OF ASPEN VALLEY HOSPITAL FOUNDATION PERFORMS AN ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY, AT WHICH TIME ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST MAY EXIST, THE INTERESTED PERSON SHALL LEAVE THE GOVERNING BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING NON-INTERESTED MEMBERS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLINARY ACTION. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE PRESIDENT OF ASPEN VALLEY HOSPITAL FOUNDATION IS DETERMINED BY THE CEO OF ASPEN VALLEY HOSPITAL UPON CONSULTATION AND REVIEW WITH ASPEN VALLEY HOSPITAL'S BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF ASPEN VALLEY HOSPITAL FOUNDATION. THERE ARE ANNUAL REVIEWS PERFORMED BY THE CEO OF ASPEN VALLEY HOSPITAL AND ANY INCREASES ARE DETERMINED BASED ON THE PRESIDENT'S PERFORMANCE AND COMPLIANCE WITH CORPORATE VALUES. THE HOSPITAL'S BOARD OF DIRECTORS ANNUALLY APPROVES EXECUTIVE COMPENSATION INCLUDING THE PRESIDENT OF THE FOUNDATION AFTER USING AN INDEPENDENT COMPENSATION CONSULTANT.
FORM 990, PART VI, SECTION B, LINE 15BTHE TREASURER OF ASPEN VALLEY HOSPITAL FOUNDATION IS THE CHIEF FINANCIAL OFFICER OF ASPEN VALLEY HOSPITAL. HER PERFORMANCE IS REVIEWED ANNUALLY AND HER COMPENSATION IS DETERMINED BASED ON HER POSITION AS CHIEF FINANCIAL OFFICER OF ASPEN VALLEY HOSPITAL, NOT AS TREASURER OF ASPEN VALLEY HOSPITAL FOUNDATION. HER ANNUAL REVIEW IS DETERMINED BASED ON HER PERFORMANCE AS CHIEF FINANCIAL OFFICER OF ASPEN VALLEY HOSPITAL AND COMPLIANCE WITH CORPORATE VALUES. ASPEN VALLEY HOSPITAL'S BOARD OF DIRECTORS ANNUALLY APPROVES EXECUTIVE COMPENSATION AFTER USING AN INDEPENDENT COMPENSATION CONSULTANT.
FORM 990, PART VI, SECTION C, LINE 19NO GOVERNING DOCUMENTS OR INTERNAL POLICIES ARE MADE AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH ASPEN VALLEY HOSPITAL DISTRICT'S WEBSITE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ASPEN VALLEY HOSPITAL DISTRICTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line10401 CASTLE CREEK RDAddressLine1Txt
CityASPENCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81611ZIPCd
FieldValueIRS element (for citing)
EIN840720309EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code SectionGOVERNMENTExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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