ASPEN VALLEY HOSPITAL FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ASPEN VALLEY HOSPITAL FOUNDATION (EIN 46-0865487)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201903199349312585
Schema version
2018v3.1
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)
Return2019-11-15T14:06:38-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNELL LINOTPreparerPersonNm
PTINP01663908PTIN
Phone3162652811PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id48010220193195000008FederalOriginalSubmissionId
Federal Original Submission Id2019-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id95B3120AAE69DD6B76D96683C007F264E1CA1E33AtSubmissionCreationDeviceId
At Submission Filing Device IdBA21A7A7DF03597CAA95FF5B57CCAA395E7C7A92AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

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$5,239,882GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,410,977PYContributionsGrantsAmt
CY Contributions Grants$5,126,286CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$131,735PYOtherRevenueAmt
CY Other Revenue-$141,175CYOtherRevenueAmt
PY Total Revenue$5,542,712PYTotalRevenueAmt
CY Total Revenue$4,985,111CYTotalRevenueAmt
PY Grants And Similar Paid$6,510,534PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,035,446CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$710,081PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$736,879CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$111,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$802,121CYTotalFundraisingExpenseAmt
PY Other Expenses$576,257PYOtherExpensesAmt
CY Other Expenses$551,540CYOtherExpensesAmt
PY Total Expenses$7,907,872PYTotalExpensesAmt
CY Total Expenses$6,323,865CYTotalExpensesAmt
PY Revenues Less Expenses-$2,365,160PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,338,754CYRevenuesLessExpensesAmt
Total Assets BOY$4,259,027TotalAssetsBOYAmt
Total Assets EOY$4,503,189TotalAssetsEOYAmt
Total Liabilities BOY$5,941,544TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,524,460TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,682,517NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,021,271NetAssetsOrFundBalancesEOYAmt
MissionTO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,035,446ExpenseAmt
Grant$5,035,446GrantAmt
Revenue$0RevenueAmt
DescTHIS FOUNDATION RAISED & GRANTED A SIGNIFICANT AMOUNT OF FUNDING FOR THE THIRD & 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 BOTH CURRENT DONATIONS & PRIOR YEAR PLEDGE PAYMENTS WHICH AMOUNTED TO $1,141,000 IN 2018. CONTRIBUTIONS & GRANTS FROM PART I, LINE 8, DO NOT INCLUDE $1,141,000 IN PLEDGE PAYMENTS RECEIVED IN 2018. AS OF THE END OF THE YEAR, THIS FOUNDATION HELD TOTAL PLEDGE RECEIVABLES OF $4,078,460, WHICH WILL BE PAID TO THIS FOUNDATION & GRANTED TO AVHD AS RECEIVED.Desc
Total Program Service Expenses$5,035,446TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ARCHER BISHOP MD
DIRECTOR5.00.0Yes (X)$0$0$0
JOHN SARPRA
CHAIRMAN5.00.0Yes (X)$0$0$0Yes (X)
ERNIE FYRWALD
VICE CHAIRMAN5.00.0Yes (X)$0$0$0Yes (X)
GINETTE SEBENALER
TREASURER5.035.0Yes (X)$0$318,537$76,363Yes (X)
DAVID RESSLER
DIRECTOR5.035.0Yes (X)$0$574,744$87,850
MELINDA NAGLE MD
DIRECTOR5.05.0Yes (X)$0$0$0
CHUCK FRIAS
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
JEFFREY SIEGEL
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
ALINIO AZEVEDO
DIRECTOR5.00.0Yes (X)$0$0$0
CARYN SCHEIDT
DIRECTOR5.00.0Yes (X)$0$0$0
DEBORAH BREEN
PRESIDENT60.00.0$266,570$0$71,570Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$266,570TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$893,281TotReportableCompRltdOrgAmt
Total Other Compensation$235,783TotalOtherCompensationAmt
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$594,355FundraisingAmt
All Other Contributions$4,531,931AllOtherContributionsAmt
Noncash Contributions$43,554NoncashContributionsAmt
Total Contributions$5,126,286TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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$113,596FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$594,355ContriRptFundraisingEventAmt
Fundraising Direct Expenses$254,771FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$141,175TotalRevenueColumnAmt
Exclusion-$141,175ExclusionAmt
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$4,985,111TotalRevenueColumnAmt
Exclusion-$141,175ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,035,446TotalAmt
Program Services$5,035,446ProgramServicesAmt

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$338,140TotalAmt
Management And General$33,814ManagementAndGeneralAmt
Fundraising$304,326FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$223,057TotalAmt
Management And General$66,917ManagementAndGeneralAmt
Fundraising$156,140FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$63,355TotalAmt
Management And General$12,391ManagementAndGeneralAmt
Fundraising$50,964FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$103,666TotalAmt
Management And General$17,930ManagementAndGeneralAmt
Fundraising$85,736FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,661TotalAmt
Management And General$1,825ManagementAndGeneralAmt
Fundraising$6,836FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$54,385TotalAmt
Management And General$54,385ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,725TotalAmt
Management And General$4,725ManagementAndGeneralAmt

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$81,335TotalAmt
Management And General$78,741ManagementAndGeneralAmt
Fundraising$2,594FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$194,595TotalAmt
Management And General$68,964ManagementAndGeneralAmt
Fundraising$125,631FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$94,247TotalAmt
Management And General$48,657ManagementAndGeneralAmt
Fundraising$45,590FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,350TotalAmt
Management And General$28,350ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,381TotalAmt
Management And General$7,381ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,716TotalAmt
Management And General$8,716ManagementAndGeneralAmt

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$11,073TotalAmt
Management And General$11,073ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
PROV. FOR UNCOLLECTIBLE PLEDGE$418$418
FOOD$4,492$1,953$2,539
DUES AND SUBSCRIPTIONS$36,756$36,756
_$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,067TotalAmt
Management And General$3,134ManagementAndGeneralAmt
Fundraising$21,933FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,323,865TotalAmt
Program Services$5,035,446ProgramServicesAmt
Management And General$486,298ManagementAndGeneralAmt
Fundraising$802,121FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50,206BOYAmt
EOY$234,823EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,169,560BOYAmt
EOY$4,078,460EOYAmt

Accounts Receivable AccountsReceivableGrp

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

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$0BOYAmt
EOY$0EOYAmt

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$39,261BOYAmt
EOY$189,906EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,259,027BOYAmt
EOY$4,503,189EOYAmt

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$5,941,544BOYAmt
EOY$7,524,460EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,941,544BOYAmt
EOY$7,524,460EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,682,517BOYAmt
EOY-$3,021,271EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,682,517BOYAmt
EOY-$3,021,271EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,259,027BOYAmt
EOY$4,503,189EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,338,754ReconcilationRevenueExpnssAmt
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$11,308,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,765,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,969,070CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,410,977CurrentTaxYearMinus1YearAmt
Current Tax Year$5,126,286CurrentTaxYearAmt
Total$31,580,699TotalAmt

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$11,308,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,765,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,969,070CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,410,977CurrentTaxYearMinus1YearAmt
Current Tax Year$5,126,286CurrentTaxYearAmt
Total$31,580,699TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$865,802SubstantialContributorsTotAmt
Public Support Total170$30,714,897PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$322,606CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$322,606TotalAmt
FieldValueIRS element (for citing)
Total Support$31,903,305TotalSupportAmt
Public Support CY1700.96275PublicSupportCY170Pct
Public Support PY1700.67021PublicSupportPY170Pct
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$7,524,460Amt
FieldValueIRS element (for citing)
Total Liability$7,524,460TotalLiabilityAmt

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)
Event1CHUKKERS CHAMPAEvent1Nm
Gross Receipts Event1$508,451GrossReceiptsEvent1Amt
Charitable Contri Event1$411,605CharitableContriEvent1Amt
Gross Revenue Event1$96,846GrossRevenueEvent1Amt
Rent Facility Costs Event1$54,961RentFacilityCostsEvent1Amt
Food And Beverage Event1$60,395FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$38,318OtherDirectExpensesEvent1Amt
Event2SNOWBALL GALAEvent2Nm
Gross Receipts Event2$199,500GrossReceiptsEvent2Amt
Charitable Contri Event2$182,750CharitableContriEvent2Amt
Gross Revenue Event2$16,750GrossRevenueEvent2Amt
Rent Facility Costs Event2$20,685RentFacilityCostsEvent2Amt
Food And Beverage Event2$55,047FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$25,365OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$707,951GrossReceiptsTotalAmt
Charitable Contributions Tot$594,355CharitableContributionsTotAmt
Gross Revenue Total Events$113,596GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$75,646RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$115,442FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$63,683OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$254,771DirectExpenseSummaryEventsAmt
Net Income Summary-$141,175NetIncomeSummaryAmt

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$5,035,446CashGrantAmt
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 TYPICALLY EXCEED CONTRIBUTIONS RAISED AS EXPLAINED IN THE COMMENTS ON FORM 990, PART III, LINE 4A. ADDITIONALLY, ASPEN VALLEY HOSPITAL 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.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$289,656$0$28,881$0$0$0$37,500$0$38,863$0$394,900$0$0
DAVID RESSLER
DIRECTOR$0$454,144$0$120,600$0$0$0$47,500$0$40,350$0$662,594$0$0
DEBORAH BREEN
PRESIDENT$246,005$0$20,565$0$0$0$33,077$0$38,493$0$338,140$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

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
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$10,034NoncashContributionsRptF990Amt
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

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAUCTION ITEMSDesc
Contribution3ContributionCnt
Noncash Contributions Rpt F990$33,520NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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 NUMBERS REPORTED IN COLUMN (B) FOR SECURITIES - PUBLICLY TRADED (LINE 9) AND FOR AUCTION ITEMS (LINE 25) ARE THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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. FORM 990, PART VI, SECTION A, LINE 1A THE PRESIDENT OF THE FOUNDATION IS NOT A VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 2 DAVE RESSLER, GINETTE SEBENALER, DEBORAH BREEN, CHUCK FRIAS, AND MELINDA NAGLE HAVE AN EMPLOYER AND EMPLOYEE RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4ASPEN VALLEY HOSPITAL FOUNDATION MADE SIGNIFICANT CHANGES TO THEIR BYLAWS IN MARCH OF 2018: 1. ALLOWED FOR ONE MEMBER OF THE FOUNDATION: ASPEN VALLEY HOSPITAL (AVH). THE HOSPITAL'S BOARD OF DIRECTORS CAN VOTE ON ANY FOUNDATION MATTER. 2. CLARIFIED POWERS OF THE EXECUTIVE COMMITTEE OF THE BOARD AND AVH AS THE SOLE MEMBER. ALLOWS AVH TO CONDUCT THE REGULAR BUSINESS. 3. CLARIFIED POWERS OF THE SOLE MEMBER: TO TRANSFER FUNDS AND AUTHORIZE DISSOLUTION. TRANSFER OF FUNDS HAPPENS PROMPTLY, SUBJECT TO ANY CONTRACTUAL OR LEGAL REQUIREMENTS/RESTRICTIONS BY THE DONOR. 4. NOTICE OF RESIGNATION OF BOARD MEMBER ALSO MUST BE MADE TO THE CEO OF AVH. 5. VACANT POSITIONS ARE FILLED BY THE MEMBER, BUT RELATED TO POSITIONS HELD AT AVH. 6. REVIEW OF PRESIDENT OF FOUNDATION IS DONE BY AVH CEO. 7. THERE ARE NO EMPLOYEES OF THE FOUNDATION, BUT RATHER THEY ARE AVH EMPLOYEES AND SUBJECT TO AVH POLICIES. 8. AMENDMENTS ARE MADE BY THE MEMBER (AVH) THROUGH MAJORITY VOTE OF THE AVH BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ASPEN 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 THE 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 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'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 OrgfalseGiftGrntCapContriFromOthOrgInd
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

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.