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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH BREEN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>71570</OtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <BenefitsToMembersGrp>
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      <PensionPlanContributionsGrp>
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        <FundraisingAmt>6836</FundraisingAmt>
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      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>54385</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>4725</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <ManagementAndGeneralAmt>28350</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ManagementAndGeneralAmt>7381</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>8716</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>5035446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>486298</ManagementAndGeneralAmt>
        <FundraisingAmt>802121</FundraisingAmt>
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        <EOYAmt>234823</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>0</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <LandBldgEquipBasisNetGrp>
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      <ReconcilationRevenueExpnssAmt>-1338754</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <TotalAmt>31580699</TotalAmt>
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      <SubstantialContributorsTotAmt>865802</SubstantialContributorsTotAmt>
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      </UnrelatedBusinessNetIncm170Grp>
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        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ASPEN VALLEY HOSPITAL</Desc>
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      <TotalLiabilityAmt>7524460</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT 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>
      </SupplementalInformationDetail>
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        <ActivityTxt>FUNDRAISING CONSULTING</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
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      <FundraisingEventInformationGrp>
        <Event1Nm>CHUKKERS CHAMPA</Event1Nm>
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        <GrossRevenueEvent1Amt>96846</GrossRevenueEvent1Amt>
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        <Event2Nm>SNOWBALL GALA</Event2Nm>
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        <NetIncomeSummaryAmt>-141175</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>ASPEN VALLEY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>0401 CASTLE CREEK ROAD</AddressLine1Txt>
          <CityNm>ASPEN</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81611</ZIPCd>
        </USAddress>
        <RecipientEIN>840720309</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL</IRCSectionDesc>
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        <PurposeOfGrantTxt>OPERATION &amp; CAPITAL SUPPORT</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINETTE SEBENALER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>289656</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>28881</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38863</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>394900</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID RESSLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>454144</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>120600</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>47500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>40350</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>662594</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH BREEN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>246005</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20565</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33077</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>38493</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>338140</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>10034</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>AUCTION ITEMS</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>33520</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBERS REPORTED IN COLUMN (B) FOR SECURITIES - PUBLICLY TRADED (LINE 9) AND FOR AUCTION ITEMS (LINE 25) ARE THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINES 1A &amp; 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPEN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPEN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPEN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ASPEN VALLEY HOSPITAL DISTRICT, AS THE SOLE MEMBER OF ASPEN VALLEY HOSPITAL FOUNDATION, HAS THE POWER TO MAKE GOVERNANCE DECISIONS FOR THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASPEN VALLEY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>0401 CASTLE CREEK RD</AddressLine1Txt>
          <CityNm>ASPEN</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81611</ZIPCd>
        </USAddress>
        <EIN>840720309</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>GOVERNMENT</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>