2018-11-14T14:34:46-06:00 2017-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2017-01-01 460865487 ASPEN VALLEY HOSPITAL FOUNDATION % DEBORAH BREEN ASPE 9705441302 0401 CASTLE CREEK ROAD ASPEN CO 81611 GINETTE SEBENALER TREASURER 9705441302 2018-11-15 true STEVEN L WEBB P00235405 3162652811 174.228.151.75 48010220183185000013 2018-11-14 P 68136A130D81BAEF650EC59100CB9562CA2E3315 91DD30FEEB741F1A7672B92B7EACB194C0F2AFCF 2017 2019-02-21 02:37:17Z DEBORAH BREEN 0401 CASTLE CREEK ROAD ASPEN CO 81611 5651022 false X WWW.SUPPORTASPENVALLEYHOSPITAL.ORG X 2012 CO TO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL. 13 10 0 11 0 2969070 5410977 0 0 0 0 322606 131735 3291676 5542712 7307435 6510534 0 0 679936 710081 141000 111000 923662 585762 576257 8714133 7907872 -5422457 -2365160 5109773 4259027 4427130 5941544 682643 -1682517 TO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL. false false 6510534 6510534 0 THIS FOUNDATION RAISED AND GRANTED A SIGNIFICANT AMOUNT OF FUNDING FOR THE THIRD AND FOURTH PHASES OF THE MASTER FACILITIES PLAN OF ASPEN VALLEY HOSPITAL. 6510534 true true false false false false false false false false false false false false true false false true false false false false false true true false false true false true false false false false false false false false false false false false false true false true false true X 0 0 0 false false false false false true true false false false false X 13 10 true false false false true true true true true false false false true true true true true true true false CO FL X DEBORAH BREEN 9705441302 0401 CASTLE CREEK ROAD ASPEN CO 81611 ARCHER BISHOP MD CHAIRMAN 5.0 0.0 X X 0 0 0 JOHN SARPRA VICE CHAIRMAN 5.0 0.0 X X 0 0 0 ERNIE FYRWALD SECRETARY 5.0 0.0 X X 0 0 0 GINETTE SEBENALER TREASURER 5.0 35.0 X X 0 267740 59527 DAVID RESSLER DIRECTOR 5.0 35.0 X 0 459503 60880 MELINDA NAGLE MD DIRECTOR 5.0 5.0 X 0 0 0 CHUCK FRIAS DIRECTOR 5.0 5.0 X 0 0 0 PAM ALEXANDER DIRECTOR 5.0 0.0 X 0 0 0 COLEY CASSIDY DIRECTOR 5.0 0.0 X 0 0 0 JEFFREY SIEGEL DIRECTOR 5.0 0.0 X 0 0 0 JOAN GURRENTZ DIRECTOR 5.0 0.0 X 0 0 0 DOUGLAS ROVIRA DIRECTOR 5.0 0.0 X 0 0 0 PETE LOURAS DIRECTOR 5.0 0.0 X 0 0 0 TERRY COLLINS TREASURER 1.25 38.75 X X 0 326998 53638 DEBORAH BREEN PRESIDENT 40.0 0.0 X 260527 0 55945 DANIEL BONK DIRECTOR 5.0 35.0 X 0 32942 4027 260527 1087183 234017 1 true true false GHIORSI AND SORRENTI INC 255 MADISON AVENUE WYCKOFF NJ 07481 FUNDRAISING CONSULT 111000 1 128000 5282977 5410977 0 0 0 0 0 0 0 0 240045 128000 108310 131735 131735 0 0 0 0 0 0 0 5542712 131735 6510534 6510534 0 0 0 316472 31648 284824 0 222930 78116 144814 18168 5450 12718 146125 19686 126439 6386 1160 5226 54385 54385 10 10 4357 4357 0 111000 111000 0 79194 79194 156102 92310 63792 70473 36876 33597 0 0 25194 25194 12116 6246 5870 0 7968 7968 0 0 0 10763 10763 DONOR RECOGNITION 14500 14500 FOOD 41764 3343 38421 OTHER FUNDRAISING 67553 67553 _ 0 31878 16970 14908 7907872 6510534 473676 923662 171345 50206 0 0 4252411 4169560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 686017 39261 5109773 4259027 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4427130 5941544 4427130 5941544 X 682643 -1682517 0 0 0 0 682643 -1682517 5109773 4259027 -2365160 X false true X true false X 0 11308814 6765552 2969070 5410977 26454413 0 0 0 11308814 6765552 2969070 5410977 26454413 8508260 17946153 0 0 0 0 0 322606 0 322606 26777019 0.67021 0.00000 X 0 DUE TO ASPEN VALLEY HOSPITAL 5941544 5941544 SCHEDULE D, PART X, LINE 2 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. X X X X X X true GHIORSI AND SORRENTI INC FUNDRAISING CONSULTING false 111000 111000 CO FL POLO 368045 128000 240045 0 0 29836 37656 0 40818 0 368045 128000 240045 0 0 29836 37656 0 40818 108310 131735 SCHEDULE G, PART I, COLUMN IV THESE INDIVIDUALS PROVIDE STRATEGIC FUNDRAISING SUPPORT AMONG ALL FUNCTIONS OF REVENUE GENERATING. THEREFORE, THEY ARE NOT LIMITED TO THE GENERATION OF SPECIFIC FUNDS RATHER THEY RECEIVE CREDIT FOR ALL REVENUE GENERATED BY THE FOUNDATION. THE GROSS RECEIPTS FROM THE CAPITAL CAMPAIGN WAS $5,410,977. THE NET REVENUE FROM FUNDRAISING EVENTS WAS $131,735. true ASPEN VALLEY HOSPITAL DISTRICT 0401 CASTLE CREEK ROAD ASPEN CO 81611 840720309 GOVERNMENTAL 6510534 FMV OPERATION & CAPITAL SUPPORT 1 SCHEDULE I, PART I, LINE 2 ALL GRANTS ARE PROVIDED TO ASPEN VALLEY HOSPITAL DISTRICT FOR ITS OPERATIONS AND CAPITAL NEEDS. ASPEN VALLEY HOSPITAL IS A SPECIAL DISTRICT OF THE STATE OF COLORADO AND ONLY CONDUCTS BUSINESS IN THE STATE OF COLORADO. true false false false false false false false false GINETTE SEBENALER TREASURER 0 234009 0 33731 0 0 0 26313 0 33214 0 327267 0 0 DAVID RESSLER DIRECTOR 0 429353 0 30150 0 0 0 27000 33880 0 520383 0 0 TERRY COLLINS TREASURER 0 224066 0 102932 0 0 0 31664 0 21974 0 380636 0 0 DEBORAH BREEN PRESIDENT 240561 0 19966 0 0 0 22799 0 33146 0 316472 0 0 0 DANIEL BONK DIRECTOR 0 0 0 0 0 32942 0 0 0 4027 0 36969 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION FOR DEBORAH BREEN, TERRY COLLINS, GINETTE SEBENALER, DANIEL BONK, 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. SCHEDULE J, PART I, LINE 4A DANIEL BONK RECEIVED SEVERANCE FROM ASPEN VALLEY HOSPITAL DURING THE YEAR IN THE AMOUNT OF $32,942. FORM 990, PART V, LINE 1A & 2A ASPEN VALLEY HOSPITAL (EIN 84-0720309), A RELATED ORGANIZATION, PROVIDES EMPLOYEES AND CONTRACTED LABOR TO ASPEN VALLEY HOSPITAL FOUNDATION. ASPEN VALLEY HOSPITAL FILES ALL FORMS 1099 AND W-2 APPLICABLE UNDER THIS ARRANGEMENT. 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, TERRY COLLINS, DEBORAH BREEN, CHUCK FRIAS, DANIEL BONK AND MELINDA NAGLE HAVE AN EMPLOYER AND EMPLOYEE RELATIONSHIP. 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 7A 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. FORM 990, PART VI, SECTION A, LINE 7B ASPEN 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 11B 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. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES 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 15A 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 Hospitals Board of Directors annually approves executive compensation after using an independent compensation consultant. FORM 990, PART VI, SECTION B, LINE 15B 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. The Hospitals Board of Directors annually approves executive compensation after using an independent compensation consultant. FORM 990, PART VI, SECTION C, LINE 19 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. ASPEN VALLEY HOSPITAL DISTRICT 0401 CASTLE CREEK RD ASPEN CO 81611 840720309 HOSPITAL CO GOVERNMENT NA false false true false false true false false false false false true true false true true false false false false ASPEN VALLEY HOSPITAL DISTRICT B 6510534 FMV ASPEN VALLEY HOSPITAL DISTRICT E 5941544 BOOK