2017-11-15T15:05:34-06:00 2016-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2016-01-01 460865487 ASPEN VALLEY HOSPITAL FOUNDATION % DEBORAH BREEN ASPE 9705441302 0401 CASTLE CREEK RD ASPEN CO 81611 GINETTE SEBENALER TREASURER 9705441302 2017-11-15 true SHAWNELL LINOT P01663908 3162652811 167.68.126.162 48010220173195000014 2017-11-15 P 305047111E71B1EF7CF07F45C8273AFE2A22C5B3 A58B90B6AE454C598924F9C376798BA32F55CAF4 2016 2017-02-10 21:41:12Z DEBORAH BREEN 0401 CASTLE CREEK ROAD ASPEN CO 81611 3291676 false X WWW.ASPENVALLEYHOSPITAL.ORG/FOUNDATION X 2012 CO TO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL. 12 10 0 10 0 6765552 2969070 0 0 0 0 0 322606 6765552 3291676 3619037 7307435 0 0 553807 679936 198023 141000 929066 613225 585762 4984092 8714133 1781460 -5422457 8813517 5109773 2708417 4427130 6105100 682643 TO RAISE AND MANAGE PHILANTHROPIC SUPPORT FOR THE CURRENT AND FUTURE NEEDS OF ASPEN VALLEY HOSPITAL. false false 7307435 7307435 0 ASPEN VALLEY HOSPITAL MASTER FACILITIES PLAN CAPITAL CAMPAIGN FOR PHASE III AND IV. 7307435 true true false false false false false false false false false false false true true false false true false false false false false true false 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 12 10 true false false false true true true true true false false false true true true false true true true false CO 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 SARPA VICE CHAIRMAN 5.0 0.0 X X 0 0 0 ERNIE FYRWALD SECRETARY 5.0 0.0 X X 0 0 0 TERRY COLLINS TREASURER 1.25 38.75 X X 0 444153 60772 DAVE RESSLER DIRECTOR 5.0 35.0 X 0 149948 22658 PAM ALEXANDER DIRECTOR 5.0 0.0 X 0 0 0 COLEY CASSIDY DIRECTOR 5.0 0.0 X 0 0 0 CHUCK FRIAS DIRECTOR 5.0 5.0 X 0 0 0 JOAN GURRENTZ DIRECTOR 5.0 0.0 X 0 0 0 MINDY NAGLE MD DIRECTOR 5.0 5.0 X 0 0 0 DOUGLAS ROVIRA MD DIRECTOR 5.0 0.0 X 0 0 0 JEFFREY SIEGEL DIRECTOR 5.0 0.0 X 0 0 0 GINETTE SEBENALER TREASURER 5.0 35.0 X X 0 226419 60536 BARRY MINK MD DIRECTOR 5.0 5.0 X 0 0 0 DANIEL BONK DIRECTOR 5.0 35.0 X 0 431326 52594 DEBORAH BREEN PRESIDENT 40.0 0.0 X 0 248751 53482 0 1500597 250042 0 false true false GHIORSI SORRENTI INC 255 MADISON AVENUE WYCKOFF NJ 07481 FUNDRAISING 141000 1 2969070 5152 2969070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ALLOW. FOR UNCOLLECT. PLEDGE RECOVERIES 900099 322606 322606 322606 3291676 322606 7307435 7307435 0 0 0 0 0 518792 101788 417004 0 161144 15193 145951 0 54096 54096 20 20 4150 4150 0 141000 141000 0 103766 103766 244156 88105 156051 91117 50589 40528 0 0 24618 24618 19734 7572 12162 0 13977 13977 0 0 0 8969 8969 DONOR RECOGNITION 4278 4278 FOOD 3710 1855 1855 _ 0 _ 0 13171 2934 10237 8714133 7307435 477632 929066 226693 171345 0 0 7277321 4252411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1309503 686017 8813517 5109773 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2708417 4427130 2708417 4427130 X 6105100 682643 0 0 0 0 6105100 682643 8813517 5109773 -5422457 X false true X true false X 0 0 11308814 6765552 2969070 21043436 0 0 0 0 11308814 6765552 2969070 21043436 10265591 10777845 0 0 0 0 0 0 322606 322606 21366042 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED ASSETS 686017 686017 0 DUE TO ASPEN VALLEY HOSPITAL 4427130 4427130 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 true GHIORSI SORRENTI INC FUNDRAISING false 141000 141000 CO SCHEDULE G, PART I, COLUMN IV THESE INDIVIDUALS DID NOT KEEP A PERCENTAGE OF CONTRIBUTIONS, NOR DOES THE ORGANIZATION TRACK THE CONTRIBUTIONS BASED ON THE INDIVIDUALS' WORK. THE GROSS RECEIPTS FROM THE CAPITAL CAMPAIGN WAS $2,969,071. true ASPEN VALLEY HOSPITAL DISTRICT 0401 CASTLE CREEK ROAD ASPEN CO 81611 840720309 GOVERNMENTAL 7307435 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 TERRY COLLINS TREASURER 0 397072 0 47081 0 0 0 26500 0 34272 0 504925 0 0 DEBORAH BREEN PRESIDENT 0 229461 0 19290 0 0 0 21581 0 31901 0 302233 0 0 DAVE RESSLER DIRECTOR 0 114948 0 35000 0 0 0 14052 0 8606 0 172606 0 0 GINETTE SEBENALER TREASURER 0 217958 0 8461 0 0 0 23891 0 36645 0 286955 0 0 DANIEL BONK DIRECTOR 0 87985 0 0 0 343341 0 20892 0 31702 0 483920 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 $343,341. FORM 990, PART V, LINE 1A & 2A ASPEN VALLEY HOSPITAL, 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 MINDY NAGLE HAVE AN EMPLOYER AND EMPLOYEE RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 ASPEN VALLEY HOSPITAL, A GOVERNMENTAL HOSPITAL, IS THE SOLE MEMBER OF ASPEN VALLEY HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A ASPEN VALLEY HOSPITAL, 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, AS THE SOLE MEMBER OF ASPEN VALLEY HOSPITAL FOUNDATION, HAS THE POWER TO MAKE GOVERNANCE DECISIONS OF 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 CFO. THE CFO REVIEWS THE FORM 990 WITH THE BOARD. THE CFO IS AVAILABLE TO ANSWER ANY QUESTIONS OR PROVIDE CLARIFICATION. FORM 990, PART VI, SECTION B, LINE 12C THE PRESIDENT OF THE FOUNDATION PERFORMS AN ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY, AT WHICH TIME ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE PRESIDENT OF THE 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. FORM 990, PART VI, SECTION B, LINE 15B THE TREASURER OF THE FOUNDATION IS THE CHIEF FINANCIAL OFFICER OF ASPEN VALLEY HOSPITAL. HIS PERFORMANCE IS REVIEWED ANNUALLY AND HIS COMPENSATION IS DETERMINED BASED ON HIS POSITION AS CHIEF FINANCIAL OFFICER OF ASPEN VALLEY HOSPITAL, NOT AS TREASURER OF ASPEN VALLEY HOSPITAL FOUNDATION. HIS ANNUAL REVIEW IS DETERMINED BASED ON HIS PERFORMANCE AS CHIEF FINANCIAL OFFICER OF ASPEN VALLEY HOSPITAL AND COMPLIANCE WITH CORPORATE VALUES. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. 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 7307435 FMV ASPEN VALLEY HOSPITAL DISTRICT E 4427130 FMV