2022-09-09T16:04:26-05:00 2021-12-31 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2021-01-01 742450217 SALIDA HOSPITAL FOUNDATION % HRRMC FOUNDATION SALI 7195302218 1000 RUSH DRIVE SALIDA CO 81201 ROBERT MORASKO SECRETARY/TREASURER 7195302218 2022-09-06 true ROBERT MORASKO 999009999 Adam R Smith CPA P00958966 7194714290 2022-09-02 2 2021 2023-04-26 12:10:37Z DAN WARDROP MD 1000 RUSH DRIVE SALIDA CO 81201 1854743 false X WWW.HRRMC.COM X 1986 CO HRRMC FDN EXISTS TO PROVIDE FINANCIAL RESOURCES IN SUPPORT OF HRRMC'S MISSION TO ENHANCE THE HEALTH OF OUR COMMUNITY THROUGH PERSONALIZED AND EXCEPTIONAL CARE. 9 7 0 20 0 118409 1838213 0 0 6354 8616 -4839 6322 119924 1853151 80176 49144 0 0 9528 9132 0 0 11235 13182 8950 102886 67226 17038 1785925 1050707 2835599 3533 2500 1047174 2833099 X THE HRRMC FOUNDATION, A 501(C)(3) NON-PROFIT ORGANIZATION, FOCUSES PRIMARILY ON AREAS AND ISSUES THAT ENHANCE HEART OF THE ROCKIES REGIONAL MEDICAL CENTER'S MISSION BUT DO NOT FALL WITHIN THE PARAMETERS OF THE HOSPITAL'S BUDGET. THE MISSION OF THE HRRMC FOUNDATION IS TO PROVIDE FINANCIAL RESOURCES TO HEART OF THE ROCKIES REGIONAL MEDICAL CENTER'S MISSION TO ENHANCE THE HEALTH OF OUR COMMUNITY THROUGH THE DELIVERY OF PERSONALIZED AND EXCEPTIONAL CARE. false true 28750 28750 SCHOLARSHIPS AWARDED TO NINE STUDENTS PURSUING HEALTHCARE CAREERS. 16266 16266 VIDEO EQUIPMENT PURCHASED FOR EDUCATION, EXERCISE BIKE PURCHASED FOR CUSTER COUNTY PHYSICAL THERAPY, WHEELCHAIR AND TABLE PUCHASED FOR ONCOLOGY, E-BIKE PURCHASED FOR WELLNESS, ATHLETIC TRAINER PROGRAM EQUIPMENT AND A CAPPUCHINO MACHINE PURCHASED FOR THE CAFETERIA. 1797 1797 FUNDING FOR ONCOLOGY PATIENTS 2331 2331 SUPPORT FOR HEART OF THE ROCKIES HOME HEALTH CARE, LLC, A JOINT VENTURE OF A RELATED ORGANIZATION, PRIMARILY FOR HOSPICE PATIENTS, FAMILIES AND VOLUNTEERS, AND FUNDING FOR STAFF EDUCATION. 2331 2331 49144 true true false false false false false false false false false false false false false false false true false false false false false false false false false true true true false false false false false false false false false false false false false true false true false true 2 0 0 false false false false false false false false false false false false X 9 7 false false false false true true true true true false false false true true true false false false false false X HRRMC FOUNDATION 7195302218 1000 RUSH DRIVE SALIDA CO 81201 ROBERT MORASKO SECRETARY/TREASURER 2.0 40.0 X X 0 477912 33433 LEZLIE BURKLEY FND DIRECTOR 40.0 0.0 X 0 68032 14180 DR HARRY PAYTON DIRECTOR-BEGIN 8/10/2021 1.0 1.0 X 0 62450 0 DAN WARDROP MD PRESIDENT 1.0 5.0 X X 0 3000 0 JEAN MOLTZ WEBER DIRECTOR 1.0 1.0 X 0 0 0 DAVE REYHER DIRECTOR-THRU 11/19/2021 1.0 0.0 X 0 0 0 WILLIAM MEHOS MD VICE PRESIDENT-THRU 8/10/2021 1.0 0.0 X X 0 0 0 KEN LEISHER DIRECTOR 1.0 0.0 X 0 0 0 TOM MANSHEIM DIRECTOR 1.0 0.0 X 0 0 0 BARBARA PEARSON-SAWYER DIRECTOR 1.0 0.0 X 0 0 0 TANGIE GRANZELLA DIRECTOR 1.0 0.0 X 0 0 0 DOVIE GROSS DIRECTOR 1.0 0.0 X 0 0 0 0 611394 47613 0 false true false 0 1838213 1838213 0 8616 8616 0 0 0 0 0 0 7914 1592 6322 6322 0 0 0 0 0 0 0 1853151 14938 17575 17575 31569 31569 0 0 0 0 9132 457 8675 0 0 0 0 0 0 0 0 0 0 0 8950 6390 2560 0 0 0 0 0 0 0 0 0 0 67226 49144 6847 11235 0 0 1048651 2835094 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2056 505 1050707 2835599 1033 0 0 0 2500 2500 0 0 0 0 0 0 0 0 0 0 0 0 3533 2500 X 803829 1054541 243345 1778558 1047174 2833099 1050707 2835599 1785925 X false true X true false X X 1 SALIDA HOSPITAL DIST DBA HEART OF THE ROCKIES REG MED CTR 840631509 3 true 17575 0 1 17575 true true false false false true false false false false false false false false false true false SCHEDULE A, PART IV, SECTION A, LINE 2 SUPPORTED ORGANIZATIONS: HEART OF THE ROCKIES REGIONAL MEDICAL CENTER (SUPPORTED ORGANIZATION) IS A GOVERNMENTAL HOSPITAL THAT DOES NOT HAVE AN IRS DETERMINATION UNDER 509(A)(1) OR (2), HOWEVER, IT IS DESCRIBED UNDER SECTION 170(B)(1)(A)(III), WHICH QUALIFIES AS AN ORGANIZATION UNDER 509(A)(1). SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT TO INDIVIDUALS OUTSIDE THE ORGANIZATION: THE ORGANIZATION PROVIDES SCHOLARSHIPS TO STUDENTS IN THE COMMUNITY SEEKING A DEGREE IN HEALTHCARE. PATIENTS RECEIVING HOSPICE CARE, AS DO VOLUNTEERS WHO SUPPORT HOSPICE PATIENTS RECEIVE SUPPORT. ALTHOUGH THE SUPPORT IS NOT PROVIDED DIRECTLY TO THE SUPPORTED ORGANIZATION, HEART OF THE ROCKIES REGIONAL MEDICAL CENTER, IT IS SUPPORTING HRRMC'S MISSION TO ENHANCE THE HEALTH AND WELLNESS OF THE COMMUNITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1854743 1592 1592 1853151 1853151 68818 1592 1592 67226 67226 SCHEDULE D, PART XI, LINE 2D OTHER REVENUE ON BOOKS, NOT ON RETURN SPECIAL EVENT EXPENSES RECLASSED FROM EXPENSE AND NETTED AGAINST SPECIAL EVENT REVENUE $1,592 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES ON BOOKS, NOT ON RETURN SPECIAL EVENT EXPENSES RECLASSED FROM EXPENSE AND NETTED AGAINST SPECIAL EVENT REVENUE $1,592 true SALIDA HOSPITAL DISTRICT 1000 RUSH DRIVE SALIDA CO 81201 840631509 GOVERNMENT 17575 1 SCHOLARSHIPS 9 28750 ONCOLOGY PATIENTS ASSISTANCE 23 1797 HOSPICE PATIENTS/FAMILY ASSISTANCE 13 1022 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION MONITORS THE FUNDS PROVIDED TO SALIDA HOSPITAL DISTRICT BY REQUESTING DATA SUPPORTING EXPENDITURES ON EQUIPMENT PURCHASES OR PROJECTS AND NEW SERVICES. THIS DATA IS PROVIDED TO THE FOUNDATION BOARD OF DIRECTORS IN SUPPORT OF BI-ANNUAL DISBURSEMENTS OF CASH COLLECTED OR RECEIVED BY THE FOUNDATION, WHETHER THROUGH CAPITAL CAMPAIGNS, PRIVATE DONATIONS OR GRANTS. SCHEDULE I, PART III GRANT AND OTHER ASSISTANCE TO INDIVIDUALS IN THE UNITED STATES: THE ORGANIZATION ALSO PROVIDES ADDITIONAL SUPPORT TO IMPROVE THE HEALTHCARE OF THE COMMUNITY BY PROVIDING SCHOLARSHIPS TO STUDENTS SEEKING A DEGREE IN HEALTHCARE, AS WELL AS SUPPORT FOR HOSPICE PATIENTS/FAMILIES/VOLUNTEERS, AND ONCOLOGY PATIENTS. false false false false false false false false ROBERT MORASKO SECRETARY/TREASURER 396396 78942 2574 10875 22558 511345 SCHEDULE J, PART I, LINE 3 COMPENSATION PROCESS OF A RELATED ORGANIZATION: A RELATED ORGANIZATION, SALIDA HOSPITAL DISTRICT, DBA HEART OF THE ROCKIES REGIONAL MEDICAL CENTER USES A COMPENSATION SURVEY TO DETERMINE THE COMPENSATION OF THE FOUNDATION DIRECTOR AND CEO OF THE RELATED ORGANIZATION. FORM 990, PART III, LINE 3 PROGRAM EQUIPMENT AND SUPPLIES RELATED TO THE COVID-19 PANDEMIC CONCLUDED IN 2020. PROGRAM TO EXPAND THE HOSPITAL TRAIL CONCLUDED IN 2020. FORM 990, PART VI, SECTION A, LINE 6 DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: SALIDA HOSPITAL DISTRICT, DBA HEART OF THE ROCKIES REGIONAL MEDICAL CENTER, IS A MEMBER OF THE HRRMC FOUNDATION FOR 990 PURPOSES. SALIDA HOSPITAL DISTRICT BOARD MEMBERS HAVE THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS OF HRRMC FOUNDATION. UPON DISSOLUTION OF THE HRRMC FOUNDATION, ASSETS WILL BE DISTRIBUTED TO THE SALIDA HOSPITAL DISTRICT. FORM 990, PART VI, SECTION A, LINE 7A & 7B SALIDA HOSPITAL DISTRICT, DBA HEART OF THE ROCKIES REGIONAL MEDICAL CENTER, IS A MEMBER OF THE HRRMC FOUNDATION FOR 990 PURPOSES. SALIDA HOSPITAL DISTRICT BOARD MEMBERS HAVE THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS OF HRRMC FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS REVIEWED BY AN ACCOUNTANT AND VP OF FINANCE OF A RELATED ORGANIZATION IN CONJUNCTION WITH A THIRD PARTY PREPARER. THE 990 IS PRESENTED TO THE SECRETARY/TREASURER OF THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: COMPLIANCE IS MONITORED IN ACCORDANCE WITH POLICY NUMBER FDN 9404 WHICH COVERS FOUNDATION BOARD MEMBERS AND PROVIDES THE FOUNDATION DIRECTOR WITH A CONFLICT OF INTEREST STATEMENT FOR REVIEW AND DOCUMENTATION. DURING DELIBERATIONS OR DISCUSSION AT ANY BOARD MEETING, AN INDIVIDUAL MEMBER WILL IDENTIFY A POTENTIAL OR PERCEIVED CONFLICT OF INTEREST AND HAVING SO DISCLOSED THE POTENTIAL OR PERCEIVED CONFLICT OF INTEREST, THAT BOARD MEMBER WILL NOT PARTICIPATE IN DISCUSSION ON THAT AGENDA ITEM OR PARTICIPATE IN VOTING ON THAT ISSUE. THE MEETING MINUTES WILL REFLECT THE BOARD MEMBER'S DISCLOSURE, THE VOTE THEREON, THE BOARD MEMBER'S ABSTENTION FROM PARTICIPATION AND VOTING, AND THAT A QUORUM EXISTED NOT COUNTING THAT MEMBER. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE OF DOCUMENTS: THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. SALIDA HOSPITAL DISTRICT DBA HRRMC 1000 RUSH DRIVE SALIDA CO 81201 840631509 HOSPITAL CO GOV'T LINE 3 NA false false true false true false false false false false false false true false true true false false true false