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          <BusinessNameLine1Txt>DAVID RESSLER</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>532199</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>135724</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>38774</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>875116</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DIANA BULMAN</BusinessNameLine1Txt>
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        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>302357</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5558</BonusFilingOrganizationAmount>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 PROCESS USED TO ESTABLISH COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR DAVID RESSLER, GINETTE SEBENALER, AND DIANA BULMAN 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>
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      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>37384</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - NUMBER OF CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a &amp; 2a NUMBER OF CONTRACTORS AND EMPLOYEES</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, UNLESS IT IS FORGIVEN IN THE FUTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a NUMBER OF VOTING MEMBERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT OF THE FOUNDATION IS NOT A VOTING MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>DAVID RESSLER, GINETTE SEBENALER, DIANA BULMAN, GREG BALKO, AND LEE SCHUMACHER HAVE AN EMPLOYER AND EMPLOYEE RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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, Line 7a Members or stockholders electing members of governing body</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 AVHF'S GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</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, Line 11b Review of form 990 by governing body</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, Line 12c Conflict of interest policy</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, Line 15a Process to establish compensation of top management official</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 INCLUDING THE PRESIDENT OF THE FOUNDATION AFTER USING AN INDEPENDENT COMPENSATION CONSULTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</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, Line 19 Required documents available to the public</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 DISTRICT'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCOLLECTIBLE PLEDGES - -231250;</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>ASPEN VALLEY HOSPITAL DISTRICT</BusinessNameLine1Txt>
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          <AddressLine1Txt>0401 CASTLE CREEK RD</AddressLine1Txt>
          <CityNm>ASPEN</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81611</ZIPCd>
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        <EIN>840720309</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
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          <BusinessNameLine1Txt>ASPEN VALLEY HOSPITAL DISTRICT</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>3149229</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>ASPEN VALLEY HOSPITAL DISTRICT</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>ASPEN VALLEY HOSPITAL DISTRICT</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1808290</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
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