2024-05-01T09:43:45-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2022-07-01 311806773 YAMPA VALLEY MEDICAL CENTER FOUNDATION YAMP 9708710700 1100 CENTRAL PARK DRIVE STEAMBOAT SPRINGS CO 80487 DAVID THOMPSON CFO 9708710700 2024-04-17 1 DAVID THOMPSON 999009999 0 RYAN C HARRIS P00614618 3037409400 2024-04-17 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KAREN SCHNEIDER 1100 CENTRAL PARK DRIVE STEAMBOAT SPRINGS CO 80487 1637841 0 X WWW.YVMCF.ORG X 2001 CO TO SUPPORT THE HEALTHCARE SERVICES OF THE UCHEALTH YVMC AND THE COMMUNITY IT SERVES. 11 9 2 4 0 0 824562 861204 0 0 1277829 770617 0 -20107 2102391 1611714 1431021 1160755 0 0 273452 239580 0 0 72421 85442 83738 1789915 1484073 312476 127641 22858330 23902131 511578 553808 22346752 23348323 THE MISSION OF YAMPA VALLEY MEDICAL CENTER FOUNDATION IS TO SUPPORT THE HEALTHCARE SERVICES OF UCHEALTH YAMPA VALLEY MEDICAL CENTER AND THE COMMUNITIES IT SERVES. 0 0 1151331 1144684 RESTRICTED FUND - PROVIDES FUNDING TO SUPPORT THE YVMC EMERGENCY DEPARTMENT, ANNUAL GRANTS TO VARIOUS COMMUNITY ORGANIZATIONS TO IMPROVE ACCESS TO HEALTH CARE, MENTAL HEALTH SERVICES AND EDUCATION, AND COUNSELING SERVICES FOR THE SCHOOL DISTRICTS. 102386 16071 UNRESTRICTED FUND - PROVIDES FUNDING FOR HOSPITAL PROGRAM SERVICES. 1253717 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 9 0 1 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE ORGANIZATION 9708710700 1100 CENTRAL PARK DRIVE STEAMBOAT SPRINGS CO 80487 KATHLEEN DOWNS WASSERMAN BOARD CHAIR 1.00 2.00 X X 0 0 0 LISA KETTERING MD BOARD VICE-CHAIR 1.00 2.00 X X 0 0 0 SCOTT MARR BOARD SECRETARY 1.00 2.00 X X 0 0 0 MICHAEL STOLTZ BOARD TREASURER 1.00 2.00 X X 0 0 0 NELLY NAVARRO TRUSTEE 1.00 2.00 X 0 0 0 LAURIE STEELE TRUSTEE 1.00 2.00 X 0 0 0 KARA STOLLER TRUSTEE 1.00 2.00 X 0 0 0 KATHY CONNELL TRUSTEE 1.00 2.00 X 0 0 0 KELLY LATTERMAN TRUSTEE 1.00 2.00 X 0 0 0 MALAIKA THOMPSON MD TRUSTEE, YVMC CHIEF OF STAFF 1.00 40.00 X 0 467121 55658 KEVIN UNGER TRUSTEE & PVHS CEO 1.00 3.00 X 0 9486 373 SONIYA FIDLER PRESIDENT YAMPA VALLEY MEDICAL CENTER 1.00 40.00 X 0 379723 61490 DAVID THOMPSON CFO & BOARD TREASURER BEG 3/20/23 1.00 4.00 X 0 5193 364 KIMBERLY FOLKESTAD BOARD SECRETARY BEG 3/20/23 1.00 40.00 X 0 0 0 KAREN SCHNEIDER EXECUTIVE DIRECTOR 1.00 40.00 X 133998 0 27549 133998 861523 145434 1 0 1 0 0 28425 438888 393891 63545 861204 496540 496540 274077 0 274077 274077 274077 6020 28425 26127 -20107 -20107 1611714 0 0 750510 1113623 1113623 47132 47132 144403 43320 50542 50541 90937 26548 49417 14972 2188 656 1162 370 982 73 868 41 1070 321 568 181 4200 4200 31667 31667 17610 15000 2610 5351 5351 4217 3252 965 681 681 MISCELLANEOUS EXPENSES 12922 12922 INKIND EXPENSE 5395 5395 HOSPITAL INITIATIVES 1649 1649 CORPORATE ALLOCATION 46 46 1484073 1253717 157935 72421 578633 498802 7033931 4362712 15245766 19040617 22858330 23902131 39213 9706 511578 504889 511578 553808 X 2377366 1955046 19969386 21393277 22346752 23348323 22858330 23902131 X 127641 853930 20000 X 0 1 X 1 0 X 806553 1785537 1562791 824562 861204 5840647 806553 1785537 1562791 824562 861204 5840647 10544 112171 7549 10349 4520 145133 0 10544 112171 7549 10349 4520 145133 5695514 248871 212324 277298 379486 496540 1614519 248871 212324 277298 379486 496540 1614519 1055424 1997861 1840089 1204048 1357744 7455166 0.76400 0.80110 0.21660 0.17550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26000 533 26533 26000 51 51 26000 26000 71 71 26000 26000 212 212 26000 26000 113 113 26000 0 0 0 RELATED PARTY PAYABLES 504889 504889 2491771 853930 853930 1637841 -26127 -26127 1611714 1490200 26127 26127 1464073 20000 20000 1484073 PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -26,127. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 26,127. PART XII, LINE 4B - OTHER ADJUSTMENTS: REFUNDED GRANT PAID 20,000. SCHEDULE D, PART V, LINE 4 COMMUNITY RESOURCE CENTER ENDOWMENT FUND HAS BEEN PERMANENTLY RESTRICTED BY DONORS. THE COMMUNITY RESOURCE CENTER ENDOWMENT FUND HELPS SUPPORT THE ALL VOLUNTEER COMMUNITY RESOURCE CENTER LOCATED IN UCHEALTH YAMPA VALLEY MEDICAL CENTER. X X X X DERBY DAY 2023 34445 28425 6020 1390 6575 7530 10632 34445 28425 6020 1390 6575 7530 10632 26127 -20107 1 BETTER TOMORROW 465 ANGLERS DR STE B STEAMBOAT SPRINGS CO 80487 840939362 501(C)(3) 10000 0 CHILD ADVOCACY CENTER BETTER TOMORROW 465 ANGLERS DR STE B STEAMBOAT SPRINGS CO 80487 840939362 501(C)(3) 15000 0 YOUTH PROGRAMMING CITY OF STEAMBOAT SPRINGS PO BOX 775088 STEAMBOAT SPRINGS CO 80477 846000721 GOVERNMENT AGENCY 18600 0 AUTOMATED CPR MACHINE COLORADO MOUNTAIN COLLEGE FOUNDATION 802 GRAND AVE GLENWOOD SPRINGS CO 81601 742393418 501(C)(3) 35000 0 RURAL NURSING SUCCESS COURT SPORTS FOR LIFE FOUNDATION PO BOX 776251 STEAMBOAT SPRINGS CO 80477 843550018 501(C)(3) 25000 0 PHYSICAL HEALTH HAYDEN SCHOOL DISTRICT PO BOX 70 HAYDEN CO 81639 846012221 GOVERNMENT AGENCY 43000 0 MENTAL HEALTH PROGRAMMING HORIZONS PO BOX 774867 STEAMBOAT SPRINGS CO 80477 840705884 501(C)(3) 14000 0 MOFFAT COUNTY ADULT PROGRAM INTEGRATED COMMUNITY PO BOX 880587 STEAMBOAT SPRINGS CO 80488 461325467 501(C)(3) 10000 0 EQUITABLE HEALTHCARE ACCESS LIFT UP ROUTT COUNTY 2125 CURVE CT STEAMBOAT SPRINGS CO 80487 841385379 501(C)(3) 10000 0 PRESCRIPTION/ HEALTHCARE NORTH ROUTT COMMUNITY CHARTER SCHOOL 26990 EAGLE LN CLARK CO 80428 841606735 GOVERNMENT AGENCY 12000 0 NURSING PROGRAM NORTHWEST CO VNA 940 CENTRAL PARK DR STE 101 STEAMBOAT SPRINGS CO 80487 840564998 501(C)(3) 50000 0 BEHAVIORAL HEALTH SERVICES NORTHWEST CO VNA 940 CENTRAL PARK DR STE 101 STEAMBOAT SPRINGS CO 80487 840564998 501(C)(3) 50000 0 HOME HEALTH SERVICES PARTNERS OF ROUTT COUNTY PO BOX 774325 STEAMBOAT SPRINGS CO 80477 841339921 501(C)(3) 5400 0 YOUTH MENTORING PROGRAM REPS 465 ANGLERS DR UNIT B STEAMBOAT SPRINGS CO 80487 454420603 501(C)(3) 15000 0 SUICIDE PREVENTION SOUTH ROUTT SCHOOL DISTRICT 305 GRANT AVENUE OAK CREEK CO 80467 846012326 GOVERNMENT AGENCY 43000 0 MENTAL HEALTH SERVICES STEAMBOAT SCHOOL DISTRICT RE2 324 7TH STREET STEAMBOAT SPRINGS CO 80487 846012306 GOVERNMENT AGENCY 140000 0 MENTAL HEALTH SERVICES YAMPA VALLEY AUTISM PROGRAM PO BOX 771824 STEAMBOAT SPRINGS CO 80477 208317094 501(C)(3) 10000 0 DIAGNOSTIC AND BEHAVIOR THERAPY ACCESS YAMPA VALLEY MEDICAL CENTER 1024 CENTRAL PARK DR STEAMBOAT SPRINGS CO 80487 840398876 501(C)(3) 79232 524390 BOOK VALUE MEDICAL BUILDING AND EQUIPMENT TO SERVE PATIENTS 17 INDIGENT HEALTHCARE 27 28867 EMPLOYEE ASSISTANCE 2 4735 CANCER PATIENT SUPPORT 12 7667 MORE PT LESS RX 37 4806 JBCC STAFF RECOGNITION 18 1057 PART I, LINE 2: THE FOUNDATION REQUESTS GRANT RECIPIENTS TO REPORT BACK TO THE FOUNDATION ON USE AND OUTCOME OF FUNDING. 0 0 0 0 0 0 0 1 0 MALAIKA THOMPSON MD TRUSTEE, YVMC CHIEF OF STAFF 0 466399 0 0 0 722 0 28853 0 26805 0 522779 0 0 SONIYA FIDLER PRESIDENT YAMPA VALLEY MEDICAL CENTE 0 320869 0 57772 0 1082 0 34502 0 26988 0 441213 0 0 KAREN SCHNEIDER EXECUTIVE DIRECTOR 123964 0 8894 0 1140 0 12298 0 15251 0 161547 0 0 0 PART I, LINE 7 THE ORGANIZATION OFFERS A BONUS PLAN THAT PAYS A PERCENTAGE OF AN EMPLOYEE'S BASE PAY. THE INTENT OF THE PLAN IS TO REWARD AN EMPLOYEE'S PERFORMANCE TOWARDS ACHIEVEMENT OF STRATEGIC GOALS DURING THE FISCAL YEAR. SUCCESSFUL ACCOMPLISHMENT OF GOALS THAT CONTRIBUTE TO THE ORGANIZATION'S OVERALL STRATEGIC DIRECTION RESULT IN VARIABLE PAYMENTS ALIGNED WITH THE ORGANIZATION'S TOTAL COMPENSATION STRATEGY. THIS PROGRAM REWARDS EMPLOYEES BASED ON ORGANIZATIONAL PERFORMANCE MEASURES AND INDIVIDUAL EMPLOYEE GOAL PERFORMANCE. ALL PAYOUTS ARE CONTINGENT BASED ON THE UCHEALTH BOARD OF DIRECTORS APPROVAL EACH FISCAL YEAR. X 1 4999 FMV X 2 46847 FMV X DERBY DAY 2023 ITEMS 9 11177 FMV X STATIONERY, BANNERS, POSTERS 9 522 FMV 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 YAMPA VALLEY MEDICAL CENTER IS THE SOLE MEMBER OF YAMPA VALLEY MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF YAMPA VALLEY MEDICAL CENTER FOUNDATION, YAMPA VALLEY MEDICAL CENTER APPROVES ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B AFTER UCHEALTH APPROVAL, YAMPA VALLEY MEDICAL CENTER APPROVES THE FOLLOWING: A) AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION, B) DISSOLUTION AND LIQUIDATION OF THE FOUNDATION, YAMPA VALLEY MEDICAL CENTER HAS SOLE DETERMINATION OVER: C) SELECTION OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A THIRD PARTY. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE COVERED UNDER THIS POLICY. CONFLICTS ARE REVIEWED AT MANAGEMENT LEVEL. BOARD MEMBERS RESCIND ON VOTING IF A CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 YVMC FOUNDATION DOES NOT HAVE EMPLOYEES FOR FORM 990 REPORTING PURPOSES. ALL EMPLOYEES OF YVMC FOUNDATION ARE REPORTED ON THE PAYROLL OF UNIVERSITY OF COLORADO HOSPITAL AUTHORITY THROUGH 6/30/2023. EMPLOYEES ARE LEASED TO YVMC FOUNDATION. THE EXPENSES THAT ARE REPORTED FOR SALARIES AND BENEFITS ON THE STATEMENT OF FUNCTIONAL EXPENSES REPRESENT THE EMPLOYEE LEASE EXPENSE FOR THE YEAR ENDED 6/30/2023. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST WITH A LEGITIMATE BUSINESS PURPOSE. FORM 990, PART XI, LINE 9: REFUNDED GRANT PAID 20,000. UCHEALTH YAMPA VALLEY MEDICAL CENTER 1024 CENTRAL PARK DRIVE STEAMBOAT SPRINGS CO 80487 840398876 HOSPITAL CO 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0