2023-08-11T15:06:00-05:00 2023-03-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-04-01 431509160 GOLDEN VALLEY MEMORIAL HOSPITAL FOUNDATION % VIRGINIA GRAHAM GOLD 6608907108 1600 NORTH SECOND STREET CLINTON MO 64735 SARAH DUNCAN DIRECTOR 6608907103 2023-08-15 true SARAH DUNCAN 999009999 Krystal K Creach P01248198 4178658701 3 2022 2023-04-26 12:10:37Z SARAH DUNCAN 1600 NORTH SECOND STREET CLINTON MO 64735 5167869 false X WWW.GVMH.ORG X 1989 MO TO PROVIDE FINANCIAL SUPPORT FOR GOLDEN VALLEY MEMORIAL HOSPITAL AND ITS PATIENTS BY HELPING TO SUSTAIN HIGH-QUALITY CARE AND PROVIDE THE LATEST MEDICAL TECHNOLOGY. 12 10 0 47 0 732238 5109332 0 0 26807 22865 -13245 -33838 745800 5098359 78275 28778 0 0 0 0 0 0 0 123562 50529 201837 79307 543963 5019052 2467179 8067340 0 681500 2467179 7385840 X THE FOUNDATION SHALL OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE PURPOSES OF GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT. false false 29860 13388 THE FOUNDATION PAID EXPENSE RELATED TO RENOVATING THE ICU WAITING ROOM OF THE HOSPITAL TO MAKE IT A LARGER AND MORE COMFORTABLE SPACE FOR PATIENTS' FAMILIES. 13284 5956 EACH YEAR, INCLUDING FY23, THE FOUNDATION PURCHASES BOOKS TO BE DISTRIBUTED BY CLINIC PROVIDERS DURING CHECK UPS FOR PEDIATRIC PATIENTS FROM BIRTH THROUGH AGE 5. 10586 4746 THE FOUNDATION PAID FOR ONGOING COMFORT ITEMS AND PATIENT SUPPLIES NEEDED FOR CANCER CENTER PATIENTS, INCLUDING SNACKS AND POPPY POCKETS. 10456 4688 64186 true true false false false false false false false true true false false false false false false true false false false false false false true false false true true true false false false false false false false false true false false false false true false false false true 0 0 0 false false false false false true true false false false false false false X 12 10 false false false false false true false true true false false false false false false false false false X VIRGINIA GRAHAM 6608907103 GOLDEN VALLEY MEMORIAL HOSPITAL CLINTON MO 64735 DR GUSTIN BATEMAN BOARD MEMBER 1.0 40.0 X 0 704063 45529 DR GUS WETZEL BOARD MEMBER 1.0 40.0 X 0 110296 18826 SARAH DUNCAN FOUNDATION DIRECTOR 1.0 32.0 X 0 72238 28651 SARAJANE ROBERTS BOARD MEMBER 1.0 0.0 X 0 0 0 JIM SMITH VICE CHAIR 1.0 0.0 X X 0 0 0 ASHLEY PARKS BOARD MEMBER 1.0 0.0 X 0 0 0 GERALD ATCHISON SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 DANNY EIDSON BOARD MEMBER 1.0 0.0 X 0 0 0 DAVID MILLS CHAIR 1.0 0.0 X X 0 0 0 GREGG SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 TIM GLASSCOCK BOARD MEMBER 1.0 0.0 X 0 0 0 PAUL HENDRICKS BOARD MEMBER BEGIN 07/22 1.0 0.0 X 0 0 0 SANDRA BRAITHWAIT BOARD MEMBER BEGIN 05/22 1.0 0.0 X 0 0 0 0 886597 93006 0 false true false 0 104357 5004975 787968 5109332 0 22865 22865 0 0 0 0 0 0 47785 104357 69510 -21725 -21725 0 0 0 0 0 0 LOSS FROM INVESTMENT 900099 -12113 -12113 -12113 5098359 -10973 13388 13388 15390 15390 0 0 0 0 0 0 0 0 0 0 0 0 0 15121 15121 0 0 35408 35408 0 0 0 0 0 0 0 0 0 0 79307 64186 15121 0 116703 289487 360248 3133834 342200 2848390 0 0 0 0 0 0 0 0 0 0 0 0 596530 0 596530 1648028 1199099 0 0 0 0 0 0 0 0 2467179 8067340 0 0 0 0 0 681500 0 0 0 0 0 0 0 0 0 0 0 0 0 681500 X 396786 452471 2070393 6933369 2467179 7385840 2467179 8067340 5019052 -100391 X false true X false false X 145973 428695 94558 732238 5109332 6510796 0 0 145973 428695 94558 732238 5109332 6510796 2969957 3540839 35794 23244 20760 26807 22865 129470 0 14145 130149 83937 12652 -12113 228770 6869036 122055 0.51548 0.74616 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 176765 -9615 2057 165093 170378 10978 2523 2068 176765 142702 29157 63 1418 170378 138768 5148 158 1056 142702 141521 2258 3966 1045 138768 1.00000 true false 570000 570000 26530 26530 596530 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUND: THE ENDOWMENT HELD BY COMMUNITY FOUNDATION OF THE OZARKS FOR THE ORGANIZATION WAS REPORTED ON THE CONSOLIDATED AUDITED STATEMENTS DURING FY 22. THE ENDOWMENT FUND'S PURPOSE IS TO GENERATE INTEREST INCOME THAT CAN BE USED TO MEET THE NEEDS OF THE FOUNDATION. THE INCOME IS USED TO SUPPORT THE MISSION OF THE HOSPITAL IN CARING FOR THE COMMUNITIES IT SERVES. SCHEDULE D, PART X LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS 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. GOLF TOURNAMENT 43031 28272 14759 8400 1493 11277 4054 GALA 109111 76085 33026 4445 4960 23080 5500 6301 0 152142 104357 47785 8400 5938 16237 27134 5500 6301 69510 -21725 true GOLDEN VALLEY MEMORIAL HOSPITAL 1600 NORTH SECOND STREET CLINTON MO 64735 430975390 501(C)(3) 13388 SUPPORT 1 PATIENT ASSISTANCE 64 15390 SCHEDULE I, PART 1, LINE 2 GRANT MONITORING: THE FOUNDATION USES APPLICATIONS TO PROVIDE GRANTS TO ORGANIZATIONS TO SUPPORT HEALTHCARE INITIATIVES AND TO INDIVIDUALS TO SUPPORT HEALTHCARE EDUCATION. THE WRITTEN APPLICATIONS ARE REVIEWED BY THE FOUNDATION BOARD AND THEN APPROVED BY MAJORITY VOTE. THE FOUNDATION OFFICE REQUIRES INVOICES, PURCHASE ORDERS OR STATEMENTS FROM THOSE RECEIVING ASSISTANCE. THE FOUNDATION THEN WRITES CHECKS FOR THE APPROVED AMOUNTS TO THE ORGANIZATIONS OR INDIVIDUALS OR TO OTHER ENTITIES ON THEIR BEHALF. false false false false false false false false false DR GUSTIN BATEMAN BOARD MEMBER 0 704063 0 0 0 0 0 18300 0 27229 0 749592 0 0 X 6 217968 FMV X 1 570000 FMV false false false FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: - THE FOUNDATION HELPED WITH TRANSPORTATION AND OTHER ONE TIME RELATED EXPENSES FOR ONCOLOGY PATIENTS WHO COULD NOT OTHERWISE AFFORD TO MAKE IT TO THEIR MEDICAL APPOINTMENTS. $2,200 - THE FOUNDATION ALLOCATED CERTAIN FUNDS TO HELP PAY FOR THE CARE AND DIABETIC EDUCATION OF DIABETIC PATIENTS RECEIVING TREATMENT AT GVMH DURING FY23. THIS YEAR THE FOUNDATION ALSO PURCHASED GLUCOMETERS AND OTHER SUPPLIES FOR THE DIABETIC EDUCATION TO PROVIDE TO PATIENTS IN NEED. $997 - THE FOUNDATION COVERED THE COST OF CUSTOMIZED GARMENTS FOR INPATIENTS AND OUTPATIENTS WHO WERE TREATED AT GVMH FOR LYMPHEDEMA AND DO NOT HAVE INSURANCE COVERAGE FOR THE GARMENTS. $631 - THE FOUNDATION BEGAN AN NEW INITIATIVE TO HELP ASSIST CARDIAC REBAB PATIENTS WITH TRANSPORTATION AND CO-PAY EXPENSES TO HELP PATIENTS AFFORD TO COMPLETE THEIR TREATMENT $500 - THE FOUNDATION SUPPORTED GVMH'S SHARE PREGNANCY AND INFANT LOSS SUPPORT GROUP THROUGH SUPPLIES FOR CARE PACKAGES FOR FAMILIES SUFFERING A LOSS AT GVMH. $359 FORM 990, PART VI, SECTION A, LINE 7A POWER TO APPOINT MEMBERS OF THE GOVERNING BODY: MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION ARE APPOINTED BY GOLDEN VALLEY MEMORIAL HOSPITAL'S (A RELATED ORGANIZATION) BOARD OF DIRECTORS, CHAIRMAN OF THE BOARD OF DIRECTORS AND HOSPITAL CHIEF OF STAFF. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO BEING FILED, A DRAFT OF THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S DIRECTOR FOR ACCURACY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: DR. GUSTIN BATEMAN AND DR. GUS WETZEL ARE EMPLOYEES OF GOLDEN VALLEY MEMORIAL HOSPITAL, A RELATED ORGANIZATION. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT 1600 N SECOND CLINTON MO 64735 430975390 HOSPITAL MO 501(C)(3) 3 NA false AUX OF THE GOLDEN VALLEY MEM HOSPITAL 1600 NORTH SECOND CLINTON MO 64735 431171506 SUPPORT MO 501(C)(3) 10 GVMH false false true false false false false false false false false false false true true true false false false