2024-11-13T15:36:34-06:00 2023-12-31 910189318 MOSS ADAMS LLP 6565 AMERICAS PARKWAY NE STE 600 ALBUQUERQUE NM 87110 990 2023-01-01 263556757 THE TELLURIDE MEDICAL CENTER FOUNDATION TELL 9707283848 PO BOX 1229 TELLURIDE CO 81435 ROBBI HUDSON DIRECTOR OF FINANCE 4794228908 2024-11-13 1 0 PAMELA ALEXANDERSON P01218925 5058787200 2024-11-12 2023 2024-10-15 13:58:12Z ROBBI HUDSON PO BOX 1229 TELLURIDE CO 81435 1166557 0 X HTTPS://TELLMED.ORG/SUPPORT X 2008 CO TO SECURE THE FINANCIAL RESOURCES REQUIRED TO SUPPORT THE TELLURIDE MEDICAL CENTER MISSION. 7 7 0 7 0 0 880879 1100674 0 0 -73319 52261 10180 4464 817740 1157399 108120 3150 0 0 157885 137713 0 0 164811 375091 194685 641096 335548 176644 821851 1876500 1871377 44562 52029 1831938 1819348 THE MISSION OF THE TELLURIDE MEDICAL CENTER FOUNDATION IS TO SECURE THE FINANCIAL RESOURCES REQUIRED TO ENSURE CLINICAL EXCELLENCE AND THE CONTINUED QUALITY OF CARE AT THE TELLURIDE MEDICAL CENTER. 0 0 53519 3150 AS A FULLY SUPPORTING ENTITY, THE FOUNDATION IN 2023 SPENT $53,519 SECURING MONIES INCLUDING A DIRECT CONTRIBUTION TO THE TELLURIDE MEDICAL CENTER OF $3,150 FOR THE PURCHASE OF MEDICAL EQUIPMENT AND SUPPORT OF OPERATIONS. 53519 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X ROBBI HUDSON 9703692354 PO BOX 1229 TELLURIDE CO 81435 CLIFFORD HANSEN PRESIDENT 1.00 0.00 X X 0 0 0 JANE SHIVERS SECRETARY (THROUGH 5/31/23) 0.25 0.00 X X 0 0 0 DR DIANA KOELLIKER TREASURER 1.00 39.00 X X 0 0 0 KRISTINA ANDERSON BOARD MEMBER (THROUGH 1/31/23) 0.25 0.00 X 0 0 0 JENA ATLASS BOARD MEMBER 0.25 0.00 X 0 0 0 LYNNE BECK BOARD MEMBER (THROUGH 3/31/23) 0.25 0.00 X 0 0 0 BANKS BROWN BOARD MEMBER 0.25 0.00 X 0 0 0 MIKE HESS BOARD MEMBER 0.25 0.00 X 0 0 0 PAUL REICH BOARD MEMBER (THROUGH 6/30/23) 1.25 0.00 X 0 0 0 SISSY SAILORS BOARD MEMBER 0.25 0.00 X 0 0 0 JASON SLOSBERG BOARD MEMBER 0.25 0.00 X 0 0 0 KATHRYN WADLEY EXECUTIVE DIRECTOR (THROUGH 9/30/23) 40.00 0.00 X 0 89058 7342 KATHERINE SINGER EXECUTIVE DIRECTOR 40.00 0.00 X 0 53231 375 0 142289 7717 0 0 0 0 ACCORDANT PHILANTHROPY 102 TEAL NEST COURT PONTE VEDRA BEACH FL 320824332 CONSULTING 109488 1 27900 1072774 1100674 52261 52261 13622 27900 9158 4464 4464 1157399 0 0 56725 X 3150 3150 137713 13772 82628 41313 4030 4030 29500 29500 109488 109488 10662 10090 572 9713 9713 9100 8612 488 40 40 BOOKS & SUBSCRIPTIONS 5779 5779 DONOR CULTIVATION 4291 4291 COVID-19 EXPENSE 2661 2661 TMC EMPLOYEE SUPPORT 2347 2347 7074 7068 6 335548 53519 117218 164811 385598 221461 1454975 1624236 6247 29680 25680 1876500 1871377 44562 52029 44562 52029 X 1769236 1547150 62702 272198 1831938 1819348 1876500 1871377 X 821851 -834441 X 0 1 X 1 0 X X X 1 TELLURIDE HOSPITAL DISTRICT 840738052 6 1 3150 0 1 3150 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, LINE 2 THE SUPPORTED ORGANIZATION IS A POLITICAL SUBDIVISION OF THE STATE OF COLORADO, AND AS SUCH, IS NOT REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 29500 29500 0 PART II-B, LINE 1: SUPPORT FOR BALLOT MEASURE TO INCREASE THE TELLURIDE HOSPITAL DISTRICT'S MILL LEVY 0 DUE TO TMC 52029 52029 PLAY FOR PINK 40322 26700 13622 2666 151 BAND AIDS & BBQ 1200 1200 6341 41522 27900 13622 2666 6492 9158 4464 FORM 990, PART V, LINE 2B THE EXECUTIVE DIRECTOR RECEIVES COMPENSATION FROM A RELATED ORGANIZATION. THE FILING ORGANIZATION THEN REIMBURSES THE RELATED ORGANIZATION FOR ITS PORTION OF THE SALARIES AND PAYROLL EXPENSES. ACCORDINGLY, ALTHOUGH THE FILING ORGANIZATION DOES NOT ISSUE FORMS W-2, IT DOES REPORT THE REIMBURSED SALARIES AND RELATED PAYROLL EXPENSES ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF TELLURIDE HOSPITAL DISTRICT, THE SUPPORTED ORGANIZATION, SELECTS THE BOARD OF DIRECTORS FOR THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN WILL BE REVIEWED FOR ACCURACY BY THE FINANCIAL DIRECTOR OF TELLURIDE HOSPITAL DISTRICT AND THE FOUNDATION EXECUTIVE DIRECTOR. A COPY IS PROVIDED TO THE GOVERNING BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST DISCLOSE TO THE BEST OF THEIR KNOWLEDGE ALL POTENTIAL CONFLICTS OF INTEREST AS SOON AS THEY BECOME AWARE OF THEM AND ALWAYS BEFORE ANY ACTIONS INVOLVING THE POTENTIAL CONFLICT ARE TAKEN. THEY MUST SUBMIT A SIGNED, WRITTEN STATEMENT DISCLOSING ALL THE MATERIAL FACTS TO THE AUDIT COMMITTEE. ALL BOARD MEMBERS MUST FILE AN ANNUAL DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR'S COMPENSATION WAS INITIALLY DETERMINED BY POLLING AN INDEPENDENT CONSULTANT IN THE HEALTHCARE FOUNDATION AREA. SUBSEQUENTLY, WAGE SURVEY HAVE BEEN COMPLETED THAT SUBSTANTIATE THIS AMOUNT. THE COMPENSATION IS REVIEWED ANNUALLY FOR BUDGET PURPOSES. THE LAST FORMAL REVIEW WAS CONDUCTED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE BY REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 109,488. TOTAL EXPENSES 109,488. FORM 990, PART XI, LINE 9: CONSOLIDATED ENTRY TO RECONCILE RELATED PARTY PAYABLE ACCOUNT -834,441. TELLURIDE HOSPITAL DISTRICT 500 W PACIFIC AVE TELLURIDE CO 81435 840738052 MEDICAL SERVICES CO N/A 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0