2025-10-17T12:23:37-05:00 2025-03-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2024-04-01 431509160 Golden Valley Memorial Hospital Foundation Inc GOLD 6608855511 1600 N Second St Clinton MO 64735 Sarah Duncan Director of Foundation 6608855511 2025-10-16 1 1 Heidi M Sachs CPA P01273512 6122536500 2025-10-16 2024 2025-03-06 01:10:19Z Sarah Duncan 1600 N Second St Clinton MO 64735 910869 0 X www.gvmh.org X 1989 MO To provide financial support for Golden Valley Memorial Hospital and its patients 12 10 0 32 0 0 3468893 799916 0 0 50195 68231 -40714 -76738 3478374 791409 6952600 915845 0 0 0 0 0 0 67297 94436 88794 7047036 1004639 -3568662 -213230 3968539 3810907 0 0 3968539 3810907 X None 0 0 923515 915845 0 Prior to Fiscal Year 2025 the GVMH Foundation completed a capital campaign to raise funds to assist the Hospital in building a radiation oncology center. Many gifts were pledged by donors to be paid over a period of years. Gifts received by the Foundation are placed in a restricted fund for radiation oncology. The Hospital completed construction of the center in December 2023. During FIscal Year 2025, the Foundation received gifts and transferred funds for radiation oncology to the Hospital to help offset their costs associated with the project.(Continued on Schedule O)The Foundation donated $75,000 to GVMH for surgical services equipment upgrades. These funds were raised through proceeds from the gala event held in March 2024. The Foundation approved a grant request for new equipment for the cardiac rehab department.The Foundation purchased items such as wigs, head coverings, poppy pockets, and chemo shirts to stock the oncology care closet. These items are available to assist patients in need and the dedicated space allows patients the ability to try on items in a private space. The Foundation also purchase snacks, gas cards and other comfort items on a regular basis for the benefit of patients in the cancer center.The Foundation utilized its 'Truman Lake Cancer Relief' fund to assists patients while in active treatment for cancer with expenses.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. The Foundation assisted cardiac rehab patients through purchase of gas cards to assist patients in getting to their appointments and also provided patient assistance grants to help patients in need cover the cost of coinsurance associated with their treatment.The Foundation supported GVMH's share pregnancy and infant loss support group through supplies for care packages for families suffering a loss at GVMH as well as annual dues and supplies needed for meetings.Each year, including FY25, the Foundation purchases books to be distributed by clinic providers during check ups for pediatric patients from birth through age 5.The Foundation supported cancer patients by purchasing gas cards and other items for patients that could not afford the items through its established Sandy Houchen fund.The Foundation approved a request to pay for cremation services of a hospice patient who had no other means to pay. The Foundation approved a grant from the Clinton Cardinal Youth Football program to reimburse the cost of purchasing an AED for the team.During a prior fiscal year the Foundation approved a grant for the reimbursement of an AED for Clearview Care Center in Osceola, MO. The Foundation received confirmation of purchase during FY25 and reimbursed the center for the cost.The Foundation supported diabetic patients through the purchase of supplies and also provided a patient assistance grant to help with medication.The Foundation paid for lunches for staff to complete a flu shot clinic at the Clinton school district.The Foundation awarded a scholarship for continued education in healthcare field to a GVMH employee. This was paid for in part by the Dolores Meyer Scholarship Fund and in part by the employee scholarship fund.The Foundation received a donation during Fiscal Year 2024 that was restricted for the purchase of a tilt table for cardiac rehab and this equipment was purchased during FIscal Year 2024. Foundation reimbursed GVMH for this purchase during FIscal Year 2025.The Foundation supported pediatric therapy patients through the purchase of tools they can utilize at home to assist with their therapy needs.The Foundation approved a grant to provide hearing assistive devices for GVMH patients in needThe Foundation approved a grant to provide pulse ox devices to patients upon discharge. 923515 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 10 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 X Tammy Nadler CFO 6608907103 1600 N Second Street Clinton MO 64735 David Mills Chair 1.00 0.00 X X 0 0 0 Sandra Braithwait Vice Chair 1.00 0.00 X X 0 0 0 Gerald Atchison Secretary/Treasurer 1.00 0.00 X X 0 0 0 Dr Gustin Bateman Board Member 1.00 40.00 X 0 767348 42955 Dr Gus Wetzel Board Member 1.00 40.00 X 0 159854 13266 Danny Eidson Board Member 1.00 0.00 X 0 0 0 Tim Glasscock Board Member 1.00 0.00 X 0 0 0 Paul Hendricks Board Member 1.00 0.00 X 0 0 0 Ashley Parks Board Member 1.00 0.00 X 0 0 0 Sarajane Roberts Board Member 1.00 0.00 X 0 0 0 Gregg Smith Board Member 1.00 0.00 X 0 0 0 Mindy Nold Board Member 1.00 0.00 X 0 0 0 Sarah Duncan Director of Foundation 40.00 1.00 X 0 73824 27517 0 1001026 83738 0 0 1 0 0 130585 669331 49174 799916 68749 68749 518 -518 -518 -518 42204 130585 118942 -76738 -76738 791409 0 0 -8507 858373 858373 57472 57472 300 300 13527 13527 1230 1230 3310 3310 67755 458 67297 380 380 2292 2292 1004639 923515 13827 67297 142394 69837 816162 495849 1653242 1547371 0 26530 1330211 1697850 3968539 3810907 0 0 X 1114591 879446 2853948 2931461 3968539 3810907 3968539 3810907 -213230 55598 0 X 0 1 X 0 0 X 94558 732238 5109332 3468893 799916 10204937 94558 732238 5109332 3468893 799916 10204937 2996056 7208881 20760 26807 22865 50195 68749 189376 83937 12652 -12113 -116 84360 10478673 205613 0.68800 0.69420 X Schedule A, Part II, Line 10, Explanation of Other Income: Gain/Loss from Investments - 2020 Amount: $ 83,937. 2021 Amount: $ 12,652. 2022 Amount: $ -12,113. 2023 Amount: $ -116. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 131646 9615 1712 139549 165093 18066 50000 1513 131646 176765 -9615 2057 165093 170378 10978 2523 2068 176765 142702 29157 63 1418 170378 0.00000 1.00000 0.00000 1 0 0 Part V, Line 4: The endowment is held by the Community Foundation of the Ozarks for the organization. The 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. Golden Golf Classic 56474 42974 13500 11540 7200 5945 14533 Black Tie, Boots & Bling Gala 116315 87611 28704 1690 17278 46477 10056 4223 172789 130585 42204 11540 1690 24478 52422 10056 18756 118942 -76738 1 Golden Valley Memorial Hospital District 1600 N Second Street Clinton MO 64735 430975390 501(c)(3) 858373 0 Support of readiation oncology center and surgical & cardiac rehab equipment 1 0 Scholarships 1 1000 Patient and Community Assistance 142 56472 Part I, Line 2: The Foundation uses applications to provide grants to organizations to support healthcare initiatives and to individuals to support healthcare, education and better outcomes for patients. For grant applications over $1,000 they are reviewed by the Foundation Board and voted upon. Patient assistance applications for assistance from a restricted account are provided to and reviewed by the Foundation Director. The Foundation requests invoices, purchase orders or statements from those receiving assistance. The Foundation writes checks for the approved amounts to the organziations, individuals or other entities on their behalf. 0 0 0 0 0 0 0 0 0 Dr Gustin Bateman Board Member 0 493475 0 273573 0 300 0 0 0 42955 0 810303 0 0 Dr Gus Wetzel Board Member 0 115888 0 43816 0 150 0 0 0 13266 0 173120 0 0 X 3 49174 FMV 0 0 0 0 Part I, Column (b): The organization reports the number of contributions in column (b). Form 990, Part VI, Section A, line 7a Members of the governing body of the organization are appointed by Golden Valley Memorial Hospital's (a related organization) Board of Directors, Chair of the Board of Directors and Hospital Chief of Staff. Form 990, Part VI, Section A, line 8b The organization does not have committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b 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 and provided to the Board of Directors. Form 990, Part VI, Section C, line 19 The organization's governing documents are available to the general public upon written request. Golden Valley Memorial Hospital District 1600 N Second Clinton MO 64735 430975390 Hospital MO 501(c)(3) Line 3 N/A 0 Aux Of the Golden Valley Memorial Hospital 1600 N Second Clinton MO 64735 431171506 Support MO 501(c)(3) Line 10 Golden Valley Memorial Hospital District 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 0