2024-07-18T16:18:16+00:00 2024-03-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-04-01 431509160 GOLDEN VALLEY MEMORIAL HOSPITAL FOUNDATION GOLD 6608907108 1600 NORTH SECOND STREET CLINTON MO 64735 SARAH DUNCAN DIRECTOR 2024-07-18 true SARAH DUNCAN 999009999 Krystal Creach P01248198 4178658701 2024-07-18 2023 2023-04-26 12:10:37Z SARAH DUNCAN 1600 NORTH SECOND STREET CLINTON MO 64735 3583549 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 44 0 0 5109332 3468893 0 22865 50195 -33838 -40714 5098359 3478374 28778 6952600 0 0 0 0 50529 94436 79307 7047036 5019052 -3568662 8067340 3968539 681500 0 7385840 3968539 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 6925591 6925000 0 PRIOR TO FY24 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 OF 2023. DURING FY24, THE FOUNDATION BEGAN TRANSFERRING FUNDS RAISED FOR RADIATION ONCOLOGY TO THE HOSPITAL TO HELP OFFSET THEIR COSTS ASSOCIATED WITH THE PROJECT. 28513 0 0 THE FOUNDATION AWARDED A GRANT TO GVMH HOME HEALTH FOR EQUIPMENT (IPADS, CASES AND KEYBOARDS WITH APPLE CARE+) THAT WORKS WITH THEIR NEW AXXESS WEB BASED SOLUTION IN ORDER TO ALLOW STAFF TO CHART WHILE IN PATIENTS HOMES RATHER THAN WAITING UNTIL BACK IN THE OFFICE AT THE END OF THE DAY. 17108 1483 0 THE FOUNDATION AWARDED A GRANT TO GVMH HOSPICE FOR EQUIPMENT (IPADS, CASES AND KEYBOARDS WITH APPLE CARE+) THAT WORKS WITH THEIR NEW AXXESS WEB BASED SOLUTION IN ORDER TO ALLOW STAFF TO CHART WHILE IN PATIENTS HOMES RATHER THAN WAITING UNTIL BACK IN THE OFFICE AT THE END OF THE DAY. 60621 26117 0 - THE FOUNDATION PURCHASED A BABY GRAND PLAYER PIANO FOR THE HOSPITAL MAIN LOBBY TO ENHANCE THE SPACE AND ALLOW FOR MUSIC TO BE PLAYED FOR STAFF AND PATIENTS TO ENJOY. $15,683 - THE FOUNDATION CREATED AND BEGAN RECEIVING DONATIONS INTO A NEW FUND ENTITLED THE TRUMAN LAKE CANCER RELIEF FUND THAT ASSISTS PATIENTS WHILE IN ACTIVE TREATMENT FOR CANCER WITH EXPENSES. $11,722 - THE FOUNDATION PAID FOR FURNITURE AS WELL AS A STOCK OF WIGS, HEAD COVERINGS, POPPY POCKETS, CHEMO SHIRTS FOR THE CARE CLOSET LOCATED IN THE CANCER CENTER TO ASSIST PATIENTS IN HAVING THESE ITEMS AND THE ABILITY TO TRY ON ITEMS IN A PRIVATE SPACE. $8,490 - 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. $5,254 - 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. $4,520 - 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. $801 - EACH YEAR, INCLUDING FY24, THE FOUNDATION PURCHASES BOOKS TO BE DISTRIBUTED BY CLINIC PROVIDERS DURING CHECK UPS FOR PEDIATRIC PATIENTS FROM BIRTH THROUGH AGE 5. $3,633 - THE FOUNDATION SUPPORTED CANCER PATIENTS BY PROVIDING COMFORT ITEMS, SNACKS AND ENTERTAINMENT IN THE CANCER CENTER AT GVMH. $2,058 - THE FOUNDATION PAID FOR NEW EQUIPMENT FOR THE CARDIAC REHAB DEPARTMENT. $1,995 - 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. $1,779 - THE FOUNDATION SUPPORT HOSPICE FAMILIES AND PATIENTS THROUGH ASSISTANCE GRANTS . $1,483 - THE FOUNDATION APPROVED A GRANT FROM THE CLINTON SCHOOL DISTRICT TO PAY FOR NEW PEDIATRIC PADS FOR THE DISTRICT'S AEDS. $1,065 - THE FOUNDATION PAID FOR ARTWORK FOR THE ICU WAITING ROOM THAT IT HAS PREVIOUSLY PAID TO RENOVATE. $1,032 - THE FOUNDATION SUPPORTED DIABETIC PATIENTS THROUGH THE PURCHASE OF SUPPLIES AND ALSO PROVIDED A PATIENT ASSISTANCE GRANT TO HELP WITH MEDICATION. $833 - THE FOUNDATION PAID FOR LUNCHES FOR STAFF TO COMPLETE A FLU SHOT CLINIC AT THE CLINTON SCHOOL DISTRICT. $273 60621 26117 7031833 true true 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 DAVID MILLS CHAIR 1.0 0.0 X X 0 0 0 DR GUS WETZEL BOARD MEMBER 1.0 40.0 X X 0 115908 16823 DR GUSTIN BATEMAN BOARD MEMBER 1.0 40.0 X X 0 719919 40429 Gerald Atchison Secretary/Treasurer 1.0 0.0 X X 0 0 0 JAMES E SMITH VICE CHAIR 1.0 0.0 X X 0 0 0 Ashley Parks BOARD MEMBER 1.0 0.0 X 0 0 0 Danny Eidson BOARD MEMBER 1.0 0.0 X 0 0 0 Gregg Smith BOARD MEMBER 1.0 0.0 X 0 0 0 Paul Hendricks BOARD MEMBER 1.0 0.0 X 0 0 0 Sandra Braithwait BOARD MEMBER 1.0 0.0 X 0 0 0 Sarajane Roberts BOARD MEMBER 1.0 0.0 X 0 0 0 Tim Glasscock BOARD MEMBER 1.0 0.0 X 0 0 0 SARAH DUNCAN FOUNDATION DIRECTOR 1.0 32.0 X 0 73521 27555 0 909348 84807 0 false true false 0 88484 3000000 380409 99798 3468893 0 0 0 0 0 50195 50195 0 0 0 0 64577 88484 105175 -40598 -40598 LOSS FROM INVESTMENT 900099 -116 -116 0 0 0 0 -116 3478374 0 0 9481 6925000 6925000 27600 27600 15203 15203 0 0 0 0 79233 79233 0 0 0 0 7047036 7031833 15203 0 289487 142394 3133834 816162 2848390 1653242 0 0 0 0 26530 0 596530 26530 1199099 1330211 0 0 0 0 8067340 3968539 681500 0 0 0 0 681500 0 X 452471 1114591 6933369 2853948 7385840 3968539 8067340 3968539 -3568662 151361 0 X false true X false false X 428695 94558 732238 5109332 3468893 9833716 0 0 428695 94558 732238 5109332 3468893 9833716 2757955 7075761 23244 20760 26807 22865 50195 143871 0 130149 83937 12652 -12113 -116 214509 10192096 181971 0.6942 0.5155 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - GAIN/LOSS FROM INVESTMENT, COLUMN A - 130149.0, COLUMN B - 83937.0, COLUMN C - 12652.0, COLUMN D - -12113.0, COLUMN E - -116.0, COLUMN F - 214509.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 165093 18066 50000 1513 131646 176765 -9615 2057 165093 170378 10978 2523 2068 176765 142702 29157 63 1418 170378 138768 5148 158 1056 142702 0.0 1.0 0.0 true false 26530 26530 26530 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. Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT HELD BY COMMUNITY FOUNDATION OF THE OZARKS FOR THE ORGANIZATION WAS REPORTED ON THE CONSOLIDATED AUDITED STATEMENTS DURING FY 23. 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. GOLF TOURNAMENT 55148 29283 25865 8450 13719 7815 6315 1055 GALA 97913 59201 38712 1926 6750 38892 10145 10108 0 153061 88484 64577 8450 15645 14565 45207 10145 11163 105175 -40598 true GOLDEN VALLEY MEMORIAL HOSPITAL 1600 NORTH SECOND STREET CLINTON MO 64735 430975390 501(c)(3) 6700000 225000 FMV LAND SUPPORT 1 0 PATIENT & COMMUNITY ASSISTANCE 78 27600 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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 719919 0 0 0 0 0 13200 0 27229 0 760348 0 0 X 1 79098 Market value X CABINETS 1 20700 Market value false false false Schedule M, Part I COLUMN B - NUMBER OF CONTRIBUTIONS THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. Form 990, Part III, Line 4d Description of other program services (Expenses $ 60,621 including grants of $ 26,117)(Revenue $ 0) - THE FOUNDATION PURCHASED A BABY GRAND PLAYER PIANO FOR THE HOSPITAL MAIN LOBBY TO ENHANCE THE SPACE AND ALLOW FOR MUSIC TO BE PLAYED FOR STAFF AND PATIENTS TO ENJOY. $15,683 - THE FOUNDATION CREATED AND BEGAN RECEIVING DONATIONS INTO A NEW FUND ENTITLED THE TRUMAN LAKE CANCER RELIEF FUND THAT ASSISTS PATIENTS WHILE IN ACTIVE TREATMENT FOR CANCER WITH EXPENSES. $11,722 - THE FOUNDATION PAID FOR FURNITURE AS WELL AS A STOCK OF WIGS, HEAD COVERINGS, POPPY POCKETS, CHEMO SHIRTS FOR THE CARE CLOSET LOCATED IN THE CANCER CENTER TO ASSIST PATIENTS IN HAVING THESE ITEMS AND THE ABILITY TO TRY ON ITEMS IN A PRIVATE SPACE. $8,490 - 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. $5,254 - 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. $4,520 - 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. $801 - EACH YEAR, INCLUDING FY24, THE FOUNDATION PURCHASES BOOKS TO BE DISTRIBUTED BY CLINIC PROVIDERS DURING CHECK UPS FOR PEDIATRIC PATIENTS FROM BIRTH THROUGH AGE 5. $3,633 - THE FOUNDATION SUPPORTED CANCER PATIENTS BY PROVIDING COMFORT ITEMS, SNACKS AND ENTERTAINMENT IN THE CANCER CENTER AT GVMH. $2,058 - THE FOUNDATION PAID FOR NEW EQUIPMENT FOR THE CARDIAC REHAB DEPARTMENT. $1,995 - 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. $1,779 - THE FOUNDATION SUPPORT HOSPICE FAMILIES AND PATIENTS THROUGH ASSISTANCE GRANTS . $1,483 - THE FOUNDATION APPROVED A GRANT FROM THE CLINTON SCHOOL DISTRICT TO PAY FOR NEW PEDIATRIC PADS FOR THE DISTRICT'S AEDS. $1,065 - THE FOUNDATION PAID FOR ARTWORK FOR THE ICU WAITING ROOM THAT IT HAS PREVIOUSLY PAID TO RENOVATE. $1,032 - THE FOUNDATION SUPPORTED DIABETIC PATIENTS THROUGH THE PURCHASE OF SUPPLIES AND ALSO PROVIDED A PATIENT ASSISTANCE GRANT TO HELP WITH MEDICATION. $833 - THE FOUNDATION PAID FOR LUNCHES FOR STAFF TO COMPLETE A FLU SHOT CLINIC AT THE CLINTON SCHOOL DISTRICT. $273 Form 990, Part VI, Line 7a Members or stockholders electing members of 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, Line 11b Review of form 990 by governing body 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, Line 19 Required documents available to the public 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 false true true true false false false