2022-11-14T08:42:30-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2021-01-01 261243347 GUNNISON VALLEY HEALTH FOUNDATION GUNN 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 JENNIFER BIRNIE EXECUTIVE DIRECTOR 9706428406 2022-11-11 1 JENNIFER BIRNIE XXX-XX-XXXX SARAH HINTZ P00492291 3037795710 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JENNIFER BIRNIE 711 NORTH TAYLOR STREET GUNNISON CO 81230 768770 0 X WWW.GUNNISONVALLEYHEALTH.ORG X 2007 CO SUPPORT GUNNISON VALLEY HEALTH IN DELIVERING QUALITY CARE IN GUNNISON COUNTY & SURROUNDING AREAS. 14 10 0 105 0 0 389979 515887 0 0 43757 55114 -4785 -29362 428951 541639 158634 210987 0 0 0 0 5323 1820 1820 17033 163039 180990 375846 247961 165793 3225031 3598472 20293 841 3204738 3597631 THE GUNNISON VALLEY HEALTH FOUNDATION EXISTS TO DEVELOP, PRESERVE & PROVIDE FINANCIAL RESOURCES TO THE GUNNISON HEALTH FACILITIES TO IMPROVE THE QUALITY AND BREADTH OF HEALTH CARE IN GUNNISON VALLEY. 0 0 205321 205321 0 IN 2021, THE FOUNDATION SUPPORTED THE FOLLOWING PROGRAMS: BEHAVIORAL HEALTH SERVICES, TEDDY BEARS FOR PEDIATRIC PATIENTS THROUGHOUT THE HEALTH SYSTEM, BABY BASKETS FOR NEW MOTHERS IN THE FAMILY BIRTH CENTER, FUNDING FOR CONCUSSION TESTING FOR LOCAL ATHLETES, SUPPLIES FOR HOSPICE BEREAVEMENT GROUPS, COMPUTERS AND COMMUNICATION DEVICES FOR HOSPICE/HOME HEALTH STAFF, INTEGRATIVE THERAPY SERVICES FOR SENIORS, NURSING PROGRAM SCHOLARSHIPS FOR SENIOR CARE CENTER EMPLOYEES, SCHOLARSHIPS FOR EMS EMPLOYEES AND FUNDING FOR CAPITAL NEEDS THROUGHOUT THE ENTIRE HEALTH SYSTEM. IN 2021 GUNNISON VALLEY HEALTH FOUNDATION BEGAN A CAPITAL CAMPAIGN TO FUND A NEW STATION FOR GUNNISON VALLEY HEALTH PARAMEDICS. FUNDS GIVEN TO GVH FOR THESE PROGRAMS AND MATERIALS WERE OBTAINED THROUGH FUNDRAISING EFFORTS, EVENTS AND GRANTS. 5666 5666 0 THE HIGH PEAKS EMPLOYEE CLUB IS AN ORGANIZATION IN WHICH EMPLOYEES DONATE A PORTION OF THEIR PAYCHECK TO THE CLUB. ALL PROCEEDS GO BACK TO ITEMS AND SERVICES FOR EMPLOYEES. IN 2021, FUNDS SUPPORTED AN EMERGENCY FUND FOR STAFF IN CRISIS AND OTHER STAFF SUPPORT. 210987 1 1 0 0 0 0 0 0 0 0 1 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 0 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 14 10 0 1 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X JENNIFER BIRNIE 9706428406 711 NORTH TAYLOR STREET GUNNISON CO 81230 ROBERT SANTILLI GVH CEO 2.00 38.00 X X 0 518215 15592 MARK VANDERVEER GVH CFO 1.00 39.00 X X 0 188505 12764 JENNIFER BIRNIE EXECUTIVE DIRECTOR 40.00 0.00 X 0 136277 5693 MEGAN MENSING HOME HEALTH PHYSICAL THERAPIST 1.00 0.00 X 0 89280 11175 TAMMY SCOTT FOUNDATION COORDINATOR 25.00 0.00 X 0 38592 0 JASON AMRICH GVH CEO 2.00 38.00 X X 0 38026 0 DR JOHN TARR PRESIDENT 1.00 0.00 X X 0 0 0 SHELLEY JANSEN VICE PRESIDENT 1.00 0.00 X X 0 0 0 ALISA COREY TREASURER 1.00 0.00 X X 0 0 0 MARTINA WALTON SECRETARY 1.00 0.00 X X 0 0 0 LAURA CALVIN DIRECTOR 1.00 0.00 X 0 0 0 MARLA COVEY DIRECTOR 1.00 1.00 X 0 0 0 CAROL MAY DIRECTOR 1.00 0.00 X 0 0 0 STEVE OGDEN DIRECTOR 1.00 0.00 X 0 0 0 SARAH OTERO DIRECTOR 1.00 0.00 X 0 0 0 CAROL SPECTOR DIRECTOR (THRU 6/30/21) 1.00 0.00 X 0 0 0 CATHY STEINBERGER DIRECTOR 1.00 0.00 X 0 0 0 LUCY ZAVALA DIRECTOR (THRU 6/30/21) 1.00 0.00 X 0 0 0 0 1008895 45224 0 0 1 0 0 81544 65750 368593 515887 55114 55114 181269 181269 0 0 16500 81544 45862 -29362 -29362 541639 0 0 25752 183335 183335 27652 27652 2100 2100 1820 1820 21126 21126 129237 129237 8849 8849 741 741 DUES & SUBSCRIPTIONS 917 917 EDUCATION 69 69 375846 210987 163039 1820 152275 97789 3050814 3480313 1572 0 16654 16654 0 0 20370 20370 3225031 3598472 20293 841 20293 841 X 1342849 1468538 1861889 2129093 3204738 3597631 3225031 3598472 165793 227100 0 X X 0 1 X 1 0 X 537923 230743 242913 389979 515887 1917445 537923 230743 242913 389979 515887 1917445 555215 1362230 24496 38188 33307 43757 55114 194862 9102 9102 264 264 2121673 0.64210 0.62430 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELANEOUS - 2018 AMOUNT: $ 264. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16654 16654 0 0 79147793 227100 78333192 78560292 587501 -45862 -45862 541639 70351371 70121138 70121138 230233 145613 145613 375846 PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED REVENUE FROM OTHER ENTITIES 78,478,805. GRANT EXPENSES NETTED AGAINST REVENUE -145,613. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE -45,862. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE 45,862. CONSOLIDATED EXPENSES FROM OTHER ENTITIES 70,075,276. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSES NETTED AGAINST REVENUE 145,613. GOLF TOURNAMENT 53019 48519 4500 7029 2085 NIGHT OF CARING GALA 45025 33025 12000 9275 15340 400 4794 98044 81544 16500 16304 15340 400 6879 38923 -22423 1 GUNNISON VALLEY HOSPITAL 711 NORTH TAYLOR STREET GUNNISON CO 81230 846008116 GUNNISON COUNTY 176339 0 N/A N/A SUPPORT HOSPITAL GUNNISON COUNTY JUVENILE SERVICES 200 E VIRGINIA AVE GUNNISON CO 81230 846000770 GUNNISON COUNTY 6996 0 N/A N/A NEEDS ASSESSMENT PROJECT EXPENSES 2 0 SCHOLARSHIPS 7 24652 AWARDS 2 3000 PART I, LINE 2: RESTRICTED FUNDS ARE MAINTAINED FOR ALL GRANTS GIVEN AND RECEIVED AND THIS IS TRACKED ON AN EXCEL SPREADSHEET BY OUR ACCOUNTANT. 0 0 0 0 0 0 0 0 0 ROBERT SANTILLI GVH CEO 0 433676 0 84539 0 0 0 13474 0 2118 0 533807 0 0 MARK VANDERVEER GVH CFO 0 172225 0 16280 0 0 0 6143 0 6621 0 201269 0 0 PART I, LINE 3 COMPENSATION OF THE GUNNISON VALLEY HEALTH FOUNDATION EXECUTIVE DIRECTOR IS DETERMINED BY THE HOSPITAL CEO AND THE HOSPITAL HUMAN RESOURCES DEPARTMENT AS THE EXECUTIVE DIRECTOR IS A HOSPITAL EMPLOYEE. THE FOLLOWING WERE USED BY THE HOSPITAL TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. WRITTEN EMPLOYMENT CONTRACT 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY EMPLOYEES OF GUNNISON VALLEY HOSPITAL, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 4 THE CORPORATIONS BYLAWS WERE AMENDED TO CHANGE BOARD MEMBER TERM LIMITS TO 3 YEARS. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE BOARD OF TRUSTEES OF GUNNISON VALLEY HEALTH SYSTEM. FIVE OF THE BOARD MEMBERS ARE THE HEALTH SYSTEM'S CEO AND CFO, A MEMBER OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES WHO IS APPOINTED BY THE CHAIR OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES, A PHYSICAN REPRESENTATIVE WHO IS APPOINTED BY THE HEALTH SYSTEM'S CHIEF OF STAFF, AND A HEALTH SYSTEM NON-PHYSICIAN STAFF MEMBER WHO IS APPOINTED BY THE HEALTH SYSTEM'S CEO. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN PORTIONS OF THE FOUNDATION'S BYLAWS MAY NOT BE AMENDED OR REPEALED WITHOUT THE WRITTEN APPROVAL OF THE BOARD OF TRUSTEES OF THE HEALTH SYSTEM. THE FOUNDATION HAS NO POWER OR AUTHORITY TO MAKE ANY GRANT THAT FALLS OUTSIDE OF THE GRANT-MAKING GUIDELINES ADOPTED BY THE FOUNDATION'S BOARD OF DIRECTORS AND APPROVED BY THE HEALTH SYSTEM'S BOARD OF TRUSTEES WITHOUT THE PRIOR APPROVAL OF THE HEALTH SYSTEM'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY GUNNISON VALLEY HEALTH'S CFO AND GUNNISON VALLEY HEALTH FOUNDATION'S EXECUTIVE DIRECTOR AND A COPY WAS PROVIDED TO THE FOUNDATION'S BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO, COMPLETED BY, AND COLLECTED FROM EACH DIRECTOR ON THE BOARD ON AN ANNUAL BASIS. IF A DIRECTOR HAS A POTENTIAL CONFLICT OF INTEREST, THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS DETERMINE WHETHER A CONFLICT EXISTS AND DETERMINE APPROPRIATE STEPS TO TAKE IN RESPONSE. ACTIONS MAY INCLUDE BEING EXCUSED FROM DISCUSSIONS, EXCUSED FROM VOTES, OR WITHDRAWAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A THE GUNNISON VALLEY HEALTH CEO AND THE FOUNDATION'S BOARD, USING INDUSTRY COMPARISONS, DETERMINED THE APPROPRIATE COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR IN 2021. ALL OTHER COMPENSATION IS DETERMINED BY GUNNISON VALLEY HEALTH. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGE FROM THE PRIOR YEAR. GUNNISON VALLEY HOSPITAL 711 N TAYLOR ST GUNNISON CO 81230 846008116 HOSPITAL CO N/A 0 GUNNISON VALLEY HEALTH SENIOR CARE CENTER 1500 W TOMICHI AVENUE GUNNISON CO 81230 841288611 HEALTH CARE CENTER CO N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 GUNNISON VALLEY HOSPITAL B 176339 CASH PAID