GUNNISON VALLEY HEALTH FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GUNNISON VALLEY HEALTH FOUNDATION (EIN 26-1243347)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-08
IRS object ID
202103129349304130
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-08T16:04:14-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18390 EAST CRESCENT PARKWAY SUITEAddressLine1Txt
Address Line2300AddressLine2Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261243347EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNNISON VALLEY HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGUNNBusinessNameControlTxt
Phone9706428406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER BIRNIEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9706428406PhoneNum
Signature2021-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJENNIFERPersonFirstNm
Person LastBIRNIEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARAH HINTZPreparerPersonNm
PTINP00492291PTIN
Phone3037795710PhoneNum
Preparation2021-11-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER BIRNIEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$441,503GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUNNISONVALLEYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionSUPPORT GUNNISON VALLEY HEALTH IN DELIVERING HIGH QUALITY CARE IN GUNNISON COUNTY & SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$242,913PYContributionsGrantsAmt
CY Contributions Grants$389,979CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$432,616PYInvestmentIncomeAmt
CY Investment Income$43,757CYInvestmentIncomeAmt
PY Other Revenue-$1,776PYOtherRevenueAmt
CY Other Revenue-$4,785CYOtherRevenueAmt
PY Total Revenue$673,753PYTotalRevenueAmt
CY Total Revenue$428,951CYTotalRevenueAmt
PY Grants And Similar Paid$256,373PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$158,634CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$3,605PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$5,323CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,323CYTotalFundraisingExpenseAmt
PY Other Expenses$16,752PYOtherExpensesAmt
CY Other Expenses$17,033CYOtherExpensesAmt
PY Total Expenses$276,730PYTotalExpensesAmt
CY Total Expenses$180,990CYTotalExpensesAmt
PY Revenues Less Expenses$397,023PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$247,961CYRevenuesLessExpensesAmt
Total Assets BOY$2,773,429TotalAssetsBOYAmt
Total Assets EOY$3,225,031TotalAssetsEOYAmt
Total Liabilities BOY$3,726TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,293TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,769,703NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,204,738NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$144,542ExpenseAmt
Grant$144,542GrantAmt
Revenue$0RevenueAmt
DescTHE GUNNISON VALLEY HEALTH FOUNDATION PROVIDES FINANCIAL SUPPORT TO THE GUNNISON VALLEY HEALTH SYSTEM (GVH). IN 2020, THE FOUNDATION SUPPORTED THE FOLLOWING PROGRAMS: BEHAVIORAL HEALTH SERVICES, TEDDY BEARS FOR PEDIATRIC PATIENTS THROUGHOUT THE HEALTH SYSTEM, BABY BASKETS FOR NEW MONTHS IN THE FAMILY BIRTH CENTER, FUNDING FOR COVID 19 TESTING OF EMPLOYEES, FUNDING FOR PERSONAL PROTECTIVE EQUIPMENT (PPE), DISINFECTING EQUIPMENT, SUPPLIES FOR BEREAVEMENT GROUPS, MINOR EQUIPMENT FOR HOSPICE/HOME HEALTH STAFF, INTEGRATIVE THERAPY SERVICES FOR SENIORS, IPADS/COMMUNICATION DEVICES FOR SENIOR CARE CENTER RESIDENTS DURING COVID, PEDIATRIC DISTRACTION DEVICES AND NURSING PROGRAM SCHOLARSHIPS FOR SENIOR CARE CENTER EMPLOYEES. FUNDS GIVEN TO GVH FOR THESE PROGRAMS AND MATERIALS WERE OBTAINED THROUGH FUNDRAISING EFFORTS, EVENTS AND GRANTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,092ExpenseAmt
Grant$14,092GrantAmt
Revenue$0RevenueAmt
DescTHE 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 2018, FUNDS SUPPORTED AN EMERGENCY FUND FOR STAFF IN CRISIS AND OTHER STAFF SUPPORT.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$158,634TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER BIRNIEPersonNm
Phone9706428406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR JOHN TARR
PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
SHELLEY JANSEN
VICE PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
ALISA COREY
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
MARTINA WALTON
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
LAURA CALVIN
DIRECTOR1.000.00Yes (X)$0$0$0
MARLA COVEY
DIRECTOR1.001.00Yes (X)$0$0$0
CAROL MAY
DIRECTOR1.000.00Yes (X)$0$0$0
MEGAN MENSING
HOME HEALTH PHYSICAL THERAPIST40.000.00Yes (X)$0$88,078$18,268
STEVE OGDEN
DIRECTOR1.000.00Yes (X)$0$0$0
SARAH OTERO
DIRECTOR1.000.00Yes (X)$0$0$0
ROB SANTILLI
GVH CEO2.0038.00Yes (X)Yes (X)$0$420,470$15,591
CAROL SPECTOR
DIRECTOR1.000.00Yes (X)$0$0$0
CATHY STEINBERGER
DIRECTOR1.000.00Yes (X)$0$0$0
MARK VANDERVEER
GVH CFO1.0039.00Yes (X)Yes (X)$0$157,920$9,112
LUCY ZAVALA
DIRECTOR1.000.00Yes (X)$0$0$0
JENNIFER BIRNIE
EXECUTIVE DIRECTOR40.000.00Yes (X)$0$121,982$3,390
TAMMY SCOTT
FOUNDATION COORDINATOR25.000.00Yes (X)$0$35,000$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$823,450TotReportableCompRltdOrgAmt
Total Other Compensation$46,361TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$26,000RelatedOrganizationsAmt
All Other Contributions$363,979AllOtherContributionsAmt
Total Contributions$389,979TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,757TotalRevenueColumnAmt
Exclusion$43,757ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,767SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,767SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,785FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,785TotalRevenueColumnAmt
Exclusion-$4,785ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$428,951TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$38,972ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$158,634TotalAmt
Program Services$158,634ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$5,323TotalAmt
Fundraising$5,323FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$13,281TotalAmt
Management And General$13,281ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,769TotalAmt
Management And General$2,769ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$703TotalAmt
Management And General$703ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
EDUCATION$194$194
DUES & SUBSCRIPTIONS$86$86

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$180,990TotalAmt
Program Services$158,634ProgramServicesAmt
Management And General$17,033ManagementAndGeneralAmt
Fundraising$5,323FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$411,479BOYAmt
EOY$152,275EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,341,580BOYAmt
EOY$3,050,814EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$1,572EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,654LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,654LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,370BOYAmt
EOY$20,370EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,773,429BOYAmt
EOY$3,225,031EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,726BOYAmt
EOY$20,293EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,726BOYAmt
EOY$20,293EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,531,224BOYAmt
EOY$1,342,849EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,238,479BOYAmt
EOY$1,861,889EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,769,703BOYAmt
EOY$3,204,738EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,773,429BOYAmt
EOY$3,225,031EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$247,961ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$187,074NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$162,753CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$537,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$230,743CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$242,913CurrentTaxYearMinus1YearAmt
Current Tax Year$389,979CurrentTaxYearAmt
Total$1,564,311TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$162,753CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$537,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$230,743CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$242,913CurrentTaxYearMinus1YearAmt
Current Tax Year$389,979CurrentTaxYearAmt
Total$1,564,311TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$483,139SubstantialContributorsTotAmt
Public Support Total170$1,081,172PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,496CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,307CurrentTaxYearMinus1YearAmt
Current Tax Year$43,757CurrentTaxYearAmt
Total$167,117TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$264CurrentTaxYearMinus2YearsAmt
Total$264TotalAmt
FieldValueIRS element (for citing)
Total Support$1,731,692TotalSupportAmt
Gross Receipts Rltd Activities$117,555GrossReceiptsRltdActivitiesAmt
Public Support CY1700.62430PublicSupportCY170Pct
Public Support PY1700.55210PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELANEOUS - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 264. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,654OtherCostOrOtherBasisAmt
Depreciation$16,654DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1GUNNISON VALLEY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1711 NORTH TAYLOR STREETAddressLine1Txt
CityGUNNISONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81230ZIPCd
FieldValueIRS element (for citing)
Recipient EIN846008116RecipientEIN
IRC SectionGUNNISON VALLEY HOSPIRCSectionDesc
Cash Grant$153,934CashGrantAmt
Purpose Of GrantSUPPORT HOSPITALPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationRESTRICTED FUNDS ARE MAINTAINED FOR ALL GRANTS GIVEN AND RECEIVED AND THIS IS TRACKED ON AN EXCEL SPREADSHEET BY OUR ACCOUNTANT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROB SANTILLI
GVH CEO$0$357,695$0$62,775$0$0$0$11,191$0$4,400$0$436,061$0$0
MARK VANDERVEER
GVH CFO$0$157,920$0$0$0$0$0$2,228$0$6,884$0$167,032$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationCOMPENSATION 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 COMMITTEEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3ALL MANAGEMENT SERVICES ARE PROVIDED BY EMPLOYEES OF GUNNISON VALLEY HOSPITAL, A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AALL 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 7BCERTAIN 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 11BTHE 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 12CTHE 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 15ATHE GUNNISON VALLEY HEALTH CEO AND THE FOUNDATION'S BOARD, USING INDUSTRY COMPARISONS, DETERMINED THE APPROPRIATE COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR IN 2020. ALL OTHER COMPENSATION IS DETERMINED BY GUNNISON VALLEY HEALTH.
FORM 990, PART VI, SECTION C, LINE 19THE 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 ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT IN THIS PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
GUNNISON VALLEY HOSPITAL
711 N TAYLOR STGUNNISONCO81230846008116HOSPITALCON/A0
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
1500 W TOMICHI AVENUEGUNNISONCO81230841288611HEALTH CARE CENTERCON/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GUNNISON VALLEY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$153,934InvolvedAmt
Method Of Amount DeterminationCASH PAIDMethodOfAmountDeterminationTxt

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